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Developing and testing a mobile health intervention to promote sun protection behaviors and skin examination among Hispanics

Award Number: K99MD016435
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

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ABSTRACT Skin cancer is the most common cancer in the United States (US). Melanoma is the deadliest form of skin cancer. In the past two decades, melanoma incidence among Hispanics has risen by 20%. The mortality rate of Hispanics is higher compared to Non-Hispanic whites (NHW). In general, compared to NHW, Hispanics diagnosed with melanoma are younger, have thicker tumors, and have worse survival rates. Skin cancer can be prevented with regular sun protection, and early detection can improve skin cancer outcomes. The Hispanic population is the fastest growing ethnic group in the US. Alarmingly, Hispanics are less aware of the symptoms and harms of skin cancers, tend to have misperceptions regarding the risks and benefits of skin cancer prevention behaviors, engage in less sun protection behaviors than NHW, and only 18% of them reported ever having done a skin self-examination. In addition, due to the increase of acculturation of Hispanics in the US, their sun-safety behaviors are poorer than non-US Hispanics. Occupational exposure to ultraviolet radiation (UVR) is a risk factor for skin cancer, and Hispanic individuals are over-represented in a number of outdoor occupations. Approximately 21% of the 2018 US Hispanic workforce were employed in industries that involved significant amounts of occupational UVR exposure such as construction. Therefore, an increasing effort to raise awareness regarding sun protection and skin self-examination behaviors is needed to address the existing gap of skin cancer research among Hispanics. This research project seeks to develop a mobile-based and user-centered intervention to promote sun protection and skin self-examination among a diverse sample of Hispanics using an iterative approach to capture relevant contextual issues and evaluate the preliminary effects of the intervention. During the K99 phase, I will: 1) collect, analyze, and triangulate data from the Hispanic community and other stakeholders (e.g., health care providers and community leaders) for skin cancer digital intervention development; and 2) through a user- centered approach, develop an innovative WhatsApp intervention to promote skin cancer-related health behaviors among Hispanics to improve participants’ engagement in the intervention. During the R00 phase, I will: 3) evaluate the feasibility and acceptability of this mobile intervention in a pre-, post-test study among Hispanics at risk for skin cancer; and 4) refine the intervention and conduct a pilot randomized controlled trial using this mobile service among Hispanics at risk for skin cancers and assess the preliminary effects of the mobile intervention at post-intervention and 6-month follow-up. The intervention has strong potential for cost- effective, widespread dissemination and targets an understudied group at-risk for future cancer development. The training experiences and mentoring obtained during this K99/R00 project are critical foundations for a successful independent cancer research career.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$47,246 )
2024	2023	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	002	2	9/10/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$47,246
2024	2023	RUTGERS THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	001	2	3/1/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$55,989
2024	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08901	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	1	3/1/2024	NEW	-$55,989
														Subtotal = -$47,246

Issue Date FY: 2023 ( Subtotal = $125,156 )
2023	2023	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	65 BERGEN ST	NEWARK	NJ	07107	ESSEX	USA	Minority Health and Health Disparities Research	002	2	2/17/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$125,156
2023	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08903	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	1	1/12/2023	NEW	$0
2023	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08903	MIDDLESEX	USA	Minority Health and Health Disparities Research	001	1	2/17/2023	NEW	$0
														Subtotal = $125,156

Issue Date FY: 2022 ( Subtotal = $125,955 )
2022	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08903	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	1	4/15/2022	NEW	$125,955
2022	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08903	MIDDLESEX	USA	Minority Health and Health Disparities Research	002	1	8/5/2022	NEW	$0
2022	2022	RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY	195 LITTLE ALBANY ST	NEW BRUNSWICK	NJ	08903	MIDDLESEX	USA	Minority Health and Health Disparities Research	001	1	6/29/2022	NEW	$0
														Subtotal = $125,955

Grand Total All Awards = $203,865

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Developing and testing a mobile health intervention to promote sun protection behaviors and skin examination among Hispanics

Award Number: K99MD016435

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

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