Factors Influencing Sun Protection Behaviors Among Patients With Skin Cancer: An Application of the Information–Motivation–Behavioral Skills Model This study aimed to assess predictors of sun protection behaviors based on the information–motivation–behavioral skills (IMB) model among people diagnosed with nonmelanoma skin cancer (NMSC). For this descriptive, cross-sectional study, a convenience sample of 311 patients with NMSC was recruited at a medical center in Mississippi. Patients were invited to complete a face- and content-valid, IMB-model-based questionnaire. The average age of the participants was 64.12 (±12.02) years, and most (58.8%) were male. Most participants indicated not using sun protection behaviors while outdoors. Findings showed that sun protection behaviors were directly predicted by self-efficacy (standardized path coefficient = 0.504, p < .001) and social support (standardized path coefficient = 0.199, p = .010). In addition, sun protection behavior was indirectly predicted (through self-efficacy) by social support (standardized indirect effect = 0.160, p < .001) and attitudes (standardized indirect effect = 0.192, p = .001). The explained variances for self-efficacy and sun protection behaviors were 43% and 35.4%, respectively. In conclusion, the IMB model appears to be a useful theoretical framework for predicting sun protection behaviors among patients with NMSC. Sun safety intervention programs should be developed based on this theoretical model for patients with NMSC.

Piloting a Tool to Measure Patient-Perceived Barriers to Dermatology Access Background With malignant melanoma incidence rates at a historic national high and greater tumor thickness being the most significant prognostic determinant, early lesion detection and treatment remain the most crucial factors for improving health outcomes. Objective The aim of this study was to design and pilot a survey instrument to document patients’ perceived barriers to dermatology care access. Methods A retrospective, descriptive design and a convenience sample of 50 adult participants via a conceptually derived survey were used. Data analyses included descriptive statistics and frequencies; the survey was designed to be analyzed in a subsequent study with other types of data that were not collected as part of this pilot. Results Twenty-one (42%) of participants reported receipt of dermatology care, five (10%) reported no care, and 24 (48%) did not respond to this question. Overall, 30 surveys (60%) were returned incomplete to varying degrees. Limitations Limitations included a small sample size from a homogenous population with access to dermatology care. The reliability and validity of this tool were not evaluated. Conclusions It was unclear whether lower completion rates were attributed to the survey or study design, but several research-driven suggestions were made that may be helpful in improving this tool for future use.

Improving Skin Cancer Knowledge and Awareness in Cosmetology Students Skin cancer is the most common form of cancer in the United States and includes melanoma and nonmelanoma skin cancer. Cosmetologists have reoccurring access to individuals presenting for services, and the clients are seen in good lighting where skin changes in the head and neck could be observed. The purpose of this study was to evaluate an educational intervention to increase cosmetology students’ skin cancer knowledge, personal practices, and client-directed skin observation behaviors. A single-group pretest–posttest design was used to examine knowledge, personal practices, client-directed skin observation behaviors, and confidence. A 20-minute face-to-face presentation and printed educational handouts on skin cancer were provided for participants. Statistically significant increases in knowledge (p < .0001), personal practices (p < .0001), and confidence (p < .025) were found; however, no statistically significant increases were found in client-directed skin observation behaviors (p < .057). The results of this study suggest that an educational intervention can increase cosmetology students’ skin cancer knowledge and awareness. Skin cancer knowledge could be used to increase opportunistic monitoring of customer skin health and early detection of skin changes.

Palpable Purpura on the Legs and Buttocks This is a case of a young girl with palpable purpura on the legs and buttocks who was seen using telecommunication technology. Store-and-forward teledermatology increases overall access to dermatology care by sending protected medical information electronically to off-site medical providers (Roman & Jacob, 2014). The following case of palpable purpura is presented in the standardized teledermatological reader format.

Red and Fissured Plaques Found Within the Inguinal Folds Teledermatology is a term to describe the provision of dermatologic medical services through telecommunication technology. This is a teledermatology case of red and fissured plaques found within the inguinal folds.

Injectable Deoxycholic Acid (ATX-101, Kybella) for Nonsurgical Submental Contouring Drugs are medications or substances that are used to modify physiologic responses and alleviate associated symptoms. In dermatology, medications and substances are utilized on a daily basis and include topical treatments to anesthetics in micrographic surgery to biologic-acting immunologic agents. The purposes of this section are to focus on drug, specifically how it works and how it is utilized, and to discuss routine alternatives (if available). In this column, we will focus on the uses, mechanism of action, adverse effects, and alternatives to injectable deoxycholic acid (ATX-101, Kybella), a new nonsurgical agent in esthetic reduction of submental fat.

Itchy Patches on the Upper and Lower Extremities This is a case of a patient presenting with pruritic dark plaques that erupted on the upper extremities and the left inner thigh. The patient is otherwise asymptomatic with no other acute concerns. A multiple-choice question is presented and readers will be challenged to diagnose this patient based on the case presentation, symptoms, and patient history. An answer is given followed by a discussion of the diagnosis, clinical features, and therapeutic management.

Skin Test No abstract available

Poster Abstracts From DNA 2019 Annual Meeting No abstract available