{"doi":"10.1093/abm/kaab090","title":"mySmartCheck, a Digital Intervention to Promote Skin Self-examination Among Individuals Diagnosed With or at Risk for Melanoma: A Randomized Clinical Trial","abstract":"BACKGROUND: Regular skin self-examination (SSE) reduces melanoma mortality but is not often conducted. PURPOSE: To promote SSE performance in individuals at increased risk for melanoma. METHODS: One hundred sixteen individuals at heightened risk for development of melanoma (i.e., personal/family history of melanoma, high-risk mole phenotype) who did not conduct a thorough SSE during in the prior 3 months were randomly assigned to receive either an automated internet-based intervention (mySmartCheck) or usual care (UC). One hundred sixteen participants completed surveys before random assignment and 99 completed the follow-up survey 13-weeks afterward. The primary outcome was participant self-reported examination (SSE) of all 15 parts of the body in the last 3 months. Secondary outcomes were SSE of any part of the body in the last 3 months and number of body parts examined during the last SSE. RESULTS: More mySmartCheck participants examined all 15 body parts (32.6% vs. 7.1%, p = .001). More individuals in mySmartCheck reported conducting SSE on any body part than those in UC (81.4% vs. 62.5%, p = .04). Effect sizes were large (d = 1.19 all 15 body parts) to moderate (d = 0.55 for any body part). mySmartCheck participants examined more body areas than UC participants (12.7 vs. 10.3, p = 0.003) during the last SSE. Participants in mySmartCheck reported higher levels of knowledge of suspicious lesions, SSE benefits, SSE self-efficacy, and planning for SSE, and lower SSE barriers, than those assigned to UC. CONCLUSIONS: mySmartCheck had a significant positive impact on SSE performance and behaviors. Additional research with a larger sample size, a longer follow-up, and more varied clinical settings is needed. TRIAL REGISTRATION: ClinicalTrials.gov registration # NCT03725449 (https://clinicaltrials.gov/ct2/show/NCT03725449).","journal":"Annals of Behavioral Medicine","year":2021,"id":200547,"datarank":0.4868624354731329,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.1572787488726999,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.1572787488726999,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":8,"citers_with_citation_signal":7,"citers_with_endowment":7,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9598,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03725449"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":347686,"name":"Michael A. Marchetti","orcid":"0000-0002-1793-1851","position":1,"is_corresponding":false},{"id":477525,"name":"Deborah A. Kashy","orcid":"0000-0002-4990-1868","position":2,"is_corresponding":false},{"id":390191,"name":"Carolyn J. Heckman","orcid":"0000-0003-1016-3965","position":3,"is_corresponding":false},{"id":382477,"name":"Lee M. Ritterband","orcid":"0000-0001-7624-5213","position":4,"is_corresponding":false},{"id":382476,"name":"Frances P. Thorndike","orcid":"0000-0002-5976-3016","position":5,"is_corresponding":false},{"id":443607,"name":"Adrienne Viola","orcid":"0000-0001-7997-0007","position":6,"is_corresponding":false},{"id":778267,"name":"Carolina Lozada","orcid":"0009-0005-1590-4349","position":7,"is_corresponding":false},{"id":443612,"name":"Elliot J. Coups","orcid":"0000-0002-1469-1565","position":8,"is_corresponding":false},{"id":407570,"name":"Sharon L. Manne","orcid":"0000-0002-9304-7822","position":0,"is_corresponding":true}],"reference_count":63,"raw_metadata":null,"created_at":"2026-07-18T23:50:48.624274Z","pmid":"34637495","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}