Cognitive training with photographs as a new concept in an education campaign for self-detection of melanoma: a pilot study in the community

Abstract

Background: Cognitive education using only photographs has been shown to be more effective than the ABCD algorithm to improve melanoma recognition in the general population.

Objective: The aim of this study was to assess the feasibility and acceptability of a campaign based on cognitive education by photographs instead of the usual ABCD algorithm.

Methods: Brochures including a panel of photographs of melanoma and moles were mailed, supported by a media campaign and followed by a telephone survey of a representative sample of the district population.

Results: Among the 855 people interviewed, 38% recalled the campaign and 13% had actually read the brochures. Among the 13%, 99% found them useful, 52% reassuring and 40% anxiety provoking, while 92% agreed that using images of skin cancer was the best way to recognize melanoma. Sixty-four percent declared that this campaign had prompted them to examine their own moles, 39% were prompted to check moles of family members, and only 11% would immediately visit a doctor.

Conclusion: This pilot study shows that a melanoma campaign based exclusively on images is well accepted in the community, and is associated with a favourable impact on self-surveillance, while limiting overflow of unjustified consultations. We recommend this innovative concept be applied to large scale campaigns.