4 Attach 8 MP Interviews Guide & Questions

Attachment #8:

Part 4: Medical Professional Interviews

Discussion Guide/Questions

OMB No.: 0925-0642-04

Expiration Date: 9/30/2014

PRIVACY ACT NOTIFICATION STATEMENT

Collection of this information is authorized by The Public Health Service Act, Section 412 (42 USC 285 a-1). Rights of study participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from the study at any time. Refusal to participate will not affect your benefits in any way. The information collected in this study will be kept in private under the Privacy Act. Names and other identifiers will be separated from information provided and will not appear in any report of the study. Information provided will be combined for all study participants and report as summaries.

NOTIFICATION TO RESPONDENT OF ESTIMATED BURDEN

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0642). Do not return the completed form to this address.

Medical Professional Interviews

Discussion Guide/Questions

Introduction:

Thank you for agreeing to help us with our Solar Cell project. As you may know, we received a contract from the National Cancer Institute to develop a smart phone application that can help people manage their time in the sun safely. One of the things the NCI would like us to explore is providing people with advice about when it might be safe to be outside without any sun protection. Since skin cancer survivors represent a very high risk population, we would like to talk with you about what type of advice is appropriate for people who should be extra cautious to avoid further sun damage. I have a series of questions to ask you in regards to this issue. Please feel free to share any additional thoughts you might have as well. Let’s get started….

Counseling of skin cancer patients about safe time out in the sun without protection

1. Do you ever counsel patients that have had a skin cancer treated (or who for some other reason need to be careful in the sun) about exposing their skin to the sun in the future?

If “Yes:” What do you usually tell them and why?

2. Do you ever tell patients who need to take special care in the sun to only go out in the sun “when it is safe to do so without protecting their skin?”

If “Yes:” Under what conditions do you think it is safe for them to go out in the sun without protection?

3. What do you tell these patients to do if they plan or need to be outside in the sun when UV levels are high enough to sunburn their skin?

4. Would you be comfortable telling patients that with skin type X that they can be out for Y amount of time when the UV Index is Z?

Do you think there are any advantages or problems in providing this advice to such patients?

5. How well do you think these patients follow your advice about sun exposure?

What difficulties do you think these patients encounter in following your advice?

What, if anything, might help them follow your advice about sun exposure better than they currently do?

6. How important do you think it is for your patients to understand the difference between UVA and UVB?

What type of advice do you give to your patients about the different types of UV?

Reaction to national/international recommendations on safe time outdoors

Here are the recommendations by national and international health agencies regarding safe unprotected time outdoors. Please take a moment to read them.

1. Do you feel this advice is appropriate for your patients who have to take special care in the sun?

2. Do you see any advantages to or problems with this advice?

Evaluation of the Solar Cell mobile application

1. If there were an application for smart phones that would help your patients manage their time in the sun to avoid sunburn, what kinds of information would you want the app to provide to them?

What kinds of things or features would make you want them to use it?

In your opinion, what would make that kind of application valuable to them?

We are developing a smart phone application to help people protect their skin from the sun, avoid sunburn, and know when they get enough vitamin D. It is called Solar Cell. Let me take a few minutes to demonstrate Solar Cell to you.

2. How do you feel about the advice Solar Cell provides to users?

Do you see advantages to or problems with the advice?

In your opinion, do you think your patients would like to use this Solar Cell app to help protect their skin from the sun when outdoors? Why or why not?

How often do you think your patients would use it?

Do you think it would teach them about sun protection over time?

3. There are uncertainties in the algorithms that we created to provide advice on sun protection? For instance, the best estimates available the time it takes various types of skin to burn are expressed in ranges and the data on vitamin D is new and not well established.

How do you think it is best to communicate this uncertainty to patients?

Solar Cell advice on safe time out in the sun without protection

The National Cancer Institute has asked us to explore whether we can add advice to the Solar Cell mobile application that tells patients when it is safe to go out in the sun without protecting their skin.

1. How comfortable are you with Solar Cell providing this type of advice to your patients?

What advantages or problems, if any, do you see with Solar Cell providing advice on when it is safe to go out in the sun without protection?

2. Right now, we are considering advising patients about times when it is safe to go out in the sun without protection. Would you feel comfortable telling your patients to get 10 minutes of sunshine around solar noon? (10 minutes of sunshine for high UV Index>14 will not sunburn typical individuals of Skin Type I-IV skin)

3. Would you feel comfortable telling your patients to get 1/6 to 1/3 of a minimum erythemal dose (MED) per day?

4. Would you feel comfortable telling your patients that it is safe to go out in the sun when the UV Index is less than 3 (knowing 2.5 hours in the sun could/would burn type I skin)?

5. Would you feel comfortable telling your patients that it is safe to go out in the sun when the UV Index is less than 3 for less than x minutes where x minutes is different for different skin types?

6. Would this advice be consistent with what you currently tell your patients who have had skin cancer?

In your opinion, how does this advice compare with the national/international recommendations we reviewed earlier. Would this advice be acceptable to you?

7. How useful would this information be to your patients who have not had skin cancer or any other reason to be careful in the sun?

Dissemination and distribution of Solar Cell

1. A priority of the National Cancer Institute is to translate research into actual practice. We are challenged to create a plan for disseminating and marketing Solar Cell to Americans who can benefit from it. One group is patients who need to take special precautions about sun exposure.

What type of patient do you think Solar Cell would help the most?

2. Would you be willing to provide information about the Solar Cell app to the patients in your practice? How?

3. How much do you think your patients would be willing to pay for a smart phone application like Solar Cell?

Wrap Up

Do you have any final thoughts or suggestions?

Thank you for your time and input!