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Text message reminders for improving sun protection habits: A systematic review
BACKGROUND: Excessive exposure to ultraviolet radiation increases the risk of skin cancer and other conditions. SMS text reminders may be a useful tool to improve sun protection habits due to its massive reach, low cost, and accessibility. OBJECTIVE: To perform a systematic review of randomized cont...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236986/ https://www.ncbi.nlm.nih.gov/pubmed/32428021 http://dx.doi.org/10.1371/journal.pone.0233220 |
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author | Chambergo-Michilot, Diego Tellez, Walter Andree Becerra-Chauca, Naysha Zafra-Tanaka, Jessica Hanae Taype-Rondan, Alvaro |
author_facet | Chambergo-Michilot, Diego Tellez, Walter Andree Becerra-Chauca, Naysha Zafra-Tanaka, Jessica Hanae Taype-Rondan, Alvaro |
author_sort | Chambergo-Michilot, Diego |
collection | PubMed |
description | BACKGROUND: Excessive exposure to ultraviolet radiation increases the risk of skin cancer and other conditions. SMS text reminders may be a useful tool to improve sun protection habits due to its massive reach, low cost, and accessibility. OBJECTIVE: To perform a systematic review of randomized controlled trials (RCTs) that evaluated the effects of SMS text reminders in promoting sun protection habits. METHODS: We performed a systematic search in PubMed, Central Cochrane Library, and Scopus; following the PRISMA recommendations to perform systematic reviews. We included RCTs published up to December 2018, which evaluated the benefits and harms of SMS text reminders to improve sun protection habits. Random-effects meta-analyses were performed whenever possible. The certainty of the evidence was assessed for RCTs estimates using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The study protocol was registered in PROSPERO (CRD42018091661). RESULTS: Five RCTs were included in this review. When pooled, the studies found no effect of SMS text reminders in “sunburn anytime during follow-up” (two studies, risk ratio: 0.93; 95% confidence interval: 0.83–1.05). Contradictory results were obtained for sunscreen use (three RCTs) and sun protection habits (two RCTs), however, they could not be meta-analyzed because outcomes were measured differently across studies. The certainty of the evidence was very low for these three outcomes according to GRADE methodology. CONCLUSIONS: RCTs that assessed effects of SMS text reminders did not find a significant benefit on objective outcomes, such as having a sunburn, sunscreen use and composite score of sun protection habits. Since certainty of the evidence was very low, future high-quality studies are needed to reach a conclusion regarding the balance of desirable and undesirable outcomes. PROTOCOL REGISTRATION NUMBER: PROSPERO (CRD42018091661). |
format | Online Article Text |
id | pubmed-7236986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-72369862020-06-03 Text message reminders for improving sun protection habits: A systematic review Chambergo-Michilot, Diego Tellez, Walter Andree Becerra-Chauca, Naysha Zafra-Tanaka, Jessica Hanae Taype-Rondan, Alvaro PLoS One Research Article BACKGROUND: Excessive exposure to ultraviolet radiation increases the risk of skin cancer and other conditions. SMS text reminders may be a useful tool to improve sun protection habits due to its massive reach, low cost, and accessibility. OBJECTIVE: To perform a systematic review of randomized controlled trials (RCTs) that evaluated the effects of SMS text reminders in promoting sun protection habits. METHODS: We performed a systematic search in PubMed, Central Cochrane Library, and Scopus; following the PRISMA recommendations to perform systematic reviews. We included RCTs published up to December 2018, which evaluated the benefits and harms of SMS text reminders to improve sun protection habits. Random-effects meta-analyses were performed whenever possible. The certainty of the evidence was assessed for RCTs estimates using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The study protocol was registered in PROSPERO (CRD42018091661). RESULTS: Five RCTs were included in this review. When pooled, the studies found no effect of SMS text reminders in “sunburn anytime during follow-up” (two studies, risk ratio: 0.93; 95% confidence interval: 0.83–1.05). Contradictory results were obtained for sunscreen use (three RCTs) and sun protection habits (two RCTs), however, they could not be meta-analyzed because outcomes were measured differently across studies. The certainty of the evidence was very low for these three outcomes according to GRADE methodology. CONCLUSIONS: RCTs that assessed effects of SMS text reminders did not find a significant benefit on objective outcomes, such as having a sunburn, sunscreen use and composite score of sun protection habits. Since certainty of the evidence was very low, future high-quality studies are needed to reach a conclusion regarding the balance of desirable and undesirable outcomes. PROTOCOL REGISTRATION NUMBER: PROSPERO (CRD42018091661). Public Library of Science 2020-05-19 /pmc/articles/PMC7236986/ /pubmed/32428021 http://dx.doi.org/10.1371/journal.pone.0233220 Text en © 2020 Chambergo-Michilot et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Chambergo-Michilot, Diego Tellez, Walter Andree Becerra-Chauca, Naysha Zafra-Tanaka, Jessica Hanae Taype-Rondan, Alvaro Text message reminders for improving sun protection habits: A systematic review |
title | Text message reminders for improving sun protection habits: A systematic review |
title_full | Text message reminders for improving sun protection habits: A systematic review |
title_fullStr | Text message reminders for improving sun protection habits: A systematic review |
title_full_unstemmed | Text message reminders for improving sun protection habits: A systematic review |
title_short | Text message reminders for improving sun protection habits: A systematic review |
title_sort | text message reminders for improving sun protection habits: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236986/ https://www.ncbi.nlm.nih.gov/pubmed/32428021 http://dx.doi.org/10.1371/journal.pone.0233220 |
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