An interventional study of In-person counseling and Written advice in Melanoma and Screening, sponsored by University Hospital, Tours. Completed at 9 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-30.
Sponsored by University Hospital, Tours · Not applicable, Interventional, and Screening
First-degree relatives of patients with melanoma have a greater risk of developing melanoma. Patients are advised orally to inform their first-degree relatives that they should protect their skin from UV radiation and ask for a skin examination from a general practitioner or dermatologist. The study will evaluate the effectiveness of a written sheet in addition to the usual oral counselling to increase acceptance of skin examination by the first-degree relatives. If effective, written counselling provided to the patient for relatives should be recommended and generalized.
Melanoma (MM) is a common cancer affecting 11,000 new cases per year in France and the incidence has tripled in 30 years. It now includes young people, and is responsible for 1600 deaths /year in France. Greater tumor thickness and delayed diagnosis are associated with higher mortality. Prevention and early detection on a large scale in the general population are effective but expensive. First-degree relatives have a greater risk of developing MM. A study carried out in the USA found that a biennial consultation is justified and cost-effective in first-degree relatives of MM patients. The best way to deliver the message of sun protection and screening by a dermatologist, and the reality of behavioural changes induced by counseling and the psychological determinants of adherence to medical skin examination are not fully understood.
A pilot study performed in our center suggested the value of a short written advice provided for participants to give to their relatives to promote sun protection and medical skin examination. The participants reported a significant increase in interest in medical skin examination by their relatives (p=0.006), but the investigators do not know whether the relatives really consulted for examination.
The aim of the multicenter cluster-randomized study is to demonstrate that a higher ratio of relatives will in fact consult their GP or dermatologist for skin examination in the centers randomized to the intervention arm, i.e advice leaflet and usual oral counselling, compared to the centers randomized in the control arm, i.e. usual oral counselling. Participants and their relatives in the intervention group will be asked to undergo psychological tests to identify potential barriers to skin examination and sun protection.
If effective, the investigators expect to improve the written information and to generalize its distribution at national level.
3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.
This study's enrollment of 420 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.
Browse Melanoma studies →University Hospital, Tours is the lead sponsor of 304 studies on the registry; 78 are open to participants now.
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Inclusion Criteria:
For Patients:
For 1st degree relatives:
Education and counseling as commonly delivered to the patients in clinical practice. Brief oral counseling to the patient focusing on sun protection, self-skin examination, medical skin examination, increased risk of melanoma for their first-degree relatives, who should be informed orally by the patients to protect themselves from UV radiation, perform self-skin examination and ask their GP or dermatologist to perform annual skin examination
Behavioral: In-person counseling · Behavioral: Medical skin screening
Education and counseling as commonly delivered to the patients in clinical practice and written advice for their first-degree relatives. In addition to oral counseling to the patient, written advice will be provided to patients for their relatives focusing on sun protection, self-skin examination, medical skin examination, increased risk of melanoma for first-degree relatives, who should also be informed orally by the patients to protect themselves from UV radiation, perform self-skin examination and ask their GP or dermatologist to perform annual skin examinations.
Behavioral: In-person counseling · Behavioral: Written advice · Behavioral: Medical skin screening
In-person counseling Sun protection
Written advice
Medical skin screening
Consulting general practitioner or dermatologist
The number of relatives who will have consulted a dermatologist or a general practitioner to perform whole body skin examination
Time frame: 1 year
Self-skin examination reported by the relatives
The number of relatives who declare to have performed Self-skin examination.
Time frame: 1 year
Sun protection behaviors reported by the relatives
Sun protection behaviours reported by the relatives and assessed by a questionnaire
Time frame: 1 year
Barriers to skin examination identified from psychological questionnaires in patients and their relatives
Psychological barriers of patients and their relatives to skin examination evaluated with several questionnaires and scales.
Time frame: 1 year
Plan to share: Undecided
This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.
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University Hospital, Tours