CClinicalTrials.gg
CompletedNCT03834974Updated Jan 3, 2022Results posted

Social Media Indoor Tanning Study

An interventional study of Sun Safety Social Media Challenge and Digital Health Social Media Challenge in Skin Cancer, sponsored by University of Connecticut. Completed at 1 site in United States. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-03.

Sponsored by University of Connecticut · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

The purpose of this research is to develop a social media delivered intervention to reduce unprotected sun exposure in young adults with a history of tanning.

Read the detailed description

We will use social marketing theory and a user-centered design approach to develop a social media intervention that engages young adults with a history of tanning to practice sun safety behaviors. We will incentivize young adults who have a history of tanning to create social media posts that encourage their peers to engage in sun safety. Focus groups of tanners guided the development of the intervention. Investigators will conduct a pilot feasibility trial where participants will be randomized to a condition in which they are incentivized to create sun safety social media messages to be posted on a sun safety social media account or a condition in which they are incentivized to create social media messages about how to use technology to support healthy lifestyle behaviors to be posted on a health technology social media account. The intervention will last 4 weeks. Feasibility outcomes include recruitment, retention, acceptability, participation, social media message engagement (likes, comments, shares), persuasive impact of messages, unprotected sun exposure, sun protection, and tanning behavior. This work will inform a fully powered randomized trial testing the efficacy of this intervention.

02

Conditions studied

  • Skin Cancer

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03

In context

Skin Neoplasms

582 studies on the registry are indexed under Skin Neoplasms; 114 are open to participants now.

This study's enrollment of 66 is above the median of 53 across 416 interventional studies indexed under Skin Neoplasms.

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Lead sponsor

University of Connecticut is the lead sponsor of 133 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Ages 18-30
  • Tanned indoors or outdoors at least once in the past year
  • Intends to tan indoors or outdoors this summer
  • Daily user of any social media platform

Exclusion criteria

Exclusion Criteria:

  • No smartphone
  • Does not use a social media platform daily
  • Lives in a state with an average temperature \<75 degrees in May
  • Inability to provide consent due to mental illness or a cognitive impairment
  • Non-English speaking
  • Prisoner
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    Sun Safety Social Media Challenge

    During this 4-week intervention, participants will be incentivized to create sun safety social media messages that will be distributed on our sun safety Twitter and Facebook feeds.

    Behavioral: Sun Safety Social Media Challenge

  • Active comparator
    Digital Health Social Media Challenge

    During this 4-week intervention, participants will be incentivized to create posts that promote the use of technology to engage in healthy lifestyle behaviors (diet, exercise) on our digital health Twitter and Facebook feeds.

    Behavioral: Digital Health Social Media Challenge

Interventions

  • BehavioralSun Safety Social Media Challenge

    Participants will attend a webinar to learn how to create effective social media posts about sun safety and be oriented to the social media accounts on which the messages will be posted. They will be informed that posts should include a sun safety message (e.g., promoting sunscreen use and protective clothing/hats or discouraging risk behaviors like tanning and burning). They will be encouraged to be creative so that the message gets likes and shares. Participants will be encouraged to follow the feeds to see the engagement on their posts, to share the posts in their feed, and to see other participants' posts. Participants will receive a $10 Amazon gift card per post for a maximum of 6 posts ($60). The participant who created the post that receives the most likes, comments, and shares each week will win a $50 Amazon gift card.

  • BehavioralDigital Health Social Media Challenge

    Participants will attend a webinar to learn how to create effective social media posts about using technology to get healthy and be oriented to the social media accounts on which the messages will be posted. They will be informed that posts should mention some way that technology (e.g., mobile apps, wearables) can be used to promote a healthy habit (e.g., diet, exercise). They will be encouraged to be creative so that the message gets likes and shares. Participants will be encouraged to follow the feeds to see the engagement on their posts, to share the posts in their feed, and to see other participants' posts. Participants will receive a $10 Amazon gift card per post for a maximum of 6 posts ($60). The participant who created the post that receives the most likes, comments, and shares each week will win a $50 Amazon gift card.

06

What researchers measure

Primary outcomes

  1. Recruitment

    The number of completed respondents to recruitment ads, number of respondents eligible at initial screening, and number of respondents who completed baseline.

    Time frame: Baseline

  2. Retention

    The % of participants in each condition who complete the follow-up assessment.

    Time frame: 4-week follow-up

  3. Acceptability

    Number of participants who selected agree or strongly agree on 5-point Likert scale rating of how likely participants would be to recommend the intervention to a friend, and how likely they would be to participate again.

    Time frame: 4-week follow-up

  4. Participation

    The number of posts created by participants

    Time frame: 4-week follow-up

  5. Post Engagement

    The median number of likes, shares and retweets, and unique commenters each participant post received.

    Time frame: 4 weeks

  6. Desirability of Tanning

    Scale measuring participants' belief that a tan is attractive. Scale ranges from 0-12 with higher scores indicating higher levels of belief that a tan is attractive.

    Time frame: Baseline

  7. Desirability of Tanning

    Scale measuring participants' belief that a tan is attractive. Scale ranges from 0-12 with higher scores indicating higher levels of belief that a tan is attractive.

    Time frame: 4-week follow-up

  8. Desirability of Tanning Alternatives

    Average score on items relating to tanning alternative desirability. Scale ranges from 1 to 5, with higher scores indicating more positive attitudes towards tanning alternatives.

    Time frame: Baseline

  9. Desirability of Tanning Alternatives

    Average score on items relating to tanning alternative desirability. Scale ranges from 1 to 5, with higher scores indicating more positive attitudes towards tanning alternatives.

    Time frame: 4-week follow-up

  10. Persuasive Impact of Participant Messages

    The mean of participants ratings for how persuasive they found each post (other than those they created) on a scale of 0-100, with higher scores indicating more persuasive.

    Time frame: 4-week follow-up

  11. Contamination

    The number of participants who report they saw the opposite conditions Facebook or Twitter feeds.

    Time frame: 4-week follow-up

Secondary outcomes

  1. Outdoor Tanning Intentions

    Three items assessed intentions to tan even once, intentions to tan regularly in the next year, and intentions to quit on a 7-point scale (0=definitely will not, 6=definitely will).

    Time frame: Baseline

  2. Outdoor Tanning Intentions

    Three items assessed intentions to tan even once, intentions to tan regularly in the next year, and intentions to quit on a 7-point scale (0=definitely will not, 6=definitely will).

    Time frame: 4-week follow-up

  3. Sun Exposure

    How many hours the participant spent outside per week between the hours of 10am and 4pm.

    Time frame: Baseline

  4. Sun Exposure

    How many hours the participant spent outside per week between 10am and 4pm

    Time frame: 4-week follow-up

  5. Outdoor Tanning

    How many times in the last 4 weeks the participant went outside for the purpose of tanning in the sun.

    Time frame: Baseline

  6. Outdoor Tanning

    How many times in the last 4 weeks the participant went outside for the purpose of tanning in the sun.

    Time frame: 4-week follow-up

  7. Sun Protection

    Number of participants who reported using sun protection (sunscreen, protective clothing) often or always in the past month

    Time frame: Baseline

  8. Sun Protection

    Number of participants who reported using sun protection (sunscreen, protective clothing) often or always in the past month

    Time frame: 4-week follow-up

  9. Indoor Tanning Behavior

    Number of indoor tanning visits in the previous month

    Time frame: Baseline

  10. Indoor Tanning Behavior

    Number of indoor tanning visits in the previous month

    Time frame: 4 weeks

  11. Sunburn

    Number of participants with 1 or more sunburns in the past month

    Time frame: baseline

  12. Sunburn

    Number of participants with 1 or more sunburns in the past month

    Time frame: 4 weeks

  13. Outdoor Tanning Duration

    Median reported average number of minutes tanned per episode in the past 4 weeks, among participants who tanned in the past 4 weeks.

    Time frame: 4 weeks

  14. Outdoor Tanning Duration

    Median reported average number of minutes tanned per episode in the past 4 weeks, among participants who tanned in the past 4 weeks.

    Time frame: Baseline

07

Results

Posted Jan 3, 2022

Participant flow

Participant flow — Overall Study
MilestoneSun Safety Social Media ChallengeDigital Health Social Media Challenge
Started3432
Completed3432
Not completed00

Outcome measures

PrimaryRecruitment

The number of completed respondents to recruitment ads, number of respondents eligible at initial screening, and number of respondents who completed baseline.

Time frame:
Baseline
Reported as:
Count of participants · Participants
Recruitment
ParticipantsProspective Participants
Number of completed respondents to recruitment ads549
Number of respondents eligible at initial screening79
Number of respondents who completed baseline66
PrimaryRetention

The % of participants in each condition who complete the follow-up assessment.

Time frame:
4-week follow-up
Reported as:
Count of participants · Participants
Retention
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Retention3432
PrimaryAcceptability

Number of participants who selected agree or strongly agree on 5-point Likert scale rating of how likely participants would be to recommend the intervention to a friend, and how likely they would be to participate again.

Time frame:
4-week follow-up
Reported as:
Count of participants · Participants
Acceptability
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
I would participate in this study competition on this health topic again.3129
I would recommend this study competition to a friend.3231
PrimaryParticipation

The number of posts created by participants

Time frame:
4-week follow-up
Reported as:
Number · number of posts
Participation
number of postsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Participation148129
PrimaryPost Engagement

The median number of likes, shares and retweets, and unique commenters each participant post received.

Time frame:
4 weeks
Reported as:
Median · Engagement
Post Engagement
EngagementSun Safety Social Media ChallengeDigital Health Social Media Challenge
Twitter Likes and Facebook Reactions4 (2 to 8)2 (1 to 7)
Twitter Retweets and Facebook Shares2 (1 to 5)0 (0 to 3)
Unique Commenters on Facebook and Twitter0 (0 to 2)0 (0 to 2)
PrimaryDesirability of Tanning

Scale measuring participants' belief that a tan is attractive. Scale ranges from 0-12 with higher scores indicating higher levels of belief that a tan is attractive.

Time frame:
Baseline
Reported as:
Median · score on a scale
Desirability of Tanning
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Desirability of Tanning11 (9 to 12)11 (9 to 12)
PrimaryDesirability of Tanning

Scale measuring participants' belief that a tan is attractive. Scale ranges from 0-12 with higher scores indicating higher levels of belief that a tan is attractive.

Time frame:
4-week follow-up
Reported as:
Median · score on a scale
Desirability of Tanning
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Desirability of Tanning10 (9 to 12)10.5 (9 to 12)
PrimaryDesirability of Tanning Alternatives

Average score on items relating to tanning alternative desirability. Scale ranges from 1 to 5, with higher scores indicating more positive attitudes towards tanning alternatives.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Desirability of Tanning Alternatives
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Desirability of Tanning Alternatives3.0 ± 1.23.5 ± 1.2
PrimaryDesirability of Tanning Alternatives

Average score on items relating to tanning alternative desirability. Scale ranges from 1 to 5, with higher scores indicating more positive attitudes towards tanning alternatives.

Time frame:
4-week follow-up
Reported as:
Mean · score on a scale
Desirability of Tanning Alternatives
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Desirability of Tanning Alternatives2.8 ± 1.13.5 ± 1.1
PrimaryPersuasive Impact of Participant Messages

The mean of participants ratings for how persuasive they found each post (other than those they created) on a scale of 0-100, with higher scores indicating more persuasive.

Time frame:
4-week follow-up
Reported as:
Mean · score on a sliding scale
Persuasive Impact of Participant Messages
score on a sliding scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Persuasive Impact of Participant Messages62.2 ± 13.362.5 ± 14.7
PrimaryContamination

The number of participants who report they saw the opposite conditions Facebook or Twitter feeds.

Time frame:
4-week follow-up
Reported as:
Count of participants · Participants
Contamination
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Contamination710
SecondaryOutdoor Tanning Intentions

Three items assessed intentions to tan even once, intentions to tan regularly in the next year, and intentions to quit on a 7-point scale (0=definitely will not, 6=definitely will).

Time frame:
Baseline
Reported as:
Median · score on a scale
Outdoor Tanning Intentions
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Tan outside in the sun sometime later in my life.6.0 (4.0 to 6.0)6.0 (5.0 to 6.0)
Tan outside in the sun more than 10 times in the next year.6.0 (3.0 to 6.0)6.0 (3.0 to 6.0)
Quit tanning outside in the next year.0.0 (0.0 to 2.0)0.0 (0.0 to 1.0)
SecondaryOutdoor Tanning Intentions

Three items assessed intentions to tan even once, intentions to tan regularly in the next year, and intentions to quit on a 7-point scale (0=definitely will not, 6=definitely will).

Time frame:
4-week follow-up
Reported as:
Median · score on a scale
Outdoor Tanning Intentions
score on a scaleSun Safety Social Media ChallengeDigital Health Social Media Challenge
Tan outside in the sun sometime later in my life.5.0 (3.0 to 6.0)6.0 (5.0 to 6.0)
Tan outside in the sun more than 10 times in the next year.3.0 (1.0 to 4.0)5.0 (3.0 to 6.0)
Quite tanning outside in the next year.1.0 (0.0 to 2.0)0.0 (0.0 to 2.0)
Statistical analysis
  • Sun Safety Social Media Challenge vs Digital Health Social Media Challenge · Wilcoxon (Mann-Whitney) · p = <0.0286
  • Sun Safety Social Media Challenge vs Digital Health Social Media Challenge · Wilcoxon (Mann-Whitney) · p = 0.0937
SecondarySun Exposure

How many hours the participant spent outside per week between the hours of 10am and 4pm.

Time frame:
Baseline
Reported as:
Mean · hours per week
Sun Exposure
hours per weekSun Safety Social Media ChallengeDigital Health Social Media Challenge
Sun Exposure16.1 ± 10.415.6 ± 7.3
SecondarySun Exposure

How many hours the participant spent outside per week between 10am and 4pm

Time frame:
4-week follow-up
Reported as:
Mean · hours per week
Sun Exposure
hours per weekSun Safety Social Media ChallengeDigital Health Social Media Challenge
Sun Exposure11.4 ± 5.913.2 ± 8.2
SecondaryOutdoor Tanning

How many times in the last 4 weeks the participant went outside for the purpose of tanning in the sun.

Time frame:
Baseline
Reported as:
Median · outdoor tanning sessions
Outdoor Tanning
outdoor tanning sessionsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Outdoor Tanning4.0 (0.0 to 8.0)5.0 (2.0 to 10.0)
SecondaryOutdoor Tanning

How many times in the last 4 weeks the participant went outside for the purpose of tanning in the sun.

Time frame:
4-week follow-up
Reported as:
Median · outdoor tanning sessions
Outdoor Tanning
outdoor tanning sessionsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Outdoor Tanning0.0 (0.0 to 1.0)2.0 (0.5 to 5.0)
Statistical analysis
  • Sun Safety Social Media Challenge vs Digital Health Social Media Challenge · Wilcoxon (Mann-Whitney) · p = <0.0002
SecondarySun Protection

Number of participants who reported using sun protection (sunscreen, protective clothing) often or always in the past month

Time frame:
Baseline
Reported as:
Count of participants · Participants
Sun Protection
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
How often did you wear sunscreen?1816
How often did you wear a shirt with sleeves that covered your shoulders?159
How often did you wear a hat?82
How often did you stay in the shade or under an umbrella?30
How often did you wear sunglasses?1921
SecondarySun Protection

Number of participants who reported using sun protection (sunscreen, protective clothing) often or always in the past month

Time frame:
4-week follow-up
Reported as:
Count of participants · Participants
Sun Protection
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
How often did you wear sunscreen?1916
How often did you wear a shirt with sleeves that covered your shoulders?2014
How often did you wear a hat?64
How often did you stay in the shade or under an umbrella?125
How often did you wear sunglasses?1822
SecondaryIndoor Tanning Behavior

Number of indoor tanning visits in the previous month

Time frame:
Baseline
Reported as:
Median · indoor tanning sessions
Indoor Tanning Behavior
indoor tanning sessionsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Indoor Tanning Behavior0.0 (0.0 to 0.0)0.0 (0.0 to 1.0)
SecondaryIndoor Tanning Behavior

Number of indoor tanning visits in the previous month

Time frame:
4 weeks
Reported as:
Median · indoor tanning sessions
Indoor Tanning Behavior
indoor tanning sessionsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Indoor Tanning Behavior0.0 (0.0 to 0.0)0.0 (0.0 to 0.0)
SecondarySunburn

Number of participants with 1 or more sunburns in the past month

Time frame:
baseline
Reported as:
Count of participants · Participants
Sunburn
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Sunburn1513
SecondarySunburn

Number of participants with 1 or more sunburns in the past month

Time frame:
4 weeks
Reported as:
Count of participants · Participants
Sunburn
ParticipantsSun Safety Social Media ChallengeDigital Health Social Media Challenge
Sunburn52
SecondaryOutdoor Tanning Duration

Median reported average number of minutes tanned per episode in the past 4 weeks, among participants who tanned in the past 4 weeks.

Time frame:
4 weeks
Reported as:
Median · minutes
Outdoor Tanning Duration
minutesSun Safety Social Media ChallengeDigital Health Social Media Challenge
Outdoor Tanning Duration45.0 (25.0 to 120.0)60.0 (30.0 to 72.5)
SecondaryOutdoor Tanning Duration

Median reported average number of minutes tanned per episode in the past 4 weeks, among participants who tanned in the past 4 weeks.

Time frame:
Baseline
Reported as:
Median · minutes
Outdoor Tanning Duration
minutesSun Safety Social Media ChallengeDigital Health Social Media Challenge
Outdoor Tanning Duration60.0 (42.5 to 105.0)60.0 (45.0 to 120.0)

Adverse events

Collected over 4 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sun Safety Social Media Challenge0/34 (0%)0/34 (0%)0/34 (0%)
Digital Health Social Media Challenge0/32 (0%)0/32 (0%)0/32 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Sun Safety Social Media ChallengeDigital Health Social Media ChallengeTotal
Median24.0 (20.0 to 28.0)23.5 (20.5 to 27.5)24.0 (20.0 to 28.0)
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Sun Safety Social Media ChallengeDigital Health Social Media ChallengeTotal
Gender — Female282755
Gender — Male5510
Gender — Non-Binary/Third Gender101
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Sun Safety Social Media ChallengeDigital Health Social Media ChallengeTotal
Race/ethnicity — Non-Hispanic White181735
Race/ethnicity — Non-Hispanic Black/African American112
Race/ethnicity — Hispanic/Latino of any race5712
Race/ethnicity — Non-Hispanic Asian9312
Race/ethnicity — Native Hawaiian or Other Pacific Islander, Native, Other, and Multiracial (Non-Hispanic)145
08

Study locations

1 site
  • University of Connecticut
    Storrs, Connecticut 06269, United States
09

References and documents

Publications

  • Pagoto SL, Waring ME, Groshon LC, Rosen AO, Schroeder MW, Goetz JM. Proof-of-Concept Feasibility Trial of a Dissonance-Based Sun Safety Intervention for Young Adult Tanners. Ann Behav Med. 2022 Aug 2;56(8):830-841. doi: 10.1093/abm/kaab116. PubMed 35179176 ↗

Study documents

  • Study protocol · Jul 21, 2020
  • Statistical analysis plan · Oct 25, 2021
  • Informed consent form · Jul 21, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03834974
Lead sponsor
University of Connecticut
Collaborators
National Cancer Institute (NCI)
Responsible party
Sherry Pagoto (Professor, University of Connecticut) — Principal investigator
First posted
Feb 8, 2019
Start date
Jun 6, 2020
Primary completion
Oct 28, 2020
Completion
Oct 28, 2020
Results posted
Jan 3, 2022
Last update
Jan 3, 2022

Study contacts

Sherry L Pagoto, PhD
principal investigator · University of Connecticut

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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