Effectiveness of a video-based intervention in improving skin cancer risk awareness and preventative behaviors among a diverse population of solid organ transplant recipients

Effectiveness of a video-based intervention in improving skin cancer risk awareness and preventative behaviors among a diverse population of solid organ transplant recipientsTo the Editor: Skin of color organ transplant recipients (OTRs) have lower risk awareness and engagement in skin cancer prevention, as compared with the general OTR population. 1,2Existing research indicates concerning disparities, including delayed skin cancer diagnosis and worse outcomes, for patients with skin of color compared with the general population. 3It is critical to find better methods to educate diverse transplant patients about skin cancer risk, in order to decrease morbidity and mortality in this high-risk group.Video messages, as compared with written materials, have been shown to enhance retention of key information by patients, increase satisfaction with teaching, and more effectively motivate behavioral changes. 4,5We designed a video-based intervention to improve awareness of nonmelanoma skin cancer risk and the importance of sun protection in a diverse cohort of OTRs.This intervention study surveyed skin cancer and sun protection beliefs and practices at baseline and at 3 weeks postviewing a 4-minute informational video in English or Spanish.The videos overviewed basic sun protection practices, elevated skin cancer risk in OTRs, and common misconceptions about skin cancer risk in patients with skin of color.Surveys were administered between June 2016 and February 2024.The study population included new English or Spanish speaking transplant patients $18 years seen by authors I.A. and B.N. at the USC Dermatology Clinic.Ninety-one participants filled out the preintervention survey at their dermatology clinic visit, of whom 41 participated in the postsurvey via email, text, or telephone contact, resulting in a 45% complete response rate.Among the presurvey population (n 91), most participants identified as male (60.7%),Hispanic or Latino ethnicity (53.5%), White race (55.9%), and had a high school diploma or above (84.7%)(Table I).Most participants saw their dermatologist at least once a year (63.1%).Twentyfive percent of participants were diagnosed with skin