Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory: Measure description and comparisons to UVR sensor and sun protection survey data

Tammy K. Stump; Lisa G. Aspinwall; Elizabeth L. Gray; Shuai Xu; Nenita Maganti; Sancy A. Leachman; Nabil Alshurafa; June K. Robinson

doi:10.1016/j.pmedr.2018.07.010

Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory: Measure description and comparisons to UVR sensor and sun protection survey data

Tammy K. Stump^*, Lisa G. Aspinwall, Elizabeth L. Gray, Shuai Xu, Nenita Maganti, Sancy A. Leachman, Nabil Alshurafa, June K. Robinson

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

One in five US adults will be diagnosed with skin cancer. As most skin cancers are attributable to sun exposure, this risk factor is an important target for research and intervention. Most sun exposure measures assess frequency of specific sun-protection behaviors, which does not account for the use of multiple, potentially overlapping sun-protection methods. In contrast, the Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory assesses sun-protection behavior during self-reported activities, providing several useful metrics, including duration of unprotected sun exposure on 17 body sites, combined to yield an overall MUSE score weighted by percent of body exposed. The present study was conducted July–September 2017, in Chicago, IL USA. For 10 days, participants (39 melanoma survivors; M_age = 58.59, 64.5% female) wore an ultraviolet radiation (UVR) sensor and completed the Daily MUSE Inventory each evening. The Sun Habits Survey was completed at the end of the study. Outdoor time reported in the MUSE Inventory significantly predicted outdoor time recorded by UVR sensors, B = 0.53, p <.001. For all sun-protection behaviors except shade, reports from the Daily MUSE Inventory (i.e., percentage of outdoor time a particular strategy was used) correlated with frequency ratings of the same strategy from the Sun Habits Survey (rs = 0.66–0.75, p <.05). In sum, the Daily MUSE Inventory corresponds with sensor and survey data, and provides a novel metric of unprotected sun exposure that will be useful for evaluating overall extent of sun exposure, including exposure on several smaller body sites that are at high risk for skin cancer.

Original language	English (US)
Pages (from-to)	305-311
Number of pages	7
Journal	Preventive Medicine Reports
Volume	11
DOIs	https://doi.org/10.1016/j.pmedr.2018.07.010
State	Published - Sep 2018

Funding

Research reported in this publication was supported, in part, by the National Institutes of Health 's National Center for Advancing Translational Sciences, Grant Number UL1TR001422 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This project received additional financial support from the professional development funds provided by JKR and LGA. TKS acknowledges salary support by NIH/NCI training grant T32 CA193193 . During the development and testing of the MUSE Inventory, LGA, TKS, and SAL were supported in part by the National Cancer Institute of the National Institutes of Health under Award Number R01 CA158322 . We acknowledge use of the REDCap Support Team at Northwestern University as well as the Health Measurement and Survey Methods core facility supported by the National Institutes of Health through National Cancer Institute Cancer Center Support Grant 5P30CA420-14 awarded to Huntsman Cancer Institute and additional support from the Huntsman Cancer Foundation . We additionally acknowledge YouV Labs Inc. (New York, NY), who donated 20 Shade® sensors for use in this study and provided data management.

Keywords

Concurrent validity
Measurement
Self-report assessment
Skin cancer
Sun protection
UVR

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Health Informatics

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.pmedr.2018.07.010

Cite this

@article{4576a74ff19243b29601450dabd2e015,

title = "Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory: Measure description and comparisons to UVR sensor and sun protection survey data",

abstract = "One in five US adults will be diagnosed with skin cancer. As most skin cancers are attributable to sun exposure, this risk factor is an important target for research and intervention. Most sun exposure measures assess frequency of specific sun-protection behaviors, which does not account for the use of multiple, potentially overlapping sun-protection methods. In contrast, the Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory assesses sun-protection behavior during self-reported activities, providing several useful metrics, including duration of unprotected sun exposure on 17 body sites, combined to yield an overall MUSE score weighted by percent of body exposed. The present study was conducted July–September 2017, in Chicago, IL USA. For 10 days, participants (39 melanoma survivors; Mage = 58.59, 64.5% female) wore an ultraviolet radiation (UVR) sensor and completed the Daily MUSE Inventory each evening. The Sun Habits Survey was completed at the end of the study. Outdoor time reported in the MUSE Inventory significantly predicted outdoor time recorded by UVR sensors, B = 0.53, p <.001. For all sun-protection behaviors except shade, reports from the Daily MUSE Inventory (i.e., percentage of outdoor time a particular strategy was used) correlated with frequency ratings of the same strategy from the Sun Habits Survey (rs = 0.66–0.75, p <.05). In sum, the Daily MUSE Inventory corresponds with sensor and survey data, and provides a novel metric of unprotected sun exposure that will be useful for evaluating overall extent of sun exposure, including exposure on several smaller body sites that are at high risk for skin cancer.",

keywords = "Concurrent validity, Measurement, Self-report assessment, Skin cancer, Sun protection, UVR",

author = "Stump, {Tammy K.} and Aspinwall, {Lisa G.} and Gray, {Elizabeth L.} and Shuai Xu and Nenita Maganti and Leachman, {Sancy A.} and Nabil Alshurafa and Robinson, {June K.}",

note = "Funding Information: Research reported in this publication was supported, in part, by the National Institutes of Health 's National Center for Advancing Translational Sciences, Grant Number UL1TR001422 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This project received additional financial support from the professional development funds provided by JKR and LGA. TKS acknowledges salary support by NIH/NCI training grant T32 CA193193 . During the development and testing of the MUSE Inventory, LGA, TKS, and SAL were supported in part by the National Cancer Institute of the National Institutes of Health under Award Number R01 CA158322 . Funding Information: We acknowledge use of the REDCap Support Team at Northwestern University as well as the Health Measurement and Survey Methods core facility supported by the National Institutes of Health through National Cancer Institute Cancer Center Support Grant 5P30CA420-14 awarded to Huntsman Cancer Institute and additional support from the Huntsman Cancer Foundation . We additionally acknowledge YouV Labs Inc. (New York, NY), who donated 20 Shade{\textregistered} sensors for use in this study and provided data management. Publisher Copyright: {\textcopyright} 2018",

year = "2018",

month = sep,

doi = "10.1016/j.pmedr.2018.07.010",

language = "English (US)",

volume = "11",

pages = "305--311",

journal = "Preventive Medicine Reports",

issn = "2211-3355",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory

T2 - Measure description and comparisons to UVR sensor and sun protection survey data

AU - Stump, Tammy K.

AU - Aspinwall, Lisa G.

AU - Gray, Elizabeth L.

AU - Xu, Shuai

AU - Maganti, Nenita

AU - Leachman, Sancy A.

AU - Alshurafa, Nabil

AU - Robinson, June K.

N1 - Funding Information: Research reported in this publication was supported, in part, by the National Institutes of Health 's National Center for Advancing Translational Sciences, Grant Number UL1TR001422 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This project received additional financial support from the professional development funds provided by JKR and LGA. TKS acknowledges salary support by NIH/NCI training grant T32 CA193193 . During the development and testing of the MUSE Inventory, LGA, TKS, and SAL were supported in part by the National Cancer Institute of the National Institutes of Health under Award Number R01 CA158322 . Funding Information: We acknowledge use of the REDCap Support Team at Northwestern University as well as the Health Measurement and Survey Methods core facility supported by the National Institutes of Health through National Cancer Institute Cancer Center Support Grant 5P30CA420-14 awarded to Huntsman Cancer Institute and additional support from the Huntsman Cancer Foundation . We additionally acknowledge YouV Labs Inc. (New York, NY), who donated 20 Shade® sensors for use in this study and provided data management. Publisher Copyright: © 2018

PY - 2018/9

Y1 - 2018/9

N2 - One in five US adults will be diagnosed with skin cancer. As most skin cancers are attributable to sun exposure, this risk factor is an important target for research and intervention. Most sun exposure measures assess frequency of specific sun-protection behaviors, which does not account for the use of multiple, potentially overlapping sun-protection methods. In contrast, the Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory assesses sun-protection behavior during self-reported activities, providing several useful metrics, including duration of unprotected sun exposure on 17 body sites, combined to yield an overall MUSE score weighted by percent of body exposed. The present study was conducted July–September 2017, in Chicago, IL USA. For 10 days, participants (39 melanoma survivors; Mage = 58.59, 64.5% female) wore an ultraviolet radiation (UVR) sensor and completed the Daily MUSE Inventory each evening. The Sun Habits Survey was completed at the end of the study. Outdoor time reported in the MUSE Inventory significantly predicted outdoor time recorded by UVR sensors, B = 0.53, p <.001. For all sun-protection behaviors except shade, reports from the Daily MUSE Inventory (i.e., percentage of outdoor time a particular strategy was used) correlated with frequency ratings of the same strategy from the Sun Habits Survey (rs = 0.66–0.75, p <.05). In sum, the Daily MUSE Inventory corresponds with sensor and survey data, and provides a novel metric of unprotected sun exposure that will be useful for evaluating overall extent of sun exposure, including exposure on several smaller body sites that are at high risk for skin cancer.

AB - One in five US adults will be diagnosed with skin cancer. As most skin cancers are attributable to sun exposure, this risk factor is an important target for research and intervention. Most sun exposure measures assess frequency of specific sun-protection behaviors, which does not account for the use of multiple, potentially overlapping sun-protection methods. In contrast, the Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory assesses sun-protection behavior during self-reported activities, providing several useful metrics, including duration of unprotected sun exposure on 17 body sites, combined to yield an overall MUSE score weighted by percent of body exposed. The present study was conducted July–September 2017, in Chicago, IL USA. For 10 days, participants (39 melanoma survivors; Mage = 58.59, 64.5% female) wore an ultraviolet radiation (UVR) sensor and completed the Daily MUSE Inventory each evening. The Sun Habits Survey was completed at the end of the study. Outdoor time reported in the MUSE Inventory significantly predicted outdoor time recorded by UVR sensors, B = 0.53, p <.001. For all sun-protection behaviors except shade, reports from the Daily MUSE Inventory (i.e., percentage of outdoor time a particular strategy was used) correlated with frequency ratings of the same strategy from the Sun Habits Survey (rs = 0.66–0.75, p <.05). In sum, the Daily MUSE Inventory corresponds with sensor and survey data, and provides a novel metric of unprotected sun exposure that will be useful for evaluating overall extent of sun exposure, including exposure on several smaller body sites that are at high risk for skin cancer.

KW - Concurrent validity

KW - Measurement

KW - Self-report assessment

KW - Skin cancer

KW - Sun protection

KW - UVR

UR - http://www.scopus.com/inward/record.url?scp=85051393756&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051393756&partnerID=8YFLogxK

U2 - 10.1016/j.pmedr.2018.07.010

DO - 10.1016/j.pmedr.2018.07.010

M3 - Article

C2 - 30116702

AN - SCOPUS:85051393756

SN - 2211-3355

VL - 11

SP - 305

EP - 311

JO - Preventive Medicine Reports

JF - Preventive Medicine Reports

ER -

Daily Minutes of Unprotected Sun Exposure (MUSE) Inventory: Measure description and comparisons to UVR sensor and sun protection survey data

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this