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Text message reminders for improving sun protection habits: a systematic review

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dc.contributor.author Chambergo-Michilot, Diego
dc.contributor.author Tellez, Walter Andree
dc.contributor.author Becerra-Chauca, Naysha
dc.contributor.author Zafra-Tanaka, Jessica Hanae
dc.contributor.author Taype-Rondan, Alvaro
dc.date.accessioned 2020-07-14T00:01:03Z
dc.date.available 2020-07-14T00:01:03Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8259
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject follow up en_US
dc.subject human en_US
dc.subject Review en_US
dc.subject systematic review en_US
dc.subject randomized controlled trial (topic) en_US
dc.subject health behavior en_US
dc.subject text messaging en_US
dc.subject data extraction en_US
dc.subject statistical analysis en_US
dc.subject sun exposure en_US
dc.subject data base en_US
dc.subject clinical protocol en_US
dc.subject reminder system en_US
dc.subject risk benefit analysis en_US
dc.subject confidence interval en_US
dc.subject radiation protection en_US
dc.subject skin protection en_US
dc.subject statistical bias en_US
dc.subject sunburn en_US
dc.subject sunscreen en_US
dc.title Text message reminders for improving sun protection habits: a systematic review en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0233220
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.15
dc.relation.issn 1932-6203


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