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

Chambergo-Michilot, Diego; Becerra-Chauca, Naysha; Tellez, Walter Andree; Taype-Rondan, Alvaro; Zafra-Tanaka, Jessica Hanae

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