Trial Outcomes & Findings for Social-Media Intervention in Reducing Tanning in High-Risk Tanners (NCT NCT03441321)

NCT ID: NCT03441321

Last Updated: 2026-02-27

Results Overview

Multilevel models (e.g., random coefficient) will be used to test the primary study hypothesis that participants who received the intervention will report less combined indoor and outdoor tanning behavior at a 8-month follow-up compared to those who received the control. If necessary, sensitivity analyses may control for individual-level covariates. For reporting purposes, total number of tanning session were summed. Items are measured on open-ended scales with minimum value of 0. Higher numbers report higher rates of tanning, a worse outcome considering it is a risk factor for skin cancer development.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

407 participants

Primary outcome timeframe

At 8 months

Results posted on

2026-02-27

Participant Flow

Participants were primarily recruited by the internet research recruitment company Qualtrics Sample Providers. Qualtrics emailed a randomly selected sample frame of panel participants with a study invitation, which contained a brief description of the study procedures and a brief screening eligibility assessment. Qualtrics also supplemented recruitment with web advertisements posted on various websites and platforms of their partner organizations.

Following screening, eligible participants who indicated their interest were emailed by study staff a link to a web-based baseline survey that also included the implied consent form. After completing the baseline survey, participants were randomized to condition.

Participant milestones

Participant milestones
Measure
Group I (Focusing on Tanning and Healthy Body Image)
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Overall Study
STARTED
204
203
Overall Study
COMPLETED
136
134
Overall Study
NOT COMPLETED
68
69

Reasons for withdrawal

Reasons for withdrawal
Measure
Group I (Focusing on Tanning and Healthy Body Image)
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Overall Study
Lost to Follow-up
68
69

Baseline Characteristics

Social-Media Intervention in Reducing Tanning in High-Risk Tanners

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group I (Focusing on Tanning and Healthy Body Image)
n=204 Participants
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
n=203 Participants
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Total
n=407 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
204 Participants
n=24 Participants
203 Participants
n=20 Participants
407 Participants
n=40 Participants
Age, Categorical
>=65 years
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Sex: Female, Male
Female
204 Participants
n=24 Participants
203 Participants
n=20 Participants
407 Participants
n=40 Participants
Sex: Female, Male
Male
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
31 Participants
n=24 Participants
31 Participants
n=20 Participants
62 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
170 Participants
n=24 Participants
169 Participants
n=20 Participants
339 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=24 Participants
3 Participants
n=20 Participants
6 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=24 Participants
2 Participants
n=20 Participants
5 Participants
n=40 Participants
Race (NIH/OMB)
Asian
10 Participants
n=24 Participants
5 Participants
n=20 Participants
15 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
43 Participants
n=24 Participants
31 Participants
n=20 Participants
74 Participants
n=40 Participants
Race (NIH/OMB)
White
128 Participants
n=24 Participants
152 Participants
n=20 Participants
280 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
12 Participants
n=24 Participants
8 Participants
n=20 Participants
20 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
8 Participants
n=24 Participants
5 Participants
n=20 Participants
13 Participants
n=40 Participants
Indoor tanning sessions
3.84 tanning sessions
STANDARD_DEVIATION 14.06 • n=24 Participants
5.03 tanning sessions
STANDARD_DEVIATION 17.36 • n=20 Participants
4.44 tanning sessions
STANDARD_DEVIATION 15.81 • n=40 Participants
Outdoor tanning sessions
22.87 tanning sessions
STANDARD_DEVIATION 21.79 • n=24 Participants
22.73 tanning sessions
STANDARD_DEVIATION 21.85 • n=20 Participants
22.80 tanning sessions
STANDARD_DEVIATION 21.79 • n=40 Participants

PRIMARY outcome

Timeframe: At 8 months

Population: Reported for survey completers

Multilevel models (e.g., random coefficient) will be used to test the primary study hypothesis that participants who received the intervention will report less combined indoor and outdoor tanning behavior at a 8-month follow-up compared to those who received the control. If necessary, sensitivity analyses may control for individual-level covariates. For reporting purposes, total number of tanning session were summed. Items are measured on open-ended scales with minimum value of 0. Higher numbers report higher rates of tanning, a worse outcome considering it is a risk factor for skin cancer development.

Outcome measures

Outcome measures
Measure
Group I (Focusing on Tanning and Healthy Body Image)
n=115 Participants
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
n=119 Participants
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Total Tanning Sessions
10.43 tanning sessions
Standard Deviation 12.24
18.18 tanning sessions
Standard Deviation 27.42

SECONDARY outcome

Timeframe: At 18 months

Population: numbers are lower due to study attrition

Multilevel models (e.g., random coefficient) will be used. If necessary, sensitivity analyses may control for individual-level covariates. For reporting purposes, total number of tanning session were summed. Items are measured on open-ended scales with minimum value of 0. Higher numbers report higher rates of tanning, a worse outcome considering it is a risk factor for skin cancer development.

Outcome measures

Outcome measures
Measure
Group I (Focusing on Tanning and Healthy Body Image)
n=111 Participants
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
n=110 Participants
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Indoor and Outdoor Tanning Behavior Assessed Using Surveys
11.68 tanning sessions
Standard Deviation 15.26
16.35 tanning sessions
Standard Deviation 25.12

SECONDARY outcome

Timeframe: At 18 months

Population: numbers differ due to attrition

Multilevel models (e.g., random coefficient) will be used. If necessary, sensitivity analyses may control for individual-level covariates. Due to programming error in the study surveys, sunburn was not collected at 8 months as intended. Instead, data presented are from the 18-month, long-term follow-up.

Outcome measures

Outcome measures
Measure
Group I (Focusing on Tanning and Healthy Body Image)
n=111 Participants
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
n=110 Participants
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Skin Burns From Indoor and Outdoor Tanning Assessed Using Surveys
1.01 number of sunburns
Standard Deviation 1.07
0.95 number of sunburns
Standard Deviation 0.99

SECONDARY outcome

Timeframe: At 8 months

Population: numbers differ due to study attrition

Multilevel models (e.g., random coefficient) will be used. If necessary, sensitivity analyses may control for individual-level covariates. Intentions for both indoor and outdoor tanning were summed to create a single intentions scale. Indoor tanning intentions were assessed with the question "How likely are you to indoor tan (e.g., used a tanning bed, sun lamp, or tanning booth) in the next 12 months?" and outdoor intentions with the question "How likely are you to sunbathe or spend time lying in the sun in the next 12 months?" Both questions included response options on a 6-point scale ranging from extremely unlikely (coded as "1") to extremely likely (coded as "6"). The range of possible responses was 2 to 12 with higher scores indicating higher intentions (a worse outcome).

Outcome measures

Outcome measures
Measure
Group I (Focusing on Tanning and Healthy Body Image)
n=151 Participants
Participants periodically read the content on the study-specific private and hidden Facebook group related to living a healthy lifestyle including avoiding tanning and excessive ultraviolet exposure, managing stress, healthy eating, promoting physically active lifestyles, and promoting a healthy body image, and participate in the group by providing reactions, commenting on the posts, or by sharing study relevant information within the group for 8 weeks.
Group II (Focusing on Other Health Topics)
n=149 Participants
Participants participate in private and hidden Facebook groups that utilize content from the intervention content library related to other health topics of interest (e.g., physical activity, healthy eating, alcohol misuse prevention, stress reduction, sleep) for 8 weeks.
Tanning Intentions Assessed Using Surveys
5.68 score on a scale
Standard Deviation 2.67
5.58 score on a scale
Standard Deviation 3.06

Adverse Events

Group I (Focusing on Tanning and Healthy Body Image)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group II (Focusing on Other Health Topics)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jerod Stapleton

University of Kentucky

Phone: 859 323 7224

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place