Trial Outcomes & Findings for Strategies to Promote Skin Health (NCT NCT03237013)

NCT ID: NCT03237013

Last Updated: 2019-07-05

Results Overview

One free-response item measuring intentional indoor frequency in the last 30 days

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

219 participants

Primary outcome timeframe

1-month assessment

Results posted on

2019-07-05

Participant Flow

Study was conducted between February and December 2016. Participants were recruited from an undergraduate research participation website at a large, public American university. A general description of the study's purpose, which specified study inclusion criteria and one's time commitment was provided for potential participants

Participant milestones

Participant milestones
Measure
Control (Treatment as Usual Only)
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance. For example, participants were instructed to notice their breath, thoughts, feelings, ph
Baseline to Immediate Post-treatment
STARTED
73
73
73
Baseline to Immediate Post-treatment
COMPLETED
73
73
73
Baseline to Immediate Post-treatment
NOT COMPLETED
0
0
0
Immediate Post-treatment to 1-mo F/u
STARTED
73
73
73
Immediate Post-treatment to 1-mo F/u
COMPLETED
30
43
36
Immediate Post-treatment to 1-mo F/u
NOT COMPLETED
43
30
37

Reasons for withdrawal

Reasons for withdrawal
Measure
Control (Treatment as Usual Only)
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance. For example, participants were instructed to notice their breath, thoughts, feelings, ph
Immediate Post-treatment to 1-mo F/u
Lost to Follow-up
43
30
37

Baseline Characteristics

Strategies to Promote Skin Health

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control (Treatment as Usual Only)
n=73 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=73 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=73 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance. For example, participants were instructed to notice their breath, thoughts, feelings, ph
Total
n=219 Participants
Total of all reporting groups
Age, Continuous
19.60 years
STANDARD_DEVIATION 1.75 • n=5 Participants
19.65 years
STANDARD_DEVIATION 2.77 • n=7 Participants
19.90 years
STANDARD_DEVIATION 2.85 • n=5 Participants
19.72 years
STANDARD_DEVIATION 2.50 • n=4 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
64 Participants
n=7 Participants
57 Participants
n=5 Participants
178 Participants
n=4 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
41 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
n=5 Participants
19 Participants
n=7 Participants
19 Participants
n=5 Participants
54 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=5 Participants
54 Participants
n=7 Participants
54 Participants
n=5 Participants
165 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
11 Participants
n=7 Participants
14 Participants
n=5 Participants
34 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
White
49 Participants
n=5 Participants
43 Participants
n=7 Participants
49 Participants
n=5 Participants
141 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
18 Participants
n=7 Participants
9 Participants
n=5 Participants
39 Participants
n=4 Participants
Region of Enrollment
United States
73 participants
n=5 Participants
73 participants
n=7 Participants
73 participants
n=5 Participants
219 participants
n=4 Participants
Skin Type
Skin Type I
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Skin Type
Skin Type 2
10 Participants
n=5 Participants
9 Participants
n=7 Participants
6 Participants
n=5 Participants
25 Participants
n=4 Participants
Skin Type
Skin Type 3
36 Participants
n=5 Participants
36 Participants
n=7 Participants
40 Participants
n=5 Participants
112 Participants
n=4 Participants
Skin Type
Skin Type 4
23 Participants
n=5 Participants
24 Participants
n=7 Participants
27 Participants
n=5 Participants
74 Participants
n=4 Participants
Skin Type
Skin Type 5
2 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
6 Participants
n=4 Participants
Skin Type
Skin Type 6
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Indoor Tanning Frequency
1.30 Sessions in last month
STANDARD_DEVIATION 2.68 • n=5 Participants
1.51 Sessions in last month
STANDARD_DEVIATION 2.83 • n=7 Participants
1.28 Sessions in last month
STANDARD_DEVIATION 2.41 • n=5 Participants
1.36 Sessions in last month
STANDARD_DEVIATION 2.62 • n=4 Participants
Outdoor Tanning Frequency
7.69 Sessions in last month
STANDARD_DEVIATION 5.35 • n=5 Participants
7.25 Sessions in last month
STANDARD_DEVIATION 5.04 • n=7 Participants
7.02 Sessions in last month
STANDARD_DEVIATION 4.84 • n=5 Participants
7.32 Sessions in last month
STANDARD_DEVIATION 5.06 • n=4 Participants
Indoor Tanning Intentions
4.36 Sessions in next month
STANDARD_DEVIATION 2.17 • n=5 Participants
4.13 Sessions in next month
STANDARD_DEVIATION 2.17 • n=7 Participants
4.27 Sessions in next month
STANDARD_DEVIATION 2.20 • n=5 Participants
4.25 Sessions in next month
STANDARD_DEVIATION 2.17 • n=4 Participants
Outdoor Tanning Intentions
5.96 Sessions in next month
STANDARD_DEVIATION 1.37 • n=5 Participants
5.56 Sessions in next month
STANDARD_DEVIATION 1.59 • n=7 Participants
5.90 Sessions in next month
STANDARD_DEVIATION 1.20 • n=5 Participants
5.81 Sessions in next month
STANDARD_DEVIATION 1.39 • n=4 Participants
Appearance Attitudes to Tan
3.41 units on a scale
STANDARD_DEVIATION 0.76 • n=5 Participants
3.29 units on a scale
STANDARD_DEVIATION 0.91 • n=7 Participants
3.46 units on a scale
STANDARD_DEVIATION 0.74 • n=5 Participants
3.42 units on a scale
STANDARD_DEVIATION 0.81 • n=4 Participants
Appearance Attitudes Not to Tan
3.41 units on a scale
STANDARD_DEVIATION 0.76 • n=5 Participants
3.31 units on a scale
STANDARD_DEVIATION 0.78 • n=7 Participants
3.36 units on a scale
STANDARD_DEVIATION 0.77 • n=5 Participants
3.36 units on a scale
STANDARD_DEVIATION 0.77 • n=4 Participants
State Body Satisfaction
5.70 units on a scale
STANDARD_DEVIATION 1.35 • n=5 Participants
5.48 units on a scale
STANDARD_DEVIATION 1.37 • n=7 Participants
5.32 units on a scale
STANDARD_DEVIATION 1.37 • n=5 Participants
5.50 units on a scale
STANDARD_DEVIATION 1.30 • n=4 Participants
Trait Body Satisfaction
3.52 units on a scale
STANDARD_DEVIATION 0.78 • n=5 Participants
3.42 units on a scale
STANDARD_DEVIATION 0.68 • n=7 Participants
3.39 units on a scale
STANDARD_DEVIATION 0.74 • n=5 Participants
3.44 units on a scale
STANDARD_DEVIATION 0.73 • n=4 Participants
Appearance Orientation
3.66 units on a scale
STANDARD_DEVIATION 0.50 • n=5 Participants
3.54 units on a scale
STANDARD_DEVIATION 0.58 • n=7 Participants
3.64 units on a scale
STANDARD_DEVIATION 0.56 • n=5 Participants
3.61 units on a scale
STANDARD_DEVIATION 0.55 • n=4 Participants
State Positive Affect
3.59 units on a scale
STANDARD_DEVIATION 0.63 • n=5 Participants
3.45 units on a scale
STANDARD_DEVIATION 0.76 • n=7 Participants
3.33 units on a scale
STANDARD_DEVIATION 0.79 • n=5 Participants
3.46 units on a scale
STANDARD_DEVIATION 0.74 • n=4 Participants
State Negative Affect
2.20 units on a scale
STANDARD_DEVIATION 0.70 • n=5 Participants
2.07 units on a scale
STANDARD_DEVIATION 0.75 • n=7 Participants
2.02 units on a scale
STANDARD_DEVIATION 0.72 • n=5 Participants
2.09 units on a scale
STANDARD_DEVIATION 0.72 • n=4 Participants
Depressive Symptoms
4.82 units on a scale
STANDARD_DEVIATION 4.95 • n=5 Participants
6.32 units on a scale
STANDARD_DEVIATION 8.84 • n=7 Participants
5.97 units on a scale
STANDARD_DEVIATION 7.59 • n=5 Participants
5.70 units on a scale
STANDARD_DEVIATION 7.30 • n=4 Participants
Anxiety Symptoms
6.63 units on a scale
STANDARD_DEVIATION 5.82 • n=5 Participants
7.86 units on a scale
STANDARD_DEVIATION 7.83 • n=7 Participants
6.38 units on a scale
STANDARD_DEVIATION 5.86 • n=5 Participants
6.95 units on a scale
STANDARD_DEVIATION 6.57 • n=4 Participants
Stress
10.38 units on a scale
STANDARD_DEVIATION 7.82 • n=5 Participants
11.39 units on a scale
STANDARD_DEVIATION 9.28 • n=7 Participants
11.56 units on a scale
STANDARD_DEVIATION 8.82 • n=5 Participants
11.11 units on a scale
STANDARD_DEVIATION 8.63 • n=4 Participants

PRIMARY outcome

Timeframe: 1-month assessment

One free-response item measuring intentional indoor frequency in the last 30 days

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Number of Indoor Tanning Sessions in the Last 30 Days
1.98 Sessions in last month
Standard Deviation 3.21
1.35 Sessions in last month
Standard Deviation 2.81
1.92 Sessions in last month
Standard Deviation 2.86

PRIMARY outcome

Timeframe: 1-month assessment

One free-response item measuring intentional outdoor frequency in the last 30 days

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Number of Outdoor Tanning Sessions in the Last 30 Days
3.96 Sessions in last month
Standard Deviation 4.07
2.69 Sessions in last month
Standard Deviation 3.31
3.24 Sessions in last month
Standard Deviation 3.60

PRIMARY outcome

Timeframe: Post assessment & 1-month assessment

A free-response items measuring intentional indoor intentions in the next 30 days.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Indoor Tanning Intentions
Post-Assessment
3.10 sessions in next month
Standard Deviation 2.05
2.21 sessions in next month
Standard Deviation 1.59
2.74 sessions in next month
Standard Deviation 2.07
Indoor Tanning Intentions
1-Month Assessment
3.12 sessions in next month
Standard Deviation 1.90
2.60 sessions in next month
Standard Deviation 1.76
3.16 sessions in next month
Standard Deviation 1.82

PRIMARY outcome

Timeframe: Post Assessment & 1-month assessment

A free-response items measuring intentional outdoor intentions in the next 30 days.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Outdoor Tanning Intentions
Post-Assessment
4.53 sessions in next month
Standard Deviation 1.74
3.41 sessions in next month
Standard Deviation 1.85
4.53 sessions in next month
Standard Deviation 1.62
Outdoor Tanning Intentions
1-Month Assessment
3.48 sessions in next month
Standard Deviation 1.97
3.37 sessions in next month
Standard Deviation 1.83
3.89 sessions in next month
Standard Deviation 1.76

SECONDARY outcome

Timeframe: Post assessment & 1-month assessment

Participants completed the Appearance Reasons to Tan latent subscale of the Physical Appearance Reasons for Tanning Scale (PARTS; Cafri et al., 2006, 2008). This scale consists of three manifest subscales: General Attractiveness, Acne, and Body Shape. These 19 items were scored along a five-point scale: 1 (definitely disagree) to 5 (definitely agree), with a possible total score range of 19-95 (higher scores indicating greater agreement). Total scores are averaged to reflect the average agreement with attitudes which may motivate one to tan (higher average scores indicating greater agreement).

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Appearance Attitudes to Tan
Post-assessment
3.28 units on a scale
Standard Deviation 0.90
2.90 units on a scale
Standard Deviation 0.99
3.25 units on a scale
Standard Deviation 0.76
Appearance Attitudes to Tan
1-Month Assessment
3.22 units on a scale
Standard Deviation 0.66
3.13 units on a scale
Standard Deviation 0.80
3.13 units on a scale
Standard Deviation 0.61

SECONDARY outcome

Timeframe: Post assessment and 1-month assessment

Participants completed the Appearance Reasons Not to Tan latent subscale of the Physical Appearance Reasons for Tanning Scale (PARTS; Cafri et al., 2006, 2008). This scale consists of two manifest subscales: Skin Damage and Skin Aging. These 9 items were scored along a five-point scale 1 (definitely disagree) to 5 (definitely agree) with a possible total score range of 9-45 (higher scores indicating greater agreement). Total scores are averaged to reflect the average agreement with attitudes to not tan; (higher average scores indicating greater agreement).

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Appearance Reasons Not to Tan
Post-Assessment
3.74 units on a scale
Standard Deviation 0.79
3.83 units on a scale
Standard Deviation 0.93
3.63 units on a scale
Standard Deviation 0.83
Appearance Reasons Not to Tan
1-Month Assessment
3.40 units on a scale
Standard Deviation 0.72
3.61 units on a scale
Standard Deviation 0.82
3.59 units on a scale
Standard Deviation 0.62

SECONDARY outcome

Timeframe: Post-assessment

State level body satisfaction was measured using the Body Image States Scale (BISS; Cash, Fleming, Alindogan, Steadman, \& Whitehead, 2002). This six-item self-report instrument utilizes a nine-point scale (1 \[extremely dissatisfied\] to 9 \[extremely satisfied\]); possible total scores range 6-54; higher scores indicate greater satisfaction. This measure is scored by averaging all scores to these six items, with higher average scores indicating greater body satisfaction.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
State Body Satisfaction
5.67 units on a scale
Standard Deviation 1.28
5.36 units on a scale
Standard Deviation 1.41
5.49 units on a scale
Standard Deviation 1.34

SECONDARY outcome

Timeframe: 1-month assessment

Trait level body satisfaction was measured using the Multidimensional Body-Self Relations Questionnaire-Appearance Evaluation subscale (MSBRQ-AE; Brown, Cash, \& Mikulka, 1990; Cash, 2000). This seven-item self-report subscale utilizes a five-point scale (1 \[definitely disagree\] to 5 \[definitely agree\]) with possible score range of 7-35. This measure was scored by averaging all scores to these seven items, with higher scores indicating greater body satisfaction.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Trait Body Satisfaction
3.32 units on a scale
Standard Deviation 0.68
3.33 units on a scale
Standard Deviation 0.66
3.30 units on a scale
Standard Deviation 0.70

SECONDARY outcome

Timeframe: 1-month assessment

Trait level appearance orientation satisfaction was measured using the Appearance Schemas Inventory-Revised Short Form (ASI-R; Cash, Melnyk, \& Hrabosky, 2004). This twenty-item self-report instrument assesses cognitive and behavioral investment in one's physical appearance. This measure utilizes a five-point scale (1 \[definitely disagree\] to 5 \[definitely agree\]), with total scores ranging from 20-100; higher scores indicate greater appearance investment. This measure is scored by averaging all scores to these twenty items (higher scores indicating greater appearance investment).

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Appearance Orientation
3.50 units on a scale
Standard Deviation 0.47
3.34 units on a scale
Standard Deviation 0.49
3.42 units on a scale
Standard Deviation 0.44

SECONDARY outcome

Timeframe: Post assessment

State positive affect was measured using the positive affect subscale of the Positive and Negative Affect Scale-Short Form (PANAS-SF; Thompson, 2007). This self-report subscale consists of five items of the full ten-item measure. This subscale utilizes a five-point Likert-type scale ranging from 1 (never) to 5 (always). This measure is scored by summing all scores to these five items (range 5-25), with higher scores indicating greater state positive affect. For the purposes of this project, participants' item scores to these five items were averaged.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
State Positive Affect
3.45 units on a scale
Standard Deviation 0.82
3.32 units on a scale
Standard Deviation 0.92
3.31 units on a scale
Standard Deviation 0.80

SECONDARY outcome

Timeframe: Post assessment

State negative affect was measured using the negative affect subscale of the Positive and Negative Affect Scale-Short Form (PANAS-SF; Thompson, 2007). This self-report subscale consists of five items of the full ten-item measure. This subscale utilizes a five-point Likert-type scale ranging from 1 (never) to 5 (always). This measure is scored by summing all scores to these five items (range 5-25), with higher scores indicating greater state negative affect. For the purposes of this project, participants' item scores to these five items were averaged.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
State Negative Affect
1.95 units on a scale
Standard Deviation 0.73
2.22 units on a scale
Standard Deviation 0.80
1.72 units on a scale
Standard Deviation 0.77

SECONDARY outcome

Timeframe: 1-month assessment

Participants completed the Depression Anxiety Stress Scales Short Version (DASS-21) as a marker of trait level negative affect (Henry \& Crawford, 2005). This 21-item self-report measure consists of three seven-item subscales: depression, anxiety, and stress. Items are measured along a 4-point scale (0 \[not at all like me\] to 3 \[applied to me very much, or most of the time\]); higher scores denote increased symptoms. Total sum scores for this instrument ranges from 0-63; scores for the depressive symptom subscale range from 0-21.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Depressive Symptoms
11.35 units on a scale
Standard Deviation 7.91
9.16 units on a scale
Standard Deviation 8.00
12.06 units on a scale
Standard Deviation 8.56

SECONDARY outcome

Timeframe: 1-month assessment

Participants completed the Depression Anxiety Stress Scales Short Version (DASS-21) as a marker of trait level negative affect (Henry \& Crawford, 2005). This 21-item self-report measure consists of three seven-item subscales: depression, anxiety, and stress. Items are measured along a 4-point scale (0 \[not at all like me\] to 3 \[applied to me very much, or most of the time\]); higher scores denote increased symptoms. Total sum scores for this instrument ranges from 0-63; scores for the anxiety symptom subscale range from 0-21.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Anxiety Symptoms
13.22 units on a scale
Standard Deviation 8.40
10.74 units on a scale
Standard Deviation 8.63
12.82 units on a scale
Standard Deviation 8.81

SECONDARY outcome

Timeframe: 1-month assessment

Participants completed the Depression Anxiety Stress Scales Short Version (DASS-21) as a marker of trait level negative affect (Henry \& Crawford, 2005). This 21-item self-report measure consists of three seven-item subscales: depression, anxiety, and stress. Items are measured along a 4-point scale (0 \[not at all like me\] to 3 \[applied to me very much, or most of the time\]); higher scores denote increased symptoms. Total sum scores for this instrument ranges from 0-63; scores for the stress symptom subscale range from 0-21.

Outcome measures

Outcome measures
Measure
Control (Treatment as Usual Only)
n=30 Participants
Following baseline assessment, all participants were given health literature on tanning behavior from the U.S. Centers for Disease Control and Prevention (CDC). These materials included informational pamphlets addressing common myths regarding tanning behaviors, including "Tanned skin is not healthy skin", and "A base tan is not a safe tan. These misconceptions were accompanied by "burning truth", scientific data debunking these myths. Additionally, all participants received a packet on sun protective practices for oneself and family, which include skin cancer statistics and information on UV rays.
Treatment as Usual + Facial Morphing
n=43 Participants
In addition to the health literature, participants completed the Facial Morphing Intervention. Participants had a digital photograph taken and uploaded to the APRIL® software, accompanied by information about their current age and self-identified race. Participants were presented with two, side-by-side identical 2D images of their face. Participants first viewed an image of their face from their current age, in two-year intervals, to age 72, the maximum age, with the "UV exposure" setting turned on. This process was repeated. Next, participants viewed the projected aging process, toggling the "UV exposure" setting (on and off), every ten year interval. The process was repeated using 3D images to view projected changes to their facial profiles. Facial Morphing Intervention: Participants assigned to this condition were exposed to facial morphing technology that displays the progression of facial-ageing up to 72years, both with and without damage from UV exposure.
Treatment as Usual + Mindfulness
n=36 Participants
In addition to the health literature, participants completed the Mindfulness Intervention. Participants listened to a 10-minute self-guided mindfulness audio exercise. The audio file is a scripted reading of an established, brief mindfulness exercise (Erisman \& Roemer, 2010). During this guided session, participants learned what mindfulness was, when it can be used, and benefits from practice. Listeners were led through steps, focusing on the physical sensations, breathing, and thoughts. After the exercise, participants were provided a handout highlighting key points about mindfulness and how to incorporate informal mindfulness practice into their daily life. Mindfulness Intervention: Participants assigned to this condition engaged in a self-guided mindfulness intervention audio tape. This intervention instructed participants to pay attention to the present moment, with a non-judgemental stance.
Stress
16.75 units on a scale
Standard Deviation 9.29
14.02 units on a scale
Standard Deviation 9.02
15.43 units on a scale
Standard Deviation 8.96

Adverse Events

Control (Treatment as Usual Only)

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

Treatment as Usual + Facial Morphing

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

Treatment as Usual + Mindfulness

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

Dr. Aaron Blashill

San Diego State University

Phone: 619-594-2245

Results disclosure agreements

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