A new quality metric for dermatology: The “SPA” (sunscreen, protective gear, and avoidance) questionnaire to assess sun protection practices

Abstract

Background: Given the importance of counseling patients on UV radiation exposure, a Sunscreen, Protective Gear, and Avoidance (SPA) Questionnaire was developed to assess patients’ sun exposure and help physicians provide tailored counseling to their patients regarding safe sun protection practices. Materials and methods: Six Denver Veterans Affairs (VA) dermatology providers who were trained in using the questionnaire randomly selected patients in the Denver VA Dermatology clinic to pilot-test the questionnaire. Demographic information and responses were collected using the SPA Questionnaire. Results: 43/61 (70.5%) of patients answered “no” to at least one sun protection strategy. Of these 43 patients, 40 (93%) were provided with tailored counseling. Five out of six providers indicated that the questionnaire encouraged conversations about sun protection for skin cancer prevention. Conclusion: The SPA questionnaire is a simple measure of UV exposure risk, which can help clinicians determine the sun-protective behavior of patients and initiate dialogue to increase patient knowledge of sun protection practices.