key: cord-0905447-c5xaoxa6
authors: Lynch, L.; O’Connor, C.; Bennett, M.; Murphy, M.
title: The virtual Men's Shed: a pilot of online access to skin cancer education for a high‐risk population during the COVID‐19 pandemic
date: 2021-11-21
journal: Clin Exp Dermatol
DOI: 10.1111/ced.14992
sha: 0c1b7288eac687b44d878dd61ecaf460e45a1243
doc_id: 905447
cord_uid: c5xaoxa6

The COVID-19 pandemic has required new ways of working in dermatology. 1 Men over 50 years of age are at higher risk of mortality from melanoma, potentially due to poorer engagement with awareness and prevention campaigns, and delayed presentation. 2 Skin cancer clinical nurse specialists (SCCNS) provide an essential role in education, guidance, and support at all stages of skin cancer care.

The COVID-19 pandemic has required new ways of working in dermatology. 1 Men aged > 50 years are at higher risk of mortality from malignant melanoma (MM) potentially due to poorer engagement with awareness and prevention campaigns, and to delayed presentation. 2 Skin cancer clinical nurse specialists (SCCNSs) provide an essential role in education, guidance and support at all stages of skin cancer care. 3 Prior to the pandemic, our SCCNSs provided skin cancer education to older men by attending 'Men's Shed' meetings. Men's Sheds are community-based projects where men come together to learn, share skills and make friendships, and to promote social inclusion. Following the Irish national lockdown on 12 March 2020, all Men's Sheds were closed to reduce the transmission of SARS-CoV-2, with reopening scheduled for September 2021. Our skin cancer education sessions were converted to online sessions. We aimed to assess participant feedback from the Men's Sheds group for planning of future education.

All Men's Sheds in Cork and Kerry were contacted via the organization's website (https://menssheds.ie/) to see if any groups were conducting meetings virtually, and any groups that were providing virtual meetings were offered sessions on skin cancer and sun awareness during May 2021. Virtual education sessions were set up with 14 of the groups, either at their usual meeting time or at a separate designated time (Fig. 1) .

In total, 98 men participated in the virtual meetings (range 2-18 men per meeting). To acquire feedback, a questionnaire was forwarded to each group (n = 14) following the education session. All groups (100%) felt that the session was useful and 100% wanted a repeat session in future. However, the majority of groups (11 of 14; 78.6%) recommended a face-to-face session, as many members had been unable to access the virtual meeting due to technical difficulties.

Questionnaires were also sent individually to attendees for further feedback, and 16 men (mean age 69.8 years, range 58-87 years) responded, equating to a response Figure 1 Poster to highlight the education sessions on skin cancer and sun awareness given by a skin cancer clinical nurse specialist.

Clinical and Experimental Dermatology rate of 16.3%. The majority stated that they obtained most of their medical information from their friends and family (31.3%) or their general practitioner (GP) (31.3%), with 18.8% obtaining most of their information from the Men's Shed, and 12.5% from the radio. In terms of preferred sources of information, the majority (37.5%) stated that they would like to receive information through presentations at the Men's Shed, 31.3% via their GP, 18.8% over the radio and 6.3% through informative posters.

Previous research has shown that Men's Sheds can have a positive role in health promotion. 4 This project shows that virtual skin cancer education, targeted at older men at higher risk of skin cancer, is feasible. Virtual education sessions may also improve access in geographically isolated areas distant from dermatology centres. However, most groups stated a preference for meetings in person where possible. The response rate for individual questionnaires was low (16%), which may be due to difficulties for some older men in using modern information technology.

Although this project shows that sessions on skin cancer education can be performed virtually, the optimal setting may remain with in-person visits, as we return to normal healthcare following the COVID-19 pandemic.

Sense and sensibility: an Irish dermatology department in the era of COVID-19

Trends in malignant melanoma mortality in 31 countries from 1985 to 2015

National Institute of Health and Care Excellence Quality statement 5: skin cancer clinical nurse specialist

More than a place to do woodwork: a case study of a community-based Men's Shed