Objective:

To identify factors influencing patients' experiences of total body photography (TBP) for skin cancer screening and diagnosis.

Approach:

• Study Design: A two-round modified Delphi study involving experts in TBP.
• Panel Composition: First round included 20 experts; second round included 19 experts.
• Consensus Criteria: At least 75% of panelists needed to rate a statement as important.
• Statement Evaluation: 37 statements were evaluated, with 30 reaching consensus in round one and 90% in round two.

Key Findings:

• Communication, consent, comfort, and environment received strong agreement among panelists.
• All panelists rated clarity of information about imaging as important.
• 95% of panelists agreed on assessing physical comfort during imaging.
• Panelists supported evaluating patient perceptions of TBP's contribution to care.
• Differences in patient responses to viewing TBP images were noted, with some patients appreciating the images while others experienced distress.

Limitations:

• Patients were not included in the Delphi panel.
• Generalizability may be limited due to the panel's composition (85% from Australia).
• The rapid literature review may have missed relevant factors.
• Effects of artificial intelligence integration into TBP were not assessed.

Sources:

• Archives of Dermatological Research