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This arm will consist of gardening at least once per week, meeting with a master gardener mentor bi-monthly, and attending a gardening informational workshop once monthly.

This arm will consist of gardening at least once per week, meeting with a master gardening mentor twice monthly, and attending a gardening informational workshop once monthly.

Mentored Community Gardening

Meghan B Skiba, PhD

Dylan Miller, MPH

Elizabeth McPeak, MPH

The investigators will conduct a single-arm pilot feasibility trial of mentored community gardening for melanoma survivors integrating dosimeters and accelerometers. Harvest for Health Together Arizona (H4H2-AZ) is an evidence-based program adapted for arid desert gardening that also addresses sun safety through group workshops and peer education. The primary aim is to evaluate adherence to the intervention.

In collaboration with Banner Health, University of Arizona Cancer Center, Community Gardens of Tucson, and UArizona Pima County Cooperative Extension Master Gardeners, the investigators will conduct a pilot feasibility study of community gardening in melanoma survivors integrating UV sensors. Harvest for Health Together Arizona (H4H2-AZ) is an evidence-based program adapted for arid desert gardening that also addresses sun safety through experiential workshops and education. The investigators propose to evaluate adherence to and acceptability of the intervention. The investigators aim to see if H4H2-AZ may improve cancer preventive health behaviors (including diet, physical activity, energy balance, and UV protection) and quality of life among melanoma survivors.

Mentored Community Gardening for Individuals With Skin Cancer

An Adapted Evidenced-Based Mentored Community Gardening Intervention for Skin Cancer Survivors: A Single-Arm Feasibility Study (Harvest for Health Together Arizona)

Functional Assessment of Cancer Therapy - Melanoma (FACT-M) is a melanoma specific questionnaire which will measure HR-QOL in participants. Items are measured on a 0-4 Likert scale.The FACT-M consists of 51 items with a total score ranging from 0-204. A higher score indicates better HR-QOL.

Acceptability of intervention and sensors will be assessed using the Acceptability of Intervention Measure which includes 12 items on a 1-5 scale and summed. Scores range 12-60; higher scores reflect greater acceptability.

Adherence will be measured by attendance to the number of sessions (including weekly gardening, meetings with mentors, and group workshops) a participant attends.

Dosimeter (Scienterra) measured cumulative UV exposure \[Units: Watts per square meter (W/m\^2), UV Index (UVI), Standard Erythema Dose (SED), or Minimal Erythema Dose (MED)\]

Dietary fruit and vegetable intake (average total servings/day) assessed by 24-hour dietary recall

Sedentary time (inactive minutes/day) measured by accelerometer (Actigraph Link GT9X)

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Mentored Community Gardening for Individuals With Skin Cancer	NCT05648604	Melanoma Cancer Survivor... Skin Cancer Basal Cell Carc... Squamous Cell C... Melanoma (Skin)	Mentored Commun...	18 Years -	University of Arizona
Mentored Community Gardening for Individuals With Skin Cancer	NCT05648604	Melanoma Cancer Survivor... Skin Cancer Basal Cell Carc... Squamous Cell C... Melanoma (Skin)	Mentored Commun...	18 Years -	University of Arizona

Spots Global Cancer Trial Database for mentored community gardening