Skin cancer is the most common cancer in the United States, yet ultraviolet (UV) exposure remains high among young adults. This randomized controlled trial evaluated the feasibility and preliminary effectiveness of a brief motivational enhancement intervention for skin cancer prevention. Eighty‑two dermatology patients aged 18–30 were randomized to receive either a brochure alone or a brochure plus a 5–8 minute motivational intervention. Although no significant quantitative differences were observed between groups at six‑month follow‑up, qualitative findings suggested positive changes in UV protection behaviors. These results support the feasibility of motivational enhancement counseling and warrant further investigation of provider‑based interventions for skin cancer prevention.