New strategies in the U.S. are needed to combat the rising rates of skin cancers, such as methods to promote the adoption of sun protection policies and environmental features by school. In this revised application we propose to create a program to promote sun protection policies and environments to public school districts and to evaluate its effectiveness at producing district-level changes and implementation of changes in schools. The project will test predictions from diffusion of innovations theory (DIT) about the adoption process and program effects on sun protection policy and environment changes, as well as about secular trends in policy and environmental changes in control districts. DIT, national and local advisory board, and formative assessments of school districts by project staff (analysis of structure and in-depth interviews with administrators) will inform methods for communicating with with district personnel. Program features will be pretested for information design and usability and program implementation procedures will be piloted tested. The Los Angeles Metropolitan Dermatological Society will implement the program in 10 counties in Southern California with on-site assistance from Cooper Institute and University of Southern California staff. Eligible districts will have 40% or more white non-Hispanic students. Districts will be randomized to receive either the CDC national guidelines on school sun safety (control) or in-person, telephone and email contacts with school district administrators, printed materials (policy guidebook, fact sheets, sun protection products catalogue, and employee training), and a Web site (intervention). The program will be evaluated in a group-randomized pretest-posttest two-group trial with 140 districts as the unit of analysis. District policies on sun protection of students and employees will be obtained at pretest and posttest and coded to create composite policy scores. Samples of 980 adminstrators will be surveyed by telephone at pretest and posttest to measure secondary policy and environment outcomes, theoretical mediators and moderators, and district policy-making process. Also, 980 school principals will be pretested and posttested to determine whether policy and environment changes are communicated to and implemented at schools, and how policies are enforced. On-site observations of sun protection policies, environmental features, and employee clothing will validate principal reports. ? ?

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA100285-04
Application #
7122072
Study Section
Special Emphasis Panel (ZRG1-HOP-A (02))
Program Officer
Nebeling, Linda C
Project Start
2004-09-30
Project End
2009-06-30
Budget Start
2006-07-01
Budget End
2007-06-30
Support Year
4
Fiscal Year
2006
Total Cost
$796,603
Indirect Cost
Name
Klein Buendel, Inc.
Department
Type
DUNS #
117936042
City
Golden
State
CO
Country
United States
Zip Code
80401
Miller, Kimberly A; Huh, Jimi; Unger, Jennifer B et al. (2017) Correlates of sun protection behaviors among Hispanic children residing in a high UVR environment. Photodermatol Photoimmunol Photomed 33:75-83
Reynolds, Kim D; Buller, David B; French, Simone A et al. (2012) School sun-protection policies: measure development and assessments in 2 regions of the United States. J Sch Health 82:499-507
Buller, David B; Reynolds, Kim D; Ashley, Jeff L et al. (2011) Motivating public school districts to adopt sun protection policies: a randomized controlled trial. Am J Prev Med 41:309-16
Andreeva, Valentina A; Cockburn, Myles G; Yaroch, Amy L et al. (2011) Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors. Arch Dermatol 147:814-9
Andreeva, Valentina A; Yaroch, Amy L; Unger, Jennifer B et al. (2010) Moderated mediation regarding the sun-safe behaviors of U.S. Latinos: advancing the theory and evidence for acculturation-focused research and interventions. J Immigr Minor Health 12:691-8
Andreeva, Valentina A; Unger, Jennifer B; Yaroch, Amy L et al. (2009) Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey. Am J Public Health 99:734-41