An innovative, curriculum-based integrated sun exposure behavior intervention for

一种创新的、基于课程的综合日照行为干预措施

• 批准号: 8691747
• 负责人: MYLES G COCKBURN
• 金额: $ 66.56万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8691747
• 关键词: Adopted; Affect; Area; Attitude; Awareness; Behavior; Behavior Therapy; Behavioral; Child; Childhood; Clothing; Cognitive; Collaborations; Community Outreach; Country; Data; Education; Education Projects; Educational Curriculum; Educational Intervention; Educational process of instructing; Effectiveness; Emotional; Ensure; Ethnic Origin; Exposure to; Feedback; Gender; Gold; Health Knowledge, Attitudes, Practice; Incidence; Intervention; Joints; Knowledge; Laboratories; Learning; Los Angeles; Measures; Mediator of activation protein; Methods; Patient Self-Report; Pattern; Population; Prevention; Primary Prevention; Probability; Process; Protective Clothing; Randomized; Randomized Controlled Trials; Recruitment Activity; Risk; Risk Factors; Schools; Science; Self Efficacy; Severities; Skin Cancer; Skin tanning; Students; Sun Exposure; Sunscreen Effect; Sunscreening Agents; Target Populations; Testing; The Sun; Time; Training; Work; Youth; aged; arm; avoidance behavior; base; behavior change; design; dosimetry; elementary school; follow-up; improved; indexing; innovation; melanoma; novel; outreach program; programs; randomized trial; research study; standard measure; success; sun protection; ultraviolet; undergraduate student

DESCRIPTION (provided by applicant): Melanoma incidence rates continue to increase worldwide, despite widespread efforts at primary prevention based on sun exposure avoidance education. Childhood sun exposure not only increases melanoma risk, but also establishes lifetime patterns of sun exposure and protection. In many areas where specific primary prevention efforts involving childhood education have been adopted, little impact on the overall melanoma burden has been realized. This is most likely because, as a wealth of previous study has shown, there is a disconnect between knowledge of 'safe' sun exposures and any resulting behavioral change. Our objective in this study is to test a novel classroom-based hands-on educational intervention to motivate youth to limit their sun exposure, and affect sun exposure behavior change. We have been conducting a SunSmart educational program in Los Angeles area schools for 5 years, and aim to use those established relationships to ensure the success of this study. We will recruit at least 1,575 students from at least 18 schools to participate in a randomized trial of the effect our Intervention, the UV Dosimetry Laboratory (in comparison to SunSmart alone) in changing sun exposure behavior. We will establish baseline sun exposure knowledge, attitudes and behavior, conduct the Intervention, then conduct follow-up to determine if UV exposure behavior changed in a subset of at least 315 students. We will obtain baseline and follow-up UV exposure data using dosimeters measuring real change in sun exposure behavior. Our proposed approach is innovative, incorporating students' scientific discovery and personal understanding of their own UV exposures in an active educational intervention, and verifying behavior change using dosimetry. Our pilot data suggests a high probability of success of both the approach and the intervention itself. The potential impact of this study is far-reaching, because it is being conducted amongst the largest population of school children (a potential target population of almost 700,000 school children) exposed to the highest levels of UV in the country.

描述（由申请人提供）：尽管基于日晒避免教育，在初级预防方面进行了广泛的预防努力，但黑色素瘤的发病率率仍在不断提高。儿童时期暴露不仅增加了黑色素瘤的风险，而且还建立了终生暴露和保护的终生模式。在许多采用了涉及儿童教育的特定初级预防工作的领域，对整体黑色素瘤负担的影响很小。这很可能是因为，正如先前的大量研究表明，“安全”太阳暴露的知识与任何结果的行为改变之间存在脱节。 我们在这项研究中的目标是测试一种新型的基于课堂的动手教育干预措施，以激发青年限制他们的日晒，并影响太阳暴露的行为改变。我们已经在洛杉矶地区学校进行了5年的Sunsmart教育计划，并旨在利用那些既定的关系来确保这项研究的成功。我们将招募至少18所学校的至少1,575名学生参加 对我们的干预措施的随机试验，即在改变太阳暴露行为中的紫外剂量测定实验室（与Sunsmart相比）。我们将建立基线暴露知识，态度和行为，进行干预，然后进行随访，以确定在至少315名学生的子集中紫外线暴露行为是否改变。我们将使用测量太阳暴露行为的实际变化的剂量计获得基线和随访紫外线暴露数据。 我们提出的方法是创新的，将学生的科学发现和个人理解纳入了积极的教育干预措施中，并使用剂量法验证行为改变。我们的试点数据表明，方法和干预本身成功的可能性很高。这项研究的潜在影响是深远的，因为它是在该国最高水平的紫外线水平的最高学童人群（潜在的目标人群）中进行的。