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

基本信息

批准号：
8881113
负责人：
MYLES G COCKBURN
金额：
$ 60.82万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-01 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8881113
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 UV Radiation Exposure 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

项目摘要

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）：尽管人们在基于避免阳光照射教育的初级预防方面做出了广泛的努力，但全球范围内黑色素瘤的发病率仍在继续增加。童年时期的阳光照射不仅会增加黑色素瘤的风险，还会建立终生的阳光照射和保护模式。在许多采取了涉及儿童教育的具体初级预防措施的地区，对黑色素瘤总体负担的影响微乎其微。这很可能是因为，正如之前的大量研究表明的那样，“安全”阳光照射的知识与由此产生的行为改变之间存在脱节。我们在这项研究中的目的是测试一种新颖的基于课堂的实践教育干预措施，以激励青少年限制阳光照射，并影响阳光照射行为的改变。五年来，我们一直在洛杉矶地区的学校开展 SunSmart 教育计划，旨在利用这些已建立的关系来确保这项研究的成功。我们将招募来自至少 18 所学校的至少 1,575 名学生参加我们的干预措施、紫外线剂量测定实验室（与单独的 SunSmart 相比）在改变阳光照射行为方面的效果的随机试验。我们将建立基线阳光照射知识、态度和行为，进行干预，然后进行后续行动，以确定至少 315 名学生的紫外线照射行为是否发生变化。我们将使用剂量计测量阳光照射行为的实际变化来获得基线和后续紫外线照射数据。我们提出的方法是创新的，将学生的科学发现和个人对自己紫外线暴露的理解融入到积极的教育干预中，并使用剂量测定法验证行为变化。我们的试点数据表明该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，因为它是在全国暴露于最高水平紫外线的学童中进行的（潜在目标人群为近 700,000 名学童）。