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评估“阳光明智”政策干预措施的基本原理与研究方案:一项基于小学的健康促进项目的整群随机对照试验

Rationale and study protocol to evaluate the SunSmart policy intervention: a cluster randomised controlled trial of a primary school-based health promotion program.

作者信息

Dudley Dean A, Winslade Matthew J, Wright Bradley J, Cotton Wayne G, McIver Jackie L, Jackson Kirsten S

机构信息

Faculty of Human Sciences/School of Education, Macquarie University, North Ryde, 2109, Australia.

School of Teacher Education, Charles Sturt University, Panorama Ave, Bathurst, 2795, Australia.

出版信息

BMC Public Health. 2015 Jan 31;15:42. doi: 10.1186/s12889-015-1371-8.

DOI:10.1186/s12889-015-1371-8
PMID:25636822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4323015/
Abstract

BACKGROUND

Previous evaluations of the SunSmart Program have supported the link between a written sun protection policy and improved sun protection behaviours in New South Wales (NSW) primary schools. However these evaluations have relied on self-reported data and research suggests that direct observations are required to better represent schools' usual sun protective practices.

METHODS/DESIGN: Data will be collected in the summer months of 2014, 2015, and 2016 as part of an 18-month cluster-controlled trial in NSW primary schools (n = 20). Researchers will conduct three direct observations to record students' hat use and teachers' use of sun protective measures during recess and lunch periods in each school. Researchers will also record the volume of sunscreen that the Year 6 classes in each school utilise over the term. At the conclusion of baseline data collection, five schools will be randomised into an intervention group that will work with researchers to develop a policy-driven intervention to improve sun safety behaviour in NSW primary schools.

DISCUSSION

An initial review of relevant Australian and New Zealand literature suggests that provision of policy support is likely to improve school sun protection practices; however there is no suggested model for this support. This will be the first objective analysis of sun safe behaviours leading to a policy-driven intervention conducted in Australian primary schools since the 1990s, and will inform the future direction of sun safety in our schools.

TRIAL REGISTRATION

Australian and New Zealand Clinical Trials Register ACTRN12614000926639 Registered 28(th) August 2014.

摘要

背景

之前对“阳光防护计划”的评估支持了新南威尔士州(NSW)小学书面防晒政策与改善防晒行为之间的联系。然而,这些评估依赖于自我报告的数据,而研究表明需要直接观察才能更好地反映学校日常的防晒措施。

方法/设计:作为新南威尔士州20所小学为期18个月的整群对照试验的一部分,将于2014年、2015年和2016年夏季收集数据。研究人员将进行三次直接观察,记录每所学校课间休息和午餐期间学生的帽子佩戴情况以及教师的防晒措施使用情况。研究人员还将记录每所学校六年级班级本学期使用的防晒霜量。在基线数据收集结束时,五所学校将被随机分配到干预组,该组将与研究人员合作制定一项政策驱动的干预措施,以改善新南威尔士州小学的阳光安全行为。

讨论

对澳大利亚和新西兰相关文献的初步回顾表明,提供政策支持可能会改善学校的防晒措施;然而,目前尚无这种支持的建议模式。这将是自20世纪90年代以来在澳大利亚小学进行的首次对导致政策驱动干预的阳光安全行为的客观分析,并将为我们学校未来的阳光安全方向提供参考。

试验注册

澳大利亚和新西兰临床试验注册中心ACTRN12614000926639,于2014年8月28日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/981d/4323015/2470beff3ee3/12889_2015_1371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/981d/4323015/2470beff3ee3/12889_2015_1371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/981d/4323015/2470beff3ee3/12889_2015_1371_Fig1_HTML.jpg

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