Buller David B, Walkosz Barbara J, Andersen Peter A, Scott Michael D, Cutter Gary R
Klein Buendel Inc, 1667 Cole Blvd. Ste. 225, Golden, CO 80113 USA.
San Diego State University, San Diego, CA USA.
Transl Behav Med. 2015 Dec;5(4):361-71. doi: 10.1007/s13142-015-0321-4. Epub 2015 Jun 6.
The sustainability of evidence-based programs is needed to obtain long-term benefits. To assess sustainability of Go Sun Smart (GSS), an occupational skin cancer prevention program disseminated to the North American ski industry. Fifty-three of the 68 ski areas from the original dissemination trial participated in 2012 and 2013, 5 to 7 years after program distribution by enhanced or basic dissemination strategies. Sustained use was measured by: (1) on-site observation of sun protection communication and (2) an online survey with senior managers. In the sustainability assessment, sun safety communication had declined, and dissemination strategy did not affect continued use. Managers held weaker attitudes about skin cancer importance and program fit, but more managers provided free/reduced-cost sunscreen than in the dissemination trial. Manager turnover was a key factor in program discontinuance. Sustainability remains a challenge. Additional research is needed to determine the best strategies for sustainability.
为获得长期效益，循证项目的可持续性至关重要。为评估“走向阳光智慧”（GSS）项目的可持续性，该项目是一项向北美滑雪行业推广的职业性皮肤癌预防项目。在最初传播试验中的68个滑雪区中，有53个在2012年和2013年参与了项目，此时距离通过强化或基本传播策略分发项目已有5至7年。通过以下方式衡量持续使用情况：（1）对防晒宣传进行现场观察；（2）对高级管理人员进行在线调查。在可持续性评估中，防晒安全宣传有所下降，传播策略并未影响持续使用情况。管理人员对皮肤癌重要性和项目适配性的态度有所减弱，但提供免费/低成本防晒霜的管理人员比传播试验中的更多。管理人员更替是项目终止的关键因素。可持续性仍然是一项挑战。需要进行更多研究以确定实现可持续性的最佳策略。
