School of Teacher Education, Charles Sturt University, Bathurst, NSW, Australia.
School of Education, Macquarie University, Sydney, NSW, Australia.
Health Promot J Austr. 2019 Apr;30(2):267-271. doi: 10.1002/hpja.27. Epub 2018 Jan 25.
The SunSmart Policy Support and Intervention Study (SSPSIS) (ACTRN12614000926639) investigated the feasibility of improving schools' implementation of the SunSmart Program, which is a resource for primary school communities to support their development of a comprehensive sun protection policy.
A cluster randomised controlled trial (RCT) was used to evaluate the SSPSIS, which was conducted in NSW SunSmart schools (n = 20). Objective measurements of students' sun-safe hat-wearing behaviours and sunscreen application, and teachers' role-modelling behaviours, were collected for baseline, post-test and follow-up data. Interviews with school community stakeholders, including students (n = 103), parents (n = 31), teachers (n = 11) and executive staff (n = 4), were conducted to inform the intervention design, which was implemented following baseline data collection.
The results of baseline observations and interviews have been published previously. The intervention design aimed to combat negative perceptions of hat-wearing policy and create a trigger for sunscreen application by rewarding students practising these sun protection behaviours with play-based incentives. Although this intervention had no significant effect on the wearing of sun-safe hats among students or teachers, it did have a large effect on the consumption of sunscreen.
Associating sunscreen and play-based incentives can create an effective trigger for students' sunscreen application behaviours. However, further evidence is needed to investigate how students' and teacher role models' hat-wearing behaviours could be increased. SO WHAT?: While combining a play-based incentive with a trigger for behaviour can promptly increase students' sunscreen application, it was unable to increase students' or teacher role models' hat-wearing behaviours.
阳光安全政策支持和干预研究（SSPSIS）（ACTRN12614000926639）调查了改善学校实施阳光安全计划的可行性，该计划是小学社区的资源，旨在支持他们制定全面的防晒政策。
采用集群随机对照试验（RCT）评估 SSPSIS，该试验在新南威尔士州阳光安全学校（n=20）进行。收集学生阳光安全帽佩戴行为和防晒霜使用以及教师示范行为的客观测量数据，用于基线、后测和随访数据。对学校社区利益相关者（包括学生（n=103）、家长（n=31）、教师（n=11）和行政人员（n=4））进行访谈，为干预设计提供信息，干预设计在基线数据收集后实施。
基线观察和访谈的结果已先前发表。干预设计旨在通过奖励实践这些防晒行为的学生以基于游戏的奖励来对抗对戴帽政策的负面看法，并为防晒霜的使用创造一个触发因素。尽管该干预措施对学生或教师戴太阳安全帽的行为没有显著影响，但它对防晒霜的使用有很大影响。
将防晒霜与基于游戏的奖励相结合可以为学生的防晒霜使用行为创造有效的触发因素。然而，需要进一步的证据来调查如何增加学生和教师榜样的帽子佩戴行为。那么，这意味着什么？虽然将基于游戏的奖励与行为触发因素相结合可以迅速增加学生的防晒霜使用量，但它无法增加学生或教师榜样的帽子佩戴行为。
