Steele Chelsea, Burkhart Craig, Tolleson-Rinehart Sue
University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Department of Dermatology, University of North Carolina, Chapel Hill, North Carolina.
Pediatr Dermatol. 2020 May;37(3):504-509. doi: 10.1111/pde.14141. Epub 2020 Mar 10.
Skin cancer is a well-recognized public health issue, and primary prevention is the most effective strategy for reducing skin cancer risk. The current recommendations are that behavioral counseling for sun safety measures is most beneficial and effective for children and adolescents and that targeting this population at primary and middle schools is the ideal intervention strategy to increase sun-protective behaviors and reduce UV exposure, sunburn incidence, and formation of new moles. Numerous studies on the effectiveness of school-based sun safety interventions among elementary and middle school students have shown an increase in sun safety knowledge, attitudes, and behaviors following the intervention.
To conduct a pilot feasibility study of "Live Sun Smart!," (LSS) a school-based, multicomponent, interactive sun safety presentation, at changing sun safety knowledge, attitudes, and behaviors among middle school students.
A non-randomized, single-group pretest-posttest interventional pilot study of the LSS program among children enrolled in grade 6.
After exposure to LSS, participants were more likely to give correct answers to knowledge-based sun safety questions and to report negative attitudes toward tanning. Minimal and not significant changes were found in self-reported sun safety behaviors, though students did report an intention to change behaviors following the intervention. Participants were satisfied with the program and believed it increased their sun safety knowledge.
Live Sun Smart! appears to be an effective school-based, multicomponent sun safety program for improving sun safety knowledge and attitudes toward tanning among middle school students in this initial test of it. The strengths and weaknesses of this pilot study have implications for future research.
皮肤癌是一个公认的公共卫生问题，一级预防是降低皮肤癌风险的最有效策略。目前的建议是，针对防晒措施的行为咨询对儿童和青少年最为有益和有效，并且以小学和初中学生为目标人群是增加防晒行为、减少紫外线暴露、晒伤发生率和新痣形成的理想干预策略。众多关于中小学学生基于学校的防晒干预效果的研究表明，干预后防晒知识、态度和行为有所增加。
对“阳光生活智行！”（LSS）进行一项试点可行性研究，这是一种基于学校的多成分互动防晒演示，旨在改变中学生的防晒知识、态度和行为。
对六年级入学儿童进行LSS项目的非随机单组前后测干预性试点研究。
接触LSS后，参与者更有可能正确回答基于知识的防晒问题，并报告对晒黑的负面态度。自我报告的防晒行为变化极小且不显著，不过学生们确实报告在干预后有改变行为的意愿。参与者对该项目感到满意，并认为它增加了他们的防晒知识。
在本次初步测试中，“阳光生活智行！”似乎是一个有效的基于学校的多成分防晒项目，可提高中学生的防晒知识和对晒黑的态度。这项试点研究的优缺点对未来研究具有启示意义。
