Stanford University School of Medicine, Department of Dermatology, 450 Broadway Street, Pavilion C, 2nd Floor - MC5334, Redwood City, CA 94063, USA.
Palo Alto Medical Foundation, Dermatology Division, 795 El Camino Real, Palo Alto, CA 94301, USA.
Contemp Clin Trials. 2021 Aug;107:106480. doi: 10.1016/j.cct.2021.106480. Epub 2021 Jun 11.
Exposure to ultraviolet radiation (UVR) is the major modifiable risk factor for skin cancers. The majority of lifetime UVR exposure occurs before age 20, underscoring an important window for risk reduction. Incorporation of skills-based sunscreen education into school health curricula may foster the development of consistent and effective use of sunscreen among children and youth. We describe the study protocol for a first-of-its-kind study that examined the feasibility of bringing skills-based sunscreen education into kindergarten classrooms.
Participants were 96 kindergarten students across four classrooms in a single elementary school. A single-blind open-label trial design was used to evaluate the feasibility of incorporating a song-based, video-guided intervention for independent application of sunscreen into the kindergarten curriculum. Students first completed a 10-day no-intervention baseline period, followed by a 10-day intervention period, and then a 10-day randomized follow-up period where students were randomly assigned to continue with the intervention or to revert to the no-intervention condition.
Feasibility metrics associated with study process, resources, management, scientific outcomes and safety were gathered. The primary outcome was pre-to-post intervention changes in student engagement in the sunscreen task. The secondary outcome was pre-to-post intervention changes in the proportion of exposed skin to which a student applies sunscreen. Teacher and student perceptions of intervention value and utility were also evaluated.
This is the study protocol for a clinical trial designed to determine the feasibility of implementing a skills-based sunscreen curriculum in kindergarten classrooms. Next steps include evaluation of the intervention for efficacy and effectiveness.
NCT03752736.
紫外线（UVR）暴露是皮肤癌的主要可改变风险因素。大多数一生中的 UVR 暴露发生在 20 岁之前，这突显了减少风险的重要窗口。将基于技能的防晒霜教育纳入学校健康课程可能会促进儿童和青少年养成一致且有效的防晒霜使用习惯。我们描述了一项首例研究的研究方案，该研究旨在探讨将基于技能的防晒霜教育纳入幼儿园课堂的可行性。
参与者是来自一所小学的四个教室的 96 名幼儿园学生。采用单盲开放性标签试验设计，评估将基于歌曲的、视频指导的干预措施纳入幼儿园课程，以独立应用防晒霜的可行性。学生首先完成了为期 10 天的无干预基线期，然后是为期 10 天的干预期，然后是为期 10 天的随机随访期，学生随机分配继续进行干预或恢复无干预状态。
收集了与研究过程、资源、管理、科学结果和安全性相关的可行性指标。主要结果是学生在防晒霜任务中的参与度从干预前到干预后的变化。次要结果是学生涂抹防晒霜的暴露皮肤比例从干预前到干预后的变化。还评估了教师和学生对干预价值和实用性的看法。
这是一项临床试验的研究方案，旨在确定在幼儿园课堂中实施基于技能的防晒霜课程的可行性。下一步包括评估干预措施的效果和有效性。
NCT03752736。
