Behavioral and community interventions to prevent skin cancer - What works?

Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Archives of Dermatology (Impact Factor: 4.79). 04/2006; 142(3):356-60. DOI: 10.1001/archderm.142.3.356
Source: PubMed
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    ABSTRACT: The present study examined theoretical mediators of a parent-based intervention on sunbathing tendencies and sunburn frequencies based on the work of Turrisi et al. [Turrisi, R., Hillhouse, J., Heavin, S., Robinson, J., Adams, M., & Berry, J. (2004). Journal of Behavioral Medicine, 27, 393-412.]. Three hundred and forty parents in two regions of the United States were educated about the dangers of risky sun behavior and how to convey information about skin cancer prevention to their children. Attitudes toward sunbathing, health beliefs, appearance beliefs, and social normative beliefs were examined and found to be significant mediators of program effects on sunbathing tendencies and sunburn frequencies. The findings are discussed with respect to maximizing the effectiveness of future skin cancer interventions with children.
    Journal of Behavioral Medicine 10/2007; 30(5):385-93. DOI:10.1007/s10865-007-9107-6 · 3.10 Impact Factor
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    ABSTRACT: The general public has long been educated about the harms of ultraviolet (UV) exposure and the benefits of photoprotection. Many organizations have worked in close collaboration to deliver the photoprotection message through a variety of programs. Most address the health-related consequences of UV radiation, although appearance-based strategies have also been initiated. As is common with preventative health measures, these intervention efforts have not resulted in meaningful changes in public behavior despite providing seemingly adequate knowledge to do so. Behaviors are often difficult to change on a societal, personal, and biological level. Within these categories, there are unique reasons for the unsatisfactory outcome with photoprotection such as (1) tan is perceived as beautiful, (2) the knowledge conveyed is often superficial, (3) there is a lack of immediate risk/reward, and (4) UV has reinforcing effects on mood. We propose that better results could be achieved by creating interventions focused on demographic subsets of the population. Specific techniques include anti-tanning legislature, age or gender-based screening campaigns, anti-tan beauty campaigns, and UV photography. Future photoprotection messages should shift from purely promoting knowledge to inspiring improvements in behavior with targeted strategies.
    Photochemical and Photobiological Sciences 04/2010; 9(4):432-8. DOI:10.1039/b9pp00122k · 2.27 Impact Factor
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    ABSTRACT: Primary school-based educational strategies are proven interventions to raise children's awareness and knowledge about sun safety. We highlight barriers and facilitators to implementing interventions across multiple populations in 3 state comprehensive cancer control programs/partnerships that implemented primary school-based sun-safety educational programs. Using a case study approach, we collected semistructured program information and evaluation results from New Mexico's Raising Awareness in Youth about Sun Safety Project, the Sun Protection in Florida Project, and the Arizona SunWise Program. Each program used different strategies for implementing school-based educational programs in their respective state based on local needs, funding constraints, and unique characteristics of their populations. Barriers to implementation included difficulties reaching schools and school administrators and changes in staff workload. Facilitators to implementation included using innovative recruitment approaches (mini grants, school assemblies), having community partners, reaching out to educators in various settings, and having program advocates within schools. Each program placed emphasis on supplementing educational programs with sun-safety policies. We only present a case study from 3 comprehensive cancer control programs/partnerships. Rigorous evaluation methods are needed to test the effectiveness of the various strategies that were used to implement these programs on a population-based level. Partnerships and program advocates are important for successfully implementing and sustaining sun-safety programs. Innovative strategies for reaching school administrators are likely needed to effectively implement sun-safety programs and policies. School policy and environmental change are important and valued components of sun-safety programs.
    Journal of the American Academy of Dermatology 11/2011; 65(5 Suppl 1):S104-13. DOI:10.1016/j.jaad.2011.05.036 · 4.45 Impact Factor
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