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This version was published on August 1, 2007
Health Education & Behavior, Vol. 34, No. 4, 562-577 (2007)
DOI: 10.1177/1090198105277850

Effects of a Preschool Staff Intervention on Children's Sun Protection: Outcomes of Sun Protection Is Fun!

Ellen R. Gritz, PhD

Department of Behavioral Science, University of Texas M. D. Anderson Cancer Center, egritz{at}mdanderson.org

Mary K. Tripp, MPH

Department of Behavioral Science, University of Texas M. D. Anderson Cancer Center

Aimee S. James, PhD, MPH

Department of Preventive Medicine and Public Health, University of Kansas Medical Center

Ronald B. Harrist, PhD

University of Texas Health Science Center at Houston School of Public Health

Nancy H. Mueller, MPH

Saint Louis University School of Public Health

Robert M. Chamberlain, PhD

Department of Epidemiology, University of Texas M. D. Anderson Cancer Center

Guy S. Parcel, PhD

University of Texas Health Science Center at Houston School of Public Health.

The preschool is an important yet understudied setting for sun-protection interventions. This study evaluates the effects of Sun Protection is Fun! (SPF) on preschool staff behavioral and psychosocial outcomes related to protecting children from sun exposure. Twenty preschools participated in a 2-year, group-randomized trial to evaluate SPF, a behavioral intervention grounded in social cognitive theory and designed to be more extensive than previous preschool sun-protection interventions. The staff intervention included training, a video, newsletters, a curriculum, and sunscreen. Cross-sectional samples of staff completed surveys at baseline (N= 245), a 12month intervention assessment (N = 192), and a 24-month intervention assessment (N = 225). At the 12-month and 24-month assessments, significant behavioral effects were seen for use of sunscreen, protective clothing, and shade. Knowledge, self-efficacy, and norms were among the psychosocial variables most affected by the intervention. This study demonstrates that the SPF intervention is effective in improving staff outcomes related to children's sun protection.

Key Words: skin neoplasms • sunburn • prevention • control • knowledge • attitudes • practice • child • preschool


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