Mailed Intervention to Promote Sun Protection of Children A Randomized Controlled Trial

摘要: Background Sun exposure, especially during childhood, is the most important preventable risk factor for skin cancer, yet few effective interventions to reduce exposure exist. Purpose To test effectiveness of a partially tailored mailed intervention based on Precaution Adoption Process Model, delivered in spring over 3 years parents and children. Design RCT, with data collection through telephone interviews exams children at baseline (Summer 2004) annually 2005–2007). The control group received no intervention. Setting/participants Families recruited Denver CO area, private pediatric clinics, large MCO, community settings. Children born 1998 were approximately 6 age baseline; 867 met inclusion criteria; analysis reported 677 white, non-Hispanic participants highest cancer. Main outcome measures Primary outcomes parent-reported child sun protection behaviors. Secondary included parents' perception, perceived barriers prevention behaviors, stage change, sunburns, observed tanning nevus development. longitudinal mixed-model was conducted between 2008 2011. Results more use sunscreen, protective clothing, hats, shade-seeking, midday avoidance; fewer sunburns; awareness cancer; higher protection; change; lower perception (all p =0.03). No differences found or nevi Conclusions level behavior change associated this single-modality not likely sufficient cancer risk. However, shows promise longer-term, multicomponent that have intensity affect incidence. Trial registration This study registered www.clinicaltrials.gov NCT01464957.