Skip Navigation
Grant Details

Grant Number: 5R01CA092505-06 Interpret this number
Primary Investigator: Glanz, Karen
Organization: Emory University
Project Title: Diffusion of an Effective Skin Cancer Prevention Program
Fiscal Year: 2007
Back to top


Abstract

DESCRIPTION (provided by applicant): Skin cancer is one of the most common cancers in the United States, and it is also one of the most preventable. Preventive behaviors include reducing peak sun exposure, wearing sunscreen, seeking shade, wearing protective clothing, and avoiding sunburn. Few skin cancer prevention programs in outdoor settings have been evaluated in controlled trials, and as with many preventive interventions, little is known about how to successfully disseminate those that are found efficacious. The efficacy of the Pool Cool program in aquatic settings (swimming pools) was demonstrated in a previous trial, and a Dissemination Pilot Study with 186 swimming pools was completed. The aims of this study are to evaluate the effects of two strategies for diffusion of the Pool Cool skin cancer prevention program on: program implementation, maintenance, and sustainability; organizational and environmental supports for sun protection; and sun protection habits and sunbums among children. Ancillary aims are to examine predictors of diffusion, examine the mediating role of lifeguards and aquatic instructors; characterize correlates of participation in a diffusion trial and rates of spontaneous diffusion; and investigate longitudinal patterns of sun protection behaviors over multiple years. The study will use a three-level nested experimental design; the three levels are Field Coordinators, swimming pools, and children ages 5 to 10 years in swimming lessons. 32 Field Coordinators will be randomized into Basic and Enhanced (reinforcement + feedback) diffusion conditions. Intervention materials for the children, and strategies for the Field Coordinators, are based principally on Social Cognitive Theory and Diffusion of Innovations. Each Field Coordinator will work with 10 pools for three years (n=320 pools final sample). A sample of 20 parents per pool will be surveyed about their children at baseline and at the end of each summer (n= 6,400 final sample); a cohort sub-sample will be followed over multiple years. The main outcomes of interest will be pool level diffusion endpoints, organizational/environmental change at pools, and child sun protection habits and sunburns. Process evaluation will supplement outcome data. The results of this research will increase our knowledge of the diffusion of evidence-based cancer prevention programs in community settings, and of their long term maintenance and sustainability. The findings will make a significant contribution to our understanding of skin cancer prevention behaviors of individuals and aquatics organizations.

Back to top


Publications

Changes in sunburn and tanning attitudes among lifeguards over a summer season.
Authors: Hiemstra M, Glanz K, Nehl E
Source: J Am Acad Dermatol, 2012 Mar;66(3), p. 430-7.
EPub date: 2011 Jul 13.
PMID: 21745696
Related Citations

Back to top


A controlled trial of objective measures of sunscreen and moisturizing lotion.
Authors: Elliott T, Nehl EJ, Glanz K
Source: Cancer Epidemiol Biomarkers Prev, 2009 May;18(5), p. 1399-402.
PMID: 19423519
Related Citations

Back to top


Characteristics of swimming pools with high rates of objectively measured sunscreen use.
Authors: Elliott T, Glanz K, Nehl EJ
Source: J Am Acad Dermatol, 2009 Apr;60(4), p. 684-8.
PMID: 19293015
Related Citations

Back to top


Validity of self-reported sunscreen use by parents, children, and lifeguards.
Authors: Glanz K, McCarty F, Nehl EJ, O'Riordan DL, Gies P, Bundy L, Locke AE, Hall DM
Source: Am J Prev Med, 2009 Jan;36(1), p. 63-9.
EPub date: 2008 Oct 21.
PMID: 18945582
Related Citations

Back to top


Process evaluation of the Pool Cool Diffusion Trial for skin cancer prevention across 2 years.
Authors: Escoffery C, Glanz K, Elliott T
Source: Health Educ Res, 2008 Aug;23(4), p. 732-43.
EPub date: 2007 Oct 22.
PMID: 17956884
Related Citations

Back to top


Diffusion of an effective skin cancer prevention program: design, theoretical foundations, and first-year implementation.
Authors: Glanz K, Steffen A, Elliott T, O'riordan D
Source: Health Psychol, 2005 Sep;24(5), p. 477-87.
PMID: 16162042
Related Citations

Back to top