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Grant Details

Grant Number: 5R01CA100285-06 Interpret this number
Primary Investigator: Buller, David
Organization: Klein Buendel, Inc.
Project Title: Diffusing Sun Safe Policies and Environments to Schools
Fiscal Year: 2008
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Abstract

DESCRIPTION (provided by applicant): New strategies in the U.S. are needed to combat the rising rates of skin cancers, such as methods to promote the adoption of sun protection policies and environmental features by school. In this revised application we propose to create a program to promote sun protection policies and environments to public school districts and to evaluate its effectiveness at producing district-level changes and implementation of changes in schools. The project will test predictions from diffusion of innovations theory (DIT) about the adoption process and program effects on sun protection policy and environment changes, as well as about secular trends in policy and environmental changes in control districts. DIT, national and local advisory board, and formative assessments of school districts by project staff (analysis of structure and in-depth interviews with administrators) will inform methods for communicating with with district personnel. Program features will be pretested for information design and usability and program implementation procedures will be piloted tested. The Los Angeles Metropolitan Dermatological Society will implement the program in 10 counties in Southern California with on-site assistance from Cooper Institute and University of Southern California staff. Eligible districts will have 40% or more white non-Hispanic students. Districts will be randomized to receive either the CDC national guidelines on school sun safety (control) or in-person, telephone and email contacts with school district administrators, printed materials (policy guidebook, fact sheets, sun protection products catalogue, and employee training), and a Web site (intervention). The program will be evaluated in a group-randomized pretest-posttest two-group trial with 140 districts as the unit of analysis. District policies on sun protection of students and employees will be obtained at pretest and posttest and coded to create composite policy scores. Samples of 980 adminstrators will be surveyed by telephone at pretest and posttest to measure secondary policy and environment outcomes, theoretical mediators and moderators, and district policy-making process. Also, 980 school principals will be pretested and posttested to determine whether policy and environment changes are communicated to and implemented at schools, and how policies are enforced. On-site observations of sun protection policies, environmental features, and employee clothing will validate principal reports.

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Publications

School sun-protection policies: measure development and assessments in 2 regions of the United States.
Authors: Reynolds KD, Buller DB, French SA, Buller MK, Ashley JL
Source: J Sch Health, 2012 Nov;82(11), p. 499-507.
PMID: 23061553
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Motivating public school districts to adopt sun protection policies: a randomized controlled trial.
Authors: Buller DB, Reynolds KD, Ashley JL, Buller MK, Kane IL, Stabell CL, Massie KL, Liu X, Cutter GR
Source: Am J Prev Med, 2011 Sep;41(3), p. 309-16.
PMID: 21855746
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Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors.
Authors: Andreeva VA, Cockburn MG, Yaroch AL, Unger JB, Rueda R, Reynolds KD
Source: Arch Dermatol, 2011 Jul;147(7), p. 814-9.
PMID: 21768480
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Moderated mediation regarding the sun-safe behaviors of U.S. Latinos: advancing the theory and evidence for acculturation-focused research and interventions.
Authors: Andreeva VA, Yaroch AL, Unger JB, Cockburn MG, Rueda R, Reynolds KD
Source: J Immigr Minor Health, 2010 Oct;12(5), p. 691-8.
PMID: 19937384
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Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey.
Authors: Andreeva VA, Unger JB, Yaroch AL, Cockburn MG, Baezconde-Garbanati L, Reynolds KD
Source: Am J Public Health, 2009 Apr;99(4), p. 734-41.
EPub date: 2009 Jan 15.
PMID: 19150918
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