The purpose of the proposed study is to develop, implement, and evaluate
a skin cancer prevention program designed to reduce ultraviolet radiation
(UVR) exposure among children enrolled in preschools. Theory-based
interventions will be developed and delivered to preschool employees,
parents, and children. Preschool sites will be randomized to receive
either a comprehensive intervention or a minimal intervention. Changes
in employee/parent UVR knowledge and attitudes as well as changes in UVR
protective actions directed toward child and self (sunscreen use and sun
avoidance) will be measured. Sun exposure among children will be measured
using a scale that combines exposure and protection data.
Interventions will be directed at four levels: 1) the institutional
commitment, 2) policies and practices, 3) the preschool employees, and
4) the parent/child level. Social Learning Theory will provide the
conceptual foundation for the interventions. Measurement and evaluation
procedures will determine: 1) a reduction in exposure to UVR among
preschoolers, 2) change from baseline in employee/parent cognitive
knowledge and behavioral practices, 3) change from baseline in
organizational policies and practices, and 4) the extent of program
implementation.
This study will result in a model program and process to reduce UVR
exposure among young children. The findings of this study will contribute
to applied social science, both to the theoretical foundations of
behavioral change and also to an understanding of organizations and
environments that promote and enable positive health behavior change.
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- The DCCPS Team.