Gun Ho Lee1, Gordon H Bae1, Leandra A Barnes1, Marlyanne M Pol-Rodriguez1, Katherine J Ransohoff2, Kristin M Nord3, Ying Lu4, Brad Cannell5, Julie C Weitlauf6. 1. Stanford University School of Medicine, Department of Dermatology, 450 Broadway Street, Pavilion C, 2nd Floor - MC5334, Redwood City, CA 94063, USA. 2. Palo Alto Medical Foundation, Dermatology Division, 795 El Camino Real, Palo Alto, CA 94301, USA. 3. Stanford University School of Medicine, Department of Dermatology, 450 Broadway Street, Pavilion C, 2nd Floor - MC5334, Redwood City, CA 94063, USA; Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (151Y), Palo Alto, CA 94304, USA. 4. Stanford University School of Medicine, Departments of Biomedical Data Science, Radiology and Health Research and Policy, Medical School Office Building (MSOB), 1265 Welch Road, X359, Stanford, CA 94305-5464, USA. 5. University of Texas Health Sciences Center, School of Public Health, Department of Epidemiology, Human Genetics & Environmental Sciences, 6011 Harry Hines BLVD, Suite V8 106F, Dallas, TX 75390, USA. 6. Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (151Y), Palo Alto, CA 94304, USA; Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road (Women's Wellness Division, 2(nd) Floor), Stanford, CA 94303, USA. Electronic address: wjulie1@stanford.edu.
Abstract
BACKGROUND: Exposure to ultraviolet radiation (UVR) is the major modifiable risk factor for skin cancers. The majority of lifetime UVR exposure occurs before age 20, underscoring an important window for risk reduction. Incorporation of skills-based sunscreen education into school health curricula may foster the development of consistent and effective use of sunscreen among children and youth. We describe the study protocol for a first-of-its-kind study that examined the feasibility of bringing skills-based sunscreen education into kindergarten classrooms. METHODS: Participants were 96 kindergarten students across four classrooms in a single elementary school. A single-blind open-label trial design was used to evaluate the feasibility of incorporating a song-based, video-guided intervention for independent application of sunscreen into the kindergarten curriculum. Students first completed a 10-day no-intervention baseline period, followed by a 10-day intervention period, and then a 10-day randomized follow-up period where students were randomly assigned to continue with the intervention or to revert to the no-intervention condition. OUTCOMES: Feasibility metrics associated with study process, resources, management, scientific outcomes and safety were gathered. The primary outcome was pre-to-post intervention changes in student engagement in the sunscreen task. The secondary outcome was pre-to-post intervention changes in the proportion of exposed skin to which a student applies sunscreen. Teacher and student perceptions of intervention value and utility were also evaluated. DISCUSSION: This is the study protocol for a clinical trial designed to determine the feasibility of implementing a skills-based sunscreen curriculum in kindergarten classrooms. Next steps include evaluation of the intervention for efficacy and effectiveness. CLINICAL TRIAL REGISTRATION: NCT03752736.
BACKGROUND: Exposure to ultraviolet radiation (UVR) is the major modifiable risk factor for skin cancers. The majority of lifetime UVR exposure occurs before age 20, underscoring an important window for risk reduction. Incorporation of skills-based sunscreen education into school health curricula may foster the development of consistent and effective use of sunscreen among children and youth. We describe the study protocol for a first-of-its-kind study that examined the feasibility of bringing skills-based sunscreen education into kindergarten classrooms. METHODS: Participants were 96 kindergarten students across four classrooms in a single elementary school. A single-blind open-label trial design was used to evaluate the feasibility of incorporating a song-based, video-guided intervention for independent application of sunscreen into the kindergarten curriculum. Students first completed a 10-day no-intervention baseline period, followed by a 10-day intervention period, and then a 10-day randomized follow-up period where students were randomly assigned to continue with the intervention or to revert to the no-intervention condition. OUTCOMES: Feasibility metrics associated with study process, resources, management, scientific outcomes and safety were gathered. The primary outcome was pre-to-post intervention changes in student engagement in the sunscreen task. The secondary outcome was pre-to-post intervention changes in the proportion of exposed skin to which a student applies sunscreen. Teacher and student perceptions of intervention value and utility were also evaluated. DISCUSSION: This is the study protocol for a clinical trial designed to determine the feasibility of implementing a skills-based sunscreen curriculum in kindergarten classrooms. Next steps include evaluation of the intervention for efficacy and effectiveness. CLINICAL TRIAL REGISTRATION: NCT03752736.
Authors: Julia Berteletti; David B Buller; Kim Massie; Jeff Ashley; Xia Liu; Kim D Reynolds Journal: JAMA Dermatol Date: 2018-01-01 Impact factor: 10.282
Authors: A J Dietrich; A L Olson; C H Sox; M Stevens; T D Tosteson; T Ahles; C W Winchell; J Grant-Petersson; D W Collison; R Sanson-Fisher Journal: Pediatrics Date: 1998-12 Impact factor: 7.124
Authors: David B Buller; Alan C Geller; Maura Cantor; Mary Klein Buller; Kevin Rosseel; Drusilla Hufford; Lori Benjes; Robert A Lew Journal: Arch Dermatol Date: 2002-06