Randomized trial testing a worksite sun protection program in an outdoor recreation industry
Randomized trial testing a worksite sun protection program in an outdoor recreation industry
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DOI：
10.1177/1090198105276211
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发表时间：
2005-08-01
影响因子：
4.2
通讯作者：
Giese, AJ
中科院分区：
文献类型：
--
作者：
Buller, DB;Andersen, PA;Giese, AJ
旨在减少长期和严重暴露于阳光紫外线辐射并预防皮肤癌的健康宣传活动是国家优先事项。户外工作者是一个尚未得到解决的高危人群。 Go Sun Smart (GSS) 是一项主要基于创新扩散理论的工地阳光安全计划，通过配对、分组随机、前测后测控制设计进行了评估，该设计对北美西部 26 个滑雪场的员工进行了评估。干预滑雪区的员工比对照区的员工更了解 GSS（比值比 [OR] = 8.27，p < .05），并且在后测中报告晒伤较少（调整后的 OR = 1.63，p < .05）。剂量反应很明显（OR = 1.46，p < .05），观察到的计划实施越多，员工晒伤的情况就越少。在中介分析中，计划意识本身并不能预测 (p > .05) 减少晒伤。对无应答者的分析，包括意向治疗分析，进一步支持了 GSS 的成功。
Health communication campaigns intended to reduce chronic and severe exposure to ultraviolet radiation in sunlight and prevent skin cancer are a national priority. Outdoor workers represent an unaddressed, high-risk population. Go Sun Smart (GSS), a worksite sun safety program largely based on the diffusion-of-innovations theory, was evaluated in a pair-matched, group-randomized, pretest-posttest controlled design enrolling employees at 26 ski areas in Western North America. Employees at the intervention ski areas were more aware of GSS (odds ratio [OR] = 8.27, p < .05) and reported less sunburning (adjusted OR = 1.63, p < .05) at posttest than employees at the control areas. A dose response was evident (OR = 1.46, p < .05) with greater observed program implementation associated with fewer sunburns among employees. Program awareness per se was not predictive (p > .05) of reduced sunburning in a mediational analysis. Analyses of nonrespondents, including intent-to-treat analyses, further supported the success of GSS.