SKIN CANCER PREVENTION IN NH MIDDLE SCHOOLS

描述：减少儿童和青少年的紫外线暴露是 降低皮肤癌发病率的初级预防方法。一个 多组分的基于社区的干预，“SunSafe”，已经被证明是 有效改善2-9岁儿童的防晒行为 年龄。年龄较大的儿童和青少年面临着不同的挑战。孩子们在 中学时代正在向成人期过渡，并开始 建立自己的健康行为，受到同伴、学校、社区和 一家人。为了改变青少年的防晒措施，需要对两者进行干预 以他们的健康决策过程为目标，影响同龄人和他们的当地 成年人的榜样，实践和促进防晒。 在这份计划中，我们将在3.5年内：1)开发和验证新的 同一天确定青少年防晒行为的方法 回忆；2)利用当天回忆、户外观察方法和调查 基线评估青少年早期防晒行为和动机 因素；3)制定和实施为期两年的基于社区的多组件 “中学时代阳光安全”随机对照干预措施的改进 对中学阶段的儿童进行防晒；以及4)评估 这一新的干预措施对太阳保护意图和观察到的影响 新罕布夏州农村社区早期青少年的行为。 针对中学生的干预将集中在学校， 社区娱乐和海滩环境、初级保健实践和父母。 这些干预基于包括社会影响在内的理论， 青春期的心理因素和认知决策因素。学生 团队将制定同伴指导的干预措施，以补充社区 层级干预。具体的干预措施将针对改变 体育运动的防晒宣传与自我保护行为 社区成人榜样和初级保健提供者的咨询。这个 这种以社区为基础的干预措施的组成部分试图改变当地的社会 关于防晒的规范以及对青少年个体的影响 通过有针对性的信息做出关于防晒的决定。评估 学生防晒行为是以观察和日记为基础的。这个 评估还将评估中间中介变量在学生和 成人健康促进和防晒行为角色的转变 模特们。

DESCRIPTION: Reducing ultraviolet light exposure in children and adolescents is a primary prevention approach to reducing the incidence of skin cancer. A multi-component community based intervention, "SunSafe," has been shown to be effective at improving the solar protection behaviors of children 2-9 years of age. Older children and adolescents present different challenges. Children in the middle school years are in transition to adulthood and beginning to establish their own health behaviors influenced by peer, school, community and family. In order to change youth solar protection interventions need to both target their health decisional process and influence peers and their local adult role models to practice and promote solar protection. In this proposal, over 3.5 years, we will: 1) Develop and validate new methodologies to determine youth solar protection behaviors on a same day recall; 2) Utilize same day recall, outdoor observation methods and surveys to assess at baseline early teenage sun protection behaviors and motivational factors; 3) Develop and implement a two year multi-component community-based "SunSafe in the Middle School Years" randomized control intervention to improve solar protection of children in the middle school years; and 4) Assess the impact of this new intervention on the solar protection intentions and observed behaviors of early adolescents in rural New Hampshire communities. The interventions for the middle school students will focus on school, community recreation and beach settings, primary care practices, and parents. The interventions are based on theories that include social influence, psychological factors and cognitive decisional factors in adolescence. Student teams will develop peer directed interventions that will complement community level interventions. Specific interventions will be directed at changing the solar protection promotion and self-protection behaviors of sports and community adult role models and counseling by primary care providers. The components of this community-based intervention seek to change local social norms about solar protection as well as influence individual adolescent decisions about solar protection through targeted messages. Evaluation of student sun protection behaviors is based on observation and diaries. The evaluation will also assess intermediate mediating variables in students and change in the health promotion and sun protection behaviors of adult role models.