SKIN CANCER PREVENTION IN NH MIDDLE SCHOOLS

描述：减少儿童和青少年的紫外线照射是 降低皮肤癌发病率的初级预防方法。一 多成分的社区干预，“SunSafe”，已被证明是 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不同的挑战。儿童 中学时期是向成年过渡的时期， 在同伴、学校、社区的影响下建立自己的健康行为， 家人为了改变青少年的防晒干预措施， 针对他们的健康决策过程，并影响同龄人和他们当地的 成年人的榜样，实践和促进太阳能保护。 在本提案中，在3.5年内，我们将：1）开发和验证新的 方法来确定青年防晒行为在同一天 召回; 2）利用当天召回，户外观察方法和调查， 评估青少年早期防晒行为和动机的基线 （3）制定和实施一项为期两年的多组成部分的社区基础 “阳光安全在中学时代”随机对照干预提高 儿童在中学阶段的太阳保护;以及4）评估 这一新的干预措施对太阳能保护意图的影响， 新罕布什尔州农村社区青少年的行为。 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。 这些干预措施是基于包括社会影响， 青少年的心理因素和认知决定因素。学生 团队将制定同伴指导的干预措施， 水平干预。具体的干预措施将针对改变 运动员的防晒宣传和自我保护行为， 社区成人榜样和初级保健提供者的咨询。的 这种以社区为基础的干预措施的组成部分旨在改变当地的社会状况， 关于太阳保护的规范以及对青少年个人的影响 通过有针对性的信息做出有关太阳能保护的决定。评价 学生防晒行为以观察和日记为基础。的 评估还将评估学生的中间中介变量， 成人角色的健康促进和防晒行为的变化 模型

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.