Sun Protection for Florida's Children

描述（由申请人提供）：这个拟议项目的目的是开发一个以学校为基础的综合防晒干预措施，特别强调儿童在户外时使用帽子。干预将针对佛罗里达州希尔斯堡县的四年级儿童。干预将基于理性行动和计划行为理论，并将实现以下目标：1)增加儿童关于帽子的防晒知识，2)培养更积极的戴帽子态度，3)改变戴帽子的主观规范，4)儿童认为控制其戴帽子行为的目标人群（家长，老师），5)增加儿童在学校户外时（主要结果）和在校外户外时（次要结果）使用帽子。

DESCRIPTION (provided by applicant): The purpose of this proposed project is to develop a school-based comprehensive sun protection intervention with a special emphasis on the use of hats when children are outdoors. The intervention will be targeted to fourth grade children in Hillsborough County Florida. The intervention will be based on the Theory of Reasoned Action and Planned Behavior and will be structured to accomplish the following goals: 1) Increase sun protection knowledge of children in regards to hats, 2) Foster more positive attitudes in regard to wearing hats 3) Change the subjective norm of wearing hats, 4) Target persons that children perceive as controlling their behavior of wearing hats (parents, teachers) and 5) Increase the use of hats when children are outdoors at school (primary outcome) and when outdoors at times other than school (secondary outcome). To accomplish these goals, the intervention will be multifaceted and will include 1) individual sessions with school principals to facilitate a school policy that encourages the use of hats when children are outdoors 2) a session with fourth grade teachers that explains the importance of sun protection and hat use, and that addresses potential concerns by teachers 3) classroom sessions with fourth grade children that improves sun protection knowledge, fosters more positive attitudes about hat use, and that changes the subjective norm of wearing hats when at school 4) follow-up sessions in which children are provided free hats with a customized hat design that represents their school 5) sun protection educational materials that are mailed to the parents of targeted children. The overall effectiveness of the project will be determined using a randomized controlled design in which 20 schools will be randomized to either receive the school-based intervention or to serve as controls. Two behavioral outcomes will be assessed over a two-year period: 1) hat use while in school and 2) hat use while outside and not at school.