SUNWISE--PROGRAMMING BY AQUATICS TEACHERS & PHARMACIST

这个名为SunWise的为期4年的项目的目标是促进皮肤 预防儿童癌症和促进皮肤癌预防 药剂师之间的咨询。两项对照试验，评估 将进行“SunWise”干预措施的有效性。在研究I中， 针对6-9岁儿童的防晒教育将纳入 水上课程将由水上教练讲授。 水上运动课为促进防晒提供了理想的环境 行为-因为相关的行为，如防晒霜涂抹，可以 被模范和加强，水上运动教练是值得信赖的 给孩子的信息来源。四个基督教青年会，44个水上课程 由176到264名儿童组成的儿童将随机选择和分配 至干预组或对照组。干预措施将包括 建模“阳光”行为(例如防晒防护服) 讲师，使用适用的动物/自然说明目标行为 类比、鼓励和奖励儿童在这些方面的表现 行为，提供防晒霜和防护服，并分发 与父母平行的材料。主要的从属措施将是 父母回忆面谈，评估孩子的阳光暴晒 干预前、干预后立即和干预后12个月。这个 该措施将在一项试点研究中得到验证。在研究2中，一个随机的 从代表三家连锁店的54家药店中挑选出来的样本将是 随机分配到干预组或对照组。药剂师会 成为目标，因为他们被视为可靠的健康来源 信息，他们接触到许多个人，他们是 防晒霜的近端。干预地点的药剂师将收到 关于咨询/促进防晒行为的培训和反馈 在客户中。他们将被鼓励向客户询问有关SUN的情况 保护儿童和分发教育小册子。主要措施 将包括对药剂师遵守的行为观察 一名同盟军的咨询协议。这两种干预措施都会很好- 根据各自的环境量身定做，如果成功，将拥有 制度化的潜力。

The goals of this 4-year project, called SUNWISE, will be to promote skin cancer prevention among children and to promote skin cancer prevention counseling among pharmacists. Two controlled trials evaluating the effectiveness of "SUNWISE" interventions will be conducted. In Study I, sun protection education for children ages 6-9 will be incorporated into aquatics classes curriculum and will be delivered by aquatics instructors. Aquatics classes provide an ideal setting for promoting sun protection behaviors-because relevant behaviors, such as sunscreen application, can be modeled and reinforced, and the aquatics instructor is a credible source of information to the child. Across four YMCAs, 44 aquatics classes consisting of 176 to 264 children will be randomly selected and assigned to the intervention or control group. The intervention will consist of modeling "sunwise" behaviors (e.g., sunscreen protective clothing) by the instructor, illustrating target behaviors using applicable animal/nature analogies, encouraging and rewarding children's performance of these behaviors, providing sunscreen and protective clothing, and distributing parallel materials to parents. The main dependent measure will be a parental recall interview assessing the child's sun exposure conducted prior to, immediately after, and 12 months after the intervention. The measure will be validated in a pilot study. In Study 2, a randomly selected sample of 54 pharmacies representing three chains will be randomly assigned to the intervention or control group. Pharmacists will be targeted because they are viewed as credible sources of health information, they come into contact with many individuals, and they are proximal to sunscreen. Pharmacists at the intervention sites will receive training and feedback on counseling/promoting sun protection behaviors among customers. They will be encouraged to ask customers about sun protection and to distribute educational pamphlets. The primary measure will consist of behavioral observations of pharmacists' compliance with the counseling protocol by a confederate. Both interventions will be well- tailored to their respective environments and, if successful, have the potential for institutionalization.