SSW Works: A Virtual Learning Environment for Occupational Skin Cancer Prevention

在户外工作的美国人暴露在极端量的太阳紫外线辐射（UV）中， 这大大增加了他们患皮肤癌的风险。每年，皮肤癌被诊断为 超过350万美国成年人，黑色素瘤杀死了近7,000名美国人，治疗费用至少80亿美元。 美国卫生局局长已将职业阳光安全确定为国家优先事项。我们的团队花了 在过去的二十年里，在5项试验中成功开发了一种全面的职业防晒方法 主要由国家癌症研究所资助。Sun安全工作场所（SSW）将政策和教育相结合， 加强工作场所的防晒措施和员工的防晒措施。在此SBIR快速通道中 应用程序，我们将开发一个虚拟学习环境（VLE），SSW工程，分发SSW程序 美国的工作场所。它将由一个数据库、内容管理（交互式工具箱）和 媒体平台（可跟踪培训），根据管理层的创新准备度定制SSW计划， 基于太阳安全的创新扩散理论。SSW Works将更好地将SSW纳入安全培训， 提高西班牙裔和非洲裔美国工人的适当性，并符合最新的学习 管理系统技术（LMS）。强有力的科学前提来自已发表的文献和我们的 之前的5项研究证明SSW在公共工程、公共安全和户外领域是可行且有效的 娱乐场所第一阶段的具体目标将通过以下方式确定SSW工程的可行性：1）创建和 验证一种算法，使资源和实施战略适合雇主在扩散过程中的各个阶段 2）确定与太阳安全相关的独特态度，障碍和做法， 西班牙裔和非洲裔美国员工参加焦点小组讨论并调整SSW内容;以及3） 创建SSW Works VLE的原型，包括输入、分段算法和定制报告、员工 与流行的LMS兼容的培训，以及为经理和员工提供的简短视频故事板， 测试它的可行性和可用性与管理人员和西班牙裔和非洲裔美国人的户外工作者， 确认培训可以在流行的LMS中操作。在第二期，上水工程将全面 通过实现以下具体目标来规划和测试其有效性：1）制作完整的SSW工程， 英语和西班牙语，用于分发循证SSW和2）进行随机对照 在20个工作场所进行试验，评估SSW分布在SSW工程中对员工阳光安全的影响 实践（主要成果）。主要假设是：雇主在最小信息 对照组，雇主分配到接收SSW工程将有员工，实践更多的阳光 后测保护。SBIR快速通道研究具有重要意义和创新性。SSW工程将有高 影响和商业潜力，因为户外劳动力很多， 提高阳光安全性将降低医疗保健成本，拯救生命，而且几乎没有商业竞争对手。

Americans who work outdoors are exposed to an extreme amount of solar ultraviolet radiation (UV) over a lifetime that substantially increases their risk for developing skin cancer. Annually, skin cancer is diagnosed in over 3.5 million U.S. adults, melanoma kills nearly 7,000 Americans, and treatment costs at least $8 billion. The U.S. Surgeon General has identified occupational sun safety as a national priority. Our team has spent the past two decades developing a successful comprehensive approach to occupational sun protection in 5 trials funded largely by the National Cancer Institute. Sun Safe Workplaces (SSW) combines policy and education to increase workplace actions on sun safety and employee sun protection practices. In this SBIR Fast-Track application, we will develop a virtual learning environment (VLE), SSW Works, to distribute the SSW program to American workplaces. It will be comprised of a database, content management (interactive toolbox), and media platform (trackable training) that tailors the SSW program to management's readiness to innovate on sun safety based Diffusion of Innovations Theory. SSW Works will better integrate SSW into safety training by improving appropriateness for Hispanic and African American workers and conforming with the latest learning management systems technology (LMS). Strong scientific premise comes from the published literature and our 5 previous studies that demonstrated SSW is feasible and effective in public works, public safety, and outdoor recreation workplaces. The Phase I specific aims will establish the feasibility of SSW Works by 1) creating and validating an algorithm to tailor resources and implementation strategies to employers' stages in the diffusion of innovations process; 2) identifying unique attitudes, barriers, and practices related to sun safety among Hispanic and African American employees in focus group discussion and adjusting the SSW content; and 3) creating a prototype of the SSW Works VLE, including inputs, staging algorithm and tailored report, employee training compatible with a popular LMS, and storyboards of brief videos for managers and employees and testing it for feasibility and usability with managers and Hispanic and African American outdoor workers, and confirming that the training can operate within a popular LMS. In Phase II, SSW Works will be fully programmed and tested for effectiveness by achieving the specific aims of: 1) producing the full SSW Works, in English and Spanish, for distribution of the evidence-based SSW and 2) conducting a randomized controlled trial with 20 workplaces evaluating impact of SSW distributed over the SSW Works on employees' sun safety practices (primary outcome). The primary hypothesis is: compared to employers in the minimal information control group, employers assigned to receive SSW Works will have employees that practice more sun protection at posttest. The SBIR Fast-Track research is significant and innovative. SSW Works will have high impact and commercial potential because outdoor workforce is large and at very high risk for skin cancer, improving sun safety will reduce health care costs and save lives, and there are few commercial competitors.