Sun protection changes among diverse elementary schoolchildren participating in a sun safety intervention: A latent transition analysis of a randomized controlled trial
| Autor: | Jimi Huh, Jean L. Richardson, Kimberly A. Miller, Myles Cockburn, Susan C. Harris, David Peng, Sarah E. Piombo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Gerontology Skin Neoplasms Epidemiology Sun protection Health Behavior Population Psychological intervention Sunburn 01 natural sciences Article law.invention 03 medical and health sciences 0302 clinical medicine Protective Clothing Randomized controlled trial law Intervention (counseling) Humans Medicine 030212 general & internal medicine 0101 mathematics Child education Melanoma education.field_of_study business.industry 010102 general mathematics Excessive sun exposure Public Health Environmental and Occupational Health Sun safety Latent transition analysis Female business Sunscreening Agents |
| Zdroj: | Prev Med |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2021.106601 |
| Popis: | Children are a priority population for skin cancer prevention as excessive sun exposure in childhood increases the risk of melanoma in adulthood. The complexity of sun protective behaviors has posed measurement challenges for trials testing intervention efficacy. The current study evaluated a sun safety intervention for schoolchildren using latent transition analysis (LTA) to examine patterns of sun protection behaviors over time. A three-armed randomized controlled trial was conducted between 2012 and 2016 with two intervention groups (N = 3368) and an observation-only control group (N = 342) among 4th and 5th graders from 24 public schools in Los Angeles County. Both interventions conditions were grouped and compared to controls. Five self-reported sun protective behaviors were measured at baseline and three-month follow-up: use of sunscreen, long sleeves, long pants, hats, and shade seeking. Participants comprised 3710 schoolchildren, mean age 9 years, 47% female and 69% Latino. At baseline, four patterns of sun protection behaviors were found: children who engaged in 1) all sun protective behaviors; 2) few protective behaviors; 3) protective clothing and shade only; and 4) hats only. Children in the control group were likely to remain in their baseline status or transition to a less protective status at three-month follow-up. By contrast, 30% of children in the intervention group transitioned to a more protective status at follow-up. In this RCT of a sun safety intervention, children in the intervention transitioned to more protective behaviors compared to controls. Using LTA enriches understanding of intervention efficacy by modeling the complexity of sun protection behaviors over time. Trial registration School-based Randomized Trial of SunSmart Interventions, ClinicalTrials.gov Identifier: NCT04176237 https://clinicaltrials.gov/ct2/show/NCT04176237?cond=School-based+Randomized+Trial+of+SunSmart+Interventions&draw=2&rank=1 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect