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Rural Adult and Youth Sun Protection Study

Not Applicable
Recruiting
Conditions
Skin Cancer
Melanoma (Skin)
Interventions
Behavioral: RAYS Intervention
Registration Number
NCT06439979
Lead Sponsor
University of Utah
Brief Summary

The purpose of this study is to help prevent skin cancer by improving the use of sun protective behaviors among youths living in rural communities in Utah and West Virginia.

Detailed Description

Children living in rural and under-served communities are at high risk for skin cancer; however, there are no evidence-based sun safety interventions showing durable effects for this vulnerable pediatric population. The objective of this proposal is to rigorously test a novel, multi-level approach to skin cancer prevention among young rural children that is delivered through developmental baseball leagues. To attain this objective, the investigators will conduct a two-arm cluster-randomized trial with the primary outcome being multi-behavior sun protection change among children.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
843
Inclusion Criteria

Not provided

Exclusion Criteria
  • Adults and children who do not speak or read English will be excluded.
  • For individuals asked to complete surveys, individuals who have a medical or other condition (e.g., developmental delay) that would preclude their completion of these surveys will be excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
RAYS InterventionRAYS InterventionThe RAYS arm is the intervention being tested, which will include skin cancer prevention education and providing participants with sun-safety supplies.
Primary Outcome Measures
NameTimeMethod
Directly observed child sunscreen applicationAt baseline and post-intervention (3-6 weeks after intervention has been delivered)

Teams and their players will be observed once at the beginning and once at the end of the baseball season. A trained research assistant will tally the total number of children who applied sunscreen at any time during the practice or game. This tallied number will create a percentage of the team that applied sunscreen. The percentages from the beginning and end of the season will be compared to determine the effectiveness of the intervention.

"How many wearing sunscreen?" Higher percentages indicate higher proportion of players on the team who engaged in that sun protective behavior.

Directly observed child hat wearingAt baseline and post-intervention (3-6 weeks after intervention has been delivered)

Teams and their players will be observed once at the beginning and once at the end of the baseball season. A trained research assistant will tally the total number of children who wore a hat at any time during the practice or game. This tallied number will create a percentage of the team that wore a hat. The percentages from the beginning and end of the season will be compared to determine the effectiveness of the intervention.

"How many wore a hat?" Higher percentages indicate higher proportion of players on the team who engaged in that sun protective behavior.

Directly observed child shade seekingAt baseline and post-intervention (3-6 weeks after intervention has been delivered)

Teams and their players will be observed once at the beginning and once at the end of the baseball season. A trained research assistant will tally the total number of children who spent time in shade or under an umbrella at any time during the practice or game. This tallied number will create a percentage of the team that spent time in shade/under umbrella. The percentages from the beginning and end of the season will be compared to determine the effectiveness of the intervention.

"How many in shade/under umbrella?" Higher percentages indicate higher proportion of players on the team who engaged in that sun protective behavior.

Directly observed child wearing long sleevesAt baseline and post-intervention (3-6 weeks after intervention has been delivered)

Teams and their players will be observed once at the beginning and once at the end of the baseball season. A trained research assistant will tally the total number of children who wore a long-sleeved shirt at any time during the practice or game. This tallied number will create a percentage of the team that wore protective long-sleeved shirts. The percentages from the beginning and end of the season will be compared to determine the effectiveness of the intervention.

"How many wore long sleeves?" Higher percentages indicate higher proportion of players on the team who engaged in that sun protective behavior.

Secondary Outcome Measures
NameTimeMethod
Parent-reported child sun protection behaviorsAt baseline, post-intervention (3-6 weeks after intervention has been delivered), and one year post-baseline

A random sample of parents will report on their child's use of sun protection using the Sun Habits Survey, a well-established and valid measure. These same parents will be asked to complete questionnaires at baseline, end-of-season, and at 1 year follow-up.

"On a warm and sunny day, how often did your child...Use sunscreen with a sun protective factor (SPF) of 30+?" All parent-reported items will be assessed on a 5-point Likert-type scale ("Never" to "Always").

Parent-report child sunburnAt baseline, post-intervention (3-6 weeks after intervention has been delivered), and one year post-baseline

Parents will report on the number of sunburns their child experienced during baseball and not during baseball at baseline, post-intervention and one-year post-baseline. Parents will report on child behaviors using items from the Sun Habits Survey.

"How many times did your child have a red OR painful sunburn that lasted a day or more? In the past month? In the past 12 months?" Minimum value = 0, maximum value = 5 or more.

A low number indicates a better outcome.

Trial Locations

Locations (2)

University of Utah

🇺🇸

Salt Lake City, Utah, United States

West Virginia University

🇺🇸

Morgantown, West Virginia, United States

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