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A Cluster Randomized Trial to Evaluate a Health Education Programme “Living with Sun at School”

Author

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  • Hélène Sancho-Garnier

    (Centre Régional de Lutte Contre le Cancer Val d’Aurelle, Epidaure Prévention Dépt., 208 Rue des Apothicaires, Montpellier 34298, France)

  • Bruno Pereira

    (Centre Hospitalier Universitaire, Direction de le Recherche Clinique, Biostatistics Unit, Clermont-Ferrand 63000, France)

  • Pierre Césarini

    (NGO: Sécurité solaire, Paris 75018, France)

Abstract

Over-exposure to sunlight increases the risk of skin cancers, particularly when exposure occurs during childhood. School teachers can play an active role in providing an education programme that can help prevent this. “Living with the Sun,” (LWS) is a sun safety education program for school children based on a handy guide for classroom activities designed to improve children’s knowledge, but moreover to positively modify their sun safety attitudes and behaviours. The goal of our study was to determine the effectiveness of this programme by examining children’s knowledge, attitude and sun exposure behaviours prior to and after the completion of the programme. We carried out a cluster randomised trial in which the classes were randomly assigned to one of two groups; one using the LWS programme and another that didn’t, serving as the control. Data was collected before completion of the programme and an additional three times in the year after completion. The 70 participating classes (1,365 schoolchildren) were distributed throughout France. Statistical analysis confirmed that knowledge of sun risk increased significantly in the LWS classes ( p p = 0.04). After the summer holidays, differences between the two groups decreased throughout the year but stayed globally significant. We also observed some significant behaviour modification during the holidays. For instance, the LWS group applied sunscreen more frequently than the control group, and were more likely to wear a hat (72% versus 59%) and use a sun umbrella on the beach (75% versus 64%).

Suggested Citation

  • Hélène Sancho-Garnier & Bruno Pereira & Pierre Césarini, 2012. "A Cluster Randomized Trial to Evaluate a Health Education Programme “Living with Sun at School”," IJERPH, MDPI, vol. 9(7), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:7:p:2345-2361:d:18638
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    References listed on IDEAS

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    1. Murray, D.M. & Varnell, S.P. & Blitstein, J.L., 2004. "Design and Analysis of Group-Randomized Trials: A Review of Recent Methodological Developments," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 423-432.
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    Cited by:

    1. Daniela Haluza & Stana Simic & Hanns Moshammer, 2014. "Temporal and Spatial Melanoma Trends in Austria: An Ecological Study," IJERPH, MDPI, vol. 11(1), pages 1-15, January.

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