Randomized trial of two dissemination strategies for a skin cancer prevention program in aquatic settings

K. Glanz, C. Escoffery, T. Elliott and E.J. Nehl

American Journal of Public Health, 2015, vol. 105, issue 7, 1415-1423

Abstract: Objectives. We compared 2 strategies for disseminating an evidence-based skin cancer prevention program. Methods. We evaluated the effects of 2 strategies (basic vs enhanced) for dissemination of the Pool Cool skin cancer prevention program in outdoor swimming pools on (1) program implementation, maintenance, and sustainability and (2) improvements in organizational and environmental supports for sun protection. The trial used a cluster-randomized design with pools as the unit of intervention and outcome. The enhanced group received extra incentives, reinforcement, feedback, and skill-building guidance. Surveys were collected in successive years (2003-2006) from managers of 435 pools in 33 metropolitan areas across the United States participating in the Pool Cool Diffusion Trial. Results. Both treatment groups improved their implementation of the program, but pools in the enhanced condition had significantly greater overall maintenance of the program over 3 summers of participation. Furthermore, pools in the enhanced condition established and maintained significantly greater sun-safety policies and supportive environments over time. Conclusions. This study found that more intensive, theory-driven dissemination strategies can significantly enhance program implementation and maintenance of health-promoting environmental and policy changes. Future research is warranted through longitudinal follow-up to examine sustainability.

Keywords: adult; controlled study; epidemiology; female; health care policy; health education; health promotion; human; male; procedures; program evaluation; randomized controlled trial; Skin Neoplasms; statistics and numerical data; swimming pool; United States; young adult, Adult; Female; Health Education; Health Policy; Health Promotion; Humans; Male; Program Evaluation; Skin Neoplasms; Swimming Pools; United States; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302224_8

DOI: 10.2105/AJPH.2014.302224

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