Influence of Parent and Child Characteristics on a Parent-Based Intervention to Reduce Unsafe Sun Practices in Children 9 to 12 Years Old

Turrisi, Rob; Hillhouse, Joel; Robinson, June K.; Stapleton, Jerod L.; Adams, Malissa

doi:10.1001/archderm.142.8.1009

Cited by 16 publications

(14 citation statements)

References 14 publications

(9 reference statements)

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“…The summer program included activities to teach children sun protection skills, stimulating discussion on sun protection between adolescents and parents and supporting these discussions through instruction on effective parent-child communication. A recently reported sun protection intervention for families with children aged 9 to 12 years incorporated similar instructional and discussion activities, although tailored messaging was not used (Turrisi et al, 2006). Data from the present trial suggest that engaging families in theory-driven learning activities and discussions may promote improved sun protection.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, many children are not regularly protected (Lowe, Balanda, Gillespie, Del Mar, & Gentle, 1993; Robinson, Rigel, & Amonette, 1997; Saraiya, Hall, & Uhler, 2002). School-based instruction, programs in outdoor recreation, and communication with parents have been successful at promoting sun protection, mainly among preadolescent children (Buller & Borland, 1998; CDC, 2003; Turrisi, Hillhouse, Robinson, Stapleton, & Adams, 2006; Walkosz et al, 2007). Few studies, if any, have tested health communication intended to improve sun protection behaviors among adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…No other sun protection communication strategies have been tested with adolescents in a family-based setting. Recent work has tested a family-based sun protection intervention targeting preadolescents and with intervention materials delivered to parents (Turrisi et al, 2006). …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Program Exposure and Engagement With Tailored Prevention Communication on Sun Protection by Young Adolescents

Reynolds

Buller

Yaroch

et al. 2008

Journal of Health Communication

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Few family-based interventions to increase sun safe behavior among adolescents have been evaluated. The present study tested an intervention that included tailored and nontailored print communications delivered by mail to adolescents (age 11 to 15) and their parents who were also participating in an evaluation of an in-school intervention. The use of sunscreen, protective clothing, and avoidance of the sun were promoted, and family communication and environmental change strategies were fostered. Adolescents and their parents were pretested in May of 2002 and posttested from August to October. Adolescents (N=599) were stratified on experimental condition in the in-school study (in-school intervention vs control) and randomly were assigned from within strata to receive (N=288) or not receive (N=311) the summer intervention materials. No statistically significant effects were found for adolescents between the randomized experimental conditions. Parents’ had increased knowledge (F = 5.52, p <. 05) and propensity to have their child wear sunglasses (F = 4.07, p <. 05). Greater program exposure/engagement led to enhanced sun protection behavior (e.g., fewer sunburns) and psychosocial factors among adolescents and parents. Greater exposure/engagement led to improvements in family interaction and home environment (e.g., shade audit completed). Future research is needed on exposure/engagement with family-based health messaging and on family-based sun safety programs for adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Program Exposure and Engagement With Tailored Prevention Communication on Sun Protection by Young Adolescents

Reynolds

Buller

Yaroch

et al. 2008

Journal of Health Communication

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“…Similarly, though prior research has most commonly focused on college women, the current study did not find moderator effects by age, education level, difficulty living on income, or health literacy. Prior studies of moderation in skin cancer prevention interventions have focused primarily on relationship variables in dyadic interventions including patients and partners or children and parents (Hultgren, Turrisi, Mallett, Ackerman, & Robinson, 2016; Robinson, Stapleton, & Turrisi, 2008; Turrisi, Hillhouse, Robinson, Stapleton, & Adams, 2006). However, one study found that an appearance-focused workbook reduced indoor tanning specifically among low-knowledge female college indoor tanners (Stapleton, Turrisi, Hillhouse, Robinson, & Abar, 2010).…”

Section: Discussionmentioning

confidence: 99%

An online skin cancer risk-reduction intervention for young adults: Mechanisms of effects.

Heckman¹,

Handorf²,

Ritterband³

et al. 2017

Health Psychology

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Objective The study’s purpose was to investigate moderator, implementation, and mediator variables related to the efficacy of UV4.me, an internet intervention that decreased ultraviolet radiation (UV) exposure and increased skin protection behaviors among young adults. Methods Nine-hundred sixty-five 18-25 year olds at risk for skin cancer were recruited nationally online. Participants were randomized to an experimental website (UV4.me), a control website, or assessment only. Participant characteristics (moderators), engagement with and perceptions of interventions (implementation measures), and exposure and protection attitudinal variables (mediators) were assessed. Linear regression and mediation analyses were conducted. Results Intervention effects on skin protection were greater for participants with a family history of skin cancer (p = 0.01). Intervention effects on UV exposure were greater among recent indoor tanners (p = 0.04). Improvements in skin protection (but not UV exposure) were associated with perceiving the interventions as satisfying or helpful (ps< .01). The experimental group had better outcomes if they completed more modules (ps< .01) or set more behavioral goals (ps< .01). Knowledge and exposure decisional balance mediated intervention effects for UV exposure (ps < 0.05), and protection decisional balance, self-efficacy, and intentions mediated intervention effects for protection (ps < 0.05). Conclusions The experimental intervention was more efficacious for certain high risk groups. The more individuals liked and engaged with the interventions (e.g., by setting goals), the better their outcomes. Mediation results inform theory about change mechanisms and differed by behavioral outcome.

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“…Differential effects of treatment on the outcomes associated with characteristics of the mothers and daughters (ie, demographics, political ideology, skin cancer history, and skin phenotype [83]) and their relationship (maternal communication and relationship quality [84-86]) will be tested using multiple group SEM (for categorical characteristics) and a treatment by characteristic interaction term (for continuous characteristics). All moderators will be level 1 variables.…”

Section: Methodsmentioning

confidence: 99%

Engaging Moms on Teen Indoor Tanning Through Social Media: Protocol of a Randomized Controlled Trial

Pagoto¹,

Baker²,

Griffith³

et al. 2016

JMIR Res Protoc

Self Cite

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BackgroundIndoor tanning elevates the risk for melanoma, which is now the most common cancer in US women aged 25-29. Public policies restricting access to indoor tanning by minors to reduce melanoma morbidity and mortality in teens are emerging. In the United States, the most common policy restricting indoor tanning in minors involves parents providing either written or in person consent for the minor to purchase a tanning visit. The effectiveness of this policy relies on parents being properly educated about the harms of indoor tanning to their children.ObjectiveThis randomized controlled trial will test the efficacy of a Facebook-delivered health communication intervention targeting mothers of teenage girls. The intervention will use health communication and behavioral modification strategies to reduce mothers’ permissiveness regarding their teenage daughters’ use of indoor tanning relative to an attention-control condition with the ultimate goal of reducing indoor tanning in both daughters and mothers.MethodsThe study is a 12-month randomized controlled trial comparing 2 conditions: an attention control Facebook private group where content will be relevant to teen health with 25% focused on prescription drug abuse, a topic unrelated to tanning; and the intervention condition will enter participants into a Facebook private group where 25% of the teen health content will be focused on indoor tanning. A cohort of 2000 mother-teen daughter dyads will be recruited to participate in this study. Only mothers will participate in the Facebook groups. Both mothers and daughters will complete measures at baseline, end of intervention (1-year) and 6 months post-intervention. Primary outcomes include mothers’ permissiveness regarding their teenage daughters’ use of indoor tanning, teenage daughters’ perception of their mothers’ permissiveness, and indoor tanning by both mothers and daughters.ResultsThe first dyad was enrolled on March 31, 2016, and we anticipate completing this study by October 2019.ConclusionsThis trial will deliver social media content grounded in theory and will test it in a randomized design with state-of-the-art measures. This will contribute much needed insights on how to employ social media for health behavior change and disease prevention both for indoor tanning and other health risk behaviors and inform future social media efforts by public health and health care organizations.ClinicalTrialClinicaltrials.gov NCT02835807; https://clinicaltrials.gov/ct2/show/NCT02835807 (Archived by WebCite at http://www.webcitation.org/6mDMICcCE).

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Influence of Parent and Child Characteristics on a Parent-Based Intervention to Reduce Unsafe Sun Practices in Children 9 to 12 Years Old

Cited by 16 publications

References 14 publications

Effects of Program Exposure and Engagement With Tailored Prevention Communication on Sun Protection by Young Adolescents

Effects of Program Exposure and Engagement With Tailored Prevention Communication on Sun Protection by Young Adolescents

An online skin cancer risk-reduction intervention for young adults: Mechanisms of effects.

Engaging Moms on Teen Indoor Tanning Through Social Media: Protocol of a Randomized Controlled Trial

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