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Multi-Component Solar Protection Interventions: The Impact of Modelling and “Trickle Down”?

Published online by Cambridge University Press:  05 May 2015

Christopher J. Gregory*
Affiliation:
Psychology and Cancer, P.O. Box 152, Waratah NSW, AUSTRALIA
Nick Higginbotham
Affiliation:
Community Medicine & Clinical Epidemiology, University of Newcastle, AUSTRALIA
John D. Shea
Affiliation:
Psychology Department, University of Newcastle, AUSTRALIA
*
Psychology and Cancer, P. O. Box 152, Waratah, NSW, Australia

Abstract

Workers in outdoor occupations routinely face unavoidable exposure to the sun's ultra violet rays with attendant risk of skin cancer, and this study evaluated a multi-faceted education program aimed at improving the solar protection practices of Australian Technical College Surveying students performing outdoor field exercises. One hundred and fifteen students were randomly assigned (by class) to either a Control or Treatment group, and given slides, information sheets, and a guest talk by a young woman who had recovered from life-threatening skin cancer, with a baseline and two follow-up assessments being made on field days using a behavioural diary. A greater proportion of students receiving the solar education increased sunscreen cream application and hat use compared with Control participants, and a composite index of solar protection favoured the Treatment group. Moreover, Control participants significantly changed some solar protection behaviours, possibly through modelling the Treatment group, and Treatment participants showed significantly higher rates of particular sun protection behaviours at the second post test occasion than at the first post test occasion.

Type
Articles
Copyright
Copyright © University of Papua New Guinea & the University of Newcastle, Australia 1997

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References

AIDS Community Demonstration Research Projects. (1994). The AIDS Community Demonstration Projects: Morbidity and Mortality Weekly Report.Google Scholar
Aiken, L. S., West, S. G., Woodward, C. K., Reno, R. R., Reynolds, K. D. (1994). Increasing screening mammography in asymptomatic women: Evaluation of a second-generation theory-based program. Health Psychology, 13, 526538.CrossRefGoogle ScholarPubMed
Australian Cancer Society. (1987). A national cancer prevention policy for Australia. Sydney: Australian Cancer Society.Google Scholar
Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp 2529). New York: Plenum Press.CrossRefGoogle Scholar
Becker, M. H., Maiman, L. A. (1980). Strategies for enhancing patient compliance. Journal of Community Health, 6, 113135.CrossRefGoogle ScholarPubMed
Borland, R., Hill, D., & Noy, S. (1990). Being sunsmart: Changes in community awareness and reported behavior following a primary prevention program for skin cancer control. Behavior Change, 7, 126135.CrossRefGoogle Scholar
Brown, L. K., DiClemente, R. J., & Reynolds, L. A. (1991). HTV prevention for adolescents: Utility of the Health Belief Model. AIDS Education and Prevention, 3, 5059.Google Scholar
Burton, R. C., Coates, M. S., Hersey, P., Roberts, G., Chetty, M. P., & Chen, S. (1993). An analysis of a melanoma epidemic. International Journal of Cancer, 55, 765770.CrossRefGoogle ScholarPubMed
California Department of Health Services, Cancer Surveillance section and Death (1994). Age-adjusted (1970 US Standard) Cancer Mortality Rates per 100,000 Population by Primary Site, Race/Ethnicity and Sex, California, 1988.Google Scholar
Cancer Council NSW. (1997). Cutaneous melanoma in NSW in 1983 to 1995. Geography, gender and socioeconomic status were key factors in recreational exposure to ultraviolet radiation from the sun and incidence of melanoma.Google Scholar
Chuang, T. Y., Reizner, G. T., Elpern, D. J., Stone, J. L., & Farmer, E. R. (1995). Nonmelanoma skin cancer in Japanese ethnic Hawaiians in Kauai, Hawaii: An incidence report. Journal of the American Academy of Dermatology, 33, 422426.Google Scholar
Cockburn, J., Hennrikus, D., Scott, R., & Sanson-Fisher, R. (1989). Adolescent use of sun-protection measures. Medical Journal of Australia, 151, 136140.CrossRefGoogle ScholarPubMed
Cody, R. & Lee, C. (1990). Behaviour, beliefs, and intentions in skin cancer prevention. Journal of Behavioral Medicine, 13, 373389.Google ScholarPubMed
Elder, J. P., Geller, E. S., Hovell, M. F., & Mayer, J. A. (1994). Motivating Health Behavior. Albany, NY: Delmar Publishers.Google Scholar
Eng, A., Botvin, F. J., Carter, B. J., & Williams, C. L. (1979). Increasing students’ knowledge of cancer and cardiovascular prevention. Journal of School Health, 11, 505507.Google Scholar
Finn, S. E., & Tonsager, M. E. (1992). Therapeutic effects of providing MMPI-2 test feedback to college students awaiting therapy. Psychological Assessment, 4, 278287.CrossRefGoogle Scholar
Fishbein, M., Middlestadt, S. E., & Hitchcock, P. J. (1994). Using information to change sexually transmitted disease-related behaviors: An analysis based on the theory of reasoned action. In DiClemente, R. J. & Peterson, J. L. (Eds.), Preventing AIDS: Theories and Methods of Behavioral Interventions (pp. 6178). New York: Plenum Press.CrossRefGoogle Scholar
Fishbein, M., Bandura, A., Triandis, H. C., Kanfer, F. H., Becker, M. H. & Middlestadt, S. E. (1992). Factors Influencing Behavior and Behavior Change. Final Report on Theorists' Workshop. Champaign Illinois: University of Illinois Department of Psychology.Google Scholar
Fitzpatrick, M. B. (1985). Sun protection for life in the high risk population. Journal of Dermatology and Surgical Oncology 11, 785.Google Scholar
Fitzpatrick, M. B. (1977). The biologic actions of solar radiation on skin, with a note on sunscreens. Journal of Dermatology and Surgical Oncology, 3, 199204.Google Scholar
Foot, G., Girgis, A., Boyle, C. A., & Sanson-Fisher, R. W. (1993). Solar protection behaviours: A study of beachgoers. Australian Journal of Public Health, 17, 209214.CrossRefGoogle ScholarPubMed
Girgis, A., Sanson-Fisher, R. W., & Watson, A. (1994). A workplace intervention for increasing outdoor workers’ use of solar protection. American Journal of Public Health, 84, 7781.CrossRefGoogle ScholarPubMed
Girgis, A., Sanson-Fisher, R. W., Tripodi, D. A., & Golding, T. (1993). Evaluation of interventions to improve solar protection in primary schools. Health Education Quarterly, 20, 275287.CrossRefGoogle ScholarPubMed
Goldstein, N. (1993). Skin cancers in Hawaii. (1993). Hawaii Medical Journal, 52, 126128 Google ScholarPubMed
Gore, A. (1991). The Back Care Programme. Sydney: Technical and Further Education Video productions.Google Scholar
Green, A., Beardmore, G., Hart, V., Leslie, D., Marks, R., & Staines, D. (1988). Skin cancer in a Queensland population. Journal of the American Academy of Dermatology, 19, 10451052.CrossRefGoogle Scholar
Heurre, M., Dubourdieu, D., Ravisse, P., Prade, M., McCarthy, S. W., Floch, J. J., Michel, G., Monchy, D., Baudin, R., & Herrmann, M. (1997). Cutaneous malignant melanoma in the New Caledonia (South Pacific) 1973-1991. A study of 97 cases. Bulletin du Cancer, 80, 235247.Google Scholar
Higginbotham, H. N., & Streiner, D. (1991). The social science contribution to pharmaco-epidemiology. Journal of Clinical Epidemiology, 44(Supplement 2), 73S82S.CrossRefGoogle Scholar
Holman, C. D., Armstrong, B. K. (1984). Cutaneous malignant melanoma and indicators of total accumulated exposure to the sun: An analysis of separating histogenetic types. Journal of the National Cancer Institute, 73, 7582.Google Scholar
Holman, C. D., Armstrong, B. K., & Heenon, P. J. (1986). Relationship of cutaneous malignant melanoma to individual sunlight - exposure habits. Journal of the National Cancer Institute, 76, 403414.Google ScholarPubMed
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 147.CrossRefGoogle ScholarPubMed
Johnson, E. Y., & Lookingbill, D. P. (1984). Sunscreen use and sun exposure: Trends in a white population. Archives of Dermatology, 120, 727731.CrossRefGoogle Scholar
Kazdin, A. E. (1974). Self-monitoring and behavior change. In Mahoney, M. J. & Thorsesen, C. E. (Eds.), Self-control: Power to the person (pp. 85101). Monterey, CA; Brooks/Cole.Google Scholar
Leviton, L. C. (1996). Integrating psychology and public health: Challenges and opportunities. American Psychologist, 51, 4251.Google Scholar
Lew, R. A., Sober, A. J., Cook, N., Marvell, R. & Fitzpatrick, T. B. (1983). Sun exposure habits in patients with cutaneous melanoma: A case-control study. Journal of Dermatology and Surgical Oncology, 9, 981986.CrossRefGoogle ScholarPubMed
Lewin, K. (1966). Group decision and social change. In Maccoby, E. E., Newcomb, T. M., & Hartley, C. L., (Eds.), Readings in social psychology (pp. 197211). London: Methuen.Google Scholar
Maccoby, N., & Altman, D. G. (1988). Disease prevention in communities: The Stanford Heart Disease Prevention Program. In Price, R. H., Cowen, R. P., Lorion, R. P., & Ramos-McKay, J. (Eds.), 14 Ounces of Prevention: A Casebook for Practitioners (pp. 165174). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
MacLachlan, M., Chimombo, M., & Mpemba, N. (1997). AIDS education for youth through active learning: A school-based approach from Malawai. International Journal of Educational Development, 17, 4150.Google Scholar
Marks, R., & McCarthy, W. H. (1990). Skin cancer Increasing incidence and public awareness. Medical Journal of Australia, 153, 505507.CrossRefGoogle ScholarPubMed
Marks, R., Jolley, D., Donevitch, A. P., & Selwood, T. S. (1989). The incidence of non-melanocytic skin cancer in an Australian population: Results of a five-year prospective study. Medical Journal of Australia, 150, 475478.Google Scholar
Marks, R., & Whiteman, D. (1994). Sunburn and melanoma: How strong is the evidence? The British Medical Journal, 308, 7576.CrossRefGoogle ScholarPubMed
McCaul, K. D., Glasgow, R. E., & O'Neill, H. K. (1992). The problem of creating habits: Establishing health-protective dental behaviors. Health Psychology, 11, 101110.CrossRefGoogle ScholarPubMed
Melanoma Foundation of Australia. (1987). You, the Sun and Skin Cancer. Sydney, The Melanoma Foundation.Google Scholar
Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press.Google Scholar
N.S.W. Cancer Council. (1990). Cancer Facts - Skin Cancer Facts. Sydney; The New South Wales State Cancer Council.Google Scholar
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 11021114.CrossRefGoogle ScholarPubMed
Putnam, G. L., & Yanagisako, K. L. (1985). Skin cancer comic book: Evaluation of a public education vehicle. Journal of Audiovisual Media in Medicine, 8, 2225.CrossRefGoogle ScholarPubMed
Reizner, G. T., Chuang, T. Y., Elpem, D. J., Stone, J. L. & Farmer, E. R. (1993). Basal cell carcinoma in Kauai, Hawaii: The highest documented incidence in the United States. Journal of the American Academy of Dermatology, 29, 184189.CrossRefGoogle ScholarPubMed
Reizner, G. T., Chuang, T. Y., Elpern, D. J., Stone, J. L., & Farmer, E. R. (1994). Bowen's disease (squamopus cell carcinoma in situ) in Kauai, Hawaii: A population-based incidence report. Journal of the American Academy of Dermatology, 31, 596600.CrossRefGoogle ScholarPubMed
Rhodes, A. R., Weinstock, M. A., Fitzpatrick, T. B., Mihm, M., & Sober, J. (1987). Risk factors for cutaneous melanoma: A practical method of recognizing predisposed individuals. Journal of the American Medical Association, 258, 31463154.Google ScholarPubMed
Robinson, J. (1990). Behavior modification obtained by sun protection education coupled with removal of a skin cancer. Archives of Dermatology, 126, 477481.CrossRefGoogle Scholar
Rogers, R. W. (1993). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In Cacioppo, J. R., & Petty, R. E. (Eds.), Social psychology: A sourcebook (pp. 153176). New York: Guildford Press.Google Scholar
Rook, K. S. (1987). Effects of case history versus abstract information on health attitudes and behaviors. Journal of Applied Social Psychology, 17, 533553.Google Scholar
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1994). The Health Belief Model and HIV risk behavior change. In DiClemente, R. J. & Peterson, J. L. (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 524). New York: Plenum Press.CrossRefGoogle Scholar
Siegel, S., & Castellar, N. J. (1988). Nonparametric Statistics for the Behavioral Sciences (2nd Ed.). New York: McGraw Hill Book Company.Google Scholar
Stern, R. S., Weinstein, M. C, & Baker, S. G. (1986). Risk reduction for non-melanoma skin cancer with childhood sunscreen use. Archives of Dermatology, 122, 537545.CrossRefGoogle Scholar
Vagero, D., Ringback, G., & Kiviranta, H. (1986). Melanoma and other tumors of the skin among office, indoor, and outdoor workers in Sweden. British Journal of Cancer, 53, 507512.CrossRefGoogle ScholarPubMed
Valdiserri, R. O., Lyter, D. W., Leviton, L. C., Stoner, K., & Silvestre, A. (1987). Applying the criteria for the development of health promotion and education programs to AIDS risk reduction programs for gay men. Journal of Community Health, 12, 199212.CrossRefGoogle ScholarPubMed
Winett, R. A., King, A. C., & Altman, D. G. (1989). Health Psychology and Public Health: An Integrative Approach. New York: Pergamon Press.Google Scholar