title: Skin cancer prevention for children, parents, and caregivers: a field test of Hawaii's SunSmart program.
abstract: BACKGROUND
  Children are at particular risk for sun exposure, a major cause of skin cancer. Parents and caregivers can help protect children by educating them about practicing safe sun habits, serving as role models, and providing supportive environments.
  
  
  OBJECTIVE
  We evaluated SunSmart, a cancer prevention program for 6- to 8-year-old children, their parents, and outdoor recreation staff.
  
  
  METHODS
  The intervention included staff training, on-site activities for children, interactive take-home booklets, behavior-monitoring scoreboards, incentives, providing sunscreen, and encouraging sun safe environments and policies. The program was evaluated by baseline and follow-up surveys of parents and recreation staff, monitoring forms, and on-site observations.
  
  
  RESULTS
  There were positive changes in all major outcomes, including knowledge; sun protection habits of parents, children, and staff; readiness to change; sun protection policies; and sun protection norms. The changes ranged from improvements of 3% to more than 20%, and several changes were statistically significant.
  
  
  CONCLUSIONS
  The results demonstrated the feasibility and short-term impact of Hawaii's SunSmart program and suggested areas for refinement and expansion.
authors.affiliation: Cancer Research Center of Hawaii, University of Hawaii at Manoa, Honolulu 96813, USA.
authors.forename: K
authors.initials: K
authors.lastname: Glanz
authors.forename: L
authors.initials: L
authors.lastname: Chang
authors.forename: V
authors.initials: V
authors.lastname: Song
authors.forename: R
authors.initials: R
authors.lastname: Silverio
authors.forename: L
authors.initials: L
authors.lastname: Muneoka
mesh_terms: D017028:Caregivers; D002648:Child; D006254:Hawaii; D006266:Health Education / Q000379:methods*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010290:Parents; D012878:Skin Neoplasms / Q000517:prevention & control*; D013472:Sunlight