title: A randomized trial of skin cancer prevention in aquatics settings: the Pool Cool program.
abstract: Skin cancer is increasing, and prevention programs are essential. This study evaluated the impact of a skin cancer prevention program on sun-protection habits and swimming pool environments. The intervention included staff training; sun-safety lessons; interactive activities; providing sunscreen, shade, and signage; and promoting sun-safe environments. A randomized trial at 28 swimming pools in Hawaii and Massachusetts tested the efficacy of this program (Pool Cool) compared with an attention-matched injury-prevention control program. Results showed significant positive changes in children's use of sunscreen and shade, overall sun-protection habits, and number of sunburns and improvements in parents' hat use, sun-protection habits, and reported sun-protection policies and environments. Observations corroborated the positive findings. Pool Cool had significant positive effects at swimming pools in diverse audiences.
authors.affiliation: Cancer Research Center of Hawaii, University of Hawaii at Manoa, Honolulu 96822, USA. kglanz@hawaii.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Glanz
authors.forename: Alan C
authors.initials: AC
authors.lastname: Geller
authors.forename: Dorothy
authors.initials: D
authors.lastname: Shigaki
authors.forename: Jay E
authors.initials: JE
authors.lastname: Maddock
authors.forename: May Rose
authors.initials: MR
authors.lastname: Isnec
mesh_terms: D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D006254:Hawaii; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D008404:Massachusetts; D008545:Melanoma / Q000517:prevention & control*; D015999:Multivariate Analysis; D011481:Protective Clothing; D012878:Skin Neoplasms / Q000517:prevention & control*; D013473:Sunscreening Agents; D013550:Swimming
chemical_list: D013473:Sunscreening Agents