title: A randomized intervention study of sun protection promotion in well-child care.
abstract: BACKGROUND
  This study evaluated the behavioral impact of a skin cancer prevention program in which health care providers delivered advice and materials to parents of infants over a 3-year period from 1998 to 2001.
  
  
  METHODS
  Fourteen offices of a large managed care organization in Colorado were randomly assigned to the intervention or control groups. 728 infants and their parents were recruited within 6 months of birth. At intervention offices, health care providers attended orientation sessions, prompts for delivering sun protection advice were placed in medical records, and parents received sun protection packets at each well-child visit between 2 and 36 months of age.
  
  
  RESULTS
  Based on provider self-report and exit interviews of parents, providers in the intervention group delivered approximately twice as much sun protection advice as providers in the control group. Annual telephone interviews of parents indicated small but statistically significant differences in parent sun protection practices favoring the intervention. Skin exams revealed no significant differences in tanning, freckling, or number of nevi. Behavioral differences between groups appeared to grow over the 3 years of follow-up.
  
  
  CONCLUSIONS
  This intervention strategy was successful in increasing the delivery of sun protection advice by health care providers and resulted in changes in parents' behaviors. While the behavioral effect was probably not strong enough to reduce risk for skin cancer, the effect may increase as children age and have more opportunities for overexposure to the sun.
authors.affiliation: Department of Preventive Medicine and Biometrics, University of Colorado at Denver and Health Sciences Center, 4200 East 9th Avenue, Box B-119, Denver, CO 80262, USA. lori.crane@uchsc.edu
authors.forename: Lori A
authors.initials: LA
authors.lastname: Crane
authors.forename: Ann
authors.initials: A
authors.lastname: Deas
authors.forename: Stefan T
authors.initials: ST
authors.lastname: Mokrohisky
authors.forename: Gretchen
authors.initials: G
authors.lastname: Ehrsam
authors.forename: Richard H
authors.initials: RH
authors.lastname: Jones
authors.forename: Robert
authors.initials: R
authors.lastname: Dellavalle
authors.forename: Tim E
authors.initials: TE
authors.lastname: Byers
authors.forename: Joseph
authors.initials: J
authors.lastname: Morelli
mesh_terms: D000293:Adolescent; D000328:Adult; D002669:Child Welfare; D002675:Child, Preschool; D003120:Colorado; D004502:Education, Medical, Continuing; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006279:Health Maintenance Organizations; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D010174:Pamphlets; D010290:Parents / Q000193:education* / Q000523:psychology; D010372:Pediatrics / Q000193:education / Q000379:methods; D010808:Physical Examination; D010817:Physician-Patient Relations; D012878:Skin Neoplasms / Q000209:etiology / Q000517:prevention & control*; D013471:Sunburn / Q000517:prevention & control; D013472:Sunlight / Q000009:adverse effects*