title: Influence of parent and child characteristics on a parent-based intervention to reduce unsafe sun practices in children 9 to 12 years old.
abstract: OBJECTIVE
  To identify familial characteristics that may have influenced the effectiveness of a parent-based intervention to reduce unsafe sun practices in children aged 9 to 12 years (fourth through sixth grades).
  
  
  METHODS
  Randomized control design with a 30-day follow-up.
  
  
  METHODS
  Participants were recruited from 2 distinct regions in the United States: southern Idaho and eastern Tennessee.
  
  
  METHODS
  Three hundred forty children were assigned to the experimental group in which the parents received the intervention materials. One hundred twenty-nine respondents were assigned to the control group.
  
  
  METHODS
  The intervention provided materials that encouraged parents to communicate skin cancer risks, promote sun-safe behaviors, and discourage high-risk sun-related behaviors.
  
  
  METHODS
  Outcome measures included sunburn frequencies, sunburn severity, and sunbathing tendencies. The moderator variables were positive characteristics of the parent-child relationship, levels of negative communication, parental monitoring, and child compliance.
  
  
  RESULTS
  Sunburn frequency, sunburn severity, and sunbathing tendencies were most effectively reduced when the quality of the parent-child relationship was high, the child exhibited high levels of compliance, and there were low levels of negative communication.
  
  
  CONCLUSIONS
  The findings of this study provide evidence that parents can be viable change agents for child behaviors and that the quality of the family relationship is critical to the success of such interventions.
authors.affiliation: Prevention Research Center and Biobehavioral Health, The Pennsylvania State University, 109 Henderson South, University Park, PA 16802, USA. rturrisi@psu.edu
authors.forename: Rob
authors.initials: R
authors.lastname: Turrisi
authors.forename: Joel
authors.initials: J
authors.lastname: Hillhouse
authors.forename: June
authors.initials: J
authors.lastname: Robinson
authors.forename: Jerod
authors.initials: J
authors.lastname: Stapleton
authors.forename: Malissa
authors.initials: M
authors.lastname: Adams
mesh_terms: D000328:Adult; D002648:Child; D002669:Child Welfare; D005260:Female; D015438:Health Behavior; D006801:Humans; D007061:Idaho; D015601:Injury Severity Score; D008297:Male; D010287:Parent-Child Relations; D013471:Sunburn / Q000473:pathology / Q000517:prevention & control*; D013472:Sunlight / Q000009:adverse effects*; D013714:Tennessee; D016896:Treatment Outcome