title: Improving short-term sun safety practices among adolescent survivors of childhood cancer: a randomized controlled efficacy trial.
abstract: BACKGROUND
  Skin cancer is one of the most common secondary neoplasms among childhood cancer survivors. However, little evidence exists for effective interventions to promote sun safety behaviors within this population.
  
  
  METHODS
  This small-scale randomized controlled trial examined the efficacy of the Survivor Health and Resilience Education (SHARE) Program intervention, a multiple health behavior change intervention designed to increase sun safety practices among adolescent survivors of childhood cancer. Adolescent survivors of childhood cancer (11-21 years) were randomly allocated to a group-based behavioral intervention (n  =  38) or wait-list control (n  =  37). Self-reported sun safety behaviors were assessed using a valid, 8-item scale at baseline and 1-month post-intervention.
  
  
  RESULTS
  Controlling for baseline sun safety, gender, and seasonal influences, intervention participants reported significantly more sun safety practices (e.g., using sunscreen, reapplying sunscreen regularly) at 1-month post-intervention than control participants (B  =  2.64, 95% CI  =  1.02, 4.27, p  =  0.002).
  
  
  CONCLUSIONS
  The results suggest that SHARE was efficacious in producing improvements in short-term self-reported sun safety practices among adolescent survivors of childhood cancer. Future research is needed to build upon this work by incorporating objective measures of sun safety behaviors and examining intervention durability.
  
  
  CONCLUSIONS
  Behavioral interventions addressing lifestyle factors, including sun safety behaviors, among adolescent survivors of childhood cancer should be integrated into long-term care to reduce the risk for secondary malignancies and diseases.
authors.affiliation: Georgetown University Medical Center, Lombardi Comprehensive Cancer Center, Washington, DC 20007, USA. dmm239@georgetown.edu
authors.forename: Darren
authors.initials: D
authors.lastname: Mays
authors.forename: Jessica Donze
authors.initials: JD
authors.lastname: Black
authors.forename: Revonda B
authors.initials: RB
authors.lastname: Mosher
authors.forename: Aziza T
authors.initials: AT
authors.lastname: Shad
authors.forename: Kenneth P
authors.initials: KP
authors.lastname: Tercyak
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D002648:Child; D003376:Counseling; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000193:education; D009369:Neoplasms / Q000453:epidemiology* / Q000401:mortality / Q000523:psychology / Q000534:rehabilitation*; D010353:Patient Education as Topic; D055500:Resilience, Psychological; D040242:Risk Reduction Behavior; D012449:Safety; D013472:Sunlight / Q000009:adverse effects*; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D016896:Treatment Outcome