title: Sustainability of the dissemination of an occupational sun protection program in a randomized trial.
abstract: Sustainability of an occupational sun safety program, Go Sun Smart (GSS), was explored in a randomized trial, testing dissemination strategies at 68 U.S. and Canadian ski areas in 2004-2007. All ski areas received GSS from the National Ski Areas Association through a Basic Dissemination Strategy (BDS) using conference presentations and free materials. Half of the ski areas were randomly assigned to a theory-based Enhanced Dissemination Strategy (EDS) with personal contact supporting GSS use. GSS use was assessed at immediate and long-term follow-up posttests by on-site observation. Use of GSS declined from immediate (M = 6.24) to long-term follow-up (M = 4.72), F(1, 62) = 6.95, p = .01, but EDS ski areas (M = 6.53) continued to use GSS more than BDS ski areas (M = 4.49), F(1, 62) = 5.75, p = .02, regardless of timing of posttest, strategy × observation F(1, 60) = 0.05, p = .83. Despite declines over time, a group of ski areas had sustained high program use and active dissemination methods had sustained positive effects on implementation.
authors.affiliation: Klein Buendel, Inc., Denver, CO 80401, USA. dbuller@kleinbuendel.com
authors.forename: David B
authors.initials: DB
authors.lastname: Buller
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Walkosz
authors.forename: Peter A
authors.initials: PA
authors.lastname: Andersen
authors.forename: Michael D
authors.initials: MD
authors.lastname: Scott
authors.forename: Mark B
authors.initials: MB
authors.lastname: Dignan
authors.forename: Gary R
authors.initials: GR
authors.lastname: Cutter
authors.forename: Xiao
authors.initials: X
authors.lastname: Zhang
authors.forename: Ilima L
authors.initials: IL
authors.lastname: Kane
mesh_terms: D002170:Canada; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016272:Occupational Health; D015397:Program Evaluation; D012865:Skiing; D013471:Sunburn / Q000517:prevention & control*; D013473:Sunscreening Agents / Q000008:administration & dosage*; D014481:United States
chemical_list: D013473:Sunscreening Agents
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