title: Dissemination of go sun smart in outdoor recreation: effect of program exposure on sun protection of guests at high-altitude ski areas.
abstract: Go Sun Smart is a theory-based health communication program designed to influence sun-protection behaviors of employees and guests at high-altitude ski areas to reduce skin cancer risk. The effects of Go Sun Smart, in a Phase IV dissemination randomized posttest-only trial, on sun-protection behaviors of ski area guests are reported. Program use was assessed by on-site observation and guest message exposure, and sun protection was measured in intercept surveys at ski areas. Dissemination strategy-enhanced versus basic-was not significantly related to sun safety practices. Additional analyses examined the relation between message exposure and guests' sun safety practices. Ski areas displaying at least 6 Go Sun Smart materials in guest-only areas and 9 Go Sun Smart materials throughout the area increased guests' message exposure. Higher message exposure within the high-use ski areas was associated with improved sun protection by guests but not within the low-use ski areas. The authors underscore the importance of program implementation and message exposure on the success of evidence-based health communication efforts applied industrywide.
authors.affiliation: a Klein Buendel, Inc. , Golden , Colorado , USA.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Walkosz
authors.forename: David B
authors.initials: DB
authors.lastname: Buller
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: Xia
authors.initials: X
authors.lastname: Liu
authors.forename: Julie A
authors.initials: JA
authors.lastname: Maloy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000531:Altitude; D005260:Female; D005500:Follow-Up Studies; D058015:Health Communication / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D011481:Protective Clothing / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012865:Skiing; D013471:Sunburn / Q000517:prevention & control*; D013473:Sunscreening Agents / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D013473:Sunscreening Agents