title: Adapting and implementing an evidence-based sun-safety education program in rural Idaho, 2012.
abstract: BACKGROUND
  Melanoma incidence and mortality rates in Idaho are higher than national averages. The importance of increased awareness of skin cancer has been cited by state and local organizations. St. Luke's Mountain States Tumor Institute (MSTI) prioritized educational outreach efforts to focus on the implementation of a skin cancer prevention program in rural Idaho.
  
  
  OBJECTIVE
  As a community cancer center, MSTI expanded cancer education services to include dedicated support to rural communities. Through this expansion, an MSTI educator sought to partner with a community organization to provide sun-safety education. MSTI selected, adapted, and implemented an evidence-based program, Pool Cool.
  
  
  METHODS
  The education program was implemented in 5 phases. In Phase I, we identified and recruited a community partner; in Phase 2, after thorough research, we selected a program, Pool Cool; in Phase 3, we planned the details of the program, including identification of desired short- and long-term outcomes and adaptation of existing program materials; in Phase 4, we implemented the program in summer 2012; in Phase 5, we assessed program sustainability and expansion.
  
  
  RESULTS
  MSTI developed a sustainable partnership with Payette Municipal Pool, and in summer 2012, we implemented Pool Cool. Sun-safety education was provided to more than 700 young people aged 2 to 17 years, and educational signage and sunscreen benefitted hundreds of additional pool patrons.
  
  
  CONCLUSIONS
  Community cancer centers are increasingly being asked to assess community needs and implement evidence-based prevention and screening programs. Clinical staff may become facilitators of evidence-based public health programs. Challenges of implementing evidence-based programs in the context of a community cancer centers are staffing, leveraging of resources, and ongoing training and support.
authors.affiliation: Idaho Department of Health and Welfare, 450 W State St, Boise, ID 83720. E-mail: cariouc@dhw.idaho.gov.
authors.forename: Charlene
authors.initials: C
authors.lastname: Cariou
authors.affiliation: St. Luke's Mountain States Tumor Institute, Twin Falls, Idaho.
authors.forename: Melanie
authors.initials: M
authors.lastname: Gonzales
authors.affiliation: Midwest Cancer Alliance, University of Kansas Medical Center, Kansas City, Kansas.
authors.forename: Hope
authors.initials: H
authors.lastname: Krebill
mesh_terms: D000293:Adolescent; D002173:Cancer Care Facilities; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000458:organization & administration; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006284:Health Plan Implementation; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007061:Idaho; D008297:Male; D008545:Melanoma / Q000517:prevention & control*; D015397:Program Evaluation; D012424:Rural Population; D012621:Seasons; D012878:Skin Neoplasms / Q000517:prevention & control*; D013471:Sunburn / Q000517:prevention & control*; D013473:Sunscreening Agents / Q000008:administration & dosage*; D013551:Swimming Pools
chemical_list: D013473:Sunscreening Agents