title: Evaluation of Project Students are Sun Safe (SASS): A University Student-Delivered Skin Cancer Prevention Program for Schools.
abstract: Skin cancer is the most common cancer in the USA and is increasing in children and young adults. Adolescents are an important target population for sun-safety interventions with ultraviolet radiation as the strongest risk factor for developing skin cancer. Schools are an ideal setting to intervene with adolescents. A novel Arizona skin cancer prevention in-class education-activity program, Project 'Students are Sun Safe' (SASS), was designed to be delivered by university students for middle school and high school students. Participant students completed the pre- and post-program tests and a satisfaction questionnaire; teachers completed reviews. The evaluation examined the program's influence on participants' sun-safety knowledge, perceptions, and behaviors; satisfaction with the program; and intent to change. After exposure to Project SASS, participants were more likely to perceive a high risk of skin cancer, report negative attitudes toward tanned skin, and answer knowledge-based questions correctly. There were minimal differences in self-reported sun-safety behaviors, though participants did report intent to change. Both participants and teachers were satisfied with the program. Project SASS appears to be an effective sun-safety program for middle school and high school students for knowledge and perceptions, and the results confirm that appropriately tailoring program components to the target population has strong potential to impact adolescent perceived susceptibility, knowledge, and behavioral intent. The strengths and weaknesses of Project SASS have many implications for public health practice, and Project SASS may hold promise to be a model for skin cancer prevention in adolescents.
authors.affiliation: Zuckerman College of Public Health, The University of Arizona, 1295 N. Martin Tucson, Arizona, AZ, 85724, USA. ridavis@email.arizona.edu.|University of California Davis, 1 Shields Ave, Davis, CA, 95616, USA. ridavis@email.arizona.edu.
authors.forename: Raeann
authors.initials: R
authors.lastname: Davis
authors.affiliation: Zuckerman College of Public Health, The University of Arizona, 1295 N. Martin Tucson, Arizona, AZ, 85724, USA. loescher@email.arizona.edu.|College of Nursing, The University of Arizona, 1305 N. Martin Tucson, Arizona, AZ, 85721, USA. loescher@email.arizona.edu.
authors.forename: Lois J
authors.initials: LJ
authors.lastname: Loescher
authors.affiliation: Scottsdale Healthcare, Arizona State University, 4629 E. Charleston Ave. Phoenix, Arizona, 85032, USA.
authors.forename: Jillian
authors.initials: J
authors.lastname: Rogers
authors.affiliation: Skin Cancer Institute, The University of Arizona Cancer Center, 1515 N Campbell Ave. Tucson, Arizona, AZ, 85724, USA.
authors.forename: Denise
authors.initials: D
authors.lastname: Spartonos
authors.affiliation: Zuckerman College of Public Health, The University of Arizona, 1295 N. Martin Tucson, Arizona, AZ, 85724, USA.
authors.forename: Aimee
authors.initials: A
authors.lastname: Snyder
authors.affiliation: Zuckerman College of Public Health, The University of Arizona, 1295 N. Martin Tucson, Arizona, AZ, 85724, USA.|Skin Cancer Institute, The University of Arizona Cancer Center, 1515 N Campbell Ave. Tucson, Arizona, AZ, 85724, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Koch
authors.affiliation: Zuckerman College of Public Health, The University of Arizona, 1295 N. Martin Tucson, Arizona, AZ, 85724, USA.
authors.forename: Robin B
authors.initials: RB
authors.lastname: Harris
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012307:Risk Factors; D012572:School Health Services / Q000592:standards*; D012878:Skin Neoplasms / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D013334:Students; D014466:Ultraviolet Rays / Q000009:adverse effects*; D014495:Universities; D055815:Young Adult
keywords: Adolescents; High school; Melanoma; Middle school; Peer education; Prevention; School-based prevention programs; Skin cancer prevention; Skin neoplasms; Sun protection; Sun safety; Tanning; Ultraviolet radiation