title: Sun safety in construction: a U.K. intervention study.
abstract: BACKGROUND
  Interventions to promote sun safety in the U.K. construction sector are warranted given the high incidence of skin cancer attributable to sun exposure relative to other occupational groups.
  
  
  OBJECTIVE
  To evaluate change in sun safety knowledge and practices among construction workers in response to an educational intervention.
  
  
  METHODS
  A baseline questionnaire was administered, followed by a bespoke sector-specific DVD-based intervention. At 12-month follow-up, participants completed a further questionnaire.
  
  
  RESULTS
  Analyses were conducted on a sample of 120 workers (intervention group, n = 70; comparison group, n = 50). At follow-up, the proportion of intervention group participants that reported correct sun safety knowledge was not significantly greater than at baseline. However, the intervention group demonstrated significant positive change on 9 out of 10 behavioural measures, the greatest change being use of a shade/cover when working in the sun followed by regularly checking skin for moles or unusual changes.
  
  
  CONCLUSIONS
  Exposure to this intervention was linked to some specific positive changes in construction workers' self-reported sun safety practices. These findings highlight the potential for educational interventions to contribute to tackling skin cancer in the UK construction sector. The findings support the development of bespoke educational interventions for other high-risk outdoor worker groups.
authors.affiliation: Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG8 1BB, UK, jonathan.houdmont@nottingham.ac.uk.
authors.forename: J
authors.initials: J
authors.lastname: Houdmont
authors.affiliation: Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG8 1BB, UK.
authors.forename: P
authors.initials: P
authors.lastname: Madgwick
authors.affiliation: School of Business and Economics, Loughborough University, Loughborough LE11 3TU, UK.
authors.forename: R
authors.initials: R
authors.lastname: Randall
mesh_terms: D000328:Adult; D000818:Animals; D001296:Audiovisual Aids; D060389:Construction Industry; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology / Q000517:prevention & control*; D016273:Occupational Exposure / Q000009:adverse effects / Q000517:prevention & control; D011481:Protective Clothing; D012449:Safety; D012648:Self Care; D012867:Skin / Q000473:pathology / Q000528:radiation effects; D012878:Skin Neoplasms / Q000209:etiology / Q000517:prevention & control*; D013472:Sunlight / Q000009:adverse effects*; D013473:Sunscreening Agents; D011795:Surveys and Questionnaires; D006113:United Kingdom
chemical_list: D013473:Sunscreening Agents
keywords: Construction; intervention; skin cancer; solar radiation; sun safety; transtheoretical model.