Translation of District Sun Safe Policies to Schools

The purpose of the Translation of District Sun Safe Policies to Schools study was to test
whether schools need assistance to facilitate the implementation of school district
board-approved sun safety policies by individual elementary schools. The intervention is
expected to produce a change in practices at the school level and to improve the sun safety
behavior of children attending the intervention schools compared to control schools. A group
of 40 school districts in Southern California that adopted board policy 5141.7 for sun safety
provided 118 schools that were randomized to a intervention condition or to an attention
control condition. The primary outcome is change in school-level sun safety practices based
on 10 Centers for Disease Control and Prevention (CDC) categories for policy change (i.e.,
sunscreen use, UV protective clothing, hats, student education, teacher education, provision
of shade, scheduling to avoid peak UV exposure, parent outreach, resource allocation for sun
safety, and an accountability system). This primary outcome was assessed by a survey of the
principal and one teacher at each school (N=118 principals and 113 teachers at pretest).
Parents (N=1770 at pretest) of children attending the schools completed a self-report measure
assessing the secondary outcomes of change in individual-level sun safety behavior of their
elementary school aged children and number of communications received from the school
regarding sun safety. Assessment of principals, teachers and parents occurred at pretest,
just prior to randomization, and at a posttest 20-months after the pretest. One Parent
Teacher Association (PTA) representative per school was contacted to assess PTA involvement
in intervention activities related to sun safety.

The primary hypothesis was stated for the effectiveness of the intervention condition at
increasing school-level sun safety practices consistent with the sun safety policies of the
school districts and read, H1: At follow-up, a greater percentage of schools in the
intervention condition will implement at least one component of the school district sun
safety policy compared to schools randomized to the attention-control condition.