Evidence map›Paper›PMID 21855746›Full record

Trial reportAmerican journal of preventive medicine2011

Motivating public school districts to adopt sun protection policies: a randomized controlled trial.

David B Buller, Kim D Reynolds, Jeff L Ashley, Mary K Buller, Ilima L Kane, Cheri L Stabell, Kim L Massie, Xia Liu, Gary R Cutter

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Sun protection for preventing basal cell and squamous cell skin cancers.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. A cluster randomized trial to evaluate a health education programme "Living with Sun at School".International journal of environmental research and public health · 2012
    Trial
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

David B BullerResearch, Klein Buendel Inc., 1667 Cole Boulevard, Denver, CO 80401, USA. dbuller@kleinbuendel.com
Kim D Reynolds
Jeff L Ashley
Mary K Buller
Ilima L Kane
Cheri L Stabell
Kim L Massie
Xia Liu
Gary R Cutter

Funding

Diffusing Sun Safe Policies and Environments to SchoolsR01CA100285 · NCI · KLEIN BUENDEL, INC. · PI BULLER, DAVID B · 2004 to 2008
$4.2M
NCI NIH HHS CA100285NCI NIH HHS R01 CA100285
6 · The paper itself

Abstract

backgroundIn 2002, CDC recommended that the nation's schools establish policies that reduce sun exposure to decrease students' risk of skin cancer. PURPOSE: A program to convince public school districts to adopt such a policy was evaluated.

designRCT. SETTING/

participantsPublic school districts in Colorado (n=56) and Southern California (n=56).

interventionPolicy information, tools, and technical assistance were provided through printed materials, a website, meetings with administrators, and presentations to school boards. An RCT enrolled public school districts from 2005 to 2010. Policy adoption was promoted over 2 years at districts randomized to the intervention.

main outcome measuresSchool board-approved policies were obtained from 106 districts and coded at baseline and 2-year follow-up. Analyses were conducted in 2010.

resultsThere was no difference in the percentage of districts adopting a policy (24% in intervention; 12% in control; p=0.142); however, intervention districts (adjusted M=3.10 of 21 total score) adopted stronger sun safety policies than control districts (adjusted M=1.79; p=0.035). Policy categories improved on sun safety education for students (intervention adjusted M=0.76; control adjusted M=0.43, p=0.048); provision of outdoor shade (intervention adjusted M=0.79; control adjusted M=0.28, p=0.029); and outreach to parents (intervention adjusted M=0.59; control adjusted M=0.20, p=0.027).

conclusionsMultifaceted promotion can increase adoption of stronger policies for reducing sun exposure of students by public school districts. Future research should explore how policies are implemented by schools.

Indexed as

Organizational PolicyCaliforniaColoradoFemaleFollow-Up StudiesHumansMaleSchoolsSkin NeoplasmsStudentsSunburnSunlight

Identifiers

PMID21855746
PMCPMC3167690

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.