Evidence map›Paper›PMID 28189810›Full record

Trial reportPreventive medicine2017

Effect of an intervention on observed sun protection by vacationers in a randomized controlled trial at North American resorts.

David B Buller, Peter A Andersen, Barbara J Walkosz, Michael D Scott, Larry Beck, Gary R Cutter

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Digital Skin Cancer Risk Reduction Interventions for Young Adults: Findings from a Hybrid Type-II Effectiveness-Implementation Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
  2. Trial
  3. Implementation Outcomes of the National Skin Smart Campus Initiative Among Young Adults.International journal of environmental research and public health · 2026
    Article
  4. [Digital Applications in the Planning and Implementation of Structural Health Promotion and Prevention Settings: Results of a Scoping Review].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Article
  5. Article
  6. Golfers' Interest in Multilevel Sun-Protection Strategies.International journal of environmental research and public health · 2021
    Article
  7. Review
  8. Review
  9. 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

6 authors at 4 institutions in 1 country.

David B BullerKlein Buendel, Inc., 1667 Cole Boulevard, Suite 225, Golden, CO 80401, USA. Electronic address: dbuller@kleinbuendel.com.
Peter A AndersenSchool of Communication, San Diego State University, 5500 Campanille, San Diego, CA 92182-4560, USA.
Barbara J WalkoszKlein Buendel, Inc., 1667 Cole Boulevard, Suite 225, Golden, CO 80401, USA.
Michael D ScottDepartment of Communication Arts and Sciences, 400 W 1st Street, California State University, Chico, CA 95929, USA.
Larry BeckL. Robert Payne School of Hospitality and Tourism Management, San Diego State University, San Diego, CA 92182, USA.
Gary R CutterSchool of Public Health, University of Alabama, Birmingham, 1667 University Blvd, Ryals 410b, Birmingham, AL 35294, USA.
Klein Buendel (United States) · USSan Diego State University · USCalifornia State University, Chico · USUniversity of Alabama at Birmingham · US

Funding

Comprehensive Sun Protection in Recreation: An Advanced Go Sun Smart ProgramR01CA152411 · NCI · SAN DIEGO STATE UNIVERSITY · PI ANDERSEN, PETER ALEX · 2011 to 2015
$2.4M
NCI NIH HHS R01 CA152411
6 · The paper itself

Abstract

During vacations, many individuals receive high-risk sun exposure that is associated with skin cancer. Vacationers in outdoor recreation venues (pretest n=4347; posttest n=3986) at warm-weather destination resorts in North America (n=41) were enrolled in a pair-matched, group-randomized pretest-posttest controlled quasi-experimental design in 2012-14. Print, audiovisual, and online messages based on Transportation Theory and Diffusion of Innovation Theory and promoting advanced sun protection (e.g., use of clothing, hats, shade and pre-application/reapplication of sunscreen and reliable cues to high UV) were delivered through resort channels. Vacationers' sun protection practices observed by trained research staff (i.e., body coverage and shade use analyzed individually and in combined scores) did not differ by experimental condition (p>0.05) or intervention implementation (p>0.05). However, recreation venue moderated intervention impact. The intervention improved sun protection at waterside recreation venues (z-score composite: intervention pre=-22.74, post=-15.77; control pre=-27.24, post=-23.24) but not non-waterside venues (z-score composite: intervention pre=20.43, post=20.53; control pre=22.94, post=18.03, p<0.01). An additional analysis showed that resorts with greater program implementation showed more improvements in sun protection by vacationers at waterside (z=score composite: high implementation pre=-25.45, post=-14.05; low implementation pre=-24.70, post=-21.40) compared to non-waterside (z-score composite: high implementation pre=14.51, post=19.98; low implementation pre=24.03, post=18.98, p<0.01) recreation venues. The intervention appeared effective with the vacationers in recreation venues with the highest-risk for sun exposure, waterside venues. However, it was not effective throughout all the resort venues, possibly because of the sun-seeking desires of vacationers, information overload at the resorts, and constraints on clothing styles and sun protection by recreation activity.

Indexed as

RecreationAdultFemaleHealth PromotionHumansMaleMiddle AgedNorth AmericaProtective ClothingSkin NeoplasmsSunburnSunscreening AgentsUltraviolet RaysSunscreening Agents

Identifiers

PMID28189810
PMCPMC5432386
OpenAlexW2587693760

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.