ArticleAmerican journal of health promotion : AJHP2020
Economic Evaluation of a Sun Protection Promotion Program in California Elementary Schools.
Article in American journal of health promotion : AJHP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Cost-Effectiveness of Primary Prevention Interventions for Skin Cancer: An Updated Systematic Review.Applied health economics and health policy · 2024Pooled it
- Economic Evaluation of Two Scalability Strategies for Nationwide Dissemination of an Occupational Sun Safety Intervention in a Randomized Trial.Journal of occupational and environmental medicine · 2025Article
- Descriptive analysis of municipal policies addressing shade in eight southwest and northeast states in the United States.Frontiers in public health · 2025Article
- Design and baseline data of a randomized trial comparing two methods for scaling-up an occupational sun protection intervention.Contemporary clinical trials · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundAn economic evaluation of Sun Safe Schools intervention designed to aid California elementary schools with implementing sun safety practices consistent with local board-approved policy.
designProgram cost analysis: intervention delivery and practice implementation.
settingCalifornia elementary schools (58 interventions and 60 controls). Principals at 52 intervention and 53 control schools provided complete implementation data.
participantsPrincipals completing pre-/postintervention surveys assessing practice implementation.
interventionPhone-based 45-minute session with a project coach on practice implementation, follow-up e-mails/phone contacts, $500 mini-grant. Schools chose from a list of 10 practices for implementation: ultraviolet monitoring, clothing, hats, and/or sunscreen recommendations, outdoor shade, class education, staff training and/or modeling, parent outreach, and resource allocation. The duration of intervention was 20 months. Rolling recruitment/intervention: February 2014 to December 2017. MEASURES: Intervention delivery and practice implementation costs. Correlations of school demographics and administrator beliefs with costs. ANALYSIS: Intervention delivery activities micro-costed. Implemented practices assessed using costing template.
resultsIntervention schools: 234 implemented practices, control schools: 157. Twenty-month delivery costs: $29 310; $16 653 (per school: $320) for project staff, mostly mini-grants and coaching time. Administrator costs: $12 657 (per school: $243). Per-student delivery costs: $1.01. Costs of implemented practices: $641 843 for intervention schools (per-school mean: $12 343, median: $6 969); $496 365 for controls (per-school mean: $9365, median: $3123). Delivery costs correlated with implemented practices (0.37,
conclusionCoaching of elementary school personnel can stimulate sun safety practice implementation at a reasonable cost. Findings can assist schools in implementing appropriate sun safety practices.
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Registered trials
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