Improving sun protection behaviour in children

Study design and baseline results of a randomized trial in Italian Elementary Schools: The 'Sole Si Sole No GISED' Project

Luigi Naldi, Anna Di Landro, Cornelia Zinetti, Liliane Chatenoud, Carlo La Vecchia, A. Cellini, Oriana Simonetti, M. Goglio, N. Caridi, E. Zaccaria, M. Morena, A. L. Pinna, L. Atzori, E. Pezzarossa, G. Fenizi, G. Quarta, M. Congedo, A. Aurilia, F. Tripodi Cutrí, I. Stanganelli & 10 others S. Magi, V. Ingordo, V. M. Cantoro, A. Barba, G. Tessari, Alfredo Rebora, Alberto Gian-netti, Andrea Peserico, Alessandro Liberati, Carlo La Vecchia

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To evaluate, in the context of a randomized study, the 'Sole Si Sole No GISED' project, the effectiveness of an educational intervention to improve sun protection behaviour in schoolchildren. Methods: A large number of primary schools (classes II and III) in Italy were randomized to an educational intervention or control group: The intervention was conducted by trained teachers using ad hoc developed materials. Attitudes toward sun exposure and behaviour while in the sun were assessed at baseline and 1 year after concluding the educational intervention. In a subgroup of children, melanocytic naevi were counted on the upper limbs at the same intervals. The pilot phase of the study was started in 2001. Results: During the pilot phase, a total of 4, 233 children was recruited. Of these, 2,116 were randomized to the active intervention and 2,117 to the control group. No difference for any of the study variables was documented between the 2 groups at baseline. About 20% of the children reported intense sun exposure during the year preceding the study. About 88% of the children reported adequate modalities of sun protection. Sun-screens were commonly used. A total of 508 children (12%) reported a history of sunburns in the year preceding the start of the study. Melanocytic naevi were counted in a total of 1,503 children (852 in the experimental and 651 in the control group). No differences in terms of skin, hair and eye colours were documented between the experimental and the control groups. The mean naevus count at baseline was 9.6 (median 7) in the experimental group and 10.1 (median 8) in the control group. Conclusion: About 50% of the total expected number of children was recruited during the pilot phase of the study. Randomization proved to be an excellent modality to select 2 samples similar for all the important study variables examined. A history of sunburns was reported less frequently than expected. The'Sole Si Sole No GISED programme' is one of the few examples of a controlled evaluation of the effectiveness of an educational intervention in Italy.

Original languageEnglish
Pages (from-to)291-297
Number of pages7
JournalDermatology
Volume207
Issue number3
DOIs
Publication statusPublished - 2003

Fingerprint

Child Behavior
Solar System
Control Groups
Sunburn
Pigmented Nevus
Italy
Hair Color
Eye Color
Skin Pigmentation
Nevus
Random Allocation
Upper Extremity

Keywords

  • Education
  • Prevention
  • Skin cancer
  • Sun exposure

ASJC Scopus subject areas

  • Dermatology

Cite this

Improving sun protection behaviour in children : Study design and baseline results of a randomized trial in Italian Elementary Schools: The 'Sole Si Sole No GISED' Project. / Naldi, Luigi; Di Landro, Anna; Zinetti, Cornelia; Chatenoud, Liliane; La Vecchia, Carlo; Cellini, A.; Simonetti, Oriana; Goglio, M.; Caridi, N.; Zaccaria, E.; Morena, M.; Pinna, A. L.; Atzori, L.; Pezzarossa, E.; Fenizi, G.; Quarta, G.; Congedo, M.; Aurilia, A.; Tripodi Cutrí, F.; Stanganelli, I.; Magi, S.; Ingordo, V.; Cantoro, V. M.; Barba, A.; Tessari, G.; Rebora, Alfredo; Gian-netti, Alberto; Peserico, Andrea; Liberati, Alessandro; La Vecchia, Carlo.

In: Dermatology, Vol. 207, No. 3, 2003, p. 291-297.

Research output: Contribution to journalArticle

Naldi, L, Di Landro, A, Zinetti, C, Chatenoud, L, La Vecchia, C, Cellini, A, Simonetti, O, Goglio, M, Caridi, N, Zaccaria, E, Morena, M, Pinna, AL, Atzori, L, Pezzarossa, E, Fenizi, G, Quarta, G, Congedo, M, Aurilia, A, Tripodi Cutrí, F, Stanganelli, I, Magi, S, Ingordo, V, Cantoro, VM, Barba, A, Tessari, G, Rebora, A, Gian-netti, A, Peserico, A, Liberati, A & La Vecchia, C 2003, 'Improving sun protection behaviour in children: Study design and baseline results of a randomized trial in Italian Elementary Schools: The 'Sole Si Sole No GISED' Project', Dermatology, vol. 207, no. 3, pp. 291-297. https://doi.org/10.1159/000073092
Naldi, Luigi ; Di Landro, Anna ; Zinetti, Cornelia ; Chatenoud, Liliane ; La Vecchia, Carlo ; Cellini, A. ; Simonetti, Oriana ; Goglio, M. ; Caridi, N. ; Zaccaria, E. ; Morena, M. ; Pinna, A. L. ; Atzori, L. ; Pezzarossa, E. ; Fenizi, G. ; Quarta, G. ; Congedo, M. ; Aurilia, A. ; Tripodi Cutrí, F. ; Stanganelli, I. ; Magi, S. ; Ingordo, V. ; Cantoro, V. M. ; Barba, A. ; Tessari, G. ; Rebora, Alfredo ; Gian-netti, Alberto ; Peserico, Andrea ; Liberati, Alessandro ; La Vecchia, Carlo. / Improving sun protection behaviour in children : Study design and baseline results of a randomized trial in Italian Elementary Schools: The 'Sole Si Sole No GISED' Project. In: Dermatology. 2003 ; Vol. 207, No. 3. pp. 291-297.
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T1 - Improving sun protection behaviour in children

T2 - Study design and baseline results of a randomized trial in Italian Elementary Schools: The 'Sole Si Sole No GISED' Project

AU - Naldi, Luigi

AU - Di Landro, Anna

AU - Zinetti, Cornelia

AU - Chatenoud, Liliane

AU - La Vecchia, Carlo

AU - Cellini, A.

AU - Simonetti, Oriana

AU - Goglio, M.

AU - Caridi, N.

AU - Zaccaria, E.

AU - Morena, M.

AU - Pinna, A. L.

AU - Atzori, L.

AU - Pezzarossa, E.

AU - Fenizi, G.

AU - Quarta, G.

AU - Congedo, M.

AU - Aurilia, A.

AU - Tripodi Cutrí, F.

AU - Stanganelli, I.

AU - Magi, S.

AU - Ingordo, V.

AU - Cantoro, V. M.

AU - Barba, A.

AU - Tessari, G.

AU - Rebora, Alfredo

AU - Gian-netti, Alberto

AU - Peserico, Andrea

AU - Liberati, Alessandro

AU - La Vecchia, Carlo

PY - 2003

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AB - Objective: To evaluate, in the context of a randomized study, the 'Sole Si Sole No GISED' project, the effectiveness of an educational intervention to improve sun protection behaviour in schoolchildren. Methods: A large number of primary schools (classes II and III) in Italy were randomized to an educational intervention or control group: The intervention was conducted by trained teachers using ad hoc developed materials. Attitudes toward sun exposure and behaviour while in the sun were assessed at baseline and 1 year after concluding the educational intervention. In a subgroup of children, melanocytic naevi were counted on the upper limbs at the same intervals. The pilot phase of the study was started in 2001. Results: During the pilot phase, a total of 4, 233 children was recruited. Of these, 2,116 were randomized to the active intervention and 2,117 to the control group. No difference for any of the study variables was documented between the 2 groups at baseline. About 20% of the children reported intense sun exposure during the year preceding the study. About 88% of the children reported adequate modalities of sun protection. Sun-screens were commonly used. A total of 508 children (12%) reported a history of sunburns in the year preceding the start of the study. Melanocytic naevi were counted in a total of 1,503 children (852 in the experimental and 651 in the control group). No differences in terms of skin, hair and eye colours were documented between the experimental and the control groups. The mean naevus count at baseline was 9.6 (median 7) in the experimental group and 10.1 (median 8) in the control group. Conclusion: About 50% of the total expected number of children was recruited during the pilot phase of the study. Randomization proved to be an excellent modality to select 2 samples similar for all the important study variables examined. A history of sunburns was reported less frequently than expected. The'Sole Si Sole No GISED programme' is one of the few examples of a controlled evaluation of the effectiveness of an educational intervention in Italy.

KW - Education

KW - Prevention

KW - Skin cancer

KW - Sun exposure

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