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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A randomized intervention study of sun protection promotion in well-child care.
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A randomized intervention study of sun protection promotion in well-child care.

机译：一项关于在育儿领域促进防晒的随机干预研究。

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BACKGROUND: This study evaluated the behavioral impact of a skin cancer prevention program in which health care providers delivered advice and materials to parents of infants over a 3-year period from 1998 to 2001. METHODS: Fourteen offices of a large managed care organization in Colorado were randomly assigned to the intervention or control groups. 728 infants and their parents were recruited within 6 months of birth. At intervention offices, health care providers attended orientation sessions, prompts for delivering sun protection advice were placed in medical records, and parents received sun protection packets at each well-child visit between 2 and 36 months of age. RESULTS: Based on provider self-report and exit interviews of parents, providers in the intervention group delivered approximately twice as much sun protection advice as providers in the control group. Annual telephone interviews of parents indicated small but statistically significant differences in parent sun protection practices favoring the intervention. Skin exams revealed no significant differences in tanning, freckling, or number of nevi. Behavioral differences between groups appeared to grow over the 3 years of follow-up. CONCLUSIONS: This intervention strategy was successful in increasing the delivery of sun protection advice by health care providers and resulted in changes in parents' behaviors. While the behavioral effect was probably not strong enough to reduce risk for skin cancer, the effect may increase as children age and have more opportunities for overexposure to the sun.
机译：背景：这项研究评估了皮肤癌预防计划的行为影响，该计划的内容是在1998年至2001年的3年中，医疗保健提供者向婴儿父母提供了建议和材料。方法：科罗拉多州一家大型管理式护理组织的14个办公室被随机分配到干预组或对照组。在出生后的6个月内招募了728名婴儿及其父母。在干预办公室，医护人员参加了入学培训会，在病历中记录了提供防晒建议的提示，并且每当2到36个月大的孩子访问时，父母都会收到防晒包装。结果：根据提供者的自我报告和父母的离职访谈，干预组的提供者所提供的防晒建议大约是对照组的提供者的两倍。家长每年进行的电话访问表明，家长的防晒措施之间存在细微但有统计学意义的差异，有利于干预。皮肤检查显示，晒黑，雀斑或痣数量无明显差异。在随访的3年中，两组之间的行为差​​异似乎有所增加。结论：这种干预策略成功地增加了医疗保健提供者提供的防晒建议，并改变了父母的行为。尽管行为效果可能不足以降低皮肤癌的风险，但随着儿童年龄的增长，这种效果可能会增加，并且有更多机会过度暴露在阳光下。

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