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Hats on Head Start: A A Survey of Sun Protection Behaviors in Head Start and Other Early Childhood Education Programs

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03199573
Recruitment Status : Completed
First Posted : June 27, 2017
Last Update Posted : August 22, 2017
Information provided by (Responsible Party):
June Robinson, Northwestern University

Brief Summary:

The proposed study will assess the current sun safety policies and practices in programs for young children and to determine the willingness of stakeholders to incorporate more protective measures.

The primary hypothesis is that children in Head Start programs, daycare programs, elementary schools, or summer camps are exposed to significant UV radiation throughout the day, and are not adequately protected with sunscreen, hats, or sun-protective clothing. The secondary hypothesis is that these programs value sun safety as an important health behavior, but probably do not have the funding avilable to make it a priority.

Condition or disease

Detailed Description:

The study aims are:

  1. To assess current exposure to sun and UV in programs of children participating in an early childhood educational program.
  2. To assess current policies regarding sun protection and sunscreen use in programs for early childhood education.
  3. To assess the current attitudes towards sun safety among caregivers and teachers in programs for early childhood education.
  4. To explore association of sun protective behaviors with risk factors such as socioeconomic status, per student classroom budget, program setting (i.e. urban, suburban, or rural), race/ethnicity, size of school program, school budget for supplies, and ages of children enrolled in program.

The sample of stakeholders, who will be surveyed, is consistent with samples used in our prior research. A sample size of 250 phone interviews will be adequate to show trends in sun safety policies among early education programs. Power analysis is based on the use of sun protection, our primary outcome. Our preliminary data show that 15% of schools almost always or always schedule outdoor activities to avoid times when the sun was at peak intensity. The sample size required to sensitively detect a 20% difference in using sun protection between those that comply with recommendations and those that do not is 250 respondents assuming an alpha < 0.05 and power >= 0.8 in a two-tailed test on a two-group sample. This sample size will adequately power the study for detecting 30% difference in sun protection use between the two groups.

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Study Type : Observational
Actual Enrollment : 202 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: Hats on Head Start: A Survey of Sun Protection Behaviors in Head Start and Other Early Childhood Education Programs
Actual Study Start Date : July 1, 2017
Actual Primary Completion Date : July 28, 2017
Actual Study Completion Date : July 28, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Sun Exposure

Primary Outcome Measures :
  1. Total daily sun exposure and sunburn of children [ Time Frame: 10 minutes ]
    Total sun exposure per day and number of sunburns sustained at Head Start program, daycare, camp, or school

Secondary Outcome Measures :
  1. Sun safety policies [ Time Frame: 10 minutes ]
    presence of policies in place to protect children from UV exposure e.g. designated time to don sun protective clothing, encouraging parents to apply sunscreen before school, send children with sun hats.

Other Outcome Measures:
  1. Demographics [ Time Frame: 10 minutes ]
    Demographics of programs contacted e.g. racial breakdown, socioeconomic status of families served, ages of children in program, setting.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Teachers, aides, administrators or staff members at Head Start programs, daycares, camps, or schools.

Inclusion Criteria:

  • Someone 18 years of age and older, who is a teacher, administrator, aide, or other staff member of a Head Start program, day care program, camp, or elementary school.
  • Participants agree to a structured phone interview regarding their program's policies for sun safety, their opinions on certain health behaviors, and the demographics of their student population.
  • Participants will be interviewed on the phone and guided through a questionnaire which should take approximately 10 minutes to complete.

Exclusion Criteria:

  • Participants who do not know their program's procedures for sun protection will not be able to participate, but may transfer the phone call to another colleague who can answer the questions accurately. Participants without the ability to speak in English will be excluded from the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03199573

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United States, Illinois
Northwestern Memorial Hospital
Chicago, Illinois, United States, 60611
Sponsors and Collaborators
Northwestern University
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Principal Investigator: June Robinson, MD Northwestern University


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Responsible Party: June Robinson, Principal Investigator, Northwestern University Identifier: NCT03199573     History of Changes
Other Study ID Numbers: STU00205541
First Posted: June 27, 2017    Key Record Dates
Last Update Posted: August 22, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by June Robinson, Northwestern University:
Additional relevant MeSH terms:
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Photosensitivity Disorders
Skin Diseases
Wounds and Injuries