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Evaluation of a SunSmart policy intervention: a cluster randomized controlled trial of a primary school-based health promotion program

Evaluation of a SunSmart policy intervention with primary school students and teachers in New South Wales to improve the quality of sun protection behaviours adopted by children during recess and lunch periods of the school day and the role modelling of sun protection behaviour by teachers.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614000926639
Enrollment
20
Registered
2014-08-28
Start date
2014-09-01
Completion date
2014-09-10
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study will evaluate the effect of a SunSmart policy intervention in schools on the quality of sun protection behaviours adopted by children during recess and lunch periods, and the role modelling of sun protection behaviour by teachers. Who is it for? Participants in this study are primary school students and teachers in existing NSW government schools within the Greater Western Sydney catchment area, that have an existing sun protection policy. Study details Schools in this study will be randomly allocated (by chance) to one of two groups. Schools in one group will continue to implement their existing sun protection policies, whilst schools allocated to the other group will receive the SunSmart policy intervention. This runs over 20 school weeks, and involves parents, teachers and students working together with researchers to devise policy changes to improve sun protection behaviours that are adopted by children during periods when students are exposed to ultraviolet light. The behaviours sought to be modified include: a) Students wearing of wide brim hats and sunscreen during UV exposed periods of the day; b) Students playing in shaded areas during periods of high UV exposure; c) Teachers role-modelling the wearing of hats and sunglasses during exposed periods of the day. Adherence to sun protection policies will be observed in all schools over a period of three school terms, in order to determine the efficacy of the policy-based intervention compared to schools who have not undertaken the intervention process.

Interventions

5 x Primary Schools – Community, school and student derived sun protection policy (Intervention group) (Intervention Period - 20 school weeks) Each of the intervention groups (parents, teachers and students) will work with researchers to devise policy changes to improve sun protection behaviours that are adopted by children during periods when students are exposed to ultraviolet light. The behaviours sought to be modified include; a) Students wearing of wide brim hats and sunscreen during UV ex

5 x Primary Schools – Community, school and student derived sun protection policy (Intervention group) (Intervention Period - 20 school weeks) Each of the intervention groups (parents, teachers and students) will work with researchers to devise policy changes to improve sun protection behaviours that are adopted by children during periods when students are exposed to ultraviolet light. The behaviours sought to be modified include; a) Students wearing of wide brim hats and sunscreen during UV exposed periods of the day b) Students playing in shaded areas during periods of high UV exposure c) Teachers role-modelling the wearing of hats and sunglasses during exposed periods of the day The policy will be implemented by working with teachers (the primary change agent in schools) through professional learning workshops whereby they are given and develop their own strategies in how to model and encourage sun safe practices in primary school-aged children. These workshops will be guided by focus groups conducted with grade 6 students, parents and other teachers in the school community as to what are the enablers and barrieris to effective promotion of sun safe behaviours. The policies will also be required to adhere to the three pillars of the Health-Promoting Schools Framework. Objective direct observation data collection will be used to monitor adhearence of teacher role-modelling behaviour. Post follow-up focus groups may also be conducted with teachers and students (time and funding pending) to ascertain the perceived adherence to the intervention.

Sponsors

Macquarie University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
4 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. Primary school students and teachers in existing NSW government schools with a sun protection policy. 2. Schools must fall within the Greater Western Sydney catchment area

Exclusion criteria

Non-government schools

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 18, 2026