Child, Melanoma
Conditions
Keywords
Education, Prevention and Control, Behavioral Research
Brief summary
The overall purpose of this study is to test the feasibility, acceptability, and preliminary efficacy of a family-focused behavioral intervention (FLARE, which stands for Family Lifestyle Actions and Risk Education) that aims to improve adherence to melanoma preventive behaviors among children at elevated risk for the disease.
Detailed description
Test the feasibility and acceptability of FLARE, a family-focused behavioral intervention that is designed to improve and maintain adherence to photoprotection (e.g., use of sunscreen) and screening (e.g., implementation of self skin exams). We expect that the feasibility of the intervention will be supported by at least 75% of participants attending at least 3 intervention sessions. We also expect that the acceptability of the intervention (e.g., overall satisfaction, ease of participation, perceived utility of intervention) will be supported by mean ratings that indicate adequate levels of acceptability across participants (e.g., mean rating of satisfied or very satisfied for overall satisfaction). Pilot test the efficacy of the FLARE intervention with children at elevated risk for melanoma and their primary caregiver. We will also explore the potential impact of the FLARE intervention on melanoma preventive behaviors among siblings of the child who receives the intervention, as well as the child's other parent/caregiver (if another parent/caregiver is available).
Interventions
BEHAVIORALFLARE
Sponsors
National Cancer Institute (NCI)
University of Utah
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 110 Years
Healthy volunteers
No
Inclusion criteria
Children * Are 8-17 years old AND * Are at risk for melanoma due to having a first degree relative with a history of melanoma and/or at least 3 second or third degree relatives on the same side of the family with a history of melanoma AND/OR * Have personally received genetic testing for the CDKN2A/p16 genetic mutation and/or has one or more family members who received CDKN2A/p16 testing Adults * Are at least 18 years old AND * Are the primary caregiver for the child participating in the study (defined as the individual who is responsible for daily implementation of health-related tasks for the child) AND * Have at least one child under age 18 who is living in the same household AND * Have a personal history of melanoma and/or family history of melanoma) AND/OR * Have personally received genetic testing for the CDKN2A/p16 genetic mutation and/or has one or more family members who received CDKN2A/p16 testing
Exclusion criteria
* Individuals who do not speak, read/write English will be excluded because FLARE involves regular interaction between study staff and research participants in English and completion of study questionnaires and interviews in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Participants Retained Throughout Intervention as Assessed by Session Attendance Recorded by Interventionist | Week 9 (post-intervention) | Session attendance will be recorded by the interventionist at each scheduled session. The percent of participants who are retained throughout the 3 session intervention will be calculated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sunburn Occurrence Assessed Via Questionnaire | Weeks 1 (baseline), 3,5,7,9,13 | Number of participants who received a sunburn during each time frame. |
| Photoprotective Behaviors Assessed With the Sun Habits Survey | Weeks 1 (baseline), 3,5,7,9,13 | These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you... Minimum value = 1; Maximum value = 5; Higher scores indicate a better outcome |
| Photoprotective Behaviors Assessed With the PALE Questionnaire | Weeks 1 (baseline), 3,5,7,9,13 | Protection-Adjusted Length of Exposure Index (PALE) Assesses photoprotective behavior during reported activities to yield daily minutes of unprotected sun exposure during each time frame |
| Skin Self-exam Occurrence Assessed Via Questionnaire | Weeks 1 (baseline), 3,5,7,9,13 | Number of participants who received a skin self-exam during each time frame |
| Skin Self-exam Occurrence Assessed Via Diary | Weeks 1 (baseline), 3,5,7,9,13 | Number of participants who received a skin self-exam during each time frame interval |
| Sunburn Occurrence Assessed Via Diary | Weeks 1 (baseline), 3,5,7,9,13 | Number of participants who got a sunburn during each time frame interval |
| Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Weeks 1 (baseline), 3,5,7,9,13 | Protection-Adjusted Length of Exposure Index (PALE) Assesses UVR exposure during reported activities to yield daily minutes of unprotected sun exposure during each time frame |
| Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Weeks 1 (baseline),9,13 | Mean degree of tan on skin assessed via reflectance spectroscopy of 4 different body parts (exposed wrist, outer arm, chin, and face) at each time frame. Measurements were taken using a spectrophotometer to quantify skin color. Melanin index values were recorded, with a higher value representing more melanin in the skin (i.e., darker skin). |
| Photoprotection Behavior Changes Assessed Via Questionnaire | Weeks 1,9,13 | Mean difference for each photoprotection behavior from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you... Minimum value = 1; Maximum value = 5; A higher mean difference indicates a better outcome |
| Skin Self-exam Behavior Changes | Weeks 1,9,13 | Mean difference for frequency of skin self-exam and thoroughness of skin self-exam (measured by number of body parts examined) from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). (SSE = skin self-exam) Change in frequency of SSE: In the past month, how often did you check your skin for any new or changed moles or growths? 1 = SSE less than once a month, 2 = SSE once a month, 3 = SSE more than once a month; higher mean difference indicates a better outcome. Change in thoroughness of SSE: In the past month, which of the body parts listed below were checked for any new or changed moles or growths Minimum value = 0 (checked 0 body parts during SSE); Maximum value = 15 (checked 15 body parts during SSE); higher mean difference indicates a better outcome |
| Acceptability of Intervention Assessed Via Questionnaire | Week 9 | In these next 15 questions, we want to learn more about your thoughts about what you learned through the FLARE sessions you've had with us in-person and via WebEx or phone. Please indicate how much you agree with each statement. 15 total constructs summed, each was on the same 5 point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree). Minimum value = 1; Maximum Value = 75; higher score means a better outcome (better acceptability) |
| Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device | Weeks 1 (baseline),9,13 | Change of weekly average UV intake from Week 1 (baseline) to Week 9 (post-intervention) and from Week 9 to Week 13 (1-month follow up) |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| FLARE Intervention FLARE participants enrolled | 42 |
| Total | 42 |
Baseline characteristics
| Characteristic | FLARE Intervention |
|---|---|
| Age, Categorical <=18 years | 21 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 21 Participants |
| Age, Continuous Child participant age | 11.3 years STANDARD_DEVIATION 2.7 |
| Age, Continuous Parent participant age | 41.3 years STANDARD_DEVIATION 5 |
| Race/Ethnicity, Customized Race/Ethnicity Biracial | 1 Participants |
| Race/Ethnicity, Customized Race/Ethnicity White Hispanic | 2 Participants |
| Race/Ethnicity, Customized Race/Ethnicity White Non-Hispanic | 39 Participants |
| Region of Enrollment United States | 42 participants |
| Sex: Female, Male Female | 32 Participants |
| Sex: Female, Male Male | 10 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 42 |
| other Total, other adverse events | 0 / 42 |
| serious Total, serious adverse events | 0 / 42 |
Outcome results
Primary
Percent of Participants Retained Throughout Intervention as Assessed by Session Attendance Recorded by Interventionist
Session attendance will be recorded by the interventionist at each scheduled session. The percent of participants who are retained throughout the 3 session intervention will be calculated.
Time frame: Week 9 (post-intervention)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| FLARE Intervention | Percent of Participants Retained Throughout Intervention as Assessed by Session Attendance Recorded by Interventionist | 36 Participants |
Secondary
Acceptability of Intervention Assessed Via Questionnaire
In these next 15 questions, we want to learn more about your thoughts about what you learned through the FLARE sessions you've had with us in-person and via WebEx or phone. Please indicate how much you agree with each statement. 15 total constructs summed, each was on the same 5 point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree). Minimum value = 1; Maximum Value = 75; higher score means a better outcome (better acceptability)
Time frame: Week 9
Population: Outcomes for parents (n=21) are from parent self-report of acceptability; outcomes for children (n=21) are from child self-report of acceptability
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Acceptability of Intervention Assessed Via Questionnaire | Parent | 51.67 units on a scale | Standard Deviation 3.25 |
| FLARE Intervention | Acceptability of Intervention Assessed Via Questionnaire | Child | 49.36 units on a scale | Standard Deviation 5.31 |
Secondary
Degree of Tan on Skin Assessed Via Reflectance Spectroscopy
Mean degree of tan on skin assessed via reflectance spectroscopy of 4 different body parts (exposed wrist, outer arm, chin, and face) at each time frame. Measurements were taken using a spectrophotometer to quantify skin color. Melanin index values were recorded, with a higher value representing more melanin in the skin (i.e., darker skin).
Time frame: Weeks 1 (baseline),9,13
Population: Outcomes for parents (n=21) are from parent's reflectance spectroscopy of skin; outcomes for children (n=21) are from child's reflectance spectroscopy of skin
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Parent - exposed wrist | .59 Melanin Index Values | Standard Deviation 0.33 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Parent - outer arm | .49 Melanin Index Values | Standard Deviation 0.22 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Parent - chin | .77 Melanin Index Values | Standard Deviation 0.21 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Parent - face | .71 Melanin Index Values | Standard Deviation 0.23 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Parent - exposed wrist | .57 Melanin Index Values | Standard Deviation 0.21 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Parent - outer arm | .56 Melanin Index Values | Standard Deviation 0.21 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Parent - chin | .73 Melanin Index Values | Standard Deviation 0.17 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Parent - face | .69 Melanin Index Values | Standard Deviation 0.18 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Parent - exposed wrist | .56 Melanin Index Values | Standard Deviation 0.2 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Parent - outer arm | .55 Melanin Index Values | Standard Deviation 0.18 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Parent - chin | .73 Melanin Index Values | Standard Deviation 0.16 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Parent - face | .70 Melanin Index Values | Standard Deviation 0.2 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Child - exposed wrist | .44 Melanin Index Values | Standard Deviation 0.25 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Child - outer arm | .36 Melanin Index Values | Standard Deviation 0.36 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Child - chin | .39 Melanin Index Values | Standard Deviation 0.33 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 1 - Child - face | .43 Melanin Index Values | Standard Deviation 0.29 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Child - exposed wrist | .44 Melanin Index Values | Standard Deviation 0.32 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Child - outer arm | .32 Melanin Index Values | Standard Deviation 0.32 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Child - chin | .31 Melanin Index Values | Standard Deviation 0.34 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 9 - Child - face | .39 Melanin Index Values | Standard Deviation 0.34 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Child - exposed wrist | .38 Melanin Index Values | Standard Deviation 0.26 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Child - outer arm | .28 Melanin Index Values | Standard Deviation 0.36 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Child - chin | .25 Melanin Index Values | Standard Deviation 0.26 |
| FLARE Intervention | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Wk 13 - Child - face | .34 Melanin Index Values | Standard Deviation 0.27 |
Secondary
Photoprotection Behavior Changes Assessed Via Questionnaire
Mean difference for each photoprotection behavior from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you... Minimum value = 1; Maximum value = 5; A higher mean difference indicates a better outcome
Time frame: Weeks 1,9,13
Population: Outcomes for parents (n=21) are from parent self-report of behavior; outcomes for children (n=21) are from parent report on child's behavior
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - use sunscreen | -.61 score on a scale | Standard Deviation 1.33 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - use sunscreen | .06 score on a scale | Standard Deviation 1.44 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - reapply sunscreen | -.27 score on a scale | Standard Deviation 1.16 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - reapply sunscreen | -.08 score on a scale | Standard Deviation 1.26 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - wear shirt w/long sleeves | .50 score on a scale | Standard Deviation 1.2 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk9-13 change - Parent - wear shirt w/long sleeves | .56 score on a scale | Standard Deviation 0.73 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - wear long pants or skirt | .61 score on a scale | Standard Deviation 1.04 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - wear long pants or skirt | .44 score on a scale | Standard Deviation 0.81 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - wear a wide-brimmed hat | -.72 score on a scale | Standard Deviation 0.83 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - wear a wide-brimmed hat | .06 score on a scale | Standard Deviation 0.57 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - stay in shade | -.11 score on a scale | Standard Deviation 0.68 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - stay in shade | .19 score on a scale | Standard Deviation 0.66 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - avoid sun 10am-4pm | .33 score on a scale | Standard Deviation 0.91 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - avoid sun 10am - 4pm | -.31 score on a scale | Standard Deviation 0.79 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - wear sunglasses | -.11 score on a scale | Standard Deviation 0.68 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Parent - wear sunglasses | .06 score on a scale | Standard Deviation 0.68 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk1-9 change - Parent - intentionally tan outdoors | -.11 score on a scale | Standard Deviation 0.32 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk9-13 change- Parent - intentionally tan outdoors | 0 score on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Parent - use an indoor tanning bed | -.07 score on a scale | Standard Deviation 0.26 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk9-13 change - Parent - use an indoor tanning bed | 0 score on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - use sunscreen | 0 score on a scale | Standard Deviation 1.14 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - use sunscreen | -.33 score on a scale | Standard Deviation 1.35 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - reapply sunscreen | -.20 score on a scale | Standard Deviation 1.15 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - reapply sunscreen | .08 score on a scale | Standard Deviation 1.19 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - wear shirt w/long sleeves | .33 score on a scale | Standard Deviation 1.24 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - wear shirt w/long sleeves | .94 score on a scale | Standard Deviation 0.93 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - wear long pants or skirt | .72 score on a scale | Standard Deviation 1.6 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - wear long pants or skirt | .38 score on a scale | Standard Deviation 1.09 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - wear a wide-brimmed hat | 0 score on a scale | Standard Deviation 0.49 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - wear a wide-brimmed hat | .27 score on a scale | Standard Deviation 0.88 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - stay in shade | .47 score on a scale | Standard Deviation 1.07 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - stay in shade | -.13 score on a scale | Standard Deviation 1.19 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - avoid sun 10am-4pm | .28 score on a scale | Standard Deviation 1.13 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - avoid sun 10am - 4pm | .06 score on a scale | Standard Deviation 0.93 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - wear sunglasses | -.41 score on a scale | Standard Deviation 0.8 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - wear sunglasses | .40 score on a scale | Standard Deviation 1.12 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - intentionally tan outdoors | -.22 score on a scale | Standard Deviation 0.55 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk9-13 change - Child - intentionally tan outdoors | 0 score on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 1-9 change - Child - use an indoor tanning bed | 0 score on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotection Behavior Changes Assessed Via Questionnaire | Wk 9-13 change - Child - use an indoor tanning bed | 0 score on a scale | Standard Deviation 0 |
Secondary
Photoprotective Behaviors Assessed With the PALE Questionnaire
Protection-Adjusted Length of Exposure Index (PALE) Assesses photoprotective behavior during reported activities to yield daily minutes of unprotected sun exposure during each time frame
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of daily minutes of unprotected sun exposure; outcomes for children (n=21) are from parent report on child's daily minutes of unprotected sun exposure
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 1 - Parent - Weekday | 17.00 minutes | Standard Deviation 29.46 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 1 - Parent - Weekend | 27.10 minutes | Standard Deviation 36.73 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 3 - Parent - Weekday | 11.03 minutes | Standard Deviation 15.23 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 3 - Parent - Weekend | 20.66 minutes | Standard Deviation 43.53 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 5 - Parent - Weekday | 6.74 minutes | Standard Deviation 10.83 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 5 - Parent - Weekend | 18.47 minutes | Standard Deviation 31.02 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 7 - Parent - Weekday | 7.59 minutes | Standard Deviation 24.29 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 7 - Parent - Weekend | 15.07 minutes | Standard Deviation 33 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 9 - Parent - Weekday | .97 minutes | Standard Deviation 2.49 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 9 - Parent - Weekend | 25.93 minutes | Standard Deviation 40.28 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 13 - Parent - Weekday | 5.03 minutes | Standard Deviation 16.17 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 13 - Parent - Weekend | 9.55 minutes | Standard Deviation 14.22 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 1 - Child - Weekday | 37.43 minutes | Standard Deviation 43.48 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 1 - Child - Weekend | 40.74 minutes | Standard Deviation 45.5 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 3 - Child - Weekday | 12.79 minutes | Standard Deviation 17.93 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 3 - Child - Weekend | 35.64 minutes | Standard Deviation 55.01 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 5 - Child - Weekday | 18.63 minutes | Standard Deviation 31.89 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 5 - Child - Weekend | 34.99 minutes | Standard Deviation 56.88 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 7 - Child - Weekday | 26.87 minutes | Standard Deviation 49.56 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 7 - Child - Weekend | 28.48 minutes | Standard Deviation 44.26 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 9 - Child - Weekday | 24.23 minutes | Standard Deviation 56.72 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 9 - Child - Weekend | 23.03 minutes | Standard Deviation 53.07 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 13 - Child - Weekday | 32.93 minutes | Standard Deviation 61.9 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the PALE Questionnaire | Wk 13 - Child - Weekend | 21.81 minutes | Standard Deviation 42.29 |
Secondary
Photoprotective Behaviors Assessed With the Sun Habits Survey
These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you... Minimum value = 1; Maximum value = 5; Higher scores indicate a better outcome
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of behavior; outcomes for children (n=21) are from parent report on child's behavior
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - reapply sunscreen | 3.44 units on a scale | Standard Deviation 1.04 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - wear shirt w/long sleeves | 1.95 units on a scale | Standard Deviation 0.87 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - avoid sun 10am-4pm | 2.83 units on a scale | Standard Deviation 1.04 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - wear sunglasses | 1.67 units on a scale | Standard Deviation 1.24 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - use sunscreen | 3.69 units on a scale | Standard Deviation 1.4 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - reapply sunscreen | 3.23 units on a scale | Standard Deviation 1.54 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - use sunscreen | 4.29 units on a scale | Standard Deviation 0.56 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - reapply sunscreen | 3.56 units on a scale | Standard Deviation 0.86 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - wear shirt w/ long sleeves | 2.29 units on a scale | Standard Deviation 1.06 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - wear long pants or skirt | 2.76 units on a scale | Standard Deviation 1.14 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - wear a wide-brimmed hat | 2.71 units on a scale | Standard Deviation 1.19 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - stay in shade | 3.38 units on a scale | Standard Deviation 0.92 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - avoid sun 10am-4pm | 3.00 units on a scale | Standard Deviation 0.84 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - wear sunglasses | 4.10 units on a scale | Standard Deviation 1.26 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - intentionally tan outdoors | 1.14 units on a scale | Standard Deviation 0.48 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Parent - use an indoor tanning bed | 1.06 units on a scale | Standard Deviation 0.24 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - use sunscreen | 4.00 units on a scale | Standard Deviation 1.14 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - reapply sunscreen | 2.93 units on a scale | Standard Deviation 1.39 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - wear shirt w/long sleeves | 2.61 units on a scale | Standard Deviation 0.98 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - wear long pants or skirt | 3.22 units on a scale | Standard Deviation 1.17 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - wear a wide-brimmed hat | 2.11 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - stay in shade | 3.44 units on a scale | Standard Deviation 0.92 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - avoid sun 10am-4pm | 2.83 units on a scale | Standard Deviation 1.1 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - wear sunglasses | 4.00 units on a scale | Standard Deviation 1.28 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - intentionally tan outdoors | 1.11 units on a scale | Standard Deviation 0.32 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Parent - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - use sunscreen | 3.68 units on a scale | Standard Deviation 1.29 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - reapply sunscreen | 3.50 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - wear shirt w/long sleeves | 2.21 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - wear long pants or skirt | 3.00 units on a scale | Standard Deviation 1.11 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - wear a wide-brimmed hat | 2.05 units on a scale | Standard Deviation 1.08 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - stay in shade | 3.37 units on a scale | Standard Deviation 0.76 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - avoid sun 10am-4pm | 3.00 units on a scale | Standard Deviation 1.2 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - wear sunglasses | 3.89 units on a scale | Standard Deviation 1.33 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - intentionally tan outdoors | 1.05 units on a scale | Standard Deviation 0.23 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Parent - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - use sunscreen | 3.63 units on a scale | Standard Deviation 1.46 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - reapply sunscreen | 3.00 units on a scale | Standard Deviation 1.47 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - wear shirt w/long sleeves | 2.44 units on a scale | Standard Deviation 1.32 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - wear long pants or skirt | 3.37 units on a scale | Standard Deviation 1.36 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - wear a wide-brimmed hat | 2.19 units on a scale | Standard Deviation 1.22 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - stay in shade | 3.44 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - avoid sun 10am-4pm | 2.94 units on a scale | Standard Deviation 1.34 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - wear sunglasses | 4.00 units on a scale | Standard Deviation 1.41 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - intentionally tan outdoors | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Parent - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - use sunscreen | 3.67 units on a scale | Standard Deviation 1.33 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - reapply sunscreen | 3.33 units on a scale | Standard Deviation 1.4 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - wear shirt w/long sleeves | 2.72 units on a scale | Standard Deviation 1.02 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - wear long pants or skirt | 3.40 units on a scale | Standard Deviation 1.15 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - wear a wide-brimmed hat | 1.89 units on a scale | Standard Deviation 0.9 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - stay in shade | 3.33 units on a scale | Standard Deviation 0.84 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - avoid sun 10am-4pm | 3.33 units on a scale | Standard Deviation 0.97 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - wear sunglasses | 4.00 units on a scale | Standard Deviation 1.33 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - intentionally tan outdoors | 1.06 units on a scale | Standard Deviation 0.24 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Parent - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - use sunscreen | 3.63 units on a scale | Standard Deviation 1.46 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - reapply sunscreen | 3.15 units on a scale | Standard Deviation 1.46 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - wear shirt w/long sleeves | 3.25 units on a scale | Standard Deviation 1.18 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - wear long pants or skirt | 3.81 units on a scale | Standard Deviation 1.17 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - wear a wide-brimmed hat | 1.94 units on a scale | Standard Deviation 1 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - stay in shade | 3.44 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - avoid sun 10am-4pm | 2.94 units on a scale | Standard Deviation 1.18 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - wear sunglasses | 3.94 units on a scale | Standard Deviation 1.48 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - intentionally tan outdoors | 1.06 units on a scale | Standard Deviation 0.25 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Parent - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - use sunscreen | 3.90 units on a scale | Standard Deviation 0.63 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - wear long pants or skirt | 2.05 units on a scale | Standard Deviation 1.02 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - wear a wide-brimmed hat | 1.62 units on a scale | Standard Deviation 0.81 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - stay in shade | 2.57 units on a scale | Standard Deviation 1.17 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - avoid sun 10am-4pm | 2.33 units on a scale | Standard Deviation 1.11 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - wear sunglasses | 1.81 units on a scale | Standard Deviation 0.75 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - intentionally tan outdoors | 1.29 units on a scale | Standard Deviation 0.64 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 1 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - use sunscreen | 3.88 units on a scale | Standard Deviation 1.05 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - wear shirt w/long sleeves | 2.11 units on a scale | Standard Deviation 0.68 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - wear long pants or skirt | 2.22 units on a scale | Standard Deviation 0.81 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - wear a wide-brimmed hat | 1.61 units on a scale | Standard Deviation 0.61 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - stay in shade | 3.00 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - avoid sun 10am-4pm | 2.67 units on a scale | Standard Deviation 1.24 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - wear sunglasses | 1.89 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - intentionally tan outdoors | 1.11 units on a scale | Standard Deviation 0.32 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 3 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - use sunscreen | 4.11 units on a scale | Standard Deviation 1.28 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - wear shirt w/long sleeves | 2.05 units on a scale | Standard Deviation 0.97 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - wear long pants or skirt | 2.32 units on a scale | Standard Deviation 0.89 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - wear a wide-brimmed hat | 1.84 units on a scale | Standard Deviation 1.3 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - stay in shade | 3.21 units on a scale | Standard Deviation 1.27 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - avoid sun 10am-4pm | 2.95 units on a scale | Standard Deviation 1.27 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - wear sunglasses | 2.11 units on a scale | Standard Deviation 1.37 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - intentionally tan outdoors | 1.11 units on a scale | Standard Deviation 0.32 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 5 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - use sunscreen | 4.07 units on a scale | Standard Deviation 1.22 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - wear shirt w/long sleeves | 2.44 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - wear long pants or skirt | 2.44 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - wear a wide-brimmed hat | 1.75 units on a scale | Standard Deviation 1 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - stay in shade | 3.38 units on a scale | Standard Deviation 1.67 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - avoid sun 10am-4pm | 2.94 units on a scale | Standard Deviation 1.69 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - wear sunglasses | 1.75 units on a scale | Standard Deviation 1.29 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - intentionally tan outdoors | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 7 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - use sunscreen | 3.94 units on a scale | Standard Deviation 1.21 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - reapply sunscreen | 3.27 units on a scale | Standard Deviation 1.39 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - wear shirt w/long sleeves | 2.28 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - wear long pants or skirt | 2.78 units on a scale | Standard Deviation 1.26 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - wear a wide-brimmed hat | 1.67 units on a scale | Standard Deviation 1.24 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - stay in shade | 3.44 units on a scale | Standard Deviation 0.98 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - intentionally tan outdoors | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 9 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - wear shirt w/long sleeves | 3.13 units on a scale | Standard Deviation 0.96 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - wear long pants or skirt | 3.25 units on a scale | Standard Deviation 1.07 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - wear a wide-brimmed hat | 1.93 units on a scale | Standard Deviation 1.03 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - stay in shade | 3.06 units on a scale | Standard Deviation 1.34 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - avoid sun 10am-4pm | 2.75 units on a scale | Standard Deviation 1.29 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - wear sunglasses | 1.81 units on a scale | Standard Deviation 1.28 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - intentionally tan outdoors | 1.00 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Photoprotective Behaviors Assessed With the Sun Habits Survey | Wk 13 - Child - use an indoor tanning bed | 1.00 units on a scale | Standard Deviation 0 |
Secondary
Skin Self-exam Behavior Changes
Mean difference for frequency of skin self-exam and thoroughness of skin self-exam (measured by number of body parts examined) from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). (SSE = skin self-exam) Change in frequency of SSE: In the past month, how often did you check your skin for any new or changed moles or growths? 1 = SSE less than once a month, 2 = SSE once a month, 3 = SSE more than once a month; higher mean difference indicates a better outcome. Change in thoroughness of SSE: In the past month, which of the body parts listed below were checked for any new or changed moles or growths Minimum value = 0 (checked 0 body parts during SSE); Maximum value = 15 (checked 15 body parts during SSE); higher mean difference indicates a better outcome
Time frame: Weeks 1,9,13
Population: Outcomes for parents (n=21) are from parent self-report skin self-exam behavior changes; outcomes for children (n=21) are from parent report on child's skin self-exam behavior changes
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 1 to 9 change - Parent - frequency of SSE | .25 units on a scale | Standard Deviation 0.5 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 9 to 13 change - Parent - frequency of SSE | 0 units on a scale | Standard Deviation 0 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 1 to 9 change - Parent - thoroughness of SSE | 3.65 units on a scale | Standard Deviation 9.09 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 9 to 13 change - Parent - thoroughness of SSE | -1.06 units on a scale | Standard Deviation 8.28 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 1 to 9 change - Child - frequency of SSE | -.31 units on a scale | Standard Deviation 0.87 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 9 to 13 change - Child - frequency of SSE | .27 units on a scale | Standard Deviation 0.46 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 1 to 9 change - Child - thoroughness of SSE | 3.83 units on a scale | Standard Deviation 7.73 |
| FLARE Intervention | Skin Self-exam Behavior Changes | Wk 9 to 13 change - Child - thoroughness of SSE | -2.88 units on a scale | Standard Deviation 7.75 |
Secondary
Skin Self-exam Occurrence Assessed Via Diary
Number of participants who received a skin self-exam during each time frame interval
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of skin self-exam; outcomes for children (n=21) are from child self-report of skin self-exam
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 1-3 - Parent | 6 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 1-3 - Child | 7 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 3-5 - Child | 4 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 5-7 - Child | 4 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 3-5 - Parent | 3 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 5-7 - Parent | 3 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 7-9 - Parent | 4 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 9-13 - Parent | 5 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 7-9 - Child | 4 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Diary | Wk 9-13 - Child | 5 Participants |
Secondary
Skin Self-exam Occurrence Assessed Via Questionnaire
Number of participants who received a skin self-exam during each time frame
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of skin self-exam; outcomes for children (n=21) are from parent report on child's skin self-exam
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 13 - Child | 13 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 1 - Parent | 8 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 3 - Parent | 6 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 5 - Parent | 2 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 7 - Parent | 4 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 9 - Parent | 8 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 13 - Parent | 8 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 1 - Child | 14 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 3 - Child | 13 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 5 - Child | 14 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 7 - Child | 12 Participants |
| FLARE Intervention | Skin Self-exam Occurrence Assessed Via Questionnaire | Wk 9 - Child | 14 Participants |
Secondary
Sunburn Occurrence Assessed Via Diary
Number of participants who got a sunburn during each time frame interval
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of sunburn occurrence; outcomes for children (n=21) are from child self-report of sunburn occurrence
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 1-3 - Parent | 0 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 3-5 - Parent | 4 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 5-7 - Parent | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 7-9 - Parent | 1 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 9-13 - Parent | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 1-3 - Child | 4 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 3-5 - Child | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 5-7 - Child | 1 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 7-9 - Child | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Diary | Wk 9-13 - Child | 1 Participants |
Secondary
Sunburn Occurrence Assessed Via Questionnaire
Number of participants who received a sunburn during each time frame.
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of sunburns; outcomes for children (n=21) are from parent report on child's sunburns
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 1 - Parent | 7 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 3 - Parent | 0 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 5 - Parent | 5 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 7 - Parent | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 9 - Parent | 1 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 13 - Parent | 1 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 1 - Child | 6 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 3 - Child | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 5 - Child | 2 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 7 - Child | 1 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 9 - Child | 3 Participants |
| FLARE Intervention | Sunburn Occurrence Assessed Via Questionnaire | Wk 13 - Child | 1 Participants |
Secondary
Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device
Change of weekly average UV intake from Week 1 (baseline) to Week 9 (post-intervention) and from Week 9 to Week 13 (1-month follow up)
Time frame: Weeks 1 (baseline),9,13
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device | Wk 1 to Wk 9 | -1.38 Joules/meter^2 | Standard Error 0.33 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device | Wk 9 to Wk 13 | .110 Joules/meter^2 | Standard Error 0.43 |
Secondary
Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire
Protection-Adjusted Length of Exposure Index (PALE) Assesses UVR exposure during reported activities to yield daily minutes of unprotected sun exposure during each time frame
Time frame: Weeks 1 (baseline), 3,5,7,9,13
Population: Outcomes for parents (n=21) are from parent self-report of daily minutes of unprotected sun exposure; outcomes for children (n=21) are from parent report on child's daily minutes of unprotected sun exposure
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 3 - Parent - Weekday | 11.03 minutes | Standard Deviation 15.23 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 3 - Parent - Weekend | 20.66 minutes | Standard Deviation 43.53 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 13 - Child - Weekday | 32.93 minutes | Standard Deviation 61.9 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 13 - Child - Weekend | 21.81 minutes | Standard Deviation 42.29 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 1 - Parent - Weekday | 17.00 minutes | Standard Deviation 29.46 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 1 - Parent - Weekend | 27.10 minutes | Standard Deviation 36.73 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 5 - Parent - Weekday | 6.74 minutes | Standard Deviation 10.83 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 5 - Parent - Weekend | 18.47 minutes | Standard Deviation 31.02 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 7 - Parent - Weekday | 7.59 minutes | Standard Deviation 24.29 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 7 - Parent - Weekend | 15.07 minutes | Standard Deviation 33 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 9 - Parent - Weekday | .97 minutes | Standard Deviation 2.49 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 9 - Parent - Weekend | 25.93 minutes | Standard Deviation 40.28 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 13 - Parent - Weekday | 5.03 minutes | Standard Deviation 16.17 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 13 - Parent - Weekend | 9.55 minutes | Standard Deviation 14.22 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 1 - Child - Weekday | 37.43 minutes | Standard Deviation 43.48 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 1 - Child - Weekend | 40.74 minutes | Standard Deviation 45.5 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 3 - Child - Weekday | 12.79 minutes | Standard Deviation 17.93 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 3 - Child - Weekend | 35.64 minutes | Standard Deviation 55.01 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 5 - Child - Weekday | 18.63 minutes | Standard Deviation 31.89 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 5 - Child - Weekend | 34.99 minutes | Standard Deviation 56.88 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 7 - Child - Weekday | 26.87 minutes | Standard Deviation 49.56 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 7 - Child - Weekend | 28.48 minutes | Standard Deviation 44.26 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 9 - Child - Weekday | 24.23 minutes | Standard Deviation 56.72 |
| FLARE Intervention | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Wk 9 - Child - Weekend | 23.03 minutes | Standard Deviation 53.07 |