Impact of Sunscreen Dispensers in Parks Visited by Teenagers

Study Overview
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Brief Summary
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This study will evaluate the use of publicly available free sunscreen dispensers at Maine beaches and Boston parks. Aim 1: Determine the impact of DFS+ (dispensers, flyers, enhanced signage, + a social media component delivered by teen ambassadors) sun protection education on the use of free sunscreen dispensers by adolescents ages 12-18 compared with DFS (dispensers, flyers, standard signage). Aim 2: Outcomes evaluation to assess the effects of the sunscreen dispensers and the sun-safety educational intervention on sun protection knowledge, attitudes, beliefs, and behaviors within the community. Aim 3: Cost Evaluation and Cost-Effectiveness Analysis

Detailed Description
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The investigators will build on the pioneering work of IMPACT Melanoma which has provided free sunscreen dispensers to a general population. This study will build on IMPACT Melanoma's ability to install, maintain, and now for the first time, target and publicize the use of dispensers for a teen population. The investigators will test scalable methods for improving the use of free sunscreen dispensers by testing DFS interventions compared with the addition of social media led by teen ambassadors. The investigators will evaluate the impact of the intervention in both parks and beaches in Boston, MA and Maine.

Official Title
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Measuring the Impact of Free Sunscreen Dispensers in Community Settings Frequented by Youth

Conditions
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Skin Neoplasm, Adolescent Behavior, Sunscreening Agents

Intervention / Treatment
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* Behavioral: Dispensers, Flyers, Enhanced Signage + a social media component delivered by teen ambassadors


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being a Boston or Maine youth ages 12-18 Able to complete a survey in English Exclusion Criteria: Not a Boston or Maine youth ages 12-18 Not able to complete a survey in English

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dispensers, Flyers, Enhanced Signage + a social media component delivered by teen ambassadors<br>The DFS+ experimental group is designed to increase utilization of free sunscreen dispensers, applying and reapplying sunscreen, and motivating use of other forms of sun protection by teens in 8 Boston parks and 3 Maine beaches. IMPACT Melanoma will install and maintain free sunscreen dispensers at the study sites. Flyers will be posted at locations at the park/beach to inform people of the availability of free sunscreen and the location of the dispenser. 'Teen enhanced' signage will be present on the dispenser in the intervention parks/beaches. Teen ambassadors will share 3-5 posts to their social media platform over the course of 1 week encouraging sun protection practices and use of the free sunscreen dispenser (when the intervention is occurring at the study site). | Behavioral: Dispensers, Flyers, Enhanced Signage + a social media component delivered by teen ambassadors<br>* The study intervention is designed to increase utilization of free sunscreen dispensers, applying and reapplying sunscreen, and motivating use of other forms of sun protection by teens. IMPACT Melanoma will install and maintain free sunscreen dispensers at the study sites. Flyers will be posted at locations at the park/beach to inform people of the availability of free sunscreen and the location of the dispenser. 'Teen enhanced' signage will be present on the dispenser in the intervention parks/beaches. Teen ambassadors will share 3-5 posts to their social media platform over the course of 1 week encouraging sun protection practices and use of the free sunscreen dispenser (when the intervention is occurring at the study site).<br>|
| No Intervention: Dispensers, Flyers, Signage<br>The DFS control group includes dispensers, flyers, and standard signage at 8 Boston parks and 3 Maine beaches. IMPACT Melanoma will install and maintain free sunscreen dispensers at the study sites. Flyers will be posted at locations at the park/beach to inform people of the availability of free sunscreen and the location of the dispenser. Standard signage will be present on the dispenser in the control parks/beaches. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dispenser utilization/Measured reduction in sunscreen levels in dispensers | The investigators will count of the number of teens between the ages of 12 and 18 using the sunscreen dispenser in real-time at the park or beach as they are using the dispenser. This will serve as the numerator. The investigators will also conduct observations to determine an estimated number of teens who are the park on a given day. This will serve as the denominator. This count will be in real-time, counting the number of teens who we observe at the park or beach where the study is taking place. | In real-time, up to 1 day | 
| Reported use of sunscreen from surveys completed by teens | Survey responses about sunscreen use | In real-time, up to 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sun prevention practices | Survey responses about sun protection practices | In real-time, up to 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Skin Neoplasm, Adolescent Behavior, Sunscreening Agents