Efficacy of an appearance‐based and a health‐based sun protection intervention on summer vacationers' behaviours, PRISME cluster randomized crossover trial, France
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| Názov: | Efficacy of an appearance‐based and a health‐based sun protection intervention on summer vacationers' behaviours, PRISME cluster randomized crossover trial, France |
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| Autori: | Durand, Cécile, Magloire, Lyvia, Cousson-Gélie, Florence, Bord, Apolline, Saboni, Leïla, Zeghnoun, Abdelkrim, Lepage, Benoît, Richard, Jean-Baptiste, Catelinois, Olivier, Mouly, Damien, Delpierre, Cyrille |
| Prispievatelia: | Centre d'Epidémiologie et de Recherche en santé des POPulations (CERPOP), Université Toulouse III - Paul Sabatier (UT3), Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Institut National de la Santé et de la Recherche Médicale (INSERM), Santé Publique France, Occitanie Toulouse, France (SpF-Occitanie), Santé publique France - French National Public Health Agency Saint-Maurice, France, Dynamique des capacités humaines et des conduites de santé (EPSYLON), Université Paul-Valéry - Montpellier 3 (UPVM), Institut régional de Cancérologie de Montpellier (ICM), Direction appui, traitements et analyses de données - Data Support, Processing and Analysis Division Santé publique France, Saint-Maurice, Equipe EQUITY (CERPOP), Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Toulouse III - Paul Sabatier (UT3) |
| Zdroj: | ISSN: 1359-107X. |
| Informácie o vydavateľovi: | CCSD Wiley |
| Rok vydania: | 2023 |
| Predmety: | appearance-based interventions, cluster randomized crossover trial, health-based interventions, sun protection behaviours, ultraviolet exposure, ultraviolet photographs, vacationers, MESH: Seasons, MESH: Holidays, MESH: Adult, MESH: Middle Aged, MESH: Sunbathing, MESH: Sunburn, MESH: Health Education, MESH: Health Behavior, MESH: Ultraviolet Rays, MESH: Melanoma, MESH: Skin Neoplasms, MESH: Sample Size, MESH: Cross-Over Studies, MESH: France, MESH: Humans, MESH: Male, MESH: Female, MESH: Child, MESH: Adolescent, MESH: Young Adult, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
| Popis: | International audience ; Objectives Sun‐seeking vacationers are particularly vulnerable to melanoma. Appearance‐based interventions (ABi) showing skin damage of ultraviolet exposure may be a promising prevention tool to improve skin protection. This study aimed to measure and compare the efficacy of an ABi and a health‐based intervention (HBi) on French summer vacationers' behaviours and to identify differences between subpopulations. Design A cluster randomized crossover trial with three intervention groups (control, ABi, HBi) was conducted in eight campsites on the French Mediterranean coast in summer 2019. Methods 1355 vacationers of both sexes and aged 12–55 years were included and followed up after 4 days (T1) and 14 months (T2). Efficacy of interventions was evaluated using multilevel mixed‐effect models comparing groups on three outcomes: self‐reported sun protection behaviours, sunbathing and skin colour measures. Protection behaviours were analysed according to subpopulations. Results Compared to controls, the ABi group had a higher protection and sunbathed for fewer hours at T1 and T2. In the HBi group, the skin colour was lighter than controls at T1. When comparing ABi to HBi, ABi participants had lower exposure than HBi at T1 and T2. The protection of people with a 3‐years university degree was higher in the HBi group than in others groups while that of people with a secondary school certificate was higher in the ABi group. Conclusions Our study provides further evidence of individual sun protection interventions effect in a touristic setting and highlights the relevance of ABi messages to supplement HBi messages, particularly in certain subpopulations with low to intermediate education levels. |
| Druh dokumentu: | article in journal/newspaper |
| Jazyk: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/36762440; PUBMED: 36762440 |
| DOI: | 10.1111/bjhp.12650 |
| Dostupnosť: | https://ut3-toulouseinp.hal.science/hal-04806748 https://ut3-toulouseinp.hal.science/hal-04806748v1/document https://ut3-toulouseinp.hal.science/hal-04806748v1/file/Durand_2023.pdf https://doi.org/10.1111/bjhp.12650 |
| Rights: | http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess |
| Prístupové číslo: | edsbas.B54ABAA3 |
| Databáza: | BASE |
Nájsť tento článok vo Web of Science | Abstrakt: | International audience ; Objectives Sun‐seeking vacationers are particularly vulnerable to melanoma. Appearance‐based interventions (ABi) showing skin damage of ultraviolet exposure may be a promising prevention tool to improve skin protection. This study aimed to measure and compare the efficacy of an ABi and a health‐based intervention (HBi) on French summer vacationers' behaviours and to identify differences between subpopulations. Design A cluster randomized crossover trial with three intervention groups (control, ABi, HBi) was conducted in eight campsites on the French Mediterranean coast in summer 2019. Methods 1355 vacationers of both sexes and aged 12–55 years were included and followed up after 4 days (T1) and 14 months (T2). Efficacy of interventions was evaluated using multilevel mixed‐effect models comparing groups on three outcomes: self‐reported sun protection behaviours, sunbathing and skin colour measures. Protection behaviours were analysed according to subpopulations. Results Compared to controls, the ABi group had a higher protection and sunbathed for fewer hours at T1 and T2. In the HBi group, the skin colour was lighter than controls at T1. When comparing ABi to HBi, ABi participants had lower exposure than HBi at T1 and T2. The protection of people with a 3‐years university degree was higher in the HBi group than in others groups while that of people with a secondary school certificate was higher in the ABi group. Conclusions Our study provides further evidence of individual sun protection interventions effect in a touristic setting and highlights the relevance of ABi messages to supplement HBi messages, particularly in certain subpopulations with low to intermediate education levels. |
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| DOI: | 10.1111/bjhp.12650 |