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Month: February 2020

Economic Analysis of a School-based Sun Protection Program

Economic Analysis of a School-based Sun Protection Program

The U.S. Surgeon General and the Centers for Disease Control and Prevention have called on the nation’s schools to help prevent skin cancer by implementing sun safety practices and policies. The Sun Safe Schools program was designed by Klein Buendel researchers and collaborators in response to those calls to action. The program was implemented and evaluated with 118 public elementary schools in California school districts with formal sun safety policy. Administrators of schools randomized to the Sun Safe Schools intervention group received phone and email support for implementing school sun safety practices by trained coaches over 20 months.

A significant part of the program evaluation — an economic analysis — has been e-published ahead of print in the American Journal of Health Promotion. The lead author is Dr. Richard Meenan, a Senior Investigator and Health Economist from the Kaiser Permanente Center for Health Research in Portland, Oregon.

The publication reports the methods, analyses, results, conclusions, and limitations of the economic analysis. Sun Safe Schools program delivery costs were micro-costed and self-reported school practices were organized into ten categories that were assigned labor and non-labor costs. Across 53 intervention schools, per-student delivery costs averaged $0.69, of which $0.44 represented school administrator time. Program delivery costs, the costs of implementing sun safety practices (such as student education, parent outreach, and shade construction), and predictors of costs are detailed in the publication.

The authors conclude that a program of phone and email coaching of elementary school administrators in school districts with formal sun safety policies can stimulate implementation of sun safety practices at a reasonable cost. The results can assist school administrators with the implementation of sun safety practices.

The Sun Safe Schools program was a collaborative research effort of Claremont Graduate University (CGU), the Kaiser Permanente Center for Health Research, and Klein Buendel. The research was funded by a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institutes of Health (HD074416; Dr. Kim Reynolds, CGU, and Dr. David Buller, Klein Buendel, Multiple Principal Investigators). Other collaborators included Dr. Richard Meenan from the Kaiser Permanente Center for Health Research; Dr. Jeff Ashley from Sun Safety for Kids in Los Angeles, California; Kim Massie previously from CGU; and Julia Berteletti, Xia (Lucia) Liu, and Mary Buller from Klein Buendel.

Collaborator Spotlight
Dr. Kimberly Henry

Collaborator Spotlight
Dr. Kimberly Henry

Kimberly Henry, Ph.D., is a Professor at the Colorado State University Department of Psychology in Fort Collins, Colorado. She received her Ph.D. in biobehavioral health from The Pennsylvania State University.  Her areas of research expertise include school disengagement, adolescent and young adult development, drug use, delinquency and longitudinal methodology. Her focus is on the psychological and social factors that produce or mitigate the health-risking behaviors of adolescents and young adults. Her goal is to develop and test theoretical models in order to understand the complex interactions of risk, promotive, and protective factors that influence risky behaviors and to create and test methods for prevention.

Currently, Dr. Henry is collaborating with Dr. David Buller, Principal Investigator from Klein Buendel, on the research study Likes Pins and Views: Engaging Moms on Teen Indoor Tanning Thru Social Media (CA192652). This study focuses on the use of a social media campaign for mothers on the health and wellness of adolescent daughters. The intervention included theory-based messaging advocating adolescent girls avoid indoor tanning delivered through private Facebook groups. Overall, the research is evaluating the effectiveness of social media indoor tanning messages at decreasing mothers’ permissiveness for daughters to indoor tan. The research is also assessing daughters’ perceptions of their mothers’ permissiveness, prevalence of indoor tanning by mothers and daughters, and mothers’ support for bans on indoor tanning by minors.

In addition to research, Dr. Henry serves on the editorial boards for the Journal of Youth and Adolescence, the Journal of Primary Prevention, Adolescent Research Reviews, and Occupational Health Science. She serves as an ad hoc reviewer for multiple journals, and for the William T. Grant Foundation and the National Institutes of Health.

Physical Activity Intervention for Older Adults

Physical Activity Intervention for Older Adults

In a publication in the Journal of the American Geriatrics Society, Dr. Nancy Glynn from the University of Pittsburgh, Klein Buendel’s Senior Scientist Dr. Valerie Myers, and several other contributors evaluate the effectiveness of the Lifestyle Interventions and Independence for Elders (LIFE) study.

The LIFE study was a randomized controlled trial designed to compare a moderate-intensity physical activity intervention with a health education program for sedentary older persons, 65 years or older, with low physical activity who are at risk for major mobility disability. LIFE’s primary goal was to investigate whether physical activity is an effective and practical way for preventing major mobility disability in older persons, which is defined as the inability to walk 400 meters.

For the study, participants at multiple centers were asked to perform a 400-meter walk at a normal pace every six months at which various measurements were assessed and calculated including baseline fatigue, self-reported fatigue, and energy levels. The physical activity intervention incorporated lower extremity resistance exercises, balance exercises, stretching and behavioral counseling. Health education seminars were also provided with information available about health-related matters and involved various upper extremity stretching exercises.

To learn more about the physical activity intervention and if it was effective at preserving the mobility of older adults, you can view a full description of the methods, results, and discussion in the publication.

This research was funded by a grant from the National Heart, Lung, and Blood Institute and the National Institute on Aging (AG022376; Marco Pahor, MD, University of Florida, Principal Investigator). Dr. Myers is one of the paper’s 16 authors, including the Interventions and Independence for Elders Study Group.