{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T21:22:07Z","timestamp":1780089727558,"version":"3.54.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Cancer Institute NSW's Evidence to Practice Grant and Cancer Council NSW"},{"DOI":"10.13039\/501100002122","name":"NSW Department of Education","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002122","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue addressed<\/jats:title><jats:p>The SunSmart Policy Support and Intervention Study (<jats:styled-content style=\"fixed-case\">SSPSIS<\/jats:styled-content>) (<jats:styled-content style=\"fixed-case\">ACTRN<\/jats:styled-content>12614000926639) investigated the feasibility of improving schools\u2019 implementation of the SunSmart Program, which is a resource for primary school communities to support their development of a comprehensive sun protection policy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cluster randomised controlled trial (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>) was used to evaluate the <jats:styled-content style=\"fixed-case\">SSPSIS<\/jats:styled-content>, which was conducted in <jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content> SunSmart schools (n\u00a0=\u00a020). Objective measurements of students\u2019 sun\u2010safe hat\u2010wearing behaviours and sunscreen application, and teachers\u2019 role\u2010modelling behaviours, were collected for baseline, post\u2010test and follow\u2010up data. Interviews with school community stakeholders, including students (n\u00a0=\u00a0103), parents (n\u00a0=\u00a031), teachers (n\u00a0=\u00a011) and executive staff (n\u00a0=\u00a04), were conducted to inform the intervention design, which was implemented following baseline data collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results of baseline observations and interviews have been published previously. The intervention design aimed to combat negative perceptions of hat\u2010wearing policy and create a trigger for sunscreen application by rewarding students practising these sun protection behaviours with play\u2010based incentives. Although this intervention had no significant effect on the wearing of sun\u2010safe hats among students or teachers, it did have a large effect on the consumption of sunscreen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Associating sunscreen and play\u2010based incentives can create an effective trigger for students\u2019 sunscreen application behaviours. However, further evidence is needed to investigate how students\u2019 and teacher role models\u2019 hat\u2010wearing behaviours could be increased.<\/jats:p><\/jats:sec><jats:sec><jats:title>So what?<\/jats:title><jats:p>While combining a play\u2010based incentive with a trigger for behaviour can promptly increase students\u2019 sunscreen application, it was unable to increase students\u2019 or teacher role models\u2019 hat\u2010wearing behaviours.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.27","type":"journal-article","created":{"date-parts":[[2017,12,27]],"date-time":"2017-12-27T23:32:37Z","timestamp":1514417557000},"page":"267-271","source":"Crossref","is-referenced-by-count":4,"title":["Protect your skin and let the fun begin: The results of an intervention to improve <scp>NSW<\/scp> primary schools\u2019 implementation of the SunSmart Program"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6150-7831","authenticated-orcid":false,"given":"Bradley","family":"Wright","sequence":"first","affiliation":[{"name":"School of Teacher Education Charles Sturt University Bathurst NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Winslade","sequence":"additional","affiliation":[{"name":"School of Teacher Education Charles Sturt University Bathurst NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Dudley","sequence":"additional","affiliation":[{"name":"School of Education Macquarie University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Cotton","sequence":"additional","affiliation":[{"name":"Faculty of Education and Social Work University of Sydney Camperdown NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Hamer","sequence":"additional","affiliation":[{"name":"Cancer Council New South Wales Woolloomooloo NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Skin Cancer in Australia","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086918"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09447.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019810102800304"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000494410204600103"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyl089"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dar028"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1108\/HE-11-2013-0055"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyt105"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1071\/HE08086"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2013.12.020"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2016.00168"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.01.034"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1371-8"},{"key":"e_1_2_8_16_1","volume-title":"The National Survey of Australian Primary Schools\u2019 sun Protection Policy and Practices: Evaluating the National SunSmart Schools Program","author":"Sharplin G","year":"2012"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3917-9"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12677"},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A power primer","volume":"112","author":"Cohen J","year":"1992","journal-title":"Pyschol Bull"},{"key":"#cr-split#-e_1_2_8_20_1.1","unstructured":"NSW Department of Education.Sun Safety [Internet]. Sydney NSW: NSW Department of Education;2013[updated 2017 March 15"},{"key":"#cr-split#-e_1_2_8_20_1.2","unstructured":"cited 2017 June 5]. 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