{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:10:33Z","timestamp":1747149033264,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001231","name":"Victorian Health Promotion Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001231","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000951","name":"Cancer Council Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000951","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012737","name":"Department of Health and Human Services, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This qualitative study aimed to explore sun protection barriers and enablers in secondary schools in Victoria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five focus groups were conducted with nominated Health or Physical Education (<jats:styled-content style=\"fixed-case\">PE<\/jats:styled-content>) Coordinators (or other staff representatives) from schools in metropolitan and regional Victoria. Discussions were audio\u2010recorded, transcribed and coded thematically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants identified the need for regulatory influences that included minimum standards for sun protection policy, training and shade in the built environment. Participants perceived that sun protection is not always acknowledged to be a duty of care in secondary schools. A crowded health and well\u2010being curriculum, a focus on fostering independence, and challenges overcoming peer norms were perceived to be important contextual influences. At an organisational level, strong leadership and a united approach among staff were identified as critical ingredients for successful policy implementation and organisational change. Several potentially effective strategies were proposed, including increased shade, leveraging from student leaders, normalising sun protection practices and prioritising staff role modelling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A cultural shift is required for many schools to accept and act on sun protection as a duty of care. A comprehensive approach that includes regulatory action, healthy school policies and leading by example may help protect students and staff from harmful <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure during school hours.<\/jats:p><\/jats:sec><jats:sec><jats:title>So what?<\/jats:title><jats:p>Without regulatory support, strong leadership is required to implement and enforce sun protection practices within schools. Health promotion programs could assist schools to trial and evaluate the sun protection strategies that involve student\u2010led solutions, role modelling and increasing shade.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.273","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T19:08:46Z","timestamp":1562180926000},"page":"258-267","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Teacher perceptions of sun protection practices in the secondary school setting: Barriers, enablers and recommendations for future"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2576-7094","authenticated-orcid":false,"given":"Anna K.","family":"Nicholson","sequence":"first","affiliation":[{"name":"Centre for Behavioural Research in Cancer Cancer Council Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Hill","sequence":"additional","affiliation":[{"name":"SunSmart Victoria Cancer Council Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Walker","sequence":"additional","affiliation":[{"name":"SunSmart Victoria Cancer Council Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Heward","sequence":"additional","affiliation":[{"name":"SunSmart Victoria Cancer Council Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7427-4379","authenticated-orcid":false,"given":"Suzanne","family":"Dobbinson","sequence":"additional","affiliation":[{"name":"Centre for Behavioural Research in Cancer Cancer Council Victoria Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008980919928"},{"volume-title":"Skin cancer in Australia","year":"2016","author":"Australian Institute of Health & Welfare","key":"e_1_2_7_3_1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2016.01.035"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12679"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-017-0511-0_3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00267.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454208314499"},{"volume-title":"The surgeon general's call to action to prevent skin cancer","year":"2014","author":"U.S. Department of Health and Human Services","key":"e_1_2_7_9_1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyt105"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12209"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12103"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyq066"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.32.4.6"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1071\/HE08045"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910707X210004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-2081(00)80008-X"},{"volume-title":"Designing and conducting focus group interviews","year":"2002","author":"Krueger RA","key":"e_1_2_7_18_1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"issue":"1","key":"e_1_2_7_20_1","first-page":"231","article-title":"Organizational change theory: implications for health promotion practice","volume":"31","author":"Batras D","year":"2016","journal-title":"Health Promot Int"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dam011"},{"volume-title":"Promoting health in schools: from evidence to action","year":"2010","author":"International Union for Health Promotion and Education (IUHPE)","key":"e_1_2_7_22_1"},{"key":"e_1_2_7_23_1","unstructured":"Department of Education and Training Victoria.School Policy Advisory Guide: Sun and UV Protection. 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