{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:42:26Z","timestamp":1790242946857,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T00:00:00Z","timestamp":1675987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Sun\u2010seeking vacationers are particularly vulnerable to melanoma. Appearance\u2010based 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\u2010based intervention (HBi) on French summer vacationers' behaviours and to identify differences between subpopulations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>1355 vacationers of both sexes and aged 12\u201355\u2009years were included and followed up after 4\u2009days (T1) and 14\u2009months (T2). Efficacy of interventions was evaluated using multilevel mixed\u2010effect models comparing groups on three outcomes: self\u2010reported sun protection behaviours, sunbathing and skin colour measures. Protection behaviours were analysed according to subpopulations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u2010years 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12650","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T03:44:29Z","timestamp":1676000669000},"page":"724-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of an appearance\u2010based and a health\u2010based sun protection intervention on summer vacationers' behaviours, PRISME cluster randomized crossover trial, France"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7561-1306","authenticated-orcid":false,"given":"C\u00e9cile","family":"Durand","sequence":"first","affiliation":[{"name":"Regions Division, Occitanie Sant\u00e9 publique France (SpF)  Toulouse France"},{"name":"UMR1295, CERPOP Universit\u00e9 de Toulouse, Inserm, UPS  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyvia","family":"Magloire","sequence":"additional","affiliation":[{"name":"Regions Division, Occitanie Sant\u00e9 publique France (SpF)  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Cousson\u2010G\u00e9lie","sequence":"additional","affiliation":[{"name":"Prevention Department Epidaure Institut du Cancer de Montpellier  Montpellier France"},{"name":"EPSYLON EA 4556 Universit\u00e9 Paul Val\u00e9ry Montpellier 3  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apolline","family":"Bord","sequence":"additional","affiliation":[{"name":"Prevention Department Epidaure Institut du Cancer de Montpellier  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le\u00efla","family":"Saboni","sequence":"additional","affiliation":[{"name":"Support, Processing and Data Analysis Division Sant\u00e9 publique France (SpF)  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkrim","family":"Zeghnoun","sequence":"additional","affiliation":[{"name":"Support, Processing and Data Analysis Division Sant\u00e9 publique France (SpF)  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Lepage","sequence":"additional","affiliation":[{"name":"UMR1295, CERPOP Universit\u00e9 de Toulouse, Inserm, UPS  Toulouse 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