Economic Evaluation of a Sun Protection Promotion Program in California Elementary Schools.
Am J Health Promot
; 34(8): 848-856, 2020 11.
Article
em En
| MEDLINE
| ID: mdl-32054287
ABSTRACT
BACKGROUND:
An economic evaluation of Sun Safe Schools intervention designed to aid California elementary schools with implementing sun safety practices consistent with local board-approved policy.DESIGN:
Program costanalysis:
intervention delivery and practice implementation.SETTING:
California elementary schools (58 interventions and 60 controls). Principals at 52 intervention and 53 control schools provided complete implementation data.PARTICIPANTS:
Principals completing pre-/postintervention surveys assessing practice implementation. INTERVENTION Phone-based 45-minute session with a project coach on practice implementation, follow-up e-mails/phone contacts, $500 mini-grant. Schools chose from a list of 10 practices for implementation ultraviolet monitoring, clothing, hats, and/or sunscreen recommendations, outdoor shade, class education, staff training and/or modeling, parent outreach, and resource allocation. The duration of intervention was 20 months. Rolling recruitment/intervention February 2014 to December 2017.MEASURES:
Intervention delivery and practice implementation costs. Correlations of school demographics and administrator beliefs with costs.ANALYSIS:
Intervention delivery activities micro-costed. Implemented practices assessed using costing template.RESULTS:
Intervention schools 234 implemented practices, control schools 157. Twenty-month delivery costs $29 310; $16 653 (per school $320) for project staff, mostly mini-grants and coaching time. Administrator costs $12 657 (per school $243). Per-student delivery costs $1.01. Costs of implemented practices $641 843 for intervention schools (per-school mean $12 343, median $6 969); $496 365 for controls (per-school mean $9365, median $3123). Delivery costs correlated with implemented practices (0.37, P < .01) and total practice costs (0.37, P < .05). Implemented practices correlated with principal beliefs about the importance of skin cancer prevention to student health (0.46, P < .001) and parents (0.45, P < .001).CONCLUSION:
Coaching of elementary school personnel can stimulate sun safety practice implementation at a reasonable cost. Findings can assist schools in implementing appropriate sun safety practices.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Health Promot
Ano de publicação:
2020
Tipo de documento:
Article