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Are Interventions to Promote Sun-Protective Behaviors in Recreational and Tourist Settings Effective? A Systematic Review with Meta-analysis and Moderator Analysis

Lookup NU author(s): Professor Falko Sniehotta, Professor Vera Araujo-SoaresORCiD


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Intermittent sun exposure and sunburn are risk factors for skin cancer that mostly occur in recreational/tourist settings. This review assesses the efficacy of skin cancer prevention interventions designed to promote sun-protective behaviors in recreational/tourist settings.Systematic review with meta-analyses of controlled trials with outcome measures of sun-protective behaviors and/or sunburn published until January 2011.Twenty-three studies were included. We found no evidence for the efficacy of current interventions in reducing tanning or promoting protective clothing and seeking shade. Meta-analyses show a small heterogeneous effect for interventions on sun-protective behavior indices. Larger but heterogeneous effects were observed for self-reported sun exposure and sunburns. Modest methodological quality suggests risk of bias. Effective interventions were more likely to stimulate social norms supporting sun-protective behaviors and provide appearance-based information about photoaging illustrated with ultraviolet photographs.There is weak and inconclusive evidence for the efficacy of interventions in promoting sun-protective behaviors.

Publication metadata

Author(s): Rodrigues A, Sniehotta FF, Araujo-Soares V

Publication type: Review

Publication status: Published

Journal: Annals of Behavioral Medicine

Year: 2013

Volume: 45

Issue: 2

Pages: 224-238

Print publication date: 01/04/2013

Online publication date: 15/11/2012

ISSN (print): 0883-6612

ISSN (electronic): 1532-4796

Publisher: SPRINGER


DOI: 10.1007/s12160-012-9444-8