Sustainability of the Dissemination of an Occupational Sun Protection Program in a Randomized Trial

David B. Buller, Barbara J. Walkosz, Peter A. Andersen, Michael D. Scott, Mark B. Dignan, Gary R. Cutter, Xiao Zhang, Ilima L. Kane

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Sustainability of an occupational sun safety program, Go Sun Smart (GSS), was explored in a randomized trial, testing dissemination strategies at 68 U.S. and Canadian ski areas in 2004-2007. All ski areas received GSS from the National Ski Areas Association through a Basic Dissemination Strategy (BDS) using conference presentations and free materials. Half of the ski areas were randomly assigned to a theory-based Enhanced Dissemination Strategy (EDS) with personal contact supporting GSS use. GSS use was assessed at immediate and long-term follow-up posttests by on-site observation. Use of GSS declined from immediate (M = 6.24) to long-term follow-up (M = 4.72), F(1, 62) = 6.95, p = .01, but EDS ski areas (M = 6.53) continued to use GSS more than BDS ski areas (M = 4.49), F(1, 62) = 5.75, p = .02, regardless of timing of posttest, strategy × observation F(1, 60) = 0.05, p = .83. Despite declines over time, a group of ski areas had sustained high program use and active dissemination methods had sustained positive effects on implementation.

Original languageEnglish
Pages (from-to)498-502
Number of pages5
JournalHealth Education and Behavior
Issue number4
StatePublished - Aug 2012

Bibliographical note

Funding Information:
This project and all contributors were supported by a grant from the National Cancer Institute (CA104876). The works of Drs. Buller, Walkosz, Andersen, Scott, Dignan, and Cutter have been supported by the National Institutes of Health.


  • cancer prevention and screening
  • health communications
  • outcome evaluation
  • quantitative methods
  • worksite health promotion

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health


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