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Health Education Research Advance Access originally published online on October 22, 2007
Health Education Research 2008 23(4):732-743; doi:10.1093/her/cym060
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions{at}oxfordjournals.org

Process evaluation of the Pool Cool Diffusion Trial for skin cancer prevention across 2 years

Cam Escoffery*, Karen Glanz and Tom Elliott

Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA 30322, USA

* Correspondence to: C. Escoffery. E-mail: cescoff{at}sph.emory.edu

Though process evaluation of health programs has received growing attention, few interventions have reported process evaluation over multiple years. This article describes 2 years of process evaluation (2003–04) for the Pool Cool Diffusion Trial. Pool Cool is a skin cancer prevention program designed to increase sun protection habits among children and improve organizational and environmental supports for sun protection at swimming pools. Each year, 80 telephone interviews and 40 site visits at pools across the United States were completed, to examine how fully the program was implemented and the extent of use of program components between the two study conditions. Major components of the Pool Cool program, including sun safety lessons, sun safety signs and sunscreen use, had high implementation. Between the 2 years, most of the core elements were either maintained or increased in use. There were no significant differences between the basic and enhanced conditions on implementation. Reasons given for successful implementation were the provision of a toolkit, ease of implementing the program, pool staff and children enjoying the program and the field coordinators' support. These data provide information on programmatic factors that contribute to successful program diffusion.

Received on September 14, 2006; accepted on June 28, 2007


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Home page
 Eval Health ProfHome page
C. Escoffery, K. Glanz, D. Hall, and T. Elliott
A Multi-Method Process Evaluation for a Skin Cancer Prevention Diffusion Trial
Eval Health Prof, June 1, 2009; 32(2): 184 - 203.
[Abstract] [PDF]


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