Sun ProtectionNCT06720402
Pediatricians and Family Physicians Knowledge and Awareness on Sun Protection
A study testing Sun protection knowledge in people with Sun Protection and Skin Burn, run by Marmara University at 1 site in Turkey (Türkiye).
Trial summary
Sunlight has very important effects on the body. In addition to its positive effects such as regulation of circadian rhythm, synthesis of vitamin D and regulation of mood, it also has negative effects on the skin such as sunburn, hyperpigmentation, photoaging and skin cancer formation. Read more about this study
- Who is it for?
- Ages 24 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Sun Protection, Skin Burn, Sunburn
- What is being tested?
- Sun protection knowledge
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 230 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 20 May 2024to 1 Mar 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 24 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Pediatrics residents and specialists
- Family medicine residents and specialists
- Family physicians working at family medicine centers
Who cannot join
- Medical students
- Physicians working at other fields
- Attendants who have skin cancer history at him/herself and in family
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Marmara University Faculty of Medicine
Istanbul, 34000
About this study
Official title: Increasing the Knowledge and Awareness Levels of Pediatricians and Family Physicians on Sun Protection Methods
Sunlight has very important effects on the body. In addition to its positive effects such as regulation of circadian rhythm, synthesis of vitamin D and regulation of mood, it also has negative effects on the skin such as sunburn, hyperpigmentation, photoaging and skin cancer formation. These negative effects are known to be caused by ultraviolet (UV) (10 to 400 nm) rays of sunlight.
It is known that skin cancers such as melanoma, basal cell carcinoma and squamous cell carcinoma may develop in adults as a result of excessive exposure to UV rays. It has been shown that the development of skin cancer is rare in childhood.
Read more
Although skin cancers are not common in the pediatric age group, exposure to UV rays is higher than in adults. It is known that this cumulative exposure that develops over time may lead to the development of skin cancer in later ages. Therefore, it is argued that effective protection from UV rays is important in the pediatric age group. Guidelines emphasize the importance of preventive counseling in early childhood for reasons such as high sun exposure in the pediatric age group, increase in cumulative exposure with advancing age, prevention of the known adverse effects of sun rays with simple precautions, application of sun protection trainings given to the child for the rest of his/her life and thus decreasing the incidence of skin cancers. The World Health Organization and the American Academy of Pediatrics emphasize the following 5 basic points about reducing UV exposure in early childhood:
- Avoid going outside between 10.00-15.00 when the sun is at its peak,
- Usage of broad spectrum sunscreen children over 6 months,
- Using a hat, clothing that fully protects the body, sunglasses, umbrellas when going outside,
- When spending time outdoors, spend more time in shaded areas,
- Avoidance of indoor tanning.
In this sense, it is of critical importance that all physicians have the necessary knowledge and equipment to provide preventive counseling on the negative effects of sunlight on the skin and cancer development.
In this study, it is aimed to investigate the knowledge levels of Pediatricians and Family Physicians about sun protection and to increase their knowledge and awareness levels about sun protection in order to provide preventive counseling for the pediatric age group and their families.
Read the detailed description
Sunlight has very important effects on the body. In addition to its positive effects such as regulation of circadian rhythm, synthesis of vitamin D and regulation of mood, it also has negative effects on the skin such as sunburn, hyperpigmentation, photoaging and skin cancer formation. These negative effects are known to be caused by ultraviolet (UV) (10 to 400 nm) rays of sunlight.
UV waves reaching the Earth are divided into three as Ultraviolet A (UV-A), Ultraviolet B (UV-B) and Ultraviolet C (UV-C). Approximately 95% of the UV rays reaching the Earth's surface are UV-A (320 to 400 nm). UV-A is known to contribute to photoaging, play an important role in hyperpigmentation and cause the development of skin cancer. UV-B (290 to 320 nm) constitutes 5% of UV radiation and contains the most biologically active wavelengths. UV-B is known to cause sunburn, inflammation, hyperpigmentation and skin cancer development. It is known that UV-C (200 to 290 nm) cannot reach the earth due to the ozone layer.
It is known that skin cancers such as melanoma, basal cell carcinoma and squamous cell carcinoma may develop in adults as a result of excessive exposure to UV rays. It has been shown that the development of skin cancer is rarer in childhood. It has been found that approximately 324 thousand patients worldwide are diagnosed with melanoma and 1.2 million patients are diagnosed with non-melanoma skin cancer each year. In Turkey, according to the latest data, 1477 patients were diagnosed with melanoma and 20,220 patients were diagnosed with non-melanoma skin cancer. According to Fitzpatrick skin classification, studies have found that the risk of cancer development is higher in light-skinned skin, while the risk of cancer development is lower in dark-skinned skin.
Although skin cancers are not common in the pediatric age group, exposure to UV rays is higher than in adults. It is known that this cumulative exposure that develops over time may lead to the development of skin cancer in later ages. Therefore, it is argued that effective protection from UV rays is important in the pediatric age group. Guidelines emphasize the importance of preventive counseling in early childhood for reasons such as high sun exposure in the pediatric age group, increase in cumulative exposure with advancing age, prevention of the known adverse effects of sun rays with simple precautions, application of sun protection trainings given to the child for the rest of his/her life and thus decreasing the incidence of skin cancers. The World Health Organization and the American Academy of Pediatrics emphasize the following 5 basic points about reducing UV exposure in early childhood:
- Avoid going outside between 10.00-15.00 when the sun is at its peak,
- Usage of broad spectrum sunscreen children over 6 months,
- Using a hat, clothing that fully protects the body, sunglasses, umbrellas when going outside,
- When spending time outdoors, spend more time in shaded areas,
- Avoidance of indoor tanning.
In this sense, it is of critical importance that all physicians have the necessary knowledge and equipment to provide preventive counseling on the negative effects of sunlight on the skin and cancer development. In our country, it is known that Family Physicians working in the first step and Pediatricians working in fields take part in the provision of early childhood preventive health services. However, it is seen in the literature that both Pediatricians and Family Physicians do not have sufficient knowledge about sun protection methods and preventive counseling on this subject needs to be emphasized more in medical education.
In this study, it is aimed to investigate the knowledge levels of Pediatricians and Family Physicians about sun protection and to increase their knowledge and awareness levels about sun protection in order to provide preventive counseling for the pediatric age group and their families.
All participants will participate in a presentation about sun protection. Also motivational interviewing methods organized by a team of professionals in the field will be used in the planning and implementation of the presentation.
The training will be prepared as a presentation. The presentation will last at least 30 minutes. It will be conducted using Microsoft Powerpoint presentation, face to face as a group and motivational interviewing techniques will be implemented during session. Presentation will include the current recommendations of the American Academy of Pediatrics and the World Health Organization and will be prepared using appropriate data and visuals. The training content consists of 4 main topics:
- Purpose of the training program,
- Skin properties and functions,
- Sun rays, positive and negative effects of sun rays and skin diseases caused by sun rays,
- The importance of providing preventive counseling on sun protection and information on sun protection methods outlined by the American Academy of Pediatrics and the World Health Organization.
The knowledge level will be assessed by Skin Cancer and Sun Knowledge scale immediately before and after the program and at the 3th month.
- Conditions
- Sun Protection, Skin Burn, Sunburn
- Being tested
- Sun protection knowledge
- Keywords
- sun protection, children, pediatrician, family physician, preventative counseling
- Medical subject headings
- Paresthesia, Sunburn
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sun protection knowledgeBehavioural
To increase knowledge and awareness about sun protection methods, a presentation will be implented to pediatricians and family physicians.
| Study group | Role | What they receive |
|---|---|---|
| Pediatricians | Active comparator | The group which consist of pediatricians. Receives: Behavioral: Sun protection knowledge |
| Family physicians | Active comparator | The group which consist of family physicians. Receives: Behavioral: Sun protection knowledge |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sun protection methods
A presentation consisting of WHO and AAP recommendations will be given and to measure the increase in knowledge and awareness of healthcare professionals, the Skin Cancer and Sun Knowledge scale will be measured at baseline, at the end of the presentation and after 3 months. An increase in the total score indicates an increase in knowledge and awareness.
Measured: Baseline and up to 3rd months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Dec 2024
- Study start20 May 2024
- Primary completion31 Dec 2024 (estimated)
- Study completion1 Mar 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Sun ProtectionStudies of the same condition, open and under way.
- More trials run by Marmara UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 230 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Marmara University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06720402
- Sponsor's protocol ID
- 09.2024.255
- Status last verified
- May 2024
- First submitted
- 17 May 2024
- Last updated
- 6 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Day AK, Wilson C, Roberts RM, Hutchinson AD. The Skin Cancer and Sun Knowledge (SCSK) Scale: Validity, Reliability, and Relationship to Sun-Related Behaviors Among Young Western Adults. Health Educ Behav. 2014 Aug;41(4):440-8. doi: 10.1177/1090198114529129. Epub 2014 Apr 10.
PubMed 24722215Green AC, Wallingford SC, McBride P. Childhood exposure to ultraviolet radiation and harmful skin effects: epidemiological evidence. Prog Biophys Mol Biol. 2011 Dec;107(3):349-55. doi: 10.1016/j.pbiomolbio.2011.08.010. Epub 2011 Sep 3.
PubMed 21907230Araujo FM, Carmo JAD, Cunha LD, Martins IML, Gon ADS, Caldeira AP. Development and validation of an instrument to assess the knowledge of general practitioners and pediatricians about photoprotection and solar radiation. An Bras Dermatol. 2019 Sep-Oct;94(5):532-541. doi: 10.1016/j.abd.2019.09.011. Epub 2019 Sep 30.
PubMed 31777353Balk SJ. Sun Protection. Pediatr Rev. 2023 Apr 1;44(4):236-239. doi: 10.1542/pir.2022-005545. No abstract available.
PubMed 37002351
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Increasing the Knowledge and Awareness Levels of Pediatricians and Family Physicians on Sun Protection Methods
- ClinicalTrials.gov ID
- NCT06720402
- Acronym / sponsor ID
- 09.2024.255
- Conditions
- Sun Protection, Skin Burn, Sunburn
- Keywords
- sun protection, children, pediatrician, family physician, preventative counseling
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 230 participants (estimated)
- Lead sponsor
- Marmara UniversityUniversity, hospital or other
- Study start
- 20 May 2024 (actual)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 1 Mar 2025 (estimated)
- First posted
- 6 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sunlight has very important effects on the body. In addition to its positive effects such as regulation of circadian rhythm, synthesis of vitamin D and regulation of mood, it also has negative effects on the skin such as sunburn, hyperpigmentation, photoaging and skin cancer formation. These negative effects are known to be caused by ultraviolet (UV) (10 to 400 nm) rays of sunlight.
It is known that skin cancers such as melanoma, basal cell carcinoma and squamous cell carcinoma may develop in adults as a result of excessive exposure to UV rays. It has been shown that the development of skin cancer is rare in childhood.
Although skin cancers are not common in the pediatric age group, exposure to UV rays is higher than in adults. It is known that this cumulative exposure that develops over time may lead to the development of skin cancer in later ages. Therefore, it is argued that effective protection from UV rays is important in the pediatric age group. Guidelines emphasize the importance of preventive counseling in early childhood for reasons such as high sun exposure in the pediatric age group, increase in cumulative exposure with advancing age, prevention of the known adverse effects of sun rays with simple precautions, application of sun protection trainings given to the child for the rest of his/her life and thus decreasing the incidence of skin cancers. The World Health Organization and the American Academy of Pediatrics emphasize the following 5 basic points about reducing UV exposure in early childhood:
- Avoid going outside between 10.00-15.00 when the sun is at its peak,
- Usage of broad spectrum sunscreen children over 6 months,
- Using a hat, clothing that fully protects the body, sunglasses, umbrellas when going outside,
- When spending time outdoors, spend more time in shaded areas,
- Avoidance of indoor tanning.
In this sense, it is of critical importance that all physicians have the necessary knowledge and equipment to provide preventive counseling on the negative effects of sunlight on the skin and cancer development.
In this study, it is aimed to investigate the knowledge levels of Pediatricians and Family Physicians about sun protection and to increase their knowledge and awareness levels about sun protection in order to provide preventive counseling for the pediatric age group and their families.
Detailed description
Sunlight has very important effects on the body. In addition to its positive effects such as regulation of circadian rhythm, synthesis of vitamin D and regulation of mood, it also has negative effects on the skin such as sunburn, hyperpigmentation, photoaging and skin cancer formation. These negative effects are known to be caused by ultraviolet (UV) (10 to 400 nm) rays of sunlight.
UV waves reaching the Earth are divided into three as Ultraviolet A (UV-A), Ultraviolet B (UV-B) and Ultraviolet C (UV-C). Approximately 95% of the UV rays reaching the Earth's surface are UV-A (320 to 400 nm). UV-A is known to contribute to photoaging, play an important role in hyperpigmentation and cause the development of skin cancer. UV-B (290 to 320 nm) constitutes 5% of UV radiation and contains the most biologically active wavelengths. UV-B is known to cause sunburn, inflammation, hyperpigmentation and skin cancer development. It is known that UV-C (200 to 290 nm) cannot reach the earth due to the ozone layer.
It is known that skin cancers such as melanoma, basal cell carcinoma and squamous cell carcinoma may develop in adults as a result of excessive exposure to UV rays. It has been shown that the development of skin cancer is rarer in childhood. It has been found that approximately 324 thousand patients worldwide are diagnosed with melanoma and 1.2 million patients are diagnosed with non-melanoma skin cancer each year. In Turkey, according to the latest data, 1477 patients were diagnosed with melanoma and 20,220 patients were diagnosed with non-melanoma skin cancer. According to Fitzpatrick skin classification, studies have found that the risk of cancer development is higher in light-skinned skin, while the risk of cancer development is lower in dark-skinned skin.
Although skin cancers are not common in the pediatric age group, exposure to UV rays is higher than in adults. It is known that this cumulative exposure that develops over time may lead to the development of skin cancer in later ages. Therefore, it is argued that effective protection from UV rays is important in the pediatric age group. Guidelines emphasize the importance of preventive counseling in early childhood for reasons such as high sun exposure in the pediatric age group, increase in cumulative exposure with advancing age, prevention of the known adverse effects of sun rays with simple precautions, application of sun protection trainings given to the child for the rest of his/her life and thus decreasing the incidence of skin cancers. The World Health Organization and the American Academy of Pediatrics emphasize the following 5 basic points about reducing UV exposure in early childhood:
- Avoid going outside between 10.00-15.00 when the sun is at its peak,
- Usage of broad spectrum sunscreen children over 6 months,
- Using a hat, clothing that fully protects the body, sunglasses, umbrellas when going outside,
- When spending time outdoors, spend more time in shaded areas,
- Avoidance of indoor tanning.
In this sense, it is of critical importance that all physicians have the necessary knowledge and equipment to provide preventive counseling on the negative effects of sunlight on the skin and cancer development. In our country, it is known that Family Physicians working in the first step and Pediatricians working in fields take part in the provision of early childhood preventive health services. However, it is seen in the literature that both Pediatricians and Family Physicians do not have sufficient knowledge about sun protection methods and preventive counseling on this subject needs to be emphasized more in medical education.
In this study, it is aimed to investigate the knowledge levels of Pediatricians and Family Physicians about sun protection and to increase their knowledge and awareness levels about sun protection in order to provide preventive counseling for the pediatric age group and their families.
All participants will participate in a presentation about sun protection. Also motivational interviewing methods organized by a team of professionals in the field will be used in the planning and implementation of the presentation.
The training will be prepared as a presentation. The presentation will last at least 30 minutes. It will be conducted using Microsoft Powerpoint presentation, face to face as a group and motivational interviewing techniques will be implemented during session. Presentation will include the current recommendations of the American Academy of Pediatrics and the World Health Organization and will be prepared using appropriate data and visuals. The training content consists of 4 main topics:
- Purpose of the training program,
- Skin properties and functions,
- Sun rays, positive and negative effects of sun rays and skin diseases caused by sun rays,
- The importance of providing preventive counseling on sun protection and information on sun protection methods outlined by the American Academy of Pediatrics and the World Health Organization.
The knowledge level will be assessed by Skin Cancer and Sun Knowledge scale immediately before and after the program and at the 3th month.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pediatricians | Active comparator | Behavioral: Sun protection knowledgeThe group which consist of pediatricians. |
| Family physicians | Active comparator | Behavioral: Sun protection knowledgeThe group which consist of family physicians. |
Who may qualify
- Ages
- 24 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Pediatrics residents and specialists
- Family medicine residents and specialists
- Family physicians working at family medicine centers
Key exclusion criteria (3 listed)
- Medical students
- Physicians working at other fields
- Attendants who have skin cancer history at him/herself and in family
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sun protection knowledgeTo increase knowledge and awareness about sun protection methods, a presentation will be implented to pediatricians and family physicians. | Behavioural | Family physicians, Pediatricians |
Primary outcome
Sun protection methods
Time frame: Baseline and up to 3rd months.
A presentation consisting of WHO and AAP recommendations will be given and to measure the increase in knowledge and awareness of healthcare professionals, the Skin Cancer and Sun Knowledge scale will be measured at baseline, at the end of the presentation and after 3 months. An increase in the total score indicates an increase in knowledge and awareness.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2024.
- Results publication: PubMed 24722215Day AK, Wilson C, Roberts RM, Hutchinson AD. The Skin Cancer and Sun Knowledge (SCSK) Scale: Validity, Reliability, and Relationship to Sun-Related Behaviors Among Young Western Adults. Health Educ Behav. 2014 Aug;41(4):440-8. doi: 10.1177/1090198114529129. Epub 2014 Apr 10.
- Results publication: PubMed 21907230Green AC, Wallingford SC, McBride P. Childhood exposure to ultraviolet radiation and harmful skin effects: epidemiological evidence. Prog Biophys Mol Biol. 2011 Dec;107(3):349-55. doi: 10.1016/j.pbiomolbio.2011.08.010. Epub 2011 Sep 3.
- Results publication: PubMed 31777353Araujo FM, Carmo JAD, Cunha LD, Martins IML, Gon ADS, Caldeira AP. Development and validation of an instrument to assess the knowledge of general practitioners and pediatricians about photoprotection and solar radiation. An Bras Dermatol. 2019 Sep-Oct;94(5):532-541. doi: 10.1016/j.abd.2019.09.011. Epub 2019 Sep 30.
- Results publication: PubMed 37002351Balk SJ. Sun Protection. Pediatr Rev. 2023 Apr 1;44(4):236-239. doi: 10.1542/pir.2022-005545. No abstract available.
- EPA RecommendationsLink provided by the sponsor.
- American Academy of Dermatology RecommendationsLink provided by the sponsor.
- FDA Sunscreen RecommendationsLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Undecided
Related trials for Sun Protection
Active, not recruiting
Sun Exposure and Activities After Skin Cancer: Optimization of mHealth Interventions
Melanoma (Skin Cancer)
Active, not recruiting
Cancer Prevention for Young Rural Adults
Cancer
Recruiting
Mobile Sun Health Intervention EnabLing Daily Protection
Skin Cancer
Not yet recruiting
Randomized Trial of a Sun Safety Intervention for Young Adults
Sunburn
Not yet recruiting
Effect of Gamified Sun Protection Education Provided to Chemotherapy Patients
Chemotherapy, Sun Protection
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Sun protection knowledge in people with Sun Protection and Skin Burn, run by Marmara University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 6 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sun protection methods (time frame: Baseline and up to 3rd months.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06720402, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2024.