Purpose: To: a) adapt the SASS hybrid training for high school student peer leaders (accounting for culture, age, developmental stage, and literacy); b) engage the trainees to implement SASS in rural, border-area classrooms; c) evaluate feasibility and effectiveness of the peer training and the peer-to-peer education; and d) sustain SASS within the community.
Methods: Using a CBPR framework, our UA research team and community stakeholders adapted the SASS training modules and classroom lesson. Eighteen students from three border-area high schools completed the online training and online pretest and posttest measuring skin cancer prevention knowledge, attitudes, beliefs and behaviors.
Results: The majority of trainees were female, Hispanic, and had skin cancer risk factors: 83.3% lived in Arizona for 14+ years, and over 70% reported fair skin and propensity to sunburn, with 35.3% having two or more sunburns in the past 12 months. Following training, sun-safety knowledge improved (p = .002), perceived seriousness (p = .000) and risk (p = .02) were more favorable, and self-reported sun safety behaviors improved, including wearing a wide-brimmed hat (p = .005), applying SPF 30+ sunscreen, and wearing sunglasses (both p = .000). From December 2016 to April 2017, the trainees will implement SASS to about 500 peer students in border-area classrooms; we anticipate that 250 will complete pretest and the posttest evaluations by May 2017.
Conclusions: We successfully adapted SASS sun-safety training to Hispanic youth who had stronger skin cancer risk factors than we anticipated. We will report findings of SASS implementation in classrooms. Our community partner ultimately will integrate the SASS training into its menu of student training activities to sustain dissemination into rural and underserved communities.