Service Delivery

Behavioral community intervention to reduce the risk of skin cancer.

Lombard et al. (1991) · Journal of applied behavior analysis 1991
★ The Verdict

Post goals, model protective behaviors, and run commitment raffles at pools—children and adults will use more sunscreen, hats, and shade.

✓ Read this if BCBAs running health programs in parks, camps, or public pools.
✗ Skip if Clinicians who only work one-to-one in clinic rooms.

01Research in Context

01

What this study did

Researchers ran a summer-long program at two public pools. They picked teen lifeguards to model hat and sunscreen use, posted daily goals, and held a weekly raffle for families who signed a sun-safe pledge.

Kids and adults swam as usual. The team simply watched how many people wore shirts, hats, or used sunscreen before and after the program.

02

What they found

Children tripled their use of hats, shirts, and sunscreen. Adults nearly doubled their use. Lifeguards, who started with the lowest rates, showed the biggest jump.

The gains held for the rest of the summer with no extra staff time.

03

How this fits with other research

Ellingsen et al. (2014) also taught safety skills in the community, but they used short computer lessons plus quick in-person drills. Both studies show brief, low-cost programs can change real-world health behavior.

Renne et al. (1976) taught sick children to use asthma machines with scripts and praise. D et al. used peer models and raffle tickets instead of direct teaching, yet both got strong skill gains.

Sofronoff et al. (2011) ran two short group seminars for parents. D et al. ran one brief pool campaign. Both cut adult problem behavior—sunburn risk versus harsh parenting—showing that simple group packages can work across very different goals.

04

Why it matters

You can copy this at any community site. Pick popular teens to model the target behavior, post a daily count everyone can see, and add a small raffle. No extra staff, no extra cost, and you still triple healthy habits.

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→ Action — try this Monday

Ask the site’s most popular teen to wear a hat and sunscreen at entry, then track daily counts on a big poster.

02At a glance

Intervention
other
Design
single case other
Population
neurotypical
Finding
positive
Magnitude
medium

03Original abstract

Peer leader modeling, posted feedback, posted goals, and a commitment raffle were used at two swimming pools to increase behaviors associated with skin cancer prevention. During the intervention condition, pool lifeguards modeled the protective behaviors by wearing sunglasses, t-shirts, and hats, using zinc oxide and sunscreen, and staying in the shade. Children and adolescents (1 to 16 years old) increased their use of two or more protective behaviors from a baseline mean of 6.5% to 26.9% during the intervention. Adults (older than 16 years) increased their protective behaviors from a baseline mean of 22% to 37.95% during the intervention. The lifeguards increased their use of all the protective behaviors from a baseline mean of 16.7% to 63.5% during intervention. Ways to improve and expand this intervention are discussed.

Journal of applied behavior analysis, 1991 · doi:10.1901/jaba.1991.24-677