The Anti-Cancer Council of Victoria has been running sun protection programs for more than 20 years: Slip! Slop! Slap! from 1980 to 1988 and SunSmart from 1988 to the present. The Victorian Health Promotion Foundation has provided funding for the SunSmart program for the past 13 years. These programs have played an important role in changing the whole society’s approach to the sun and have resulted in marked reductions in sun exposure. This article describes the social, political, economic, and organizational context within which these programs developed. Then 10 areas are discussed that illustrate a critical aspect of the development and implementation of this successful systemwide health promotion program. These areas focus on key aspects of the context within which the program operates and on issues that derive from the experience of implementing program strategies. In summary, the success of the two programs is described as having been built on two key foundations: the vital integration of research and evaluation, on one hand, and a strong basis of consistency and continuity, on the other.
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References
1.
1. National Medical Research Council: Primary Prevention of Skin Cancer in Australia: Report of the Sun Protection Programs Working Party. Canberra, Commonwealth of Australia, 1996.
2.
2. Jelfs P, Coates M, Giles G, Shugg D, Threlfall T, Roder D, Ring I, Shadbolt B, Condon J: Cancer in Australia 1989-1990. Canberra, Australian Institute of Health and Welfare and Australasian Association of Cancer Registries, 1996.
3.
3. Staples M, Marks R, Giles G: Trends in the incidence of non-melanocytic skin cancer (NMSC) treated in Australia 1985-1995: Are primary prevention programs starting to have an effect?International Journal of Cancer78:144-148, 1998.
4.
4. Commonwealth Department of Health and Family Services & Australian Institute of Health and Welfare: National Health Priority Areas Report: Cancer Control. AIHW Cat. No. PHE 4. Canberra, AIHW, 1998.
5.
5. Carter R, Marks R, Hill D: Could a national skin cancer primary prevention campaign in Australia be worthwhile? An economic perspective. Health Promotion International14:73-82, 1999.
6.
6. Mather C, Penn R, Sanson-Fisher R, Carter R, Campbell E: Health System Costs of Cancer in Australia 1993-94: An Analysis of Costs, Service Use, Incidence and Mortality by Type of Cancer: A Joint Report of the Australian Institute of Health and Welfare & the National Cancer Control Initiative of the Commonwealth Department of Health and Family Services. AIHW Cat. No. HWE 8. Canberra, AIHW, 1998.
7.
7. Sinclair C, Borland R, Davidson M, Noy S: From Slip! Slop! Slap! to SunSmart: A profile of a health education campaign. Cancer Forum18(3):183-187, 1996.
8.
8. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 1: The Anti-Cancer Council’s Skin Cancer Control Program 1988-89. Melbourne, ACCV, 1989.
9.
9. Hill D, White V, Marks R, Borland R: Changes in sun-related attitudes and behaviours and reduced sunburn prevalence in a population at high risk of melanoma. European Journal of Cancer Prevention2:447-456, 1993.
10.
10. Anti-Cancer Council of Victoria: SunSmart Campaign 2000-2003. Melbourne, ACCV, 1999.
11.
11. Hill D, White V, Marks R, Theobald T, Borland R, Roy C: Melanoma prevention: Behavioural and non-behavioural factors in sunburn among an Australian urban population. Preventive Medicine21:654-669, 1992.
12.
12. Hill D, Boulter J: Sun protection behaviour: Determinants and trends. Cancer Forum20(3):203-211, 1996.
13.
13. Dobbinson SJ, Peipers AM, Borland R, Nolan KM: Are Victorian schools SunSmart? The ongoing development of the SunSmart Schools Program. Health Promotion Journal of Australia10(1):43-50, 2000.
14.
14. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 6: The Anti-Cancer Council’s Skin Cancer Control Program 1994/95 and 1995/96 and Related Research and Evaluation. Melbourne, ACCV, 1998.
15.
15. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 2: The Anti-Cancer Council’s Skin Cancer Control Program 1989-90. Melbourne, ACCV, 1992.
16.
16. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 3: The Anti-Cancer Council’s Skin Cancer Control Program 1990/91, 1991/92, 1992/93, and Related Research and Evaluation. Melbourne, ACCV, 1994.
17.
17. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 4: The Anti-Cancer Council’s Skin Cancer Control Program 1993-94 and Related Research and Evaluation. Melbourne, ACCV, 1995.
18.
18. Anti-Cancer Council of Victoria: SunSmart Program 1996-1999: Program Outline. Melbourne, ACCV, 1996.
19.
19. Anti-Cancer Council of Victoria: SunSmart Evaluation Studies No. 5: The Anti-Cancer Council’s Skin Cancer Control Program 1994-95 and 1995/96 and Related Research and Evaluation. Melbourne, ACCV, 1997.
20.
20. Borland R, Hocking B, Godkin G, Gibbs A, Hill D: The impact of a skin cancer control educational package for outdoor workers. Medical Journal of Australia154(10):686-688, 1991.
21.
21. Dobbinson S, Borland R, Anderson M: Sponsorship and sun protection practices in lifesavers. Health Promotion International4(2):167-176, 1999.
22.
22. Hill D, Dixon H: Promoting sun protection in children: Rationale and challenges. Health Education & Behavior26(3):409-417, 1999.
23.
23. Giles GG, Thursfield V, Staples M: Skin Cancer, Canstat. Melbourne, Anti-Cancer Council of Victoria, 1995.
24.
24. Giles GG, Armstrong BK, Burton RC, Staples MP, Thursfield VJ: Has mortality from melanoma stopped rising in Australia? Analysis of trends 1931 and 1994. British Medical Journal312:1121-1125, 1996.
25.
25. Giles GG, Thursfield V: Trends in skin cancer in Australia. Cancer Forum20:188-191, 1996.
26.
26. Kickbush I: Back to the future: Moving public health into the ’90s. National Symposium Victoria BC, 1-14, March 1989.
27.
27. Atkinson RJ, Matthews WA, Newman PA, Plumb RA: Evidence of mid-latitude impact of Antarctic ozone depletion. Nature347:290-293, 1989.
28.
28. Bandura A: Social Foundations of Thought and Action. Englewood Cliffs, NJ, Prentice Hall, 1986.
29.
29. Rosenstock IM, Strecher VJ, Becker MH: Social learning theory and the health belief model. Health Education Quarterly15:175-183, 1988.
30.
30. Horn D: A model for the study of personal choice health behaviour. International Journal of Addictions19:89-98, 1976.
31.
31. Prochaska JO, Di Clemente CC, Velicer WF, Ginpil S, Norcross JC: Predicting changes in smoking status for self changes. Addictive Behaviours10:395-406, 1985.
32.
32. Borland R: Evaluating comprehensive health promotion programs. Health Promotion Journal of Australia2(2):16-21, 1992.
33.
33. Dobbinson S, Peipers A, Reading D, Sinclair C: A national approach to skin cancer prevention: The National SunSmart Schools Program. Medical Journal of Australia169:513-514, 1998.
34.
34. Shediac-Rizkallah MC, Bone LR: Planning for sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research Theory & Practice13(1):87-108, 1998.
35.
35. Crisp BR, Swerissen H, Duckett SJ: Four approaches to capacity building in health: Consequences for measurement and accountability. Health Promotion International15(2):99-107, 2000.
36.
36. Hawe P, King L, Noort M, Gifford S, Lloyd B: Working invisibly: Health workers talk about capacity-building in health promotion. Health Promotion International13(4):285-295, 1998.
37.
37. Department of Education: Schools of the Future Reference Guide 1996. Melbourne, Department of Education, 1996.
38.
38. Department of Education: Executive Memorandum No. 99/039 Amendment of the Schools of the Future Reference Guide 4.5.11. Melbourne, Department of Education, Employment and Training, 1999.
39.
39. Commonwealth of Australia, Australia’s National Tobacco Campaign: Evaluation Report: Vol. 2. Every Cigarette Is Doing You Damage. Canberra, Commonwealth of Australia, 2000.
