Using MC1R Genotype to Impact Melanoma Risk Behavior

Melanoma (Skin) Clinical Trial

Official title:

Using MC1R Genotype to Impact Melanoma Risk Behavior

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03509467
• Other study ID #: MCC-17984
• Secondary ID: MCC-19461
• Status: Completed
• Phase: N/A
• Start date: August 3, 2015
• Est. completion date: February 19, 2021

Study information

• Verified date: January 2024
• Source: H. Lee Moffitt Cancer Center and Research Institute
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to examine how different messages about risk of melanoma can impact the way people protect themselves against developing these diseases.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2054
• Est. completion date: February 19, 2021
• Est. primary completion date: February 19, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

CRITERIA FOR: NON-HISPANIC WHITE POPULATION

• Investigators will recruit participants from the Family Medicine and General Internal Medicine clinics of the Morsani Center at the University of South Florida.

• White, non-Hispanic patients who self-report a low phenotypic risk profile for development of melanoma and are able to read and speak English fluently.

• 18 years of age or older

• Capable of giving informed consent

• Potential participants will be screened for eligibility based on responses to questions about skin phenotypes, early detection behaviors and past history of melanoma.

• After signing informed consent, a biologic sample (saliva) will be collected for the purpose of DNA extraction determination of MC1R genotypes. All participants who carry high risk MC1R genotypes and a proportion of those who carry low risk or no MC1R variants will be randomized to the control or intervention arm.

CRITERIA FOR: HISPANIC POPULATION

• Investigators will recruit participants living in Tampa Bay and Puerto Rico as part of the U54 Ponce Health Sciences University-Moffitt Cancer Center (PHSU-MCC) Partnership. In Tampa Bay, participants will be recruited from the Family Medicine and General Internal Medicine clinics of the Morsani Center at the University of South Florida, and from the Suncoast Community Health Centers.

• Patients who self-report as Hispanics and are able to read and speak either Spanish or English fluently.

• 18 years of age or older

• Capable of giving informed consent

• Potential participants will be screened for eligibility based on responses to early detection behaviors and past history of melanoma.

• After signing informed consent, a biologic sample (saliva) will be collected for the purpose of DNA extraction determination of MC1R genotypes. All participants who carry high risk MC1R genotypes and a proportion of those who carry low risk or no MC1R variants will be randomized to the control or intervention arm.

Exclusion Criteria:

CRITERIA FOR: NON-HISPANIC WHITE POPULATION

• Have had a skin examination within the past year.

• Do not meet race/ethnicity criteria for their group

• White, non-Hispanic group - participants reporting sun-sensitive phenotypes

• A personal history of melanoma

CRITERIA FOR: HISPANIC POPULATION

• Have had a skin examination within the past year.

• Do not meet ethnicity criteria for their group

• White, non-Hispanic group - participants reporting sun-sensitive phenotypes

• Participants with a personal history of melanoma and/or more personal history of more than on squamous cell cancer (SCC) and/or Basal Cell Cancer (BCC)

Related Conditions & MeSH terms

• Basal Cell Cancer
• Basal Cell Carcinoma
• Carcinoma
• Carcinoma, Basal Cell
• Carcinoma, Squamous Cell
• Melanoma
• Melanoma (Skin)
• Neoplasms, Basal Cell
• Neoplasms, Squamous Cell
• Skin Cancer
• Skin Neoplasms
• Squamous Cell Cancer
• Squamous Cell Carcinoma

Intervention

Behavioral:
• Personalized Information
Personalized information about ways that participants can protect themselves and their child from developing melanoma.
• Standard Information
Standard information about ways that participants can protect themselves and their child from developing melanoma.

Other:
• DNA Extraction Determination of MC1R Genotypes
After signing informed consent, a biologic sample (saliva) will be collected for the purpose of DNA extraction determination of MC1R genotypes. All participants who carry high risk MC1R genotypes and a proportion of those who carry low risk or no MC1R variants will be randomized to the control or intervention arm.

Locations

Country	Name	City	State
Puerto Rico	Ponce School of Medicine	Ponce
United States	H. Lee Moffitt Cancer Center and Research Institute	Tampa	Florida

Sponsors (4)

Lead Sponsor	Collaborator
H. Lee Moffitt Cancer Center and Research Institute	American Cancer Society, Inc., The Ponce Health Sciences University, University of South Florida

Countries where clinical trial is conducted

United States,  Puerto Rico, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Weekday Sun Exposure - NHW - Baseline	Self-reported average hours spent outside during weekdays for the Non-Hispanic White Population	Baseline
Primary	Weekday Sun Exposure - NHW - After Intervention	Self-reported average hours spent outside during weekdays for the Non-Hispanic White Population after they received the intervention	12 months
Primary	Weekend Sun Exposure - NHW - Baseline	Self-reported average hours spent outside during weekends for the Non-Hispanic White Population	Baseline
Primary	Weekend Sun Exposure - NHW - After Intervention	Self-reported average hours spent outside during weekends for the Non-Hispanic White Population after receiving the intervention	12 Months
Primary	Sunburns - NHW - Baseline	Self-reported number of red or painful sunburns for the Non-Hispanic White Population	Baseline
Primary	Sunburns - NHW - After Intervention	Self-reported number of red or painful sunburns for the Non-Hispanic White Population after receiving the intervention	12 Months
Primary	Outdoor Intentional Tanning - NHW - Baseline	Self-reported number on a scale from 1=never to 5=always for outdoor intentional tanning for the Non-Hispanic White Population	Baseline
Primary	Outdoor Intentional Tanning - NHW - After Intervention	Self-reported number on a scale from 1=never to 5=always outdoor intentional tanning for the Non-Hispanic White Population after receiving the intervention	12 Months
Primary	Proportion of Participants Wearing a Hat - NHW - Baseline	Proportion who practiced wearing a hat for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Proportion of Participants Wearing a Hat - NHW - After Intervention	Proportion who practiced wearing a hat for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	12 Months
Primary	Seeking Shade - NHW - Baseline	Self-reported number of hours for seeking shade or using an umbrella outdoors for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Seeking Shade - NHW - After Intervention	Self-reported number of hours for seeking shade or using an umbrella outdoors for the Non-Hispanic White Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	12 Months
Primary	Wearing a Shirt - NHW - Baseline	Self-reported number of hours for wearing a shirt with sleeves outdoors for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing a Shirt - NHW - After Intervention	Self-reported number of hours wearing a shirt with sleeves outdoors for the Non-Hispanic White Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	12 Months
Primary	Wearing Sunglasses - NHW - Baseline	Self-reported number of hours for wearing sunglasses outdoors for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing Sunglasses - NHW - After Intervention	Self-reported number of hours wearing sunglasses outdoors for the Non-Hispanic White Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	12 Months
Primary	Wearing Sunscreen - NHW - Baseline	Self-reported number of hours for wearing sunscreen outdoors for the Non-Hispanic White Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing Sunscreen - NHW - After Intervention	Self-reported number of hours wearing sunscreen outdoors for the Non-Hispanic White Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	12 Months
Primary	Participants With Indoor Intentional Tanning - NHW - Baseline	Participants with at least one indoor intentional tanning session for the Non-Hispanic White Population	Baseline
Primary	Participants With Indoor Intentional Tanning - NHW - After Intervention	Participants with at least one indoor intentional tanning session for the Non-Hispanic White Population after receiving the intervention	12 Months
Primary	Weekday Sun Exposure - Hispanic Population Baseline	Self-reported number of hours of weekday sun exposure for the Hispanic Population	Baseline
Primary	Weekday Sun Exposure - Hispanic Population After Intervention	Self-reported number of hours of weekday sun exposure of the Hispanic population after receiving the intervention	9 Months
Primary	Weekend Sun Exposure - Hispanic Population - Baseline	Self-reported number of hours of weekend sun exposure for the Hispanic Population	Baseline
Primary	Weekend Sun Exposure - Hispanic Population - After Intervention	Self-reported number of hours of weekend sun exposure for the Hispanic Population after receiving the intervention	9 Months
Primary	Sunburns - Hispanic Population - Baseline	Self-reported number of Sunburns for the Hispanic Population	Baseline
Primary	Sunburns - Hispanic Population - After Intervention	Self-reported number of Sunburns for the Hispanic Population after receiving the intervention	9 Months
Primary	Outdoor Intentional Tanning - Hispanic Population - Baseline	Self-reported number on a scale from 1=never to 5=always intentional tanning for the Hispanic Population	Baseline
Primary	Outdoor Intentional Tanning - Hispanic Population - After Intervention	Self-reported number on a scale from 1=never to 5=always outdoor intentional tanning for the Hispanic Population after receiving the intervention	9 Months
Primary	Proportion of Participants Wearing a Hat - Hispanic Population - Baseline	Proportion who practiced wearing a hat Often to Always for the Hispanic Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Proportion of Participants Wearing a Hat - Hispanic Population - After Intervention	Proportion who practiced wearing a hat Often to Always for the Hispanic Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	9 months
Primary	Seeking Shade - Hispanic Population - Baseline	Self-reported number of hours of seeking shade or using an umbrella for the Hispanic Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Seeking Shade - Hispanic Population - After Intervention	Self-reported number of hours of seeking shade or using an umbrella for the Hispanic Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	9 Months
Primary	Wearing a Shirt - Hispanic Population - Baseline	Self-reported number of hours of wearing a shirt for the Hispanic Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing a Shirt - Hispanic Population - After Intervention	Self-reported number of hours of wearing a shirt with sleeves outdoors for the Hispanic Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	9 Months
Primary	Wearing Sunglasses - Hispanic Population - Baseline	Self-reported number of hours of wearing sunglasses for the Hispanic Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing Sunglasses - Hispanic Population - After Intervention	Self-reported number of hours of wearing sunglasses for the Hispanic Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	9 Months
Primary	Wearing Sunscreen - Hispanic Population - Baseline	Self-reported number of hours of wearing sunscreen for the Hispanic Population. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	Baseline
Primary	Wearing Sunscreen - Hispanic Population - After Intervention	Self-reported number of hours of wearing sunscreen for the Hispanic Population after receiving the intervention. This is a population predicted marginal proportion estimated by running a generalized estimating equation with the outcome modeled as a repeated binomial distribution (practiced the behavior often to always vs. sometimes, rarely, or never measured at both follow-ups) and using a logit link function. The model covariates included the baseline measure, any imbalanced baseline measures, predictors of missingness, and predictors of outcome.	9 Months
Primary	Participants With Intentional Indoor Tanning - Hispanic Population - Baseline	Participants with at least one indoor intentional tanning session for the Hispanic Population	Baseline
Primary	Participants With Intentional Indoor Tanning - Hispanic Population - After Intervention	Participants with at least one indoor intentional tanning session for the Hispanic Population after receiving the intervention	9 Months
Secondary	Weekday Sun Exposure - NHW Children - Baseline	Self-reported average hours spent outside during weekdays among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Weekday Sun Exposure - NHW Children - After Intervention	Self-reported average hours spent outside during weekdays among the children of the participants in the Non-Hispanic White Population	12 months
Secondary	Weekend Sun Exposure - NHW Children - Baseline	Self-reported average hours spent outside during weekends among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Weekend Sun Exposure - NHW Children - After Intervention	Self-reported average hours spent outside during weekends among the children of the participants in the Non-Hispanic White Population	12 Months
Secondary	Sunburns - NHW Children - Baseline	Self-reported number of red or painful sunburns among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Sunburns - NHW Children - After Intervention	Self-reported number of red or painful sunburns among the children of the participants in the Non-Hispanic White Population after receiving the intervention	12 Months
Secondary	Outdoor International Tanning - NHW Children - Baseline	Self-reported number of hours for outdoor intentional tanning among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Outdoor Intentional Tanning - NHW Children - After Intervention	Self-reported number of hours for outdoor intentional tanning among the children of the participants in the Non-Hispanic White Population after receiving the intervention	12 Months
Secondary	Wearing a Hat - NHW Children - Baseline	Self-reported number of hours for wearing a hat outdoors among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Wearing a Hat - NHW Children - After Intervention	Self-reported number of hours for wearing a hat outdoors among the children of the participants in the Non-Hispanic White Population after receiving the intervention	12 Months
Secondary	Seeking Shade - NHW Children - Baseline	Self-reported number of hours for seeking shade or using an umbrella outdoors among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Seeking Shade - NHW Children - After Intervention	Self-reported number of hours for seeking shade or using an umbrella outdoors among the children of the participants in the Non-Hispanic White Population after receiving the intervention	12 Months
Secondary	Wearing a Shirt - Average Risk NHW Children - Baseline	Average Risk Participants children who wore a shirt with sleeves outdoors among the participants in the Non-Hispanic White Population	Baseline
Secondary	Wearing a Shirt - Average Risk NHW Children - After Intervention	Average Risk Participants children who wore a shirt with sleeves outdoors among the participants in the Non-Hispanic White Population	12 Month
Secondary	Wearing a Shirt - High Risk NHW Children - Baseline	Self-reported number of hours wearing a shirt with sleeves outdoors among the children of the participants in the Non-Hispanic White High Risk Population	12 Months
Secondary	Wearing a Shirt - High Risk NHW Children - After Intervention	Self-reported number of hours wearing a shirt with sleeves outdoors among the children of the participants in the Non-Hispanic White High Risk Population after receiving the intervention	12 Months
Secondary	Wearing Sunglasses - Average Risk NHW Children - Baseline	Self-reported number of hours for wearing sunglasses outdoors among the children of the participants in the Non-Hispanic White Average Risk Population	Baseline
Secondary	Wearing Sunglasses - Average Risk NHW Children - After Intervention	Self-reported number of hours wearing sunglasses outdoors among the children of the participants in the Non-Hispanic White Average Risk Population after receiving the intervention	12 Months
Secondary	Wearing Sunglasses -High Risk NHW Children - Baseline	Children of the participants in the Non-Hispanic White High Risk Population who wore sunglasses outdoors	Baseline
Secondary	Wearing Sunglasses - High Risk NHW Children - After Intervention	Children of the participants in the Non-Hispanic White High Risk Population who wore sunglasses outdoors after receiving the intervention	12 Months
Secondary	Wearing Sunscreen - NHW Children - Baseline	Self-reported number of hours for wearing sunscreen outdoors among the children of the participants in the Non-Hispanic White Population	Baseline
Secondary	Wearing Sunscreen - NHW Children - After Intervention	Self-reported number of hours wearing sunscreen outdoors among the children of the participants in the Non-Hispanic White Population after receiving the intervention	12 Months
Secondary	Weekday Sun Exposure - Hispanic Children Population Baseline	Self-reported number of hours of weekday sun exposure among the children of the participants in the Hispanic Population	Baseline
Secondary	Weekday Sun Exposure - Hispanic Children Population After Intervention	Self-reported number of hours of weekday sun exposure among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Weekend Sun Exposure - Hispanic Children Population - Baseline	Self-reported number of hours of weekend sun exposure among the children of the participants in the Hispanic Population	Baseline
Secondary	Weekend Sun Exposure - Hispanic Children Population - After Intervention	Self-reported number of hours of weekend sun exposure among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Sun Protection Behaviors - Hispanic Children Population - Baseline	Self-reported number of hours of sun protection behaviors among the children of the participants in the Hispanic Population	Baseline
Secondary	Sun Protection Behaviors - Hispanic Children Population - After Intervention	Self-reported number of hours of sun protection behaviors among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Outdoor Intentional Tanning - Hispanic Children Population - Baseline	Self-reported number of hours of outdoor intentional tanning among the children of the participants in the Hispanic Population	Baseline
Secondary	Outdoor Intentional Tanning - Hispanic Children Population - After Intervention	Self-reported number of hours of outdoor intentional tanning among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Sunburns - Hispanic Children Population - Baseline	Self-reported number of Sunburns among the children of the participants in the Hispanic Population	Baseline
Secondary	Sunburns - Hispanic Children Population - After Intervention	Self-reported number of Sunburns among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Wearing a Hat - Hispanic Children Population - Baseline	Children of participants in the Hispanic Population who wore a hat before receiving the intervention	Baseline
Secondary	Wearing a Hat - Hispanic Children Population - After Intervention	Children of participants in the Hispanic Population who wore a hat after receiving the intervention	9 months
Secondary	Seeking Shade - Hispanic Children Population - Baseline	Self-reported number of hours of seeking shade or using an umbrella among the children of the participants in the Hispanic Population	Baseline
Secondary	Seeking Shade - Hispanic Children Population - After Intervention	Self-reported number of hours of seeking shade or using an umbrella among the children of the participants in the Hispanic Population after receiving the intervention	9 Months
Secondary	Wearing a Shirt - Average Risk Hispanic Children Population - Baseline	Children of the participants in the Hispanic Average Risk Population who reported wearing a shirt with sleeves outdoors	Baseline
Secondary	Wearing a Shirt - Hispanic Children Population - After Intervention	Children of the participants in the Hispanic Average Risk Population who reported wearing a shirt with sleeves outdoors, after receiving the intervention	9 Months
Secondary	Wearing a Shirt - Hispanic Children High Risk Population - Baseline	Self-reported number of hours of wearing a shirt among the children of the participants in the Hispanic Population	Baseline
Secondary	Wearing a Shirt - Hispanic Children High Risk Population - After Intervention	Self-reported number of hours of wearing a shirt with sleeves outdoors among the children of the participants in the Hispanic High Risk Population after receiving the intervention	9 Months
Secondary	Wearing Sunglasses - Hispanic Children Population - Baseline	Children of the participants in the Hispanic Population who reported wearing sunglasses	Baseline
Secondary	Wearing Sunglasses - Hispanic Children Population - After Intervention	Children of the participants in the Hispanic Population who reported wearing sunglasses, after receiving the intervention	9 Months
Secondary	Wearing Sunscreen - Hispanic Children Average Risk Population - Baseline	Children of the participants in the Hispanic Average Risk Population wo reported wearing sunscreen	Baseline
Secondary	Wearing Sunscreen - Hispanic Children Population - After Intervention	Children of the participants in the Hispanic Average Risk Population wo reported wearing sunscreen, after receiving the intervention	9 Months
Secondary	Wearing Sunscreen - Hispanic Children High Risk Population - Baseline	Self-reported number of hours of wearing sunscreen among the children of the participants in the Hispanic High Risk Population	Baseline
Secondary	Wearing Sunscreen - Hispanic High Risk Children Population - After Intervention	Self-reported number of hours of wearing sunscreen among the children of the participants in the Hispanic High Risk Population after receiving the intervention	9 Months