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| ID | Type | Description | Link |
|---|---|---|---|
| K07CA196985 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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The overall purpose of this study is to test the feasibility, acceptability, and preliminary efficacy of a family-focused behavioral intervention ("FLARE", which stands for Family Lifestyle Actions and Risk Education) that aims to improve adherence to melanoma preventive behaviors among children at elevated risk for the disease.
Test the feasibility and acceptability of FLARE, a family-focused behavioral intervention that is designed to improve and maintain adherence to photoprotection (e.g., use of sunscreen) and screening (e.g., implementation of self skin exams). We expect that the feasibility of the intervention will be supported by at least 75% of participants attending at least 3 intervention sessions. We also expect that the acceptability of the intervention (e.g., overall satisfaction, ease of participation, perceived utility of intervention) will be supported by mean ratings that indicate adequate levels of acceptability across participants (e.g., mean rating of "satisfied" or "very satisfied" for overall satisfaction).
Pilot test the efficacy of the FLARE intervention with children at elevated risk for melanoma and their primary caregiver.
We will also explore the potential impact of the FLARE intervention on melanoma preventive behaviors among siblings of the child who receives the intervention, as well as the child's other parent/caregiver (if another parent/caregiver is available).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FLARE intervention | Experimental | All FLARE participants enrolled will receive the intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FLARE | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Participants Retained Throughout Intervention as Assessed by Session Attendance Recorded by Interventionist | Session attendance will be recorded by the interventionist at each scheduled session. The percent of participants who are retained throughout the 3 session intervention will be calculated. | Week 9 (post-intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Photoprotective Behaviors Assessed With the Sun Habits Survey | "These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you..." Minimum value = 1; Maximum value = 5; Higher scores indicate a better outcome | Weeks 1 (baseline), 3,5,7,9,13 |
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Inclusion Criteria:
Children
Adults
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yelena Wu, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huntsman Cancer Institute | Salt Lake City | Utah | 84112 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18283179 | Background | Glanz K, Yaroch AL, Dancel M, Saraiya M, Crane LA, Buller DB, Manne S, O'Riordan DL, Heckman CJ, Hay J, Robinson JK. Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008 Feb;144(2):217-22. doi: 10.1001/archdermatol.2007.46. | |
| 15193896 | Background | Weinstock MA, Risica PM, Martin RA, Rakowski W, Smith KJ, Berwick M, Goldstein MG, Upegui D, Lasater T. Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out Project. Prev Med. 2004 Jun;38(6):761-5. doi: 10.1016/j.ypmed.2004.01.020. |
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| ID | Title | Description |
|---|---|---|
| FG000 | FLARE Intervention | FLARE participants enrolled |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | FLARE Intervention | FLARE participants enrolled |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent of Participants Retained Throughout Intervention as Assessed by Session Attendance Recorded by Interventionist | Session attendance will be recorded by the interventionist at each scheduled session. The percent of participants who are retained throughout the 3 session intervention will be calculated. | Posted | Count of Participants | Participants | Week 9 (post-intervention) |
|
|
1 year, 9 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | FLARE Intervention | FLARE participants enrolled | 0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Yelena Wu | Huntsman Cancer Institute University of Utah | 8012135653 | yelena.wu@utah.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 14, 2016 | Nov 19, 2018 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| Photoprotective Behaviors Assessed With the PALE Questionnaire |
Protection-Adjusted Length of Exposure Index (PALE) Assesses photoprotective behavior during reported activities to yield daily minutes of unprotected sun exposure during each time frame |
| Weeks 1 (baseline), 3,5,7,9,13 |
| Skin Self-exam Occurrence Assessed Via Questionnaire | Number of participants who received a skin self-exam during each time frame | Weeks 1 (baseline), 3,5,7,9,13 |
| Skin Self-exam Occurrence Assessed Via Diary | Number of participants who received a skin self-exam during each time frame interval | Weeks 1 (baseline), 3,5,7,9,13 |
| Sunburn Occurrence Assessed Via Diary | Number of participants who got a sunburn during each time frame interval | Weeks 1 (baseline), 3,5,7,9,13 |
| Sunburn Occurrence Assessed Via Questionnaire | Number of participants who received a sunburn during each time frame. | Weeks 1 (baseline), 3,5,7,9,13 |
| Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device | Change of weekly average UV intake from Week 1 (baseline) to Week 9 (post-intervention) and from Week 9 to Week 13 (1-month follow up) | Weeks 1 (baseline),9,13 |
| Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Protection-Adjusted Length of Exposure Index (PALE) Assesses UVR exposure during reported activities to yield daily minutes of unprotected sun exposure during each time frame | Weeks 1 (baseline), 3,5,7,9,13 |
| Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Mean degree of tan on skin assessed via reflectance spectroscopy of 4 different body parts (exposed wrist, outer arm, chin, and face) at each time frame. Measurements were taken using a spectrophotometer to quantify skin color. Melanin index values were recorded, with a higher value representing more melanin in the skin (i.e., darker skin). | Weeks 1 (baseline),9,13 |
| Photoprotection Behavior Changes Assessed Via Questionnaire | Mean difference for each photoprotection behavior from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). "These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you..." Minimum value = 1; Maximum value = 5; A higher mean difference indicates a better outcome | Weeks 1,9,13 |
| Skin Self-exam Behavior Changes | Mean difference for frequency of skin self-exam and thoroughness of skin self-exam (measured by number of body parts examined) from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). (SSE = skin self-exam) Change in frequency of SSE: "In the past month, how often did you check your skin for any new or changed moles or growths?" 1 = SSE less than once a month, 2 = SSE once a month, 3 = SSE more than once a month; higher mean difference indicates a better outcome. Change in thoroughness of SSE: "In the past month, which of the body parts listed below were checked for any new or changed moles or growths" Minimum value = 0 (checked 0 body parts during SSE); Maximum value = 15 (checked 15 body parts during SSE); higher mean difference indicates a better outcome | Weeks 1,9,13 |
| Acceptability of Intervention Assessed Via Questionnaire | "In these next 15 questions, we want to learn more about your thoughts about what you learned through the FLARE sessions you've had with us in-person and via WebEx or phone. Please indicate how much you agree with each statement." 15 total constructs summed, each was on the same 5 point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree). Minimum value = 1; Maximum Value = 75; higher score means a better outcome (better acceptability) | Week 9 |
| 14675857 | Background | Gwadry-Sridhar F, Guyatt GH, Arnold JM, Massel D, Brown J, Nadeau L, Lawrence S. Instruments to measure acceptability of information and acquisition of knowledge in patients with heart failure. Eur J Heart Fail. 2003 Dec;5(6):783-91. doi: 10.1016/s1388-9842(03)00158-2. |
| 22942273 | Background | Kothe EJ, Mullan BA. Acceptability of a theory of planned behaviour email-based nutrition intervention. Health Promot Int. 2014 Mar;29(1):81-90. doi: 10.1093/heapro/das043. Epub 2012 Aug 31. |
| 25642574 | Background | Gage H, Grainger L, Ting S, Williams P, Chorley C, Carey G, Borg N, Bryan K, Castleton B, Trend P, Kaye J, Jordan J, Wade D. Specialist rehabilitation for people with Parkinson's disease in the community: a randomised controlled trial. Southampton (UK): NIHR Journals Library; 2014 Dec. Available from http://www.ncbi.nlm.nih.gov/books/NBK263782/ |
| Background | Stump, T. K., Aspinwall, L. G., Taber, J. M., Edwards, R., & Leachman, S. A. Validation of the Protection-Adjusted Length of Exposure (PALE) Index - A New Self-Report Measure of UVR Exposure (2014, April). Paper presented at the annual meeting of the Society of Behavioral Medicine, Philadelphia, PA. |
| 31520429 | Derived | Wu YP, Boucher K, Hu N, Hay J, Kohlmann W, Aspinwall LG, Bowen DJ, Parsons BG, Nagelhout ES, Grossman D, Mooney K, Leachman SA, Tercyak KP. A pilot study of a telehealth family-focused melanoma preventive intervention for children with a family history of melanoma. Psychooncology. 2020 Jan;29(1):148-155. doi: 10.1002/pon.5232. Epub 2019 Nov 10. |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
| Secondary | Photoprotective Behaviors Assessed With the Sun Habits Survey | "These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you..." Minimum value = 1; Maximum value = 5; Higher scores indicate a better outcome | Outcomes for parents (n=21) are from parent self-report of behavior; outcomes for children (n=21) are from parent report on child's behavior | Posted | Mean | Standard Deviation | units on a scale | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Photoprotective Behaviors Assessed With the PALE Questionnaire | Protection-Adjusted Length of Exposure Index (PALE) Assesses photoprotective behavior during reported activities to yield daily minutes of unprotected sun exposure during each time frame | Outcomes for parents (n=21) are from parent self-report of daily minutes of unprotected sun exposure; outcomes for children (n=21) are from parent report on child's daily minutes of unprotected sun exposure | Posted | Mean | Standard Deviation | minutes | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Skin Self-exam Occurrence Assessed Via Questionnaire | Number of participants who received a skin self-exam during each time frame | Outcomes for parents (n=21) are from parent self-report of skin self-exam; outcomes for children (n=21) are from parent report on child's skin self-exam | Posted | Count of Participants | Participants | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Skin Self-exam Occurrence Assessed Via Diary | Number of participants who received a skin self-exam during each time frame interval | Outcomes for parents (n=21) are from parent self-report of skin self-exam; outcomes for children (n=21) are from child self-report of skin self-exam | Posted | Count of Participants | Participants | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Sunburn Occurrence Assessed Via Diary | Number of participants who got a sunburn during each time frame interval | Outcomes for parents (n=21) are from parent self-report of sunburn occurrence; outcomes for children (n=21) are from child self-report of sunburn occurrence | Posted | Count of Participants | Participants | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Sunburn Occurrence Assessed Via Questionnaire | Number of participants who received a sunburn during each time frame. | Outcomes for parents (n=21) are from parent self-report of sunburns; outcomes for children (n=21) are from parent report on child's sunburns | Posted | Count of Participants | Participants | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Ultraviolet Radiation (UVR) Exposure Assessed Via Dosimeter Device | Change of weekly average UV intake from Week 1 (baseline) to Week 9 (post-intervention) and from Week 9 to Week 13 (1-month follow up) | Posted | Mean | Standard Error | Joules/meter^2 | Weeks 1 (baseline),9,13 |
|
|
|
| Secondary | Ultraviolet Radiation (UVR) Exposure Assessed Via PALE Questionnaire | Protection-Adjusted Length of Exposure Index (PALE) Assesses UVR exposure during reported activities to yield daily minutes of unprotected sun exposure during each time frame | Outcomes for parents (n=21) are from parent self-report of daily minutes of unprotected sun exposure; outcomes for children (n=21) are from parent report on child's daily minutes of unprotected sun exposure | Posted | Mean | Standard Deviation | minutes | Weeks 1 (baseline), 3,5,7,9,13 |
|
|
|
| Secondary | Degree of Tan on Skin Assessed Via Reflectance Spectroscopy | Mean degree of tan on skin assessed via reflectance spectroscopy of 4 different body parts (exposed wrist, outer arm, chin, and face) at each time frame. Measurements were taken using a spectrophotometer to quantify skin color. Melanin index values were recorded, with a higher value representing more melanin in the skin (i.e., darker skin). | Outcomes for parents (n=21) are from parent's reflectance spectroscopy of skin; outcomes for children (n=21) are from child's reflectance spectroscopy of skin | Posted | Mean | Standard Deviation | Melanin Index Values | Weeks 1 (baseline),9,13 |
|
|
|
| Secondary | Photoprotection Behavior Changes Assessed Via Questionnaire | Mean difference for each photoprotection behavior from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). "These next questions ask about what you have done in the past month if you were outdoors in the sun for 15 minutes or more. How often did you..." Minimum value = 1; Maximum value = 5; A higher mean difference indicates a better outcome | Outcomes for parents (n=21) are from parent self-report of behavior; outcomes for children (n=21) are from parent report on child's behavior | Posted | Mean | Standard Deviation | score on a scale | Weeks 1,9,13 |
|
|
|
| Secondary | Skin Self-exam Behavior Changes | Mean difference for frequency of skin self-exam and thoroughness of skin self-exam (measured by number of body parts examined) from Week 1 (pre-intervention) to Week 9 (post-intervention) and from Week 9 to Week 13 (1 month follow-up). (SSE = skin self-exam) Change in frequency of SSE: "In the past month, how often did you check your skin for any new or changed moles or growths?" 1 = SSE less than once a month, 2 = SSE once a month, 3 = SSE more than once a month; higher mean difference indicates a better outcome. Change in thoroughness of SSE: "In the past month, which of the body parts listed below were checked for any new or changed moles or growths" Minimum value = 0 (checked 0 body parts during SSE); Maximum value = 15 (checked 15 body parts during SSE); higher mean difference indicates a better outcome | Outcomes for parents (n=21) are from parent self-report skin self-exam behavior changes; outcomes for children (n=21) are from parent report on child's skin self-exam behavior changes | Posted | Mean | Standard Deviation | units on a scale | Weeks 1,9,13 |
|
|
|
| Secondary | Acceptability of Intervention Assessed Via Questionnaire | "In these next 15 questions, we want to learn more about your thoughts about what you learned through the FLARE sessions you've had with us in-person and via WebEx or phone. Please indicate how much you agree with each statement." 15 total constructs summed, each was on the same 5 point Likert scale (1 = Strongly Disagree, 5 = Strongly Agree). Minimum value = 1; Maximum Value = 75; higher score means a better outcome (better acceptability) | Outcomes for parents (n=21) are from parent self-report of acceptability; outcomes for children (n=21) are from child self-report of acceptability | Posted | Mean | Standard Deviation | units on a scale | Week 9 |
|
|
|
| 42 |
| 0 |
| 42 |
| 0 |
| 42 |
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| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| Wk 1 - Parent - wear shirt w/ long sleeves |
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| Wk 1 - Parent - wear long pants or skirt |
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| Wk 1 - Parent - wear a wide-brimmed hat |
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| Wk 1 - Parent - stay in shade |
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| Wk 1 - Parent - avoid sun 10am-4pm |
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| Wk 1 - Parent - wear sunglasses |
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| Wk 1 - Parent - intentionally tan outdoors |
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| Wk 1 - Parent - use an indoor tanning bed |
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| Wk 3 - Parent - use sunscreen |
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| Wk 3 - Parent - reapply sunscreen |
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| Wk 3 - Parent - wear shirt w/long sleeves |
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| Wk 3 - Parent - wear long pants or skirt |
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| Wk 3 - Parent - wear a wide-brimmed hat |
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| Wk 3 - Parent - stay in shade |
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| Wk 3 - Parent - avoid sun 10am-4pm |
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| Wk 3 - Parent - wear sunglasses |
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| Wk 3 - Parent - intentionally tan outdoors |
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| Wk 3 - Parent - use an indoor tanning bed |
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| Wk 5 - Parent - use sunscreen |
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| Wk 5 - Parent - reapply sunscreen |
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| Wk 5 - Parent - wear shirt w/long sleeves |
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| Wk 5 - Parent - wear long pants or skirt |
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| Wk 5 - Parent - wear a wide-brimmed hat |
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| Wk 5 - Parent - stay in shade |
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| Wk 5 - Parent - avoid sun 10am-4pm |
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| Wk 5 - Parent - wear sunglasses |
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| Wk 5 - Parent - intentionally tan outdoors |
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| Wk 5 - Parent - use an indoor tanning bed |
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| Wk 7 - Parent - use sunscreen |
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| Wk 7 - Parent - reapply sunscreen |
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| Wk 7 - Parent - wear shirt w/long sleeves |
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| Wk 7 - Parent - wear long pants or skirt |
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| Wk 7 - Parent - wear a wide-brimmed hat |
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| Wk 7 - Parent - stay in shade |
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| Wk 7 - Parent - avoid sun 10am-4pm |
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| Wk 7 - Parent - wear sunglasses |
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| Wk 7 - Parent - intentionally tan outdoors |
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| Wk 7 - Parent - use an indoor tanning bed |
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| Wk 9 - Parent - use sunscreen |
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| Wk 9 - Parent - reapply sunscreen |
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| Wk 9 - Parent - wear shirt w/long sleeves |
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| Wk 9 - Parent - wear long pants or skirt |
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| Wk 9 - Parent - wear a wide-brimmed hat |
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| Wk 9 - Parent - stay in shade |
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| Wk 9 - Parent - avoid sun 10am-4pm |
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| Wk 9 - Parent - wear sunglasses |
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| Wk 9 - Parent - intentionally tan outdoors |
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| Wk 9 - Parent - use an indoor tanning bed |
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| Wk 13 - Parent - use sunscreen |
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| Wk 13 - Parent - reapply sunscreen |
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| Wk 13 - Parent - wear shirt w/long sleeves |
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| Wk 13 - Parent - wear long pants or skirt |
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| Wk 13 - Parent - wear a wide-brimmed hat |
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| Wk 13 - Parent - stay in shade |
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| Wk 13 - Parent - avoid sun 10am-4pm |
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| Wk 13 - Parent - wear sunglasses |
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| Wk 13 - Parent - intentionally tan outdoors |
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| Wk 13 - Parent - use an indoor tanning bed |
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| Wk 1 - Child - use sunscreen |
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| Wk 1 - Child - reapply sunscreen |
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| Wk 1 - Child - wear shirt w/long sleeves |
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| Wk 1 - Child - wear long pants or skirt |
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| Wk 1 - Child - wear a wide-brimmed hat |
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| Wk 1 - Child - stay in shade |
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| Wk 1 - Child - avoid sun 10am-4pm |
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| Wk 1 - Child - wear sunglasses |
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| Wk 1 - Child - intentionally tan outdoors |
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| Wk 1 - Child - use an indoor tanning bed |
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| Wk 3 - Child - use sunscreen |
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| Wk 3 - Child - wear shirt w/long sleeves |
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| Wk 3 - Child - wear long pants or skirt |
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| Wk 3 - Child - wear a wide-brimmed hat |
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| Wk 3 - Child - stay in shade |
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| Wk 3 - Child - avoid sun 10am-4pm |
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| Wk 3 - Child - wear sunglasses |
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| Wk 3 - Child - intentionally tan outdoors |
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| Wk 3 - Child - use an indoor tanning bed |
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| Wk 5 - Child - use sunscreen |
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| Wk 5 - Child - wear shirt w/long sleeves |
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| Wk 5 - Child - wear long pants or skirt |
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| Wk 5 - Child - wear a wide-brimmed hat |
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| Wk 5 - Child - stay in shade |
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| Wk 5 - Child - avoid sun 10am-4pm |
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| Wk 5 - Child - wear sunglasses |
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| Wk 5 - Child - intentionally tan outdoors |
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| Wk 5 - Child - use an indoor tanning bed |
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| Wk 7 - Child - use sunscreen |
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| Wk 7 - Child - wear shirt w/long sleeves |
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| Wk 7 - Child - wear long pants or skirt |
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| Wk 7 - Child - wear a wide-brimmed hat |
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| Wk 7 - Child - stay in shade |
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| Wk 7 - Child - avoid sun 10am-4pm |
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| Wk 7 - Child - wear sunglasses |
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| Wk 7 - Child - intentionally tan outdoors |
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| Wk 7 - Child - use an indoor tanning bed |
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| Wk 9 - Child - use sunscreen |
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| Wk 9 - Child - reapply sunscreen |
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| Wk 9 - Child - wear shirt w/long sleeves |
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| Wk 9 - Child - wear long pants or skirt |
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| Wk 9 - Child - wear a wide-brimmed hat |
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| Wk 9 - Child - stay in shade |
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| Wk 9 - Child - avoid sun 10am-4pm |
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| Wk 9 - Child - wear sunglasses |
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| Wk 9 - Child - intentionally tan outdoors |
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| Wk 9 - Child - use an indoor tanning bed |
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| Wk 13 - Child - use sunscreen |
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| Wk 13 - Child - reapply sunscreen |
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| Wk 13 - Child - wear shirt w/long sleeves |
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| Wk 13 - Child - wear long pants or skirt |
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| Wk 13 - Child - wear a wide-brimmed hat |
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| Wk 13 - Child - stay in shade |
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| Wk 13 - Child - avoid sun 10am-4pm |
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| Wk 13 - Child - wear sunglasses |
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| Wk 13 - Child - intentionally tan outdoors |
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| Wk 13 - Child - use an indoor tanning bed |
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| Wk 3 - Parent - Weekday |
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| Wk 3 - Parent - Weekend |
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| Wk 5 - Parent - Weekday |
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| Wk 5 - Parent - Weekend |
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| Wk 7 - Parent - Weekday |
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| Wk 7 - Parent - Weekend |
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| Wk 9 - Parent - Weekday |
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| Wk 9 - Parent - Weekend |
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| Wk 13 - Parent - Weekday |
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| Wk 13 - Parent - Weekend |
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| Wk 1 - Child - Weekday |
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| Wk 1 - Child - Weekend |
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| Wk 3 - Child - Weekday |
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| Wk 3 - Child - Weekend |
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| Wk 5 - Child - Weekday |
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| Wk 5 - Child - Weekend |
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| Wk 7 - Child - Weekday |
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| Wk 7 - Child - Weekend |
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| Wk 9 - Child - Weekday |
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| Wk 9 - Child - Weekend |
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| Wk 13 - Child - Weekday |
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| Wk 13 - Child - Weekend |
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| Wk 5 - Parent |
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| Wk 7 - Parent |
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| Wk 9 - Parent |
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| Wk 13 - Parent |
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| Wk 1 - Child |
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| Wk 3 - Child |
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| Wk 5 - Child |
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| Wk 7 - Child |
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| Wk 9 - Child |
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| Wk 13 - Child |
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| Wk 5-7 - Parent |
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| Wk 7-9 - Parent |
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| Wk 9-13 - Parent |
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| Wk 1-3 - Child |
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| Wk 3-5 - Child |
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| Wk 5-7 - Child |
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| Wk 7-9 - Child |
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| Wk 9-13 - Child |
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| Wk 5-7 - Parent |
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| Wk 7-9 - Parent |
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| Wk 9-13 - Parent |
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| Wk 1-3 - Child |
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| Wk 3-5 - Child |
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| Wk 5-7 - Child |
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| Wk 7-9 - Child |
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| Wk 9-13 - Child |
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| Wk 5 - Parent |
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| Wk 7 - Parent |
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| Wk 9 - Parent |
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| Wk 13 - Parent |
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| Wk 1 - Child |
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| Wk 3 - Child |
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| Wk 5 - Child |
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| Wk 7 - Child |
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| Wk 9 - Child |
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| Wk 13 - Child |
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| Wk 3 - Parent - Weekday |
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| Wk 3 - Parent - Weekend |
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| Wk 5 - Parent - Weekday |
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| Wk 5 - Parent - Weekend |
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| Wk 7 - Parent - Weekday |
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| Wk 7 - Parent - Weekend |
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| Wk 9 - Parent - Weekday |
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| Wk 9 - Parent - Weekend |
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| Wk 13 - Parent - Weekday |
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| Wk 13 - Parent - Weekend |
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| Wk 1 - Child - Weekday |
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| Wk 1 - Child - Weekend |
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| Wk 3 - Child - Weekday |
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| Wk 3 - Child - Weekend |
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| Wk 5 - Child - Weekday |
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| Wk 5 - Child - Weekend |
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| Wk 7 - Child - Weekday |
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| Wk 7 - Child - Weekend |
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| Wk 9 - Child - Weekday |
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| Wk 9 - Child - Weekend |
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| Wk 13 - Child - Weekday |
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| Wk 13 - Child - Weekend |
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| Wk 1 - Parent - chin |
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| Wk 1 - Parent - face |
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| Wk 9 - Parent - exposed wrist |
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| Wk 9 - Parent - outer arm |
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| Wk 9 - Parent - chin |
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| Wk 9 - Parent - face |
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| Wk 13 - Parent - exposed wrist |
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| Wk 13 - Parent - outer arm |
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| Wk 13 - Parent - chin |
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| Wk 13 - Parent - face |
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| Wk 1 - Child - exposed wrist |
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| Wk 1 - Child - outer arm |
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| Wk 1 - Child - chin |
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| Wk 1 - Child - face |
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| Wk 9 - Child - exposed wrist |
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| Wk 9 - Child - outer arm |
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| Wk 9 - Child - chin |
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| Wk 9 - Child - face |
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| Wk 13 - Child - exposed wrist |
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| Wk 13 - Child - outer arm |
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| Wk 13 - Child - chin |
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| Wk 13 - Child - face |
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| Wk 1-9 change - Parent - reapply sunscreen |
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| Wk 9-13 change - Parent - reapply sunscreen |
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| Wk 1-9 change - Parent - wear shirt w/long sleeves |
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| Wk9-13 change - Parent - wear shirt w/long sleeves |
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| Wk 1-9 change - Parent - wear long pants or skirt |
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| Wk 9-13 change - Parent - wear long pants or skirt |
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| Wk 1-9 change - Parent - wear a wide-brimmed hat |
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| Wk 9-13 change - Parent - wear a wide-brimmed hat |
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| Wk 1-9 change - Parent - stay in shade |
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| Wk 9-13 change - Parent - stay in shade |
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| Wk 1-9 change - Parent - avoid sun 10am-4pm |
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| Wk 9-13 change - Parent - avoid sun 10am - 4pm |
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| Wk 1-9 change - Parent - wear sunglasses |
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| Wk 9-13 change - Parent - wear sunglasses |
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| Wk1-9 change - Parent - intentionally tan outdoors |
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| Wk9-13 change- Parent - intentionally tan outdoors |
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| Wk 1-9 change - Parent - use an indoor tanning bed |
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| Wk9-13 change - Parent - use an indoor tanning bed |
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| Wk 1-9 change - Child - use sunscreen |
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| Wk 9-13 change - Child - use sunscreen |
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|
| Wk 1-9 change - Child - reapply sunscreen |
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| Wk 9-13 change - Child - reapply sunscreen |
|
|
| Wk 1-9 change - Child - wear shirt w/long sleeves |
|
|
| Wk 9-13 change - Child - wear shirt w/long sleeves |
|
|
| Wk 1-9 change - Child - wear long pants or skirt |
|
|
| Wk 9-13 change - Child - wear long pants or skirt |
|
|
| Wk 1-9 change - Child - wear a wide-brimmed hat |
|
|
| Wk 9-13 change - Child - wear a wide-brimmed hat |
|
|
| Wk 1-9 change - Child - stay in shade |
|
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| Wk 9-13 change - Child - stay in shade |
|
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| Wk 1-9 change - Child - avoid sun 10am-4pm |
|
|
| Wk 9-13 change - Child - avoid sun 10am - 4pm |
|
|
| Wk 1-9 change - Child - wear sunglasses |
|
|
| Wk 9-13 change - Child - wear sunglasses |
|
|
| Wk 1-9 change - Child - intentionally tan outdoors |
|
|
| Wk9-13 change - Child - intentionally tan outdoors |
|
|
| Wk 1-9 change - Child - use an indoor tanning bed |
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| Wk 9-13 change - Child - use an indoor tanning bed |
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| Wk 1 to 9 change - Parent - thoroughness of SSE |
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| Wk 9 to 13 change - Parent - thoroughness of SSE |
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| Wk 1 to 9 change - Child - frequency of SSE |
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| Wk 9 to 13 change - Child - frequency of SSE |
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| Wk 1 to 9 change - Child - thoroughness of SSE |
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| Wk 9 to 13 change - Child - thoroughness of SSE |
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