The goal of this clinical trial is to evaluate the dissemination of the Go Sun Smart Georgia (GSSG) program with Georgia worksites and learn whether the intervention changes the employees' sun protection behavior in outdoor workers in Southwest Georgia.

The primary aim is to assess program effectiveness by comparing employee sun protection practices between the employers assigned to the GSSG intervention and the employers assigned to the wait-list control group (delayed intervention). The hypothesis that will be tested is that compared to the delayed intervention group, employees at intervention worksites will practice more sun protection during the post-test.

Worksites will be asked to complete internal coach training and participate in technical assistance around sun safety. Study participants will fill out surveys and participate in interviews

This project builds on the original Go Sun Smart at Work (GSSW) program-a sun safety educational program delivered to worksite leaders, managers, and workers-that was previously shown to be effective for employers adopting sun safety policies and implementing sun safety education and actions, and improved employees' sun protection behavior (e.g., use of protective clothing).

To successfully implement and scale up GSSW with outdoor workers in Southwest Georgia-predominantly African American and Hispanic-this intervention must be systematically adapted to ensure program fit to the population and setting while maintaining core program elements. A well-adapted and tailored occupational sun safety program with high dissemination potential will greatly impact this overlooked employee population, reduce health care costs, improve quality of life, and save lives. The adaptation process took place in 2022-2024, and the adapted Go Sun Smart Georgia (GSSG) program will be evaluated in 2024.

Go Sun Smart Georgia (GSSG) is an educational, train-the-trainer, and technical assistance program for Georgia worksites that employ outdoor workers. It will be implemented with worksites assigned to the intervention group in May-Aug 2024 and with worksites assigned to the comparison (delayed intervention) group in Aug - Dec. 2024. The study team will provide worksites with training for internal worksite coaches (the coach(es) will be employee(s) chosen by the worksite to serve as a champion for the program, not part of the study staff and paid by the worksite), training for other internal educators, technical assistance for conducting the program, and employee educational sessions, as needed.

Inclusion Criteria:

Outdoor workers

• Employed at participating worksite
• Works at least 5 hours outdoors per week
• Can read and/or clearly understand English

Managers

• Employed at participating worksite in supervisory position
• Responsible for worksite safety/health policy or training
• Can read and/or clearly understand English

Semi-structured interviews

• Employed by participating worksite
• Closely involved with GSSG implementation
• Can read and/or clearly understand English

Exclusion Criteria:

• Adults unable to consent
• Individuals who are not yet adults (infants, children, teenagers)
• Pregnant women
• Prisoners
• Cognitively impaired or Individuals with Impaired Decision-Making Capacity
• Individuals who are not able to clearly understand English

To enable interoperability of datasets and resources, we will provide a data codebook/dictionary for all variables included per dataset and documentation with the following elements: information about how the data were collected, sampling details, data cleaning details, related publications, and grant information. The team will make available platform-independent, character-based formats of datasets (e.g., CSV) that retain full detail and precision

Data will be made available no later than the time of an associated publication or the end of the performance period of the SIP award that funds this project. Data will be made available for at least 5 years.

Scientific data will be preserved and shared using the Emory Dataverse Repository, sco.library.emory.edu/dataverse, where they will be publicly available to those interested in using them.