Risk behaviors established during childhood including tobacco use, sunning,
and eating habits contribute to most adult cancers. This project pilot-tes
ted a developmentally appropriate cancer prevention curriculum for grades K
-6, using a treatment group only design with pretesting and posttesting usi
ng a standardized, semistructured interview and involving 67 students (77%
of eligible students) attending mixed grade classes. A seven-unit curriculu
m based on cognitive development, social cognitive, and social influence th
eories was taught by classroom leachers. Students showed a significant (p<.
0001) gain in conceptual understanding for causality and prevention of canc
er; the gain for causality of cancer was comparable to the baseline differe
nce between kindergarten and the highest (5-6) grade. Significant gains in
factual knowledge and decreases in misconceptions about casual contact also
were documented A developmentally based elementary school cancer preventio
n curriculum can enhance young children's conceptual understanding and fact
ual knowledge of common contributors to adult cancers.