{"title":"Complex Interventions for Cancer and Cholangiocarcinoma: A Systematic Review and Applications for Public Education.","authors":"Sukunta Muadthong, Jasdeep Brar, Pattapong Kessomboon, Nusaraporn Kessomboon, Vanessa Catenacci, Nomjit Nualnetr, Ricardo Angeles, Gina Agarwal","doi":"10.1007/s13187-025-02705-z","DOIUrl":null,"url":null,"abstract":"<p><p>Cholangiocarcinoma (CCA) is highly prevalent in Northeast Thailand and has a poor prognosis. The Community-based Health Education and Communication (CHEC) model is a complex health education intervention designed to prevent CCA. This review aims to identify complex health interventions for cancer and CCA prevention and determine the necessary evidence to enhance the CHEC program for evaluation in Khon Kaen, Thailand. A systematic review was conducted across nine electronic databases for articles published from January 1, 2012, to March 2024. Search terms were relevant to experimental study designs assessing community-based complex interventions for cancer and CCA prevention. Titles, abstracts, and full-text articles were screened according to PRISMA guidelines and the inclusion criteria by two independent reviewers. The Mixed Methods Appraisal Tool was used to assess the risk of bias of included studies, and the data was analyzed using a narrative approach. A total of 92 studies were included in this review: 32 studies focused on complex interventions for CCA prevention, while 60 studies addressed non-CCA cancer prevention. From 11 randomized controlled trials with significant positive outcomes and low risk of bias, five major intervention components were identified: health education, participant engagement, reminders, patient support, and health influencers. Health education was the most frequently implemented component, reinforcing its essential role in cancer prevention efforts. These components will be integrated into the CHEC model, with their development and implementation tailored to the Northeast Thailand community to prevent and improve CCA outcomes. This review offers actionable insights for public cancer education globally, particularly in low- and middle-income countries, by emphasizing the value of culturally tailored, multi-component, community-based education to enhance cancer prevention efforts.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Education","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13187-025-02705-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Cholangiocarcinoma (CCA) is highly prevalent in Northeast Thailand and has a poor prognosis. The Community-based Health Education and Communication (CHEC) model is a complex health education intervention designed to prevent CCA. This review aims to identify complex health interventions for cancer and CCA prevention and determine the necessary evidence to enhance the CHEC program for evaluation in Khon Kaen, Thailand. A systematic review was conducted across nine electronic databases for articles published from January 1, 2012, to March 2024. Search terms were relevant to experimental study designs assessing community-based complex interventions for cancer and CCA prevention. Titles, abstracts, and full-text articles were screened according to PRISMA guidelines and the inclusion criteria by two independent reviewers. The Mixed Methods Appraisal Tool was used to assess the risk of bias of included studies, and the data was analyzed using a narrative approach. A total of 92 studies were included in this review: 32 studies focused on complex interventions for CCA prevention, while 60 studies addressed non-CCA cancer prevention. From 11 randomized controlled trials with significant positive outcomes and low risk of bias, five major intervention components were identified: health education, participant engagement, reminders, patient support, and health influencers. Health education was the most frequently implemented component, reinforcing its essential role in cancer prevention efforts. These components will be integrated into the CHEC model, with their development and implementation tailored to the Northeast Thailand community to prevent and improve CCA outcomes. This review offers actionable insights for public cancer education globally, particularly in low- and middle-income countries, by emphasizing the value of culturally tailored, multi-component, community-based education to enhance cancer prevention efforts.
期刊介绍：
The Journal of Cancer Education, the official journal of the American Association for Cancer Education (AACE) and the European Association for Cancer Education (EACE), is an international, quarterly journal dedicated to the publication of original contributions dealing with the varied aspects of cancer education for physicians, dentists, nurses, students, social workers and other allied health professionals, patients, the general public, and anyone interested in effective education about cancer related issues.
Articles featured include reports of original results of educational research, as well as discussions of current problems and techniques in cancer education. Manuscripts are welcome on such subjects as educational methods, instruments, and program evaluation. Suitable topics include teaching of basic science aspects of cancer; the assessment of attitudes toward cancer patient management; the teaching of diagnostic skills relevant to cancer; the evaluation of undergraduate, postgraduate, or continuing education programs; and articles about all aspects of cancer education from prevention to palliative care.
We encourage contributions to a special column called Reflections; these articles should relate to the human aspects of dealing with cancer, cancer patients, and their families and finding meaning and support in these efforts.
Letters to the Editor (600 words or less) dealing with published articles or matters of current interest are also invited.
Also featured are commentary; book and media reviews; and announcements of educational programs, fellowships, and grants.
Articles should be limited to no more than ten double-spaced typed pages, and there should be no more than three tables or figures and 25 references. We also encourage brief reports of five typewritten pages or less, with no more than one figure or table and 15 references.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
