Journal of Cancer Education最新文献

Perceived Factors That Enable Resident Entry to the Specialty of Radiation Oncology. 使住院医师能够进入放射肿瘤专业的认知因素。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-07 DOI: 10.1007/s13187-024-02515-9

Maryam Dosani, Brandon Chai, Meredith Giuliani, Daniel W Golden, Rachel B Jimenez, Ariel E Hirsch, Amanda Caissie, Nauman Malik, Timothy K Nguyen, Paris-Ann Ingledew

{"title":"Perceived Factors That Enable Resident Entry to the Specialty of Radiation Oncology.","authors":"Maryam Dosani, Brandon Chai, Meredith Giuliani, Daniel W Golden, Rachel B Jimenez, Ariel E Hirsch, Amanda Caissie, Nauman Malik, Timothy K Nguyen, Paris-Ann Ingledew","doi":"10.1007/s13187-024-02515-9","DOIUrl":"https://doi.org/10.1007/s13187-024-02515-9","url":null,"abstract":"The field of radiation oncology (RO) has experienced large fluctuations in the number of applicants to residency programs. It is essential to understand the modifiable factors which influence entry. The objective of this project is to identify factors (i.e., \"enablers\") that motivate prospective medical students to apply to RO. A survey was developed to characterize RO enablers and barriers as perceived by current RO residents. An existing conceptual framework of why medical students choose primary care was used as the foundation of the survey and was modified for relevance towards RO. The final mixed-methods survey was administered to Canadian RO residents (2015-2019 match years) via Program Directors and the Canadian Association of Radiation Oncologists resident member database. Medical students are most likely to select a career in RO during or after a clerkship experience. Extrinsic factors strongly motivating interest in RO were (% rating as very important or extremely important on a 5-point scale) as follows: positive feedback from radiation oncologists (86%) and RO residents (66%), clinical rotations in RO (84%) and mentorship (77%). Intrinsic factors include perceived fulfillment (95.2%), commitment to patient care (85.3%), and intellectual challenge (67.7%). Qualitative data highlighted the importance of mentorship, the \"hand-heart\" connection, career variability/flexibility, career satisfaction/lifestyle, and personal connections with cancer/cancer care in motivating students to pursue RO. Increased preclinical exposure such as mentorship may encourage students to seek clerkship opportunities in RO. These findings inform strategies to recruit medical students to a career in RO.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in Cervical Cancer Knowledge and Trust in Information Sources Among Diverse American Women. 美国不同族裔妇女在宫颈癌知识和对信息来源信任度方面的差异。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-06 DOI: 10.1007/s13187-024-02534-6

Payton J Smith, Sherrie Flynt Wallington

{"title":"Disparities in Cervical Cancer Knowledge and Trust in Information Sources Among Diverse American Women.","authors":"Payton J Smith, Sherrie Flynt Wallington","doi":"10.1007/s13187-024-02534-6","DOIUrl":"https://doi.org/10.1007/s13187-024-02534-6","url":null,"abstract":"Cervical cancer rates have declined due to prevention and screening, but disparities remain. This study examines how trust and preference in information sources affect knowledge and behaviors, alongside demographic differences to identify health disparities. This study used Health Information National Trends Survey data and employed weighted chi-square tests and multivariate logistic regression to analyze associations between knowledge, behaviors, and demographic differences. The results revealed significant disparities in HPV awareness, with lower awareness among Black (OR, 0.521), Hispanic (OR, 0.398), and Asian (OR, 0.138) women compared to Whites. Age and education also played roles, as older and less-educated women were less informed. Trust in doctors was crucial; women with low trust in doctors (aOR, 0.499; 95% CI, 0.252-0.989) had lower odds of having heard of HPV. Preference for written materials as a primary information source (aOR, 0.312; 95% CI, 0.122-0.793) also correlated with lower HPV awareness compared to preferring information from doctors. Furthermore, women with low trust in charity organizations (aOR, 0.647; 95% CI, 0.461-0.909) were less likely to believe HPV causes cervical cancer, while those who preferred the internet as an information source (aOR, 1.544; 95% CI, 1.026-2.324) had higher odds of having heard of HPV compared to those preferring doctors. Minority populations, older women, and those with lower education levels had significantly lower HPV knowledge. These findings highlight the need for tailored communication, community outreach, policy initiatives, culturally sensitive approaches, digital health interventions, and strategies promoting patient-provider trust to address these disparities.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Changing Landscape of Cervical Cancer in Africa: Opportunities for Patient, Public, and Professional Education. 非洲宫颈癌形势的变化：患者、公众和专业教育的机遇。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-05 DOI: 10.1007/s13187-024-02528-4

Amr S Soliman

引用次数: 0

Preparing Medical Students for the Full Cancer Journey: Integrating Survivorship into Oncology Education. 让医科学生为完整的癌症之旅做好准备：将幸存者精神融入肿瘤学教育。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-04 DOI: 10.1007/s13187-024-02538-2

Waseem Jerjes

引用次数: 0

Assessment of Dental Students' Knowledge and Attitudes About the Epidemiologic and Clinical Characteristics of Oral Cancer: Implications for Other Middle-income Countries. 评估牙科学生对口腔癌流行病学和临床特征的认识和态度：对其他中等收入国家的启示。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-04 DOI: 10.1007/s13187-024-02529-3

Dhiancarlo Rocha Macedo, Eduardo Fraga Maciel, Jéssica Ferreira Rodrigues, Sérgio Vitorino Cardoso, Guilherme José Pimentel Lopes de Oliveira, Priscilla Barbosa Ferreira Soares

{"title":"Assessment of Dental Students' Knowledge and Attitudes About the Epidemiologic and Clinical Characteristics of Oral Cancer: Implications for Other Middle-income Countries.","authors":"Dhiancarlo Rocha Macedo, Eduardo Fraga Maciel, Jéssica Ferreira Rodrigues, Sérgio Vitorino Cardoso, Guilherme José Pimentel Lopes de Oliveira, Priscilla Barbosa Ferreira Soares","doi":"10.1007/s13187-024-02529-3","DOIUrl":"https://doi.org/10.1007/s13187-024-02529-3","url":null,"abstract":"The stage of detection of head and neck cancer and the time between detection and treatment are critical to prognosis. The importance of the dentist in primary diagnosis and treatment planning has been emphasized. The purpose of this study was to evaluate the knowledge of dental students in the prevention and early diagnosis of oral cancer. A descriptive cross-sectional study was conducted on 199 students from different institutions. A self-administered questionnaire with 34 multiple-choice questions on clinical and epidemiologic knowledge and opinions about oral cancer was used. Descriptive analysis to show means and frequencies and the binomial logistic regression test were used to perform the statistical analysis. The confidence level used was 95%. The results showed that all students in the study had heard of the existence of oral cancer, but only 24.6% knew someone with the disease. The majority reported a lack of information in the population about prevention and self-examination, as well as a lack of information campaigns in institutions. Although the majority perform clinical examinations of the oral mucosa (73.4%) and refer patients with suspicious lesions to specialists, there is low confidence in performing biopsies (73.4%) and gaps in training during graduation (84.4%). The majority have never attended continuing education courses on oral cancer but show interest (97.5%). The study identifies deficiencies in the knowledge and practices of dental students and highlights the need for improved teaching and training to promote oral cancer prevention and early detection. Further research in this area and ongoing assessment of students' skills are suggested.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gender Differences in Self-Advocacy Among Cancer Survivors: How Women and Men Vary in How They Learn to Engage in Decision-Making and Social Support. 癌症幸存者自我主张的性别差异：女性和男性在学会参与决策和社会支持方面有何不同？

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-11-02 DOI: 10.1007/s13187-024-02536-4

David Lazris, Heidi S Donovan, Paul Scott, Marci L Nilsen, Teresa Hagan Thomas

{"title":"Gender Differences in Self-Advocacy Among Cancer Survivors: How Women and Men Vary in How They Learn to Engage in Decision-Making and Social Support.","authors":"David Lazris, Heidi S Donovan, Paul Scott, Marci L Nilsen, Teresa Hagan Thomas","doi":"10.1007/s13187-024-02536-4","DOIUrl":"https://doi.org/10.1007/s13187-024-02536-4","url":null,"abstract":"Understanding gender variations in self-advocacy can help oncology clinicians support the educational needs of cancer survivors. This study aims to examine the role of gender along with additional other sociodemographic variables in how cancer survivors self-advocate including their engagement in decision-making, communication with healthcare providers, and use of social support. Data from two cross-sectional descriptive studies were combined for analyses. Each study used convenience sampling methods to recruit adults (≥ 18 years old) with a history of invasive cancer who had English literacy from cancer clinics and community advocacy groups. The first study recruited women (n = 317), and the second study recruited men (n = 179). In both studies, participants completed two assessments of self-advocacy: Self-Advocacy in Cancer Survivorship (SACS) Scale and the Patient Self-Advocacy Scale. We built a linear regression model to test the association between gender and self-advocacy total and subscale scores controlling for covariates. N = 496 participants completed study procedures between 2014 and 2022. On both self-advocacy scales, women reported higher self-advocacy scores compared to men, with women's higher scores on the SACS subscales of connected strength and informed decision-making driving the gender difference in cancer-specific self-advocacy. Self-advocacy behaviors are associated with gender, most notably by way of individuals' ability to derive strength through social connection. Women tend to have greater engagement in care with larger and more meaningful social networks, while men report less engagement. Educational materials for cancer survivors should leverage gender-associated self-advocacy skills and bolster skills that require support.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Knowledge, Attitudes, and Practices towards Colorectal Cancer in a Community in Mexico City: A Cross-Sectional Study Based on Surveys. 评估墨西哥城一个社区对结直肠癌的认识、态度和做法：基于调查的横断面研究。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-10-28 DOI: 10.1007/s13187-024-02535-5

Diego Álvarez-López, Gabriela Fernanda Morales-Piélago, Francisco Aguilar-Guerrero, Liliana Pérez-Peralta, Juan Manuel Hernández-Aguilar, Nancy Reynoso-Noverón

{"title":"Evaluation of Knowledge, Attitudes, and Practices towards Colorectal Cancer in a Community in Mexico City: A Cross-Sectional Study Based on Surveys.","authors":"Diego Álvarez-López, Gabriela Fernanda Morales-Piélago, Francisco Aguilar-Guerrero, Liliana Pérez-Peralta, Juan Manuel Hernández-Aguilar, Nancy Reynoso-Noverón","doi":"10.1007/s13187-024-02535-5","DOIUrl":"https://doi.org/10.1007/s13187-024-02535-5","url":null,"abstract":"Colorectal cancer (CRC) is one of the most common and deadly neoplasms worldwide, with a growing burden in low- and middle-income countries, such as Mexico. This study seeks to evaluate the knowledge, attitudes, and practices related to CRC in a community in Mexico City. A cross-sectional survey was conducted between March and April 2023 among adults aged 45 to 74 residing in six neighborhoods of the Tlalpan borough in Mexico City. The questionnaire included sections on sociodemographic characteristics, medical family history, lifestyle habits, knowledge about CRC, attitudes towards prevention, and willingness to undergo screening. Data were analyzed using logistic regression models to identify factors associated with greater knowledge, attitudes, and practices. A total of 349 people were surveyed. A total of 35.2% reported knowing what CRC is, with greater knowledge of CRC being associated with higher education levels and having a family history of cancer. A total of 23.8% showed positive attitudes towards CRC screening, influenced by having a tertiary level of education. A total of 80.8% of participants expressed willingness to undergo CRC screening if offered, with lower intention observed among men. Levels of knowledge about CRC within the studied community are low, especially among those with lower education levels and without a family history of cancer. Intervention strategies should improve CRC education and foster positive attitudes towards early detection, particularly in high-risk groups.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Standardized Training Resident on Pain Management in Patients with Advanced Lung Cancer. 标准化培训驻地对晚期肺癌患者疼痛管理的影响。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-10-27 DOI: 10.1007/s13187-024-02519-5

Hai-Zhen Yi, Wei Lv, Jin-Jing Chen, Zhan Lin

{"title":"The Impact of Standardized Training Resident on Pain Management in Patients with Advanced Lung Cancer.","authors":"Hai-Zhen Yi, Wei Lv, Jin-Jing Chen, Zhan Lin","doi":"10.1007/s13187-024-02519-5","DOIUrl":"https://doi.org/10.1007/s13187-024-02519-5","url":null,"abstract":"This study aimed to investigate the effects of Standardized Training Resident on pharmacological interventions for pain management in patients with advanced lung cancer. A total of 84 patients with advanced lung cancer and associated pain were enrolled in the study from December 2019 to August 2023 and were divided into two groups based on their attending physician: a group managed by physician-ST Training Physicians (joint group) (n = 42) and physician-only group (usual group) (n = 42). The Brief Pain Inventory (BPI), oral morphine equivalent, and length of hospital stay. Furthermore, the Pain Management Index (PMI) was calculated. Health-related quality of life (HRQoL) was assessed at the 4-week follow-up using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). At week 4, compared to the usual group, the four BPI pain intensity categories were significantly lower in the joint group [worst pain: 4 (3-5) vs 8 (7-9); least pain: 1 (0-2) vs 3 (1-4); average pain: 2 (1-2) vs 5 (4-6); pain right now: 1.2 (0.7-1.9) vs 4 (3-5)] (all P > 0.05). The hospital stay duration was significantly reduced; for the seven pain interference categories, there were no significant improvements in the joint group. Significantly more patients achieved adequate pain control in the joint group than the usual group (p = .002). A reduction in OMEDD scores was observed for both cohorts, and the joint group's reduction was statistically more significant (p = 0.016). There were no significant differences in HRQoL between the two groups. Standardized Training for Radiation Oncology Physicians may lead to improved pharmacological interventions and enhanced pain relief. Recognizing the importance of these trainees in the healthcare team is crucial for achieving optimal pain management outcomes.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unveiling Cervical Cancer Inequities Among Georgia Immigrant Latinas: A Robust Qualitative Examination of the Facilitators and Barriers to Prevention, with Emphasis on the Impact of Community-Based Organizations. 揭示佐治亚州拉丁裔移民患宫颈癌的不平等现象：以社区组织的影响为重点，对预防工作的促进因素和障碍进行有力的定性研究。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-10-25 DOI: 10.1007/s13187-024-02532-8

Natalie D Hernandez, Nicholas Wilson, Theodora Abah, Olga Contreras, Cheryl Franklin

{"title":"Unveiling Cervical Cancer Inequities Among Georgia Immigrant Latinas: A Robust Qualitative Examination of the Facilitators and Barriers to Prevention, with Emphasis on the Impact of Community-Based Organizations.","authors":"Natalie D Hernandez, Nicholas Wilson, Theodora Abah, Olga Contreras, Cheryl Franklin","doi":"10.1007/s13187-024-02532-8","DOIUrl":"https://doi.org/10.1007/s13187-024-02532-8","url":null,"abstract":"This qualitative study delves into the facilitators and barriers surrounding cervical cancer prevention among Latina women in Georgia, with a specific focus on the impact of community-based organizations (CBOs). Employing semi-structured interviews with healthcare providers and representatives from CBOs, faith-based organizations, and other key stakeholders, the study uncovers key themes and subthemes shaping cervical cancer disparities. Themes such as challenges in cross-cultural healthcare access, difficulties due to lack of US citizenship, and limited mobility emerge as significant barriers, while community and family support stand out as crucial facilitators to cancer prevention. Additionally, the study examines community intervention methods from CBOs to target cervical cancer disparity, highlighting the importance of public awareness campaigns, building trust within the Latina community, and providing medical support tailored to immigrant populations. Through this comprehensive examination, the study not only offers invaluable insights into the intricate web of issues surrounding cervical cancer prevention but also endeavors to serve as a catalyst for targeted interventions and evidence-based policies aimed at ameliorating cervical cancer disparities among immigrant Latinas in Georgia and beyond.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of a National Virtual Oncology Course on Medical Student Competency and Interest in Oncology. 全国肿瘤学虚拟课程对医学生肿瘤学能力和兴趣的影响。

IF 1.4 4区医学

Journal of Cancer Education Pub Date : 2024-10-25 DOI: 10.1007/s13187-024-02533-7

Aaron Dou, Joy Du, Joanne Alfieri, Jennifer Croke, T P L Nghiem, Kimberly DeVries, Sharlene Gill, Paris-Ann Ingledew

{"title":"Impact of a National Virtual Oncology Course on Medical Student Competency and Interest in Oncology.","authors":"Aaron Dou, Joy Du, Joanne Alfieri, Jennifer Croke, T P L Nghiem, Kimberly DeVries, Sharlene Gill, Paris-Ann Ingledew","doi":"10.1007/s13187-024-02533-7","DOIUrl":"https://doi.org/10.1007/s13187-024-02533-7","url":null,"abstract":"Globally, surveys have identified that medical learners of all levels perceive their oncology instruction to be inadequate. To address these gaps, we systematically developed and implemented the Oncology National Course for Advocacy, Research, and Education (ONCARE), a novel, nationally organized virtual course available to all Canadian medical students and evaluated its impact on oncology competency and interest. ONCARE was designed utilizing Kern's Six-Step Model for Curriculum Development. Components of ONCARE included lectures, career panels, and a mentorship program. Pre-course and post-course survey responses were collected to determine course impact on oncology knowledge and interest. Between October 2023 and March 2024, ONCARE enrolled 235 students representing 14 Canadian medical schools. One hundred forty (60%) students enrolled reported having only 0 to 10 h of formal oncology instruction. Baseline interest in a career in oncology was high (mean Likert score 3.9/5) and remained unchanged following course completion. ONCARE increased both self-perceived knowledge in clinical oncology (mean Likert score 3.9/5 vs 2.9/5, p < 0.001) and confidence in oncology communication skills (mean Likert score 3.6/5 vs 3.1/5, p < 0.001). Ninety-seven percent of students were satisfied with the course (mean Likert score 4.6/5). The implementation of ONCARE as a proof-of-concept initiative builds upon previous educational interventions in oncology and highlights important principles for the development of related initiatives. Future work will target greater interdisciplinary and multinational collaboration as well as long-term follow-up of the ONCARE cohort.","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0