Journal of Cancer Education最新文献

{"title":"Urgent, but Not Certain: A Systematic Environmental Scan and Content Analysis of Publicly Available Patient Information for Suspected-Cancer Referral in England.","authors":"Waseem Jerjes, Marcin Klingbajl, Sarah Williams, Heureka Ediale, Austen El-Osta, Azeem Majeed","doi":"10.1007/s13187-026-02976-0","DOIUrl":"https://doi.org/10.1007/s13187-026-02976-0","url":null,"abstract":"<p><strong>Background: </strong>Patient information is a component of care following an urgent suspected cancer referral, but its ability to explain diagnostic uncertainty and support safe action while patients await investigation has not been systematically examined. We evaluated publicly retrievable referral resources used in England.</p><p><strong>Methods: </strong>We conducted a systematic environmental scan and directed content analysis of materials hosted or adopted by England's 20 NHS Cancer Alliances and NHS services. Standard, Easy Read, visual, and audiovisual variants were assessed using an 18-item Referral Uncertainty Communication Framework. Criteria were scored absent, incomplete, or explicit and actionable. PEMAT, readability, format comparisons, and prespecified sensitivity analyses were secondary.</p><p><strong>Results: </strong>Thirty-eight resource variants were included. Thirty-three (86.8%) explicitly separated referral from cancer diagnosis, whereas 28 (73.7%) distinguished urgency from cancer likelihood. Only one (2.6%) preserved the patient's referral trigger. Six (15.8%) gave a timeframe qualified for individual variation; 11 (28.9%) advised action if symptoms worsened or changed while investigation was pending; and 10 (26.3%) addressed persistent symptoms after reassuring tests or a no-cancer outcome. Ownership was the strongest domain and safety-netting the weakest. Mean scores were 29.1/36 for standard or interactive resources, 22.3/36 for Easy Read resources, and 15.5/36 for visual aids. Findings were consistent in complete-source sensitivity analyses.</p><p><strong>Conclusions: </strong>Publicly retrievable information explains pathway entry, but less consistently supports clinical safety during unresolved uncertainty. These omissions may leave patients without guidance when plans no longer fit. Referral materials should retain the presenting concern, separate urgency from probability, qualify timing, identify responsibility, and provide explicit symptom-contingent return advice.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882198","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}

{"title":"Cancer Education Outcomes and Risk Perception Among 11th Grade Students in Japan: A Second National Survey.","authors":"Mahiro Fujita, Ryoko Rikitake, Risa Ikeda, Hiroko Yako-Suketomo, Takahiro Higashi, Takahiro Higashi","doi":"10.1007/s13187-026-02981-3","DOIUrl":"https://doi.org/10.1007/s13187-026-02981-3","url":null,"abstract":"<p><p>In Japan, the National Cancer Control Plan established cancer education as a foundational pillar; however, the effects of its implementation remain unclear. Therefore, this study aimed to describe cancer education outcomes and cancer perceptions among high school students in a nationwide survey. A cross-sectional survey was conducted among 11th-grade students in Japan. In total, 13,089 participants completed a 36-item questionnaire on cancer prevention, screening, treatment, survivorship, and literacy. We then analyzed sex differences and independent factors associated with accurate cancer risk perception. Only 32.7% of students showed accurate cancer risk perception. Significant sex differences were observed across most categories. Notably, compared with the 2022 baseline survey, the proportion of students with accurate risk perception increased by approximately 2% points. Discussing cancer-related topics with family or friends was positively associated with accurate risk perception. Additionally, cancer knowledge, including treatment and prevention, improved with the full implementation of cancer education guidelines. However, the proportion of students with accurate risk perception remains suboptimal. Emphasizing the distinction between risks and attribution of disease occurrence warrants greater attention in cancer education.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875768","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}

{"title":"Preguntas Sobre Cáncer (Questions About Cancer): Analysis of Spanish Inquiries to the National Cancer Institute's Cancer Information Service.","authors":"Eduardo J Santiago-Rodríguez, Diane Ng, Beth Slotman, Robin C Vanderpool","doi":"10.1007/s13187-026-02966-2","DOIUrl":"https://doi.org/10.1007/s13187-026-02966-2","url":null,"abstract":"<p><p>Spanish is the second most commonly spoken language in the United States (US). The majority of Spanish speakers in the US identify as Hispanic/Latino individuals, a population for whom cancer is the leading cause of death. This descriptive study examined cancer information-seeking patterns among Spanish-speaking users of the National Cancer Institute's Cancer Information Service (CIS), a free and publicly available cancer information resource. Between January 2019 and December 2025, the CIS received 19,280 Spanish-language inquiries from caregivers (33.4%), members of the general public (28.3%), tobacco users (19.7%), and cancer survivors (18.7%). Overall, access channel varied by client type, however, LiveHelp instant messaging was the most frequently used channel, followed by telephone, email, and social media. Spanish-language users' inquiries focused primarily on cancer staging and treatment, particularly among cancer survivors and caregivers. Members of the general public were more likely to seek general information unrelated to a specific phase of the cancer continuum, whereas tobacco users most often asked about cessation or counseling. The most frequently discussed cancer sites were breast, prostate, colorectal, cervical, and lung, with breast cancer ranking highest across all client types. Over 1,000 inquiries were related to COVID-19, most of them from Spanish-speaking cancer survivors. These findings provide insight into health information-seeking patterns to the CIS among Spanish-speaking individuals over the past seven years, underscoring the importance of maintaining a trusted source of timely and high-quality cancer information that may help improve cancer-related outcomes in this growing population.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851977","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}

{"title":"Self-skin Examination for Skin Cancer Detection in High-risk Populations: A Diagnostic Accuracy Study and Implications for Cancer Education.","authors":"Mike Climstein, Michael Stapelberg, Ian Miller, Nedeljka Rosic, Jeremy Hudson, Paul Coxon, Nathanial Milani, Chris Robinson, Guillermo De Castro-Maqueda, Joe Walsh","doi":"10.1007/s13187-026-02977-z","DOIUrl":"https://doi.org/10.1007/s13187-026-02977-z","url":null,"abstract":"<p><strong>Background/purpose: </strong>Aquatic populations experience high cumulative ultraviolet radiation exposure and elevated skin cancer risk. Self-skin examination is widely promoted within cancer education strategies; however, its diagnostic accuracy in high-risk groups remains unclear.</p><p><strong>Method: </strong>Adults (≥ 18 years) participating in surfing or outdoor swimming (≥ 1 h/week) underwent full-body skin examination by an accredited skin cancer doctor. Prior to examination, participants identified any lesion(s) of concern, reflecting real-world self-detection. Suspicious lesions were biopsied or excised, with histopathology as the reference standard. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.</p><p><strong>Results: </strong>Among 191 participants (123 surfers, 68 swimmers), 50.8% were diagnosed with at least one skin cancer. Basal cell carcinoma was most common (n = 42), followed by melanoma (n = 26), SCC in situ (n = 17), and SCC (n = 3). Self-detection demonstrated modest sensitivity for BCC (69.0%) and melanoma (61.5%), with low specificity (~ 44-47%) and consistently low PPVs (< 30%). False-negative rates were substantial for BCC (31.0%), SCC in situ (41.2%), and melanoma (38.5%), indicating that many cancers were not self-recognized.</p><p><strong>Conclusion: </strong>Self-skin examination demonstrated limited diagnostic accuracy in high-risk aquatic populations. From a cancer education perspective, these findings suggest that self-examination may promote awareness but does not reliably support accurate lesion identification. Clinician-performed full-body skin examination remains essential for early detection. Cancer education for surfers and outdoor swimmers should therefore use self-examination to increase risk awareness and promote timely help-seeking, while emphasizing that the absence of a self-identified lesion does not exclude skin cancer.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852048","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}

{"title":"Reframing Cancer Education Through Mental Health Literacy: Integrating the Psychosocial Dimension of Care.","authors":"Bernardo Flôr-Rodrigues, Olga Carvalho, Louis J Koizia, Benjamin H L Harris, Pieter Vandekerckhove","doi":"10.1007/s13187-026-02982-2","DOIUrl":"https://doi.org/10.1007/s13187-026-02982-2","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852005","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}

{"title":"Digital Divide Among U.S. Adults with and without Cancer: Prevalence and Associated Factors.","authors":"Yupawadee Kantabanlang, Shushun Ren, Misun Hwang, Rumei Yang, Abdul-Ghaniyu Alidu, Yun Jiang","doi":"10.1007/s13187-026-02979-x","DOIUrl":"https://doi.org/10.1007/s13187-026-02979-x","url":null,"abstract":"<p><p>Digital technologies have transformed healthcare, yet disparities persist, particularly among older adults and individuals with cancer. The digital divide encompasses not only access but also challenges in electronic communication and cognitive engagement, affecting health equity. This study examined the prevalence of three digital divide dimensions (Access, E-communication, and Cognitive Gaps) among U.S.adults with and without cancer and assessed their associations with sociodemographic factors, clinical characteristics, and self-rated health. Cross-sectional data from the 2022 Health Information National Trends Survey (HINTS 6; N = 5,808) were analyzed using survey-weighted methods. Generalized linear models examined sociodemographic and clinical predictors of digital gaps, and survey-weighted linear regression assessed associations with self-rated health. The E-communication Gap was most prevalent (36.2%), followed by the Cognitive Gap (13.3%) and Access Gap (4.7%). Older adults had higher prevalence across all gaps. Individuals with cancer showed higher Access and Cognitive Gaps than those without cancer. Older age and lower education were consistent predictors, and comorbidities increased the likelihood of Access Gap among adults with cancer. The Cognitive Gap reflecting low confidence in finding health information online was significantly associated with poorer self-rated health overall (β̂ = -0.18; 95% CI [- 0.30, - 0.06]) and among older adults. The digital divide is multidimensional and disproportionately affects older adults and individuals with cancer. Cognitive-related digital barriers may play an important role in perceived health, highlighting the need for interventions that strengthen digital literacy and support equitable participation in digital health.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857895","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}

{"title":"Development and Validation of the Cancer Prevention Literacy and Behavior Instrument (CPLBI): A Multidimensional Tool for Cancer Education and Prevention Assessment.","authors":"Bassam Z Shakhreet","doi":"10.1007/s13187-026-02980-4","DOIUrl":"https://doi.org/10.1007/s13187-026-02980-4","url":null,"abstract":"<p><p>Cancer education programs require valid instruments to evaluate learners' knowledge, health literacy, behavioral readiness, and educational outcomes. Existing measures generally assess isolated aspects of cancer awareness and provide limited support for comprehensive educational evaluation. This study aimed to develop and validate the Cancer Prevention Literacy and Behavior Instrument (CPLBI) for assessing cancer prevention literacy and behavioral readiness in adult populations. A methodological instrument-development study was conducted using a theory-informed framework. Content validity was established through expert review (n = 10), followed by pilot testing (n = 50). Exploratory factor analysis was performed in 300 participants, and confirmatory factor analysis was conducted in an independent sample of 450 participants. Reliability, construct validity, known-groups validity, and gender measurement invariance were evaluated using established psychometric criteria. The final CPLBI comprised 42 items across seven domains: Risk Knowledge, Warning Signs Recognition, Health Literacy, Cancer Misinformation Identification, Self-Efficacy, Behavioral Intention, and Preventive Health Behavior. Exploratory factor analysis supported the proposed multidimensional structure (KMO = 0.807; Bartlett's χ² = 2866.49, p < .001). Confirmatory factor analysis demonstrated excellent model fit (χ²/df = 1.08, CFI = 0.988, TLI = 0.987, RMSEA = 0.013, SRMR = 0.037). Reliability and construct validity supported the reflective domains, whereas the knowledge domains functioned as complementary educational indices. The CPLBI demonstrated satisfactory psychometric properties and provides a practical instrument for evaluating cancer prevention education, identifying educational needs, assessing learning outcomes, and supporting research and public health initiatives.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841876","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}

{"title":"Preference Does Not Match Use: A Pilot Study of Data Visualization Format and Cancer Risk Comprehension Across Educational Levels.","authors":"Diogo Nogueira, Celia Azevedo Soares","doi":"10.1007/s13187-026-02973-3","DOIUrl":"https://doi.org/10.1007/s13187-026-02973-3","url":null,"abstract":"<p><p>The selection of data visualization formats for cancer risk communication is a routine decision in clinical cancer education, yet it currently lacks an empirical basis. This pilot study examined format preference and comprehension across educational levels in a medical genetics clinic, and whether stated preference corresponds to the format consulted under cognitive demand. In this cross-sectional pilot study at a medical genetics clinic in Porto, Portugal (January-June 2024), 63 adults stratified by educational attainment (low, n = 25; medium, n = 16; high, n = 22) evaluated five visualization formats (bar graph, table, pictograph, pie chart, clock graph) presenting identical risk scenarios. Preference and comprehension were assessed via semi-structured interview using non-parametric tests. Bar graphs (30.2%) and Table (28.6%) were most preferred; comprehension was highest for bar graphs (87.5%) and Table (87.0%). Clock graphs were least preferred (7.9%) and least understood (25.0% for Question 1; OR = 0.064, 95% CI 0.011-0.617, p = 0.023). Comprehension differed by educational level (54.0% low, 78.1% medium, 97.7% high; p < 0.001, Cramer's V = 0.44). Preference and consulted format diverged: tables were used by 36.5-39.7% of participants despite being preferred by only 28.6%. Format selection in cancer risk education should not rely on patient preference alone. Bar graph and table use were associated with higher comprehension; clock graph use was associated with lower accuracy. For patients with lower educational attainment, no format achieved adequate comprehension. This supports multimodal education strategies. These associations are observational and cannot be causally attributed to format itself, as format was self-selected.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834269","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}

{"title":"From Awareness to Access: Extending University Campus Photoprotection Beyond Free Sunscreen Dispensers.","authors":"Nina N Islam","doi":"10.1007/s13187-026-02978-y","DOIUrl":"https://doi.org/10.1007/s13187-026-02978-y","url":null,"abstract":"<p><p>Free sunscreen dispensers are a promising strategy for skin cancer prevention on university campuses, but access alone may not ensure use. Myers et al. reported that among students, faculty, and staff at a university with ten free sunscreen dispensers, 35.5% had noticed a dispenser and 22.7% had used one, with visibility, reliance on personal sunscreen, and product texture identified as barriers. This correspondence argues that campus photoprotection should be approached as a combined access-and-education problem. Recent evidence demonstrates substantial variation in the financial burden of recommended sunscreen use, persistent cultural and behavioral disparities in sun protection, and encouraging implementation outcomes when campus sunscreen access is paired with educational and digital messaging. Universities offer a practical setting in which to test multimodal skin cancer prevention strategies. Future evaluations should measure sustained dispenser use, placement and visibility, product acceptability, socioeconomic reach, and whether educational exposure and free access together produce durable changes in photoprotective behavior.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841920","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}

{"title":"Development of a Responsive Digital Intervention to Support Sexual Health Self-management and Quality of Life in Women with Breast Cancer.","authors":"Calinca Eliotério Oliveira, Patrícia Brito Ribeiro de Oliveira, Camila Rangel Santos, Izabel Almeida Alves","doi":"10.1007/s13187-026-02974-2","DOIUrl":"https://doi.org/10.1007/s13187-026-02974-2","url":null,"abstract":"<p><p>Breast cancer is one of the most prevalent malignancies among women, and despite improved survival associated with endocrine therapy, treatment-related adverse effects significantly affect quality of life, particularly sexual health. This study aimed to describe the development of the responsive website \"Cancer and My Life\", a digital self-management intervention designed to support the sexual health and well-being of women receiving oral endocrine therapy for hormone receptor-positive breast cancer. The development process followed the Medical Research Council framework for complex interventions and involved a multidisciplinary team, drawing on scientific evidence and relevant theoretical foundations. The resulting platform was developed as a responsive website and refined through iterative cycles of user testing and feedback. It provides educational content, psychosocial support tools, and interactive resources to promote autonomy, self-management, and informed decision-making. The website addresses topics identified through a comprehensive literature review, including body image, intimacy, genitourinary symptoms, and communication with partners. Overall, the platform demonstrates the potential of digital technology to deliver patient-centered support by addressing sensitive and frequently overlooked aspects of cancer care, such as sexual health, and highlights digital health as a promising strategy for more integrated and personalized oncology care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820163","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}