Journal of Cancer Education最新文献

{"title":"Integrating Physical Activity and Family Health Education into Pediatric Oncology Outpatient Care: ATIVAONCO Project.","authors":"Micheli Carminatti, Érica Cappellaro, Herber Orlando Benitez, Ingrid Alessandra Victoria Wolin, Isadora Dalla Lana, Gustavo Vieira Mohamed, Julia de Lima Ramos, Rodrigo Sudatti Delevatti, Aline Mendes Gerage, Cíntia de la Rocha Freitas","doi":"10.1007/s13187-026-02999-7","DOIUrl":"https://doi.org/10.1007/s13187-026-02999-7","url":null,"abstract":"<p><p>ATIVAONCO is a university extension project designed to integrate adapted physical activity and family health education into routine pediatric oncology outpatient care in a public hospital in southern Brazil. This descriptive experience report summarizes the program's implementation from 2023 onward. Activities are offered twice weekly during a two-hour outpatient window and are delivered by exercise professionals and supervised trainees. Each session combines a brief health-education component for parents and caregivers, playful and adaptable movement activities for children and adolescents, and a closing discussion circle. Program monitoring uses team observations, participant and caregiver feedback, and session records to support iterative adaptation. Over the years, more than 300 children and adolescents participated in the project, with a mean age of 7.53 ± 3.30 years; 53.2% were male and 46.8% were female. Recurring observations included engagement with movement activities, social interaction, and use of the waiting area as a more active and welcoming space. ATIVAONCO project demonstrates the practical feasibility of embedding physical activity promotion and family-centered education into outpatient pediatric oncology care. Future evaluations should measure educational outcomes, physical activity exposure, patient-reported outcomes, and safety using standardized prospective methods.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185659","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":"Experiential Support Across Breast Cancer Care and Familial Breast Cancer Genetic Risk Assessment in Quebec, Canada: A Comparative Study of Accompanying Patients' Contributions.","authors":"Karine Bouchard, Michel Dorval, Lynda Bélanger, Jocelyne Chiquette, Madeleine Côté, Cécile Vialaron, Louise Normandin, Monica Iliescu Nelea, Amel Ben Ahmed, Marie-Pascale Pomey","doi":"10.1007/s13187-026-02908-y","DOIUrl":"https://doi.org/10.1007/s13187-026-02908-y","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;The integration of peer support by accompanying peers (APs) into oncology care settings enhances the patient's experience through the contribution of their experiential knowledge. APs play a key role in providing emotional support, active listening, information, and shared lived experiences. However, little is known about how different clinical settings-such as a genetic risk assessment and oncological treatment-influence how these contributions are expressed and perceived.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study assessed whether the perceived contributions of accompanying peers (APs) varied across three groups of women involved in breast-cancer-related clinical pathways: (1) unaffected women undergoing familial breast cancer genetic risk assessment; (2) affected women undergoing familial breast cancer genetic risk assessment; and (3) affected women receiving breast cancer oncological care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Encounters with APs were organized in two hospital-based settings in Quebec, Canada participating in the same program: a hereditary cancer risk assessment setting and an oncology care setting. Women were classified into three groups according to clinical pathway: Group 1, unaffected women undergoing familial breast cancer genetic risk assessment; Group 2, affected women undergoing familial breast cancer genetic risk assessment; and Group 3, affected women receiving breast cancer oncological care. Peer support was offered by the clinical team as part of the clinical pathway. These encounters were conducted by telephone, videoconference or in person in the healthcare setting. An online questionnaire, completed by the women in the days following the peer support encounter, assessed sociodemographic and clinical characteristics, the support experience, psychological distress (K6), cancer coping skills (CASE-cancer) and the APs' contributions. Prevalence ratios (PRs) were calculated to compare the proportions of women reporting APs' contributions across clinical pathways. The analysis was adjusted for age, education, parental status, partner status and employment status. Both settings were part of the same PAROLE-Onco implementation and relied on the same overall process for integrating APs, although they corresponded to different points along the breast-cancer-related care pathway.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;101 women completed the questionnaire. Each woman received a single peer support encounter. Across all clinical settings, many women reported that the AP contributes by sharing her experience, offering support, listening to the patient, and providing information. Unaffected women who received peer support as part of the genetic risk assessment process perceived greater contributions from APs in terms of system navigation-such as preparing for medical appointments (p &lt; 0.05) and during appointments (p &lt; 0.05)-as well as in informed decision-making, notably by providing new perspectives on dec","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185632","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":"Fostering Student Engagement via a Community Outreach and Engagement Internship Program.","authors":"Aisha Choudhri, Lucile L Adams-Campbell, Mary Mills, Mireille Bright, Jennifer Hicks, Jefferny Lin, Rebecca B Riggins, Chiranjeev Dash","doi":"10.1007/s13187-026-03000-1","DOIUrl":"https://doi.org/10.1007/s13187-026-03000-1","url":null,"abstract":"<p><strong>Background: </strong>Community Outreach and Engagement (COE) is a mandated component of National Cancer Institute (NCI)- designated comprehensive cancer centers. Community partnerships are necessary to address cancer disparities, yet few examples of training programs exist to guide career development focused on community-engaged cancer prevention. We designed and assessed a COE internship to enhance workforce development through experiential learning in cancer prevention and control.</p><p><strong>Methods: </strong>We implemented a six-week, part-time COE internship that paired didactic training with hands-on experience in patient navigation, community outreach and engagement, health education, and clinical research. Undergraduate, graduate, and post-baccalaureate students engaged in staff-led learning and participated in outreach at the community-level. Intern experiences and self-perceived competency development were assessed using post-program surveys.</p><p><strong>Results: </strong>35 interns successfully completed the COE internship between inception and Spring 2026. Twenty-eight interns responded to the program evaluation survey. 92% of interns rated their overall experience as either excellent (64%) or very good (28%). The majority of interns reported significant competency development in communication, health education, and knowledge dissemination skills (46%). Awareness of community health disparities (36%), professional skills and interpersonal relations (29%), patient navigation and administration (29%), and research and analytical skills (25%) were also noted. Themes identified through qualitative responses included appreciation for interdisciplinary mentorship and hands-on experience.</p><p><strong>Conclusions: </strong>Our COE internship provided students an opportunity to gain experience in community-engaged cancer prevention. Integration of COE components will continue to develop the necessary workforce skills for those pursuing careers in public health and cancer research.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185641","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":"The Impact of Video-Based and ECHO™ Survivorship Training on Primary Care Providers' Self-Efficacy and Communication.","authors":"Hannah Reygaerts, Katherine R Gilmore, Linh Nguyen, Nancy Nguyen-Vu, Charles Amos, Johnny Rollins, Lance Johnson, Ronda L Hartman, Maria A Rodriguez, Julie S Bortolotti, Yen-Chi Le, Michael E Roth, Thomas J Murphy","doi":"10.1007/s13187-026-02988-w","DOIUrl":"https://doi.org/10.1007/s13187-026-02988-w","url":null,"abstract":"<p><p>Primary care providers (PCPs) play an increasingly central role in the care of cancer survivors, however many lack formal training in survivorship care. This study evaluated the impact of a structured video-based curriculum combined with Project ECHO™ sessions on PCPs' self-efficacy and communication practices in cancer survivorship care at a community-based family practice. PCPs completed an eight-module CME-accredited video curriculum followed by at least two monthly ECHO™ case-based consultation sessions. Surveys were administered at baseline before training (Pre), post-curriculum (Post 1), and post-ECHO (Post 2) using items adapted from the Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS). Self-efficacy was assessed across three domains, and communication practices across four domains. Changes between baseline and post-ECHO were analyzed using Wilcoxon signed-rank tests with Bonferroni correction. Eighteen PCPs completed baseline surveys. Fourteen PCPs completed all assessments. Self-efficacy improved across all domains, with significant increases observed at post-ECHO for appropriate surveillance testing (p = 0.015) and addressing potential adverse psychosocial outcomes (p = 0.005). Communication practices with patients and other providers showed favorable trends, but changes were not statistically significant. These findings suggest that pairing asynchronous education with telementoring can meaningfully build PCP confidence in survivorship care, offering a practical strategy for implementing PCP-led models. Improved provider confidence and communication may ultimately enhance coordination, continuity, and quality of care as survivors transition to primary care settings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169832","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":"Evaluating the Feasibility of Educational Videos in a Medical Oncology Sarcoma Clinic to Improve Patient Knowledge and Satisfaction.","authors":"Fabio Murtas, Jasjeet Matharu, Mona Domlog, Karen Lawrie, Abdulazeez Salawu, Abha Gupta, Yangqing Deng, Lisa Avery, Meaghen McDonald, Harleen Toor, Janet Papadakos, Albiruni R Abdul Razak, Geoffrey A Watson","doi":"10.1007/s13187-026-03001-0","DOIUrl":"https://doi.org/10.1007/s13187-026-03001-0","url":null,"abstract":"<p><p>The first medical oncology visit is a pivotal step for sarcoma patients in their cancer journey and may often be accompanied by negative feelings such as anxiety, vulnerability and loss of control. Early, tailored education before the visit with the medical oncologist may enhance understanding of diagnosis and treatment, aid decision-making, and reduce distress. Newly diagnosed English speaking sarcoma patients were asked to watch four short videos (educational intervention, EI) that were created for the purpose of this study focusing on the initial consultation, multidisciplinary team, systemic therapy and clinical trials. The main objective was feasibility, defined as successful delivery of the intervention and completion of the study procedures. Impact on knowledge was assessed by a knowledge quiz. Perceptions of diagnosis were assessed by surveys administered pre and post the EI. Improvement was measured using paired t-test, Wilcoxon Signed Rank Test and McNemar tests. Twenty patients were enrolled between May and December 2025. Most participants were aged >50 years (75%), female (55%) and had a university or higher degree of education (65%). In the knowledge quiz, knowledge improved in 8/11 questions post EI. In Survey 2, improvements were seen in the proportion of patients feeling that they had enough information on diagnosis (30 vs 10% of patients, p<0.004), sarcoma team (80 vs 5%, p<0.001), treatment options (55 vs 5%, p<0.001), administration of treatment (95 vs 10%, p<0.001), goals of care (45 vs 5%, p=0.001), toxicities (80 vs 15%, p<0.001) and clinical trials (90 vs 15%, p<0.001). Patients found the videos helpful (90%) and easy to understand (95%). At Survey 2, patients felt more informed (65 vs 5% of patients, p<0.001), more prepared (35 vs 10%, p=0.18) and less anxious (75 vs 40%, p=0.039). At Survey 3, administered after the oncology consultation, further significant improvements were seen in patient-reported perceptions and understanding of their disease. After EI, an increased proportion of patients felt hopeful about the future (Survey 2: 70 vs 45%, p= 0.029; Survey 3: 70 vs 45%, p= 0.071). The delivery of sarcoma specific EI to newly diagnosed patients before their initial medical oncology consultation is feasible. Preliminary findings show increased knowledge of sarcoma and its management, and increased optimism about the future. (NCT06805773).</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138902","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":"Precision Cancer Prevention - Research Promise and Education Needs.","authors":"Jessica M Faupel-Badger","doi":"10.1007/s13187-026-02997-9","DOIUrl":"https://doi.org/10.1007/s13187-026-02997-9","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129183","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":"Patient and Caregiver Information-seeking in Lung Cancer Treatment: A Real-world Sentiment Analysis of Reddit Communities.","authors":"Mei Xing G Zuo, Ava Herzog, Mannut Singh, Divya Goyal, Ben Long G Zuo, Angadh Singh, Sarah W Gordon","doi":"10.1007/s13187-026-02990-2","DOIUrl":"https://doi.org/10.1007/s13187-026-02990-2","url":null,"abstract":"<p><p>Lung cancer is the leading cause of cancer death globally. This study investigated how lung cancer patients and caregivers discuss treatment experiences and seek information in online Reddit communities. We found prominent concerns and sentiment patterns across 1,214 posts from six lung cancer subreddits (June 2013-February 2024). Sentiment analysis used Valence Aware Dictionary for sEntiment Reasoning (VADER), a previously validated Python tool for social media, assigning compound scores from - 1 (most negative) to + 1 (most positive). Caregivers authored 59.88% of posts and patients authored 26.77%. Advanced-stage disease dominated discussions (76% of posts mentioning staging were stage IV). Treatment modalities included chemotherapy (25.21%), immunotherapy (12.60%), and radiation therapy (11.86%). Overall sentiment was positive in 53.79% of posts. Patients (0.22) and caregivers (0.15) had significantly more positive sentiment than medical professionals (-0.42) (p < 0.001). Primary concerns were quality-of-life impacts (21.50%), cancer progression or recurrence (18.86%), and treatment side effects (17.46%). The Reddit community appears to be a source of supplementary of support, with 59.14% sharing personal experiences and 16.72% seeking symptom validation. This work suggests a potential psychosocial value in peer-to-peer online support platforms for information-seeking in lung cancer treatment. Healthcare providers may consider integrating digital peer support resources into all aspects of cancer management from prevention to palliative care and during cancer care, to address concerns inadequately met in traditional clinical settings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117966","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":"Gaps in Gastric Cancer Risk Awareness Despite High Preventive Engagement among Korean-Born Adults in the United States.","authors":"Chul S Hyun, Ala Roh, You Jeong Lee, Sara Soonsik Kim","doi":"10.1007/s13187-026-02987-x","DOIUrl":"https://doi.org/10.1007/s13187-026-02987-x","url":null,"abstract":"<p><p>Korean-born adults in the United States have a disproportionately high risk of gastric cancer (GC), reflecting in part early-life Helicobacter pylori exposure and familial risk. However, little is known about how individuals in this high-risk population understand their GC risk or how awareness relates to preventive behaviors. We conducted a community-based survey and urea breath testing across 14 screening events in New York, New Jersey, and Connecticut from June to October 2025. Among 315 participants, 287 completed the survey and testing. Overall, 48.8% had prior and/or current H. pylori infection, and 18.1% had active infection at screening. Preventive engagement was high, with 78.4% reporting prior upper endoscopy, most commonly for screening. In contrast, 58.9% recognized that H. pylori can cause GC, and 48.8% recognized the elevated GC risk among Koreans. Among 265 participants with complete data, prior endoscopy was more common among those aware of the association between H. pylori and GC (85.2% vs. 68.8%; OR 2.62, p = 0.0012). Current infection was less frequent among those who were aware (14.8% vs. 22.9%; OR 0.58, p = 0.13), although this difference was not statistically significant. The coexistence of high preventive engagement and incomplete risk awareness identifies an important educational gap. These findings support culturally responsive, community-based education that builds on existing preventive behaviors while strengthening understanding of GC risk and H. pylori-related prevention.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117927","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":"Understanding Cancer Information Burden and Quality Concerns: The Roles of Medical Statistics Literacy, Online Health Information Confidence, and Social Media.","authors":"Aditya Chakraborty, Sikta Das, Amy Myat Phyo","doi":"10.1007/s13187-026-02989-9","DOIUrl":"https://doi.org/10.1007/s13187-026-02989-9","url":null,"abstract":"<p><p>Understanding factors shaping perceptions of cancer-related information is important for public health communication. This study examined associations of three information-related predictors, understanding medical statistics, confidence in online health information, and difficulty interpreting social media information, with two outcomes: cancer information was too hard to understand (CTU) and concern about cancer information quality (CCQ). Data came from the 2022 Health Information National Trends Survey. The cross-sectional study included 1972 participants. Survey-weighted univariable and multivariable logistic regression models assessed associations between the three predictors and CTU and CCQ, adjusting for sociodemographic characteristics, health insurance, and cancer history. LASSO logistic regression, random forest, XGBoost, and support vector models were implemented to assess prediction performances for the outcomes. SHAP and variable importance plots identified influential predictors. Difficulty understanding medical statistics was associated with higher odds of agreeing CTU (AOR = 1.89, 95% CI: 1.17-3.05) and agreeing CCQ (AOR = 1.69, 95% CI: 1.11-2.57). Lower confidence in finding helpful health information online was associated with higher odds of both outcomes, whereas complete confidence was associated with lower odds relative to very confident. Greater difficulty interpreting social media information was associated with CTU (AOR = 2.92, 95% CI: 1.66-5.14) and CCQ (AOR = 1.89, 95% CI: 1.07-3.33). SHAP and variable importance identified difficulty understanding medical statistics, confidence in online health information, and difficulty interpreting health information on social media as key predictors. These findings emphasize public health communication strategies prioritizing statistical literacy, clearer cancer information, and improved evaluation of online and social media health content.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118057","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":"Melanoma Self-Detection is Not Melanoma Diagnosis: Rethinking the Role of Self-Skin Examination.","authors":"Vincenzo De Giorgi, Giovanni Cecchi, Gabriella Perillo, Federica Fazzari, Biancamaria Zuccaro","doi":"10.1007/s13187-026-02996-w","DOIUrl":"https://doi.org/10.1007/s13187-026-02996-w","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117989","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}