Journal of Cancer Education最新文献

{"title":"Unveiling Oropharyngeal Cancer Patients' Perceptions of HPV Vaccination.","authors":"Sakshi Das, Trevor Greene, Ashlea Braun, Thanh Bui, Radhika Gogoi","doi":"10.1007/s13187-025-02678-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02678-z","url":null,"abstract":"<p><p>Although cervical cancer squamous cell carcinoma (CCSCC) rates have annually declined by 1.6% from 1999 to 2015, oropharyngeal cancer squamous cell carcinoma (OPSCC) rates have annually risen by 2.7% in men and 0.8% in women, driven by a rise in HPV-associated cancers.¹ The Human Papillomavirus (HPV) vaccine targets HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58, and has the potential to prevent over 90% of HPV-related cancers.^3,4 However, vaccination remains low, with only 58% of young women ages 18 to 26 years old and 35% of men of the same age in the USA being vaccinated against HPV in 2022.² The purpose of this study is to understand potential reasons behind these trends by interviewing OPSCC patients about their health literacy and social interactions involving HPV and the vaccine. Online focus groups discussions and individual interviews were conducted with one to five participants per group, totaling 14 participants, to explore the following topics: knowledge of the HPV vaccine before and at diagnosis of cancer, whether they discussed the vaccine with anyone in their social networks, results of these discussions, and interventions thought to increase vaccine awareness. These focus group discussions were coded, and common themes were identified. Common themes included lack of knowledge of HPV, stigma of HPV as an STI, vaccine mistrust, healthcare advocacy, and suggestions on improving vaccination rates. These findings provide key actionable targets for improving HPV vaccination rates and awareness in the future.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585525","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":"Racial and Ethnic Disparities in Diet-Related Cancer Risk Awareness and Behaviors Among Cancer Survivors: An Analysis of the Health Information National Trends Survey (HINTS).","authors":"Hemangi Bipin Mavadiya, Oladele A Ogunseitan, Yunxia Lu","doi":"10.1007/s13187-025-02672-5","DOIUrl":"https://doi.org/10.1007/s13187-025-02672-5","url":null,"abstract":"<p><p>Healthy dietary behaviors are associated with improved survival and quality of life among cancer survivors. Worse cancer survival was reported in racial minorities, but whether diet-related cancer risk awareness and behaviors are different in racial and ethnic groups remains unexplored. We initiated a pooling study using the Health Information National Trends Survey (HINTS) to study the disparities of diet-related awareness and behaviors among cancer survivors. The study is a pooled, weighted analysis of eight cross-sectional surveys from HINTS. We harmonized variables to represent diet-related awareness and behaviors. In total, 6094 cancer survivors were included from HINTS 1, HINTS 4, HINTS 5 and HINTS 6 iterations. Chi-square test and logistic regression models were used to identify racial disparities. The results showed racial/ethnic disparities in both diet-related cancer risk awareness and dietary behaviors among cancer survivors. While all groups exhibited low adherence to dietary guidelines, racial minority groups showed slightly better awareness of how processed meat (OR = 0.29, 95% CI = 0.10, 0.85), red meat (OR = 0.47, 95% CI = 0.25, 0.89), and sugar-sweetened beverages (OR = 0.43, 95% CI = 0.23, 0.82) influence cancer risk compared to the non-Hispanic White (NHW) survivors. However, these awareness levels did not consistently translate into healthy dietary behaviors. NHB survivors reported significantly higher consumption of sugar-sweetened beverages (SSB) (OR = 2.70, 95% CI = 1.17, 6.24), and non-Hispanic other group (NHO) were less likely to use calorie information on restaurant menus (OR = 2.45, 95% CI = 1.07, 5.62). Our research findings highlight the need for culturally adaptive interventions, emphasizing education and a comprehensive, practical approach to translate dietary guidelines into real-world applications.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568094","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":"Accuracy and Reliability of ChatGPT in Answering Patient Questions About Lung Cancer and Its Surgery: An Expert Panel Evaluation by Thoracic Surgeons.","authors":"Onur Akçay, Özgür Öztürk, Tuba Acar, Soner Gürsoy","doi":"10.1007/s13187-025-02682-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02682-3","url":null,"abstract":"<p><p>This study aimed to evaluate the accuracy, clarity, and scientific adequacy of ChatGPT's responses to frequently asked patient questions concerning lung cancer and its surgical treatment, through an expert panel of thoracic surgeons. A total of 36 frequently asked questions-20 related to lung cancer and 16 related to lung cancer surgery-were collected from various online sources and clinical experience. These questions were submitted to ChatGPT-4.0 in a single session, and the initial responses were assessed by four experienced thoracic surgeons. Each response was scored independently using a 5-point Likert scale for scientific adequacy, clarity, and accuracy. The mean scores, standard deviations, and word counts were calculated. Inter-group comparisons were conducted using independent-samples t-tests. ChatGPT's responses were rated generally high across all domains. For lung cancer questions, the mean scores were 4.50 ± 0.18 (scientific adequacy), 4.57 ± 0.21 (clarity), and 4.66 ± 0.21 (accuracy), with an average word count of 152.4 ± 36.86. For surgical questions, scores were slightly higher: 4.57 ± 0.31, 4.64 ± 0.26, and 4.73 ± 0.21, respectively, with an average word count of 163.68 ± 35.64. Although the differences were not statistically significant, responses to surgical questions were associated with slightly higher agreement scores. Full scores were achieved in three surgical questions. ChatGPT demonstrated a high degree of reliability and clarity in answering commonly asked patient questions about lung cancer and surgery. While the model can serve as a supportive educational tool, it should not replace personalized physician-patient communication, especially in clinical decision-making processes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565402","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":"Awareness, Attitudes, and Practice Related to Herpes Zoster and its Vaccines among Patients with Malignant Cancers: A Multi-Center Cross-Sectional Study in China.","authors":"Pan Xiaoyuan, Zhu Xinyu, Dong Zhengbang","doi":"10.1007/s13187-025-02668-1","DOIUrl":"https://doi.org/10.1007/s13187-025-02668-1","url":null,"abstract":"<p><p>To assess the awareness, attitudes, and practice related to Herpes Zoster (HZ) and its vaccines among cancer patients from two tertiary hospitals in China, and explore the factors influencing the perceived necessity of vaccination against HZ. This was a multi-center cross-sectional study involving cancer patients from two tertiary hospitals in China from January to April 2024. A self-designed questionnaire was used to survey the baseline characteristics, awareness, attitudes and practice about HZ and its vaccines, and factors influencing the perceived necessity of vaccination against HZ. A total of 392 cancer patients were included in the study, with an overall awareness score towards HZ and its vaccines of 4.79 ± 2.36 points, and an overall attitude score of 11.69 ± 2.32 points. The awareness score towards HZ and its vaccines was negatively correlated with male gender (β = -0.51, P < 0.001), 50-59 years of age (β = -1.43, P = 0.001), ≥ 60 years of age (β = -1.84, P < 0.001), and divorced/widowed (β = -1.29, P = 0.018). It was positively correlated with higher education level (β = 0.62, P = 0.035), annual household income (AHI) ≥ 100,000-150,000 RMB (β = 0.89, P = 0.012), AHI > 150,000 RMB (β = 1.64, P = 0.002), urban residency (β = 0.72, P = 0.002), diabetes (β = 1.41, P = 0.001), and history of chickenpox (β = 0.56, P = 0.011). The attitude score towards HZ and its vaccines was negatively correlated with male gender (β = -0.67, P = 0.006) and uncertain history of chickenpox (β = -1.2, P = 0.005), while positively correlated with AHI > 150,000 RMB (β = 1.89, P < 0.001), history of HZ (β = 0.66, P = 0.013), and information source from community healthcare providers (β = 1.7, P < 0.001). The HZ vaccination rate was only 1.79% in the overall cohort, and 3.68% among older adults aged ≥ 50 years. Nearly half of participants (49.17%) ignored the significance of vaccination against HZ mainly due to the unawareness of HZ vaccine availability, and concerns about side effects. Misconceptions about an increased susceptibility to HZ in immunocompromised individuals, complications and prevention of HZ were the dominant factors influencing the perceived necessity of vaccination. While possessing a strong belief in the vaccine efficacy against HZ, the vaccination rate remains extremely low in Chinese cancer patients due to a low awareness of HZ and its vaccines. The education of vaccination against HZ by community healthcare providers is a promising way to increase the willingness to get vaccinated, particularly in the elderly, and those with low educational levels, and low AHI.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545902","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":"Assessing Readability of Skin Cancer Screening Resources: A Comparison of Online Websites and ChatGPT Responses.","authors":"Elissa Goorman, Sukul Mittal, Jennifer N Choi","doi":"10.1007/s13187-025-02683-2","DOIUrl":"https://doi.org/10.1007/s13187-025-02683-2","url":null,"abstract":"<p><p>Effective communication is essential for promoting appropriate skin cancer screening for the public. This study compares the readability of online resources and ChatGPT-generated responses related to the topic of skin cancer screening. We analyzed 60 websites and responses to five questions from ChatGPT-4.0 using five readability metrics: the Flesch-Kincaid Reading Ease, Flesch-Kincaid Grade Level, SMOG Index, Gunning Fog Index, and Coleman-Liau Index. Results showed that both websites and ChatGPT responses exceeded the recommended sixth grade reading level for health-related information. No significant differences were found between the readability for university-hosted versus non-university-hosted websites. However, across all readability metrics, ChatGPT responses were significantly more difficult to read. These findings highlight the need to enhance the accessibility of health information by aligning content with recommended literacy levels. Future efforts should focus on developing patient-centered, publicly accessible materials and refining AI-generated content to improve public understanding and encourage proactive engagement in skin cancer screenings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545892","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":"Analysis of Quality, Reliability, and Content of Cervical Cancer-Related Chinese Videos on TikTok.","authors":"Tingrong Wang, Yijin Zhao, Hao He, Hongbing Cai","doi":"10.1007/s13187-025-02677-0","DOIUrl":"https://doi.org/10.1007/s13187-025-02677-0","url":null,"abstract":"<p><p>TikTok is one of the most popular video-sharing social media platforms currently, with an increasing number of users posting and searching for cervical cancer-related videos. However, the quality and reliability of these videos have not been thoroughly evaluated. We conducted searches using #cervical cancer on TikTok, reviewed all included videos, and identified seven themes related to cervical cancer for analysis. We assessed the quality and reliability of the videos using the JAMA score and Modified DISCERN score. We also conducted intergroup comparative analysis of video quality and reliability for different thematic contents. A total of 100 Chinese-language videos related to cervical cancer were collected. Seven themes were established based on content, including cervical cancer patient experiences, cause of disease, symptoms, HPV-related topics, cancer treatment, laboratory and imaging examinations, and prognosis. The median JAMA score for all videos was only 1 (0, 3), and the median Modified DISCERN score was also only 1 (0, 4), indicating unsatisfactory results. When comparing video scores by different thematic contents, both scores showed statistically significant differences between groups (p < 0.001). Overall, the quality and reliability of Chinese-language cervical cancer videos on TikTok are low. Healthcare professionals should strive to improve video quality and reliability when publishing content, and patients should maintain a cautious attitude when searching for related content.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545891","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 Health Literacy Characteristics of Question Prompt Lists on National Cancer Institute Designated Cancer Center Websites.","authors":"J Lockhart, M L Stellefson, L W Turner, R S Mkuu, B Mehra, J Leeper","doi":"10.1007/s13187-025-02675-2","DOIUrl":"https://doi.org/10.1007/s13187-025-02675-2","url":null,"abstract":"<p><p>Ineffective communication between cancer survivors and providers can contribute to health disparities. Question Prompt Lists (QPLs) help facilitate patient-provider communication; however little research has evaluated the tool. This study evaluated the characteristics of QPLs available on National Cancer Institute (NCI)-Designated Cancer Center websites. A cross-sectional content analysis was conducted on 64 NCI-Designated Cancer Center websites. Eighty-nine QPLs were coded based on the Information Literacy Framework and the National Culturally and Linguistically Appropriate Services (CLAS) Standards. The readability, actionability, understandability, clarity, and suitability of QPLs were evaluated using validated tools to determine their utility in supporting diverse cancer survivors. Thirty-nine centers (59.1%) provided a total of 89 QPLs, averaging 16.4 questions (SD ± 10.4) per list. No QPLs (0%) were created for a specific race/ethnicity or who identify with sexual and gender minority populations. Six (6.7%) were created based on age and seven (7.9%) were available in multiple languages. Common topics included diagnosis (68.5%) and treatment (79.8%). Twenty QPLs (29.2%) were available as PDFs, and most (70.8%) were not cancer-type specific. While most QPLs (76.4%) demonstrated good understandability, 62.9% had poor actionability, 82.0% exhibited superior suitability, and 92.1% had suboptimal clarity. The average readability was seventh grade. Cancer centers should develop QPLs that address diverse cultural and communication needs. Despite their importance, most QPLs lacked inclusivity. Additionally, while understandability was generally high, actionability and clarity were suboptimal, potentially limiting their effectiveness in guiding patient-provider discussions. Using validated tools before dissemination aligns with best practices to improve patient-centered care while reducing health disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530817","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":"Online Outcomes of a Pediatric Neuro-Oncology Course for Multidisciplinary Healthcare Professionals in Low- and Middle-Income Countries.","authors":"Fair Berg, Allyson Andujar, Georgia Chatman, Carlos Rodríguez-Galindo, Ibrahim Qaddoumi, Daniel C Moreira","doi":"10.1007/s13187-025-02681-4","DOIUrl":"https://doi.org/10.1007/s13187-025-02681-4","url":null,"abstract":"<p><p>Online and hybrid pediatric oncology training programs, such as the St. Jude Global Academy's Neuro-Oncology Training Seminar (NOTS), aim to address gaps in educational opportunities. This study examined the online components of the 2022 and 2023 NOTS, using mixed methods to assess strengths, limitations, and areas for improvement specific to the distance learning components. NOTS participants are required to complete 9 weeks of online modules. Participants were invited to evaluate their online learning experience which included both quantitative and qualitative measures related to participant perceptions of the course. Descriptive statistics were used to analyze quantitative results, and qualitative responses underwent thematic analysis. A total of 153 participants from 30 institutions participated in the online modules of the 2022 and 2023 NOTS. Among all participants, 106 (69.1%) completed the online course with a passing score of 70% or higher, and 83 completed the online evaluation. Pre-recorded lectures, rated highly by 73.5% of respondents, were appreciated for their content quality and flexibility. Live meetings were also of importance, with many participants requesting an expansion of interactive online sessions in future iterations of NOTS. Participants also felt the online learning activities (e.g., research projects and case discussions) were important and recommended more frequent knowledge assessments throughout the online modules and long-term follow-up. While most participants found the course duration of online components appropriate, some suggested adjustments to pacing and improved access to content. This study expands on the potential of technology-facilitated pediatric hematology-oncology education in LMICs by offering flexible and accessible learning formats. The findings suggest that blended learning models, interactive content, and incorporating peer and expert feedback can enhance knowledge retention and learner satisfaction among online participants.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530818","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":"\"Paint and Sip for Cancer Prevention\": A Novel Arts-Based Community Engagement Strategy to Advance Cancer Education and Screening in Underserved Individuals.","authors":"Lisa Carter-Bawa, Francis Valenzona, Miriam Lucca-Susana, Gary Kwok, Elan N Shoulders","doi":"10.1007/s13187-025-02679-y","DOIUrl":"https://doi.org/10.1007/s13187-025-02679-y","url":null,"abstract":"<p><p>Persistent disparities in cancer awareness, screening uptake, and early detection disproportionately affect underserved communities in the USA. While traditional health education approaches play a critical role, they often fail to engage historically marginalized populations in culturally resonant ways. Innovative strategies that leverage creativity, trust-building, and community participation are urgently needed. In 2024, the Community Outreach and Engagement (COE) Department at the John Theurer Cancer Center launched \"Paint and Sip,\" an arts-based cancer education series designed to increase engagement and awareness in diverse communities. Events were held in accessible, non-clinical venues and combined guided painting sessions with culturally tailored cancer education, delivered by trained community health workers (CHWs). During natural pauses in the painting process, CHWs led 15-min discussions on cancer prevention topics, including screening guidelines, risk factors, and genetic testing. All participants completed a brief social determinants of health screening questionnaire and were offered patient navigation services to address unmet needs and support screening follow-through. Since its launch, the series engaged 191 participants across multiple community settings. Attendance averaged 25 per event, with strong retention and word-of-mouth promotion. Among participants, 82% were not up to date with cancer screening, and 62% accepted navigation support. Qualitative feedback highlighted the events as \"uplifting,\" \"judgment-free,\" and \"a new way to learn about health without fear.\" CHWs reported increased participant openness and discussion around stigmatized topics. The Paint and Sip model illustrates the promise of arts-based engagement as a novel strategy for advancing cancer education and screening in underserved communities. By embedding creativity into health education, the model fosters trust, enhances message retention, and bridges awareness with action. Further research is warranted to evaluate long-term impact, scalability, and cost-effectiveness.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530816","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":"Qualitative Evaluation of a Vicarious Trauma e-learning Initiative for Cancer Support Line Workers in the UK.","authors":"Donna Munro, Andrew Killen, Karen Campbell","doi":"10.1007/s13187-025-02674-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02674-3","url":null,"abstract":"<p><p>The concept of vicarious traumatisation (VT) is distinguished from psychological stress concepts of 'burnout', 'compassion fatigue', and 'secondary traumatic stress'. Cancer support line workers may have a heightened risk of VT. Taking education as an intervention for VT, the aim of this study was to capture pre- and post-perceptions of an e-learning intervention for cancer support line workers. To explore cancer support line workers' perceptions of VT pre- and post- e-learning intervention. Ten study participants were surveyed prior to a VT e-learning intervention. Nine study participants completed e-learning, followed by semi-structured interviews. Reflexive thematic analysis was utilised. Five themes emerged: pre-existing understanding of VT, resonance, recognition, refocus self-care, and reflection on the impact of VT experience. Varied levels of understanding of the concept of VT were identified. The module was impactful and increased understanding of VT for most participants. A requirement for formalised VT education, subsequent signposting, and support, was identified. Participants expressed desire for refresher courses.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512724","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}