Journal of Cancer Education最新文献

{"title":"Information Seeking Behaviors and Preferences of Cancer Survivors: A Cross-sectional Study in Shanghai, China.","authors":"Mengying Liu, Yuan Xu, Jie Song, Xiaojing Hu, Chunlin Jin, Ziping Liu, Ruijia Li, Minxing Chen","doi":"10.1007/s13187-025-02628-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02628-9","url":null,"abstract":"<p><p>The information needs of cancer survivors are numerous and chronically difficult to meet, and the information sources currently available to them are far from ideal. The purpose of this study was to investigate the information-seeking behaviors and preferences of cancer survivors and explore the differences in information needs among cancer survivors of different types in Shanghai, China. A quota sampling method was used to select cancer survivors living in all districts of Shanghai as the study population. Data collection used the Unmet Information Needs Scale for Cancer Patients. ANOVA were used to assess differences in unmet need scores among subgroups. The mean age of 4195 cancer survivors was 63.2 ± 7.4 years, comprising 823 males (19.6%) and 3372 females (80.4%). Among the current sources of information, 36.2% of cancer survivors opted for consultations with tertiary-level doctors. In terms of desired sources, 43.9% preferred tertiary-level doctors. Regardless of the current or future situation, tertiary-level doctors, patient friends, and primary care doctor remain the top three preferred sources for health information. Kidney cancer, metastatic cancer, and nasopharyngeal cancer demonstrated the highest information requirement scores, scoring 39.4, 37.5, and 36.6, respectively. Cancer survivors of different cancer types showed differences in focus and information needs. Current and expected information sources for cancer survivors differ at different stages of survival. Tertiary-level doctors are the most popular providers of information. Unmet information needs for different cancer types are diverse and complex.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152756","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":"A Comparative Analysis of GPT-4o and ERNIE Bot in a Chinese Radiation Oncology Exam.","authors":"Weiping Wang, Jingxuan Fu, Yiming Zhang, Ke Hu","doi":"10.1007/s13187-025-02652-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02652-9","url":null,"abstract":"<p><p>Large language models (LLMs) are increasingly utilized in medical education and practice, yet their application in niche fields such as radiation oncology remains underexplored. This study evaluates and compares the performance of OpenAI's GPT-4o and Baidu's ERNIE Bot in a Chinese-language radiation oncology examination. We employed the Chinese National Health Professional Technical Qualification Examination (Intermediate Level) for Radiation Oncology, using a question bank of 1128 items across four sections: Basic Knowledge, Relevant Knowledge, Specialized Knowledge, and Practice Competence. A passing score required an accuracy rate of 60% or higher in all sections. The models' responses were assessed for accuracy against standard answers, with key metrics including overall accuracy, section-specific performance, case analysis performance, and accuracy consensus between the models. The overall accuracy rates were 79.3% for GPT-4o and 76.9% for ERNIE Bot (p = 0.154). Across the four sections, GPT-4o achieved accuracy rates of 82.1%, 84.6%, 78.6%, and 60.9%, respectively, while ERNIE Bot achieved 81.6%, 73.9%, 77.9%, and 69.0%. In the Relevant Knowledge section, GPT-4o achieved significantly higher accuracy (p = 0.002), while no significant differences were found in the other three sections. Across various question types-including single-choice, multiple-answer, case analysis, non-case analysis, and different content areas of case analysis-both models exhibited satisfied accuracy, and ERNIE Bot achieved accuracy rates that were comparable to GPT-4o. The accuracy consensus between the two models was 84.5%, significantly exceeding the individual accuracy rates of GPT-4o (p = 0.003) and ERNIE Bot (p < 0.001). Both GPT-4o and ERNIE Bot successfully passed the highly specialized Chinese-language medical examination in radiation oncology and demonstrated comparable performance. This study provides valuable insights into the application of LLMs in Chinese medical education. These findings support the integration of LLMs in medical education and training within specialized, non-English-speaking contexts.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144277","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 Behavioral Impacts of School Cancer Education Programs Several Months and Years After Implementation in Japan.","authors":"Masanari Minamitani, Atsuto Katano, Shingo Ohira, Takuya Hayashi, Keiichi Nakagawa","doi":"10.1007/s13187-025-02655-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02655-6","url":null,"abstract":"<p><p>School-based cancer education programs have recently been introduced in Japan to promote cancer awareness and encourage students to value their health and lives. Although short-term behavioral effects have been reported, their long-term effects remain unclear. We evaluated the mid- and long-term effects of a cancer education program conducted in rural Japanese high schools between 2016 and 2019. The program featured lectures by an oncologist and a cancer survivor. In total, 741 former students from four participating schools were invited to complete an online survey. Participants were grouped by their memory of the program: \"no memory of the program,\" \"no memory of the contents,\" and \"memory of the contents.\" Data on human papillomavirus (HPV) vaccination during school days, cervical cancer screening, intention to undergo cancer screening, and health literacy were collected and analyzed. Valid responses were obtained from 96 participants with an average age of 24.1 years. Female participants with a vivid memory of the program were significantly more likely to have received the HPV vaccine (100%) than those without such a memory (63.5%, p = 0.047). However, no significant associations were found between memory of the program and cervical cancer screening behavior or future screening intentions. School-based cancer education may influence HPV vaccination behavior on a several-month timescale but appears to have limited effects on long-term cancer prevention behavior. The program content may need to be optimized to enhance medium-term behavioral changes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135958","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":"Shining the Beam on the Next Generation: A Program Evaluation of a National Workshop Focusing on Medical Student Engagement in Radiation Oncology.","authors":"Brandon S Chai, Aaron Dou, Joy Du, Andrea Bezjack, Brock Debenham, Srinivas Raman, Paris-Ann Ingledew","doi":"10.1007/s13187-025-02650-x","DOIUrl":"https://doi.org/10.1007/s13187-025-02650-x","url":null,"abstract":"<p><p>The rising cancer incidence has increased demand for radiation oncologists, surpassing current staffing expansion estimates. Enhancing radiation oncology (RO) recruitment is essential to ensure high-quality cancer care. This study evaluates a 2024 Canadian Association of Radiation Oncology (CARO) Annual Scientific Meeting workshop aimed at increasing medical student interest in RO by assessing current initiatives, identifying barriers and proposing strategies. The workshop was guided by Kern's curriculum development model, which involved medical students, RO residents, staff, and program directors. It was comprised of an interactive presentation on existing scholarship and a group discussion. Data was collected through polls, observational notes, and a post-workshop survey. Thematic analysis and descriptive statistics were used for analysis. Twenty-seven attendees participated, including six workshop leaders. Amongst 21 survey respondents, there were 8 (38%) medical students, 6 (29%) RO residents, 5 (24%) RO staff, 1 (5%) RO fellow, and 1 (5%) clinical research coordinator. Participants represented six Canadian cancer centers across five provinces. Key motivators for pursuing RO included mentorship (\"local champion\"), work variety, team-based environment, technology, and patient population. Barriers included underexposure in the medical curriculum, misconceptions about job prospects, and the impact of artificial intelligence. Workshop evaluations were highly positive. Proposed initiatives included mentorship from \"local champions\" and mandatory shadowing. The workshop highlighted the importance of early mentorship and exposure in fostering medical student interest in RO. Implementing strategies mentorship and structured shadowing may help facilitate medical students' professional identity formation and their decision to pursue RO as a career.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129366","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":"Use of a Simulated Tumor Board to Teach Oncology and Multidisciplinary Collaboration to Pre-clinical Medical Students.","authors":"Jacquelyn M Krisch, Lauren J Germain, Christopher Curtiss, Michael A Archer, Alina Basnet, Ernest Scalzetti, Michael D Mix","doi":"10.1007/s13187-025-02653-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02653-8","url":null,"abstract":"<p><p>There is a need to teach interdisciplinary education in undergraduate medical education to encourage the fundamentals of teamwork and communication for enhanced patient outcomes. This report describes a novel interdisciplinary education session in the form of a simulated multidisciplinary oncology tumor board (TB) for pre-clinical medical students. Goals included the following: review of select pre-clinical lung cancer learning points, demonstration of diagnostic techniques relevant to the workup of lung cancer, and exposition of multidisciplinary and interprofessional teamwork. One hundred and sixty-four first-year medical students attended the required in-person session. A pre-recorded introduction to tumor boards and a pre-quiz were assigned to assess pre-session understanding. The in-person component consisted of three case-based learning scenarios: first, a simulated interdisciplinary tumor board panel on lung adenocarcinoma followed by two cases on squamous cell carcinoma and small cell lung cancer during which students worked collaboratively to answer board-style multiple choice questions on case-specific basic science. Seventy-two students (43.9%) completed the anonymous post-session evaluation survey. Feedback was largely positive, with 55 (76.4%) students reporting a better understanding of multidisciplinary care. Fifty (69.4%) students reported the session helpful in highlighting board-style lung cancer basic science content. Simulated TBs may be an effective strategy to reinforce oncology content and highlight the importance of multidisciplinary and interprofessional patient care for pre-clinical medical students.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129429","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":"Correction to: Evaluation of a pilot cancer patient navigation program in the limited‑resource setting of Trinidad and Tobago.","authors":"Kimberly Badal, Nalisha Monroe, Alisha Mohamed, Akash Maniam, Michelle Badal, Kamira Maharaj","doi":"10.1007/s13187-025-02613-2","DOIUrl":"https://doi.org/10.1007/s13187-025-02613-2","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121271","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":"Culturally Adapted Shared Decision-Making Tool for Breast Cancer Clinical Trials in China: A Nurse-Led Approach.","authors":"Ting Lu, Junxia Xu, Qingrong Cao, Jing Zhang, Jian Chen, Lin Lin, Benjie Shan, Jie Wei","doi":"10.1007/s13187-025-02646-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02646-7","url":null,"abstract":"<p><p>This study aimed to develop and validate a culturally adapted, nurse-led shared decision-making question prompt list (SDM-QPL) to enhance decision-making support for Chinese breast cancer patients considering clinical trials. A mixed-methods approach was employed, involving a systematic literature review (52 studies), semi-structured interviews with 15 patients and 8 healthcare providers, a three-round Delphi consensus with 13 experts, and psychometric testing. The process yielded a 40-item QPL tailored to cultural needs, such as familial decision-making and Traditional Chinese Medicine (TCM) use. The SDM-QPL, organized into five modules, achieved strong expert consensus (Kendall's W = 0.82, P < 0.001) and retained 92% of nurse-sensitive items. Psychometric evaluation confirmed high validity (S-CVI/Ave = 0.89) and reliability (Cronbach's α = 0.91). Qualitative analysis identified key barriers: information overload (93.3%), risk misperceptions (86.7%), and nursing communication gaps (80.0%). This nurse-led SDM-QPL, grounded in Elwyn's Three-Talk Model, addresses China's unique cultural and structural challenges, fostering triadic dialogue among patients, families, and providers. The tool empowers oncology nurses to bridge communication gaps, improve trial participation equity, and support patient-centered care in collectivist settings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081805","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":"Enhancing Radiation Oncology Delineation Skills Through Simulation-Based Learning (SBL): A Five-Step Practical Approach Using the ADDIE Model.","authors":"Hany S Attallah, Rania Abdelghani, Omayma Hamed","doi":"10.1007/s13187-025-02637-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02637-8","url":null,"abstract":"<p><p>Simulation of radiotherapy treatment setup is an integral part of the daily radiation oncology practice. Hence, simulation-based learning (SBL) plays a critical role in radiation oncology resident training. Such practical training approach enhances the precision of tumor delineation and the organs at risk (OARs), thus, directly influencing treatment efficacy and patient safety. Our review explores the application of the ADDIE (analysis, design, development, implementation, and evaluation) model in developing and implementing an SBL program of delineation skills training for the radiation oncologists. In this review, we discussed the phases of the ADDIE model as follows: analysis to determine the skills gap, design to tailor the training program to incorporate the advanced technology methods, development targets creating practical case scenarios and assessment tools, implementation assures the real-time feedback and the model-based debriefing sessions, and finally evaluation phase that employs the Kirkpatrick model. The application of the ADDIE model in SBL emphasizes that the training aligns with the educational needs. This enhances the clinical performance, and consequently, improves patient outcomes in radiation oncology. Applying the ADDIE model in SBL achieves the educational needs in radiation oncology delineation skills training, which will lead to enhance the clinical performance.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081806","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":"A Technology-Based Educational Intervention and Multiple Domains of Symptom Experience: Asian American Breast Cancer Survivors.","authors":"Eun-Ok Im, Wonshik Chee, Sudeshna Paul, Seo Yun Kim, Mi-Young Choi, Janet Deatrick, Jillian Inouye, Grace Ma, Jun Mao, Salimah Meghani, Giang T Nguyen, Marilyn Schapira, Connie Ulrich, Seon-Ae Yeo, Ting Bao, David Shin","doi":"10.1007/s13187-025-02648-5","DOIUrl":"https://doi.org/10.1007/s13187-025-02648-5","url":null,"abstract":"<p><p>Symptom management is one of the major concerns of cancer survivors, including Asian American breast cancer survivors (ABS) during their survivorship process. The purpose of this randomized intervention study was to determine the efficacy of a technology-based educational intervention in decreasing multiple domains of symptom experience among ABS. This was a part of a randomized clinical trial with repeated measures among 199 ABS recruited through online and offline groups/communities for Asian Americans. The intervention was a technology-based educational (information and coaching/support) program using computers and mobile devices to change health behaviors to improve the women's survivorship experience. The data were collected using multiple items on background and disease factors, and the Memorial Symptom Assessment Scale-Short Form (MSAS-SF). The data analysis was conducted using an intent-to-treat approach. Although the differences were not statistically significant, all multiple domain symptom scores of the intervention group decreased from pre-test to post 3 months, while only psychological symptom distress scores of the control group decreased from pre-test to post 3 months. Depending on the domain of symptoms, the significant mediators, with total, direct, or indirect effects, were different at different time points. For instance, attitudes, perceived barriers, social influences, social support, and self-efficacy showed significant total mediation effects on the total symptom distress scores only at pre-test (p < 0.05). The efficacy of a technology-based education intervention was supported in decreasing symptoms among ABS. Health educators need to consider that culturally tailored technology-based educational interventions could help improve the symptom experience of ABS.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081804","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 Experiences and Expectations Regarding Erectile Dysfunction Education Prior to Rectal Cancer Surgery: A Qualitative Study.","authors":"Sebastian Borgund Hansen, Siv Fonnes, Birthe Thing Oggesen, Susanne Vahr Lauridsen, Jacob Rosenberg","doi":"10.1007/s13187-025-02647-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02647-6","url":null,"abstract":"<p><p>Erectile dysfunction is common after surgery for rectal cancer with a prevalence of moderate to severe erectile dysfunction up to 35%. Preservation of sexual function is regarded as a core outcome in colorectal surgery. We wanted to investigate male patients' perspectives on preoperative education about the risk of erectile dysfunction after surgery for rectal cancer. Using an interview guide, we performed individual semi-structured interviews with male patients who had surgery for rectal cancer within the past 3-12 months. The interviews were transcribed, condensed, coded, and analyzed with inductive qualitative content analysis. We interviewed 13 male patients. Their perspectives were condensed in four main themes: importance of a partner to be present at the preoperative counseling; information as crucial; wishful thinking as a coping strategy; and the need for direct information to avoid unrealistic expectations. Patients described general gratitude across the entire process but a lack of follow-up regarding erectile function. Surgeons should actively engage in a discussion with patients regarding the risk of developing erectile dysfunction. Importance might differ since patients have different preoperative erectile functions and different postoperative needs. A partner or close relative should participate in the preoperative counseling.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081807","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}