{"title":"Insights into the Knowledge and Barriers of Oncofertility Among Oncology Nurses in Saudi Arabia.","authors":"Isamme AlFayyad, Muawiyah Yaqub, Mohamad AlTannir","doi":"10.1007/s13187-025-02670-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02670-7","url":null,"abstract":"<p><p>This study aimed to assess the knowledge level and identify barriers related to counseling patients with newly diagnosed cancer regarding fertility preservation (FP) issues among oncology nurses. A cross-sectional study was conducted using a convenience sample of nurses caring for patients with cancer at a tertiary hospital in Saudi Arabia. Validated questionnaires were used to assess nurses' knowledge and to determine barriers to counseling patients about FP issues. A total of 157 nurses completed the questionnaire with a mean age of 35.34 ± 6.77 years and the majority were females 138 (87.9%). Approximately 92.4% of the nurses did not attend educational sessions on FP. The mean knowledge was 12.86 ± 5.88, and the highest level of knowledge was in the domain of the causes of fertility impairment. Moreover, nurses reported higher mean scores in the barrier domain (45.44 ± 6.32) of confidence (12.96 ± 1.76) and self-awareness (15.03 ± 2.69). Female and non-Muslim nurses were more likely to have better knowledge. Oncology nurses reported having unsatisfactory knowledge of FP and experiencing several barriers to providing fertility information. We recommend that oncology nurses receive training regarding FP to adequately and confidently counsel these patients.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769234","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}
Danyu Li, Wen Zhang, Jennifer Stinson, Lindsay Jibb, Tieghan Killackey, Nicole Pope, Fan Wu, Changrong Yuan
{"title":"Navigating HPV Vaccination: a Qualitative Study on Chinese Women's Decision-Making Experiences.","authors":"Danyu Li, Wen Zhang, Jennifer Stinson, Lindsay Jibb, Tieghan Killackey, Nicole Pope, Fan Wu, Changrong Yuan","doi":"10.1007/s13187-024-02555-1","DOIUrl":"10.1007/s13187-024-02555-1","url":null,"abstract":"<p><p>This qualitative study explores the decision experiences of adult women regarding HPV vaccination, highlighting their decision needs, outcomes, and expected support. A qualitative descriptive study design was used. A semi-structured interview guide based on the Ottawa Decision Support Framework (ODSF) was used to interview Chinese women (aged 18 to 45). These interviews were recorded, transcribed, and analyzed using deductive and inductive content analysis. Sociodemographic data were tabulated using descriptive statistics. Fifteen participants were interviewed, and three categories were constructed. (1) Unmet decision needs: participants have inadequate knowledge, biased knowledge sources, inadequate resources, and unrealistic expectations. (2) Current decision outcomes: the quality of decisions varied among participants, with some feeling satisfied and well-informed, while others expressed dissatisfaction due to unclear information and a lack of understanding. Twelve participants who decided to vaccinate adhered to their choice, managing side effects as expected. Three participants who chose not to vaccinate remained unvaccinated. (3) Expected decision support: participants expressed a need for systematic; reliable information presented in a user-friendly manner; improved access to vaccination services; and emotional support from family, friends, and healthcare providers to support making their HPV vaccine decision. Women deciding on HPV vaccination are facing several decision needs that need to be addressed. Future support targeting women's decision-making experience could provide them with better information, resource access, and emotional support, and eventually improve vaccination uptake.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"616-625"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015342","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}
E Sylvia Melikam, Gayenell S Magwood, Marvella Ford, Judith Salley, Latecia Abraham-Hilaire, Joni Nelson, Audrey McCrary-Quarles, Cammie Berry, Delaram Sirizi, Kathleen B Cartmell
{"title":"Ranking of Health Problems and Prioritization of Cancer Education Topics by African American Communities in South Carolina.","authors":"E Sylvia Melikam, Gayenell S Magwood, Marvella Ford, Judith Salley, Latecia Abraham-Hilaire, Joni Nelson, Audrey McCrary-Quarles, Cammie Berry, Delaram Sirizi, Kathleen B Cartmell","doi":"10.1007/s13187-024-02543-5","DOIUrl":"10.1007/s13187-024-02543-5","url":null,"abstract":"<p><p>Despite landmark breakthroughs in cancer research, African American adults (AA) bear the highest cancer burden compared to other racial groups in the United States (US). AA adults have twice the likelihood of dying from prostate and uterine cancers compared to White adults, suggesting that there are fundamental issues yet to be addressed when developing and implementing cancer-preventative programs for AA communities. Community-based participatory research (CBPR) empowers community members to identify and prioritize their health problems and preferred strategies to tackle these issues. In alignment with the CBPR approach, the South Carolina Cancer Disparities Research Center (SC CADRE) undertook a study to inform cancer research priorities and interventions. A survey designed by the SC CADRE team to assess perceptions about health problems (cancer risk factors), prioritization of cancer education topics, and attitudes related to cancer prevention was completed by predominantly AA community members in South Carolina (N = 179). Participants had a mean age of 51.59 ± 16.53 years; the majority were AA (72.49%), females (76.44%), had bachelor's/graduate degrees (66.29%), and were from the Lowcountry coastal region of the state (85.26%). Obesity emerged as the greatest health concern, followed by poor diet and low physical activity. The top three priorities for cancer education were to learn about causes of cancer, strategies for healthy eating, and how to access healthcare. These findings could inform cancer education and intervention programs to address the top priority health needs identified by AA communities in South Carolina. They may also be relevant in other states, especially in rural southern parts of the USA.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"559-566"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Izumi Okado, Christa Braun-Inglis, Kehau Matsumoto, Carry Elhajj, Kevin Cassel, Jeffrey Berenberg, Randall F Holcombe
{"title":"Feasibility of a Remote Patient Video Education Intervention to Improve Care Coordination for Rural Cancer Patients.","authors":"Izumi Okado, Christa Braun-Inglis, Kehau Matsumoto, Carry Elhajj, Kevin Cassel, Jeffrey Berenberg, Randall F Holcombe","doi":"10.1007/s13187-024-02550-6","DOIUrl":"10.1007/s13187-024-02550-6","url":null,"abstract":"<p><p>Cancer patients residing in rural areas experience substantial barriers to care and suboptimal care coordination. To date, there is a paucity of interventions to improve care coordination for rural cancer patients. In this study, we conducted a pilot trial to assess the feasibility and efficacy of a remote, tablet-based patient video education intervention focused on cancer care coordination among rural patients in Hawaii. The pilot trial utilized a single-arm, pre-post intervention design. Our TED-talk style video education intervention included talks on cancer basics, care coordination, and self-advocacy. Eligible participants were rural patients newly diagnosed with early-stage cancer receiving adjuvant therapy. Validated instruments were administered at baseline and post-intervention to assess patients' perceptions of care coordination and self-advocacy. Acceptability and satisfaction were assessed using semi-structured interviews. Descriptive statistics were used to describe study outcomes. From January 2022 to December 2022, 19 patients enrolled on the study; the mean age was 52.2. Participants were racially diverse. A total of 71.4% of eligible patients completed all assessments. No changes were observed in the overall perceptions of care coordination. However, improved scores were observed for the care coordination instrument communication domain (Cohen's d = - 0.76, 95% CI: - 1.45, - 0.03). There was a trend for improved scores on navigation and self-advocacy. All participants reported high satisfaction with the intervention. Results support the feasibility, satisfaction, and acceptability of this intervention among rural cancer patients in Hawaii. Further study is needed to evaluate the intervention in other rural areas. Clinical Trial Registration: NCT05162404.Registration Date: 12/17/2021.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"594-599"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cancer Care Pre-registration Interprofessional Education with Expert Patients: A Qualitative Study.","authors":"Eileen McKinlay, Marla Burrow, Sonya Morgan","doi":"10.1007/s13187-024-02540-8","DOIUrl":"10.1007/s13187-024-02540-8","url":null,"abstract":"<p><p>In interprofessional education (IPE) patients with cancer are sometimes recruited to support passive forms of learning but do not seem to have been recruited as expert patients (EPs). The aim of the study was to explore the experiences of patients who acted as EPs in an IPE learning activity in Aotearoa New Zealand. These EPs were completing or had completed receiving radiation therapy as outpatients. Ten EPs were interviewed about their experiences of being interviewed by small interprofessional groups of senior pre-registration students. Four themes were identified: (1) Why EPs decided to take part; (2) EPs' perceptions of the primary purpose of the IPE; (3) EPs' experiences of the interview, and (4) What EPs felt they contributed to student learning or learned about themselves or from students. EPs also made suggestions about how the learning activity could be improved. The study showed EPs felt they had something important to contribute to student learning. They thought the interprofessional nature of the learning activity was uncontentious and took part because they wanted students of all disciplines to learn about what it is like to have cancer and having treatment. The EPs felt the students were well-prepared and professional in their approach. They pointed out the importance of students introducing themselves proficiently and in culturally appropriate ways as this made them relax, open up, and share their experiences and in some cases learn from the students and from themselves. Patients are willing to act as EPs, but selection and approach need careful consideration.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"542-550"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631790","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":"10.1007/s13187-025-02613-2","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"643"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","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":"Evidence-Based Analysis of AI Chatbots in Oncology Patient Education: Implications for Trust, Perceived Realness, and Misinformation Management.","authors":"Aaron Lawson McLean, Vagelis Hristidis","doi":"10.1007/s13187-025-02592-4","DOIUrl":"10.1007/s13187-025-02592-4","url":null,"abstract":"<p><p>The rapid integration of AI-driven chatbots into oncology education represents both a transformative opportunity and a critical challenge. These systems, powered by advanced language models, can deliver personalized, real-time cancer information to patients, caregivers, and clinicians, bridging gaps in access and availability. However, their ability to convincingly mimic human-like conversation raises pressing concerns regarding misinformation, trust, and their overall effectiveness in digital health communication. This review examines the dual-edged role of AI chatbots, exploring their capacity to support patient education and alleviate clinical burdens, while highlighting the risks of lack of or inadequate algorithmic opacity (i.e., the inability to see the data and reasoning used to make a decision, which hinders appropriate future action), false information, and the ethical dilemmas posed by human-seeming AI entities. Strategies to mitigate these risks include robust oversight, transparent algorithmic development, and alignment with evidence-based oncology protocols. Ultimately, the responsible deployment of AI chatbots requires a commitment to safeguarding the core values of evidence-based practice, patient trust, and human-centered care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"482-489"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Lazris, Heidi S Donovan, Paul Scott, Marci L Nilsen, Teresa Hagan Thomas
{"title":"Gender Differences in Self-Advocacy Among Cancer Survivors: How Women and Men Vary in How They Learn to Engage in Decision-Making and Social Support.","authors":"David Lazris, Heidi S Donovan, Paul Scott, Marci L Nilsen, Teresa Hagan Thomas","doi":"10.1007/s13187-024-02536-4","DOIUrl":"10.1007/s13187-024-02536-4","url":null,"abstract":"<p><p>Understanding gender variations in self-advocacy can help oncology clinicians support the educational needs of cancer survivors. This study aims to examine the role of gender along with additional other sociodemographic variables in how cancer survivors self-advocate including their engagement in decision-making, communication with healthcare providers, and use of social support. Data from two cross-sectional descriptive studies were combined for analyses. Each study used convenience sampling methods to recruit adults (≥ 18 years old) with a history of invasive cancer who had English literacy from cancer clinics and community advocacy groups. The first study recruited women (n = 317), and the second study recruited men (n = 179). In both studies, participants completed two assessments of self-advocacy: Self-Advocacy in Cancer Survivorship (SACS) Scale and the Patient Self-Advocacy Scale. We built a linear regression model to test the association between gender and self-advocacy total and subscale scores controlling for covariates. N = 496 participants completed study procedures between 2014 and 2022. On both self-advocacy scales, women reported higher self-advocacy scores compared to men, with women's higher scores on the SACS subscales of connected strength and informed decision-making driving the gender difference in cancer-specific self-advocacy. Self-advocacy behaviors are associated with gender, most notably by way of individuals' ability to derive strength through social connection. Women tend to have greater engagement in care with larger and more meaningful social networks, while men report less engagement. Educational materials for cancer survivors should leverage gender-associated self-advocacy skills and bolster skills that require support.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"513-520"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justina Wong, Conley Kriegler, Ananya Shrivastava, Adele Duimering, Connie Le
{"title":"Utility of Chatbot Literature Search in Radiation Oncology.","authors":"Justina Wong, Conley Kriegler, Ananya Shrivastava, Adele Duimering, Connie Le","doi":"10.1007/s13187-024-02547-1","DOIUrl":"10.1007/s13187-024-02547-1","url":null,"abstract":"<p><p>Artificial intelligence and natural language processing tools have shown promise in oncology by assisting with medical literature retrieval and providing patient support. The potential for these technologies to generate inaccurate yet seemingly correct information poses significant challenges. This study evaluates the effectiveness, benefits, and limitations of ChatGPT for clinical use in conducting literature reviews of radiation oncology treatments. This cross-sectional study used ChatGPT version 3.5 to generate literature searches on radiotherapy options for seven tumor sites, with prompts issued five times per site to generate up to 50 publications per tumor type. The publications were verified using the Scopus database and categorized as correct, irrelevant, or non-existent. Statistical analysis with one-way ANOVA compared the impact factors and citation counts across different tumor sites. Among the 350 publications generated, there were 44 correct, 298 non-existent, and 8 irrelevant papers. The average publication year of all generated papers was 2011, compared to 2009 for the correct papers. The average impact factor of all generated papers was 38.8, compared to 113.8 for the correct papers. There were significant differences in the publication year, impact factor, and citation counts between tumor sites for both correct and non-existent papers. Our study highlights both the potential utility and significant limitations of using AI, specifically ChatGPT 3.5, in radiation oncology literature reviews. The findings emphasize the need for verification of AI outputs, development of standardized quality assurance protocols, and continued research into AI biases to ensure reliable integration into clinical practice.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"589-593"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822855","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}
William J Tanguy, Kenneth P Tercyak, Yizhe Xu, Jonathan Chipman, Nathan Shen, Caroline Joung, Hannah L Brady, Marcelo M Sleiman, Douglas Grossman, Lauren H Theilen, Yelena P Wu
{"title":"Reducing UVR Exposure in Pregnant Women and Infants: A Pilot Study.","authors":"William J Tanguy, Kenneth P Tercyak, Yizhe Xu, Jonathan Chipman, Nathan Shen, Caroline Joung, Hannah L Brady, Marcelo M Sleiman, Douglas Grossman, Lauren H Theilen, Yelena P Wu","doi":"10.1007/s13187-024-02539-1","DOIUrl":"10.1007/s13187-024-02539-1","url":null,"abstract":"<p><p>Sun protection during pregnancy is critical for both maternal and infant skin cancer prevention, yet gaps remain in addressing this behavior in pre and postnatal settings. This pilot study aimed to evaluate the feasibility and acceptability of a peer-led intervention for expectant mothers' sun protection behaviors for themselves and their newborns and examine the preliminary effects on mothers' skin cancer knowledge, attitudes, and sun protection behaviors for themselves and their infants. Expectant mothers were recruited from medical clinics and community settings and were asked to complete surveys and interviews. The intervention, informed by the Cognitive-Social Health Information Processing model, consisted of two peer coach-led remote sessions. The majority of mothers (81%) attended both intervention sessions and reported increased understanding of (88%) and improved sun protection practices for themselves (79%; such as wearing sunscreen and reapplying sunscreen while outside). Additionally, 89% agreed that SUNRISE content is beneficial for new mothers. Moreover, maternal self-efficacy for implementing sun protection, intention to implement sun-safe behaviors for their infants, and knowledge of infant skin cancer prevention also increased with large effect sizes (d = 0.8-1.3). Mothers reported significantly decreased barriers to sun safety pre- to post-intervention. Feasibility of recruitment and delivery of a peer-led intervention focused on sun safety in women and their infants was high, and the intervention was acceptable to participating women. Mothers improved their sun protection behaviors over time, and implementation of sun protection behaviors for their infants was high. Intervention efficacy with a larger and more diverse sample is warranted, with longer follow-up.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"528-541"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}