Journal of Cancer Education最新文献

{"title":"Development of an Intervention Targeted to Patients with Cancers Not Typically Perceived as Smoking-Related.","authors":"Ursula Martinez, Thomas H Brandon, Cherell Cottrell-Daniels, Colleen M McBride, Graham W Warren, Cathy D Meade, Amanda M Palmer, Vani N Simmons","doi":"10.1007/s13187-024-02493-y","DOIUrl":"10.1007/s13187-024-02493-y","url":null,"abstract":"<p><p>Smoking by cancer patients impairs treatment outcomes and prognoses across cancer types. Previous research shows greater smoking cessation motivation and quit rates among patients with cancers strongly linked to smoking (i.e., thoracic, head and neck) compared to other cancer types (e.g., melanoma). Therefore, there is a need to increase cessation motivation among patients with malignancies less commonly associated with smoking. Yet, no targeted educational materials exist to meet this information gap. This manuscript describes the development of theory-based self-help educational materials, targeted by cancer type, to increase motivation to quit smoking among patients with cancers not widely perceived as smoking-related (i.e., breast, melanoma, bladder, colorectal, gynecological). Using a three-phase iterative process, we first conducted in-depth interviews with our intended audience (N = 18) to identify information needs and nuanced content. Themes included patients' low knowledge about the connection between smoking and cancer etiology and outcomes; negative affect, habit, dependence, and weight gain as quitting barriers; and a preference for positive and non-judgmental content. Second, content creation was based on interview findings, the scientific literature, and framed following the teachable moment model. Last, learner verification and revisions via interviews with 22 patients assessed suitability of draft materials, with generally favorable responses. Resulting edits included tailoring cost savings to the cancer context, explaining cessation medications, and increasing appeal by improving the diversity (e.g., race) of the individuals in the photographs. The final booklets are low cost, easy to disseminate, and-pending efficacy studies-may expand smoking cessation to a wider spectrum of cancer patients.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"192-201"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141579","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":"Evaluation of a Multi-Site Cancer Health Disparities Research Training Program for Underrepresented Undergraduate and Medical Students.","authors":"Lakeshia Cousin, Z'Kera Peoples, Vivekka Suppiah, Jiannong Li, Gwendolyn P Quinn, Ursula Martinez, Arnold H Zea, Cathy D Meade, Clement K Gwede, Fern Tsien, Jovanny Zabaleta, Richie Reich, Vani N Simmons","doi":"10.1007/s13187-024-02488-9","DOIUrl":"10.1007/s13187-024-02488-9","url":null,"abstract":"<p><p>Diversifying the biomedical research workforce is crucial for eliminating cancer health disparities. To address this need, Moffitt Cancer Center and Louisiana State University Health Sciences formed the Southeast Partnership for Improving Research and Training in Cancer Health Disparities (SPIRIT-CHD). A key component of SPIRIT-CHD is the Cancer Research Education Program (CREP), designed to train underrepresented undergraduate and medical students in biomedical science research. The CREP featured an 8-week summer internship with a web-based curriculum, community outreach, and mentored research experiences. Three cohorts (n = 39) completed the CREP. Students were evaluated before and after the internship using the Goal Attainment Scale (GAS), Science Teaching Efficacy Belief Instrument (STEBI), and Research Appraisal Inventory (RAI), modified to assess CREP outcomes. These scales measured students' intentions to pursue cancer research careers, self-efficacy in communicating scientific information, and perceived research abilities. Paired test results showed significant increases (p < 0.001) in scores across the scales (GAS, STEBI, RAI) pre- and post-training. Trainees reported heightened intentions to pursue cancer research careers (GAS; mean increase of 5.3, p < 0.001) and greater self-efficacy in relaying scientific information (STEBI; mean increase of 9.2, p < 0.001). They also showed increased self-confidence in conducting research (RAI; mean increase of 58.2, p < 0.001). These findings demonstrate the program's success in fostering interest in cancer research careers and enhancing research confidence. Results support the development of programs like CREP to positively impact the academic and professional trajectories of underrepresented students, ultimately creating a more diverse and inclusive biomedical research workforce equipped to address health disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"171-176"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019451","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":"Educational Initiatives to Improve the Cancer-Related Disparities Facing Transgender and Gender Diverse (TGD) Individuals.","authors":"Elizabeth Cathcart-Rake, Aminah Jatoi","doi":"10.1007/s13187-024-02469-y","DOIUrl":"10.1007/s13187-024-02469-y","url":null,"abstract":"<p><p>Transgender and gender diverse (TGD) individuals face discrimination and experience disparate healthcare, and cancer care, in particular. Our team has developed four initiatives to start to mitigate the disparities facing TGD individuals, including (1) improving identification of TGD individuals with cancer in oncology clinics, (2) identifying rates and predictors of cancer screening among TGD individuals, (3) building a TGD patient-centric oncology clinic, and (4) developing prospective research that is dedicated to addressing the needs of TGD Individuals with cancer. Clinician-focused educational initiatives are integral aspects of this work to improve cancer care for TGD individuals.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"296-300"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441055","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":"Residents and Juniors Onco-radiotherapists' Perceptions of Their Training Programs in Morocco: A Multi-institutional Study.","authors":"Bouchra Amaoui, Slimane Semghouli, Imad Chakri, Mouna Khouchani, Tayeb Kebdani, Fatima Safini, Mohamed El Hfid, Touria Bouhafa, Hassan Jouhadi, Nezha Tawfiq, Loubna Mezouar, Nadia Benchakroun, Soufiane Berhili, Mohamed Moukhlissi, Tarik Chekrine, Souha Sahraoui","doi":"10.1007/s13187-025-02616-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02616-z","url":null,"abstract":"<p><p>Cancer incidence in Morocco is expected to increase by 17.9% by the year 2030, demanding appropriate training for oncologists radiotherapist (ORs). Radiotherapy, which is required in over 50% of all cancer cases, requires well-trained professionals to provide quality treatment. This study aims to evaluate the perception of radiation oncology residents (RORs) and junior in onco-radiotherapy (JORs) on their training course in Morocco. A cross-sectional descriptive survey was conducted in July and August 2024 in eight Moroccan university hospital centers (UHCs). A standardized online questionnaire was used to assess participants' satisfaction with their training, as well as their perception of the quality of theoretical and practical teaching. Data were analyzed using Chi² and Fisher's exact tests (p < 0.05). A total of 157 of the 158 radiation oncology residents and 24 ORs of the 100 recent graduates completed the questionnaire. Most participants (90.1%) were satisfied with their choice of specialty. However, only 45.9% of residents were confident in their use of advanced radiotherapy (IMRT/VMAT) and 17.7% in stereotactic radiotherapy. The results revealed disparities between centers in terms of access to technology and supervision, depending on their seniority. Almost half of the participants (44.75%) pointed out the need for a unified national curriculum. Furthermore, the study found overall satisfaction with resident training, but disparities in access to advanced technology and quality of supervision according to center seniority. A unified curriculum and an improvement in available equipment are essential to optimize training in radiotherapy oncology in Morocco.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Brief Online Mindfulness-Based Intervention to Reduce Patient Anxiety Before a First-Time Screening Colonoscopy.","authors":"Brent Emerson, Paul L Reiter, Maryanna Klatt, Darrell M Gray, Hisham Hussan, Subhankar Chakraborty, Mira L Katz","doi":"10.1007/s13187-025-02608-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02608-z","url":null,"abstract":"<p><p>To describe the development of an online mindfulness-based intervention (MBI) to reduce anxiety before a first-time screening colonoscopy among average-risk patients. A qualitative study used an iterative process guided by health behavior and mindfulness theories and feedback from a convenience sample of patients, endoscopy medical staff, and community members. Patient and medical staff (n = 18) were included in formative interviews (30-45 min), eight helped during intervention development sessions (15-90 min), and four community members reviewed the MBI in individual sessions (60 min). Interviews and sessions were recorded, transcribed verbatim, and analyzed using NVivo qualitative data software. Two themes emerged from the study: (1) both patients and medical staff reported that average-risk patients have pre-procedural anxiety before a first-time screening colonoscopy, and (2) using stakeholder-engaged strategies in an iterative process with both patients and medical staff is important so the developed intervention is acceptable to the priority population and to ensure medical accuracy and avoid disruption of workflow. Using an iterative process with key stakeholders is essential to develop interventions that are feasible and acceptable. The MBI developed through this process is being compared to usual care in a pilot randomized controlled trial to determine intervention feasibility and patient acceptability and to collect preliminary efficacy data. If efficacious, the developed MBI has the potential to reduce pre-procedural anxiety which may improve patient behaviors (e.g., bowel prep adherence and quality), patient satisfaction, and clinic workflow by reducing cancellation/no-shows, the amount of sedation required, and procedural time.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755689","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":"Impact of Collaborative Empowerment Education on Psychological Distress, Quality of Life, and Nutritional Status in Esophageal Cancer Patients Undergoing Concurrent Chemoradiotherapy.","authors":"Hua Wang, Nan Hao, Nan Liu, Chunying Mou, Jieqiong Li, Lei Meng, Jing Wu","doi":"10.1007/s13187-025-02618-x","DOIUrl":"https://doi.org/10.1007/s13187-025-02618-x","url":null,"abstract":"<p><p>Esophageal cancer (EC) patients undergoing concurrent chemoradiotherapy (CCRT) often face significant psychological distress, impaired quality of life (QoL), and poor nutritional status. This study evaluates the impact of multidisciplinary collaborative empowerment education (MCEE) in addressing these challenges. According to the inclusion criteria, 160 patients were recruited and randomly assigned to either the MCEE group (n = 80) or the control group (n = 80). The MCEE group received a tailored program consisting of psychological support, nutritional counseling, and educational interventions. Outcome measures, including psychological distress (using the Kessler Psychological Distress Scale), quality of life (using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire), and nutritional status (using hemoglobin, serum protein, and albumin levels), were evaluated at baseline and after four cycles of concurrent chemoradiotherapy. Post-intervention, the MCEE group showed significant improvements in psychological distress. QoL improvements were noted across all functional domains, including physical, emotional, cognitive, and social functions (all Ps ≤ 0.001), with significant reductions in fatigue, insomnia, and pain. Nutritional status also improved, with higher levels of hemoglobin, serum protein, and albumin, as well as less weight loss in the intervention group (all Ps ≤ 0.001). MCEE effectively reduces psychological distress, improves QoL, and enhances nutritional status in EC patients undergoing CCRT. This patient-centered, multidisciplinary approach offers a promising strategy for improving treatment outcomes and overall well-being in cancer care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755755","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 New Approach to Cancer Second Opinions: Overcoming the Challenges of Conventional Oncology Practice by Providing Education to Patients and Physicians.","authors":"William L Barrett, Philip D Leming, Jillian Hunt, Andrew Guinigundo, Lana Uhrig, Robin Zon, Abdul R Jazieh","doi":"10.1007/s13187-025-02603-4","DOIUrl":"https://doi.org/10.1007/s13187-025-02603-4","url":null,"abstract":"<p><p>Second opinions for cancer diagnosis are frequently sought although they are of variable value to the patient and their primary oncologist. The oncology opinion service launched in 2020 without barriers frequently associated with conventional health systems. Financial barriers were removed; neither patient nor insurance was billed. The service is free of charge. Consult-only service provision, without providing therapy, allows objectivity and minimizes competition between oncology practices. Rapid communication with the treating oncologists allows for consensus treatment planning. Surveys were sent to patients and primary treating physicians assessing the value of the service and to assess the patient's experience. Between 1/2020 and 12/2023, surveys were sent to patients and their physicians. 539/1244 patients and 186/1319 physicians returned the completed survey. Surveys were scored from 1 to 5 with 5 being the best. Patient surveys rated \"perceived value\" at 4.95. Physicians scored \"helpfulness\" at 4.84. Physicians scored 4.07 for the question \"enhances your relationship with patient.\" This model of providing second opinions offers valuable services to patients and their treating physicians without adding additional financial burden or disturbing their care process.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755617","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":"Education is Treatment: Should We Prescribe Information Alongside Opioids?","authors":"Waseem Jerjes","doi":"10.1007/s13187-025-02620-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02620-3","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755747","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":"Implementation and Efficacy of Total Wellness: A Community-Based Cancer Prevention and Lifestyle Intervention Program.","authors":"Devon C Riegel, Jamila L Kwarteng, Laura Pinsoneault, Sandra Contreras, Erica Wasserman, Alexis Visotcky, Ana Manriquez Prado, Oscar Villarreal Espinosa, Patricia Sheean, Margaret Tovar, Kathleen Jensik, Regina M Vidaver, Melinda R Stolley","doi":"10.1007/s13187-025-02589-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02589-z","url":null,"abstract":"<p><p>Cancer is the second leading cause of death in Wisconsin, with higher rates in Black/African American (Black) and Hispanic/Latino (Hispanic) populations. In partnership with Milwaukee Recreation (MKE Rec), Total Wellness (TW) was created to provide lifestyle and cancer prevention programming to local communities. Program feasibility, potential efficacy, and sustainability were evaluated. TW is a 16-week program integrated into MKE Rec and implemented over two 8-week sessions led by instructors trained in lifestyle change and cancer prevention. TW was evaluated at the individual and systems level. Class registrants were invited to participate in the evaluation, which included surveys and a physical assessment. Sixty participants consented to the program evaluation: 58.3% self-identified as Black and 7.3% as Hispanic. Survey results indicated significant improvements in cancer knowledge, self-reported diet, and physical activity. Physical assessment showed significant improvements in weight, body mass index, blood pressure, and fitness. System-wise, three MKE Rec instructors were trained, and classes operated out of two sites, serving a predominantly Black neighborhood and a large Hispanic population. English-taught sessions of TW showed successful integration into MKE Rec programming throughout 2 years. Spanish-language only classes were attempted but did not meet minimum enrollment to proceed. TW showed success in improving individual cancer awareness and healthy lifestyle changes. TW was also integrated into MKE Rec and showed sustained success in reaching Black communities with limited reach in Hispanic communities. This program demonstrates the potential for a community health intervention program to address cancer disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer Education-Based Learning Management to Enhance Health Literacy for Cholangiocarcinoma Prevention Among Primary School Students in Endemic Areas of Thailand: The Muk-KAMSComD Model.","authors":"Sirapatsorn Moonsan, Piyaporn Phitchayapirath, Nopparat Songserm","doi":"10.1007/s13187-025-02617-y","DOIUrl":"https://doi.org/10.1007/s13187-025-02617-y","url":null,"abstract":"<p><p>Effective cancer prevention requires early interventions to enhance health literacy, particularly for Opisthorchis viverrini (OV) and cholangiocarcinoma (CCA) in the Greater Mekong Subregion. This study developed and evaluated the Muk-KAMSComD Model, a structured learning management approach, to improve health literacy and preventive behaviors among primary school students in Mukdahan Province, a high-risk area in Thailand. A four-step research and development (R&D) framework was implemented: (1) situation and needs assessment, (2) model development, (3) implementation, and (4) refinement and presentation. Thirty-six Grade 6 students were selected through multi-stage sampling, and a one-group pretest-posttest design assessed health literacy using validated questionnaires. The 12-week intervention integrated the HALO Model (Healthy School, Active Learning, Lesson Study, and Open Class) with six key health literacy skills. Data were analyzed using qualitative content analysis, descriptive statistics, and paired t-tests. The Muk-KAMSComD Model consists of Knowledge provision, Awareness and belief creation, Motivation enhancement, Self-management practice, Communication, and Decision-making and forwarding. Post-intervention, students significantly improved (p < 0.001) in knowledge, communication, self-management, media literacy, information access, and decision-making skills. Information access showed the highest improvement, while self-management remained the lowest. The model was refined to strengthen parental engagement and instructional materials for enhanced effectiveness. The Muk-KAMSComD Model effectively strengthens health literacy and preventive behaviors for OV and CCA among primary school students. Its integration into school curricula and public health programs could contribute to sustainable CCA prevention in endemic regions.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722441","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}