{"title":"Patients' Right to Know and Family Influence in Cancer Diagnosis Disclosure in Pakistan.","authors":"Waqas Ahmed Khan","doi":"10.1007/s13187-025-02744-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02744-6","url":null,"abstract":"<p><p>Non-disclosure of cancer diagnosis is a common practice in Pakistan, with families asking for it to shield loved ones from despair. While meant to protect, this can take away a patient's autonomy to make decisions, prepare for what lies ahead, and spend their time as they wish. Without knowing the truth, patients may undergo difficult treatments without understanding their purpose, leading to confusion and loss of trust. Honest communication, given with care, can preserve dignity and allow people to face illness on their own terms. In many collectivist cultures worldwide, similar practices exist, showing that this is a global issue, and not just limited to Pakistan. Adequate support for families and clear guidance for doctors can help truth be shared in a way that is gentle, respectful, and humane.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208153","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":"Validation of the Sinhala Translation of the EORTC QLQ-INFO25: Enhancing Information Provision for Cancer Patients in Sri Lanka.","authors":"Dakshitha Wickramasinghe, Thamisha Nugaliyadda, Dileesha Wickramasinghe, Yathev Balathayalan, Nandadeva Samarasekera","doi":"10.1007/s13187-024-02562-2","DOIUrl":"10.1007/s13187-024-02562-2","url":null,"abstract":"<p><p>Cancer is a major health challenge globally and in Sri Lanka. Providing comprehensive information to patients is crucial for improving treatment outcomes and patient satisfaction, supported by evidence of its effectiveness in managing cancer pain. EORTC QLQ-INFO25, an information module developed by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group, is aimed at assessing cancer patients' perception of information received during different phases of care. This study aims to validate the Sinhala translation of the EORTC QLQ-INFO25, a module that assesses the quality of patient information, for use among Sri Lankans with cancer. EORTC QLQ-INFO25 underwent forward and backward Sinhala translation, expert reviews, and pilot testing with 15 cancer patients. Questionnaires were administered to patients with cancer at the National Hospital in Colombo, independently or with interviewer assistance. Reliability and validity were statistically analyzed. Of 102 participants, 100 (98.03%) completed the questionnaire. Internal consistency was high (Cronbach's α = 0.89). The multi-item scales demonstrated good convergent validity. Each item showed high correlation with its respective scale. Divergent validity was established as none of the scales had correlations over 0.5 with the EORTC QLQ-C30. Known-group validity revealed significant differences in information satisfaction between genders. Test-retest reliability was high (ICC = 0.86), confirming stability over time. The Sinhala translation of EORTC QLQ-INFO25 demonstrates satisfactory reliability, validity, reproducibility, and compliance for assessing information provision in cancer care among patients in Sri Lanka.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"688-693"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923831","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":"Comment on \"Development and Implementation of a Digital Skills E-Learning Program for Healthcare Professionals in Cancer: DigiCanTrain: Challenges and Solutions\".","authors":"Tanmaya Kumar Mishra, Koye Roy, Tarun Madan Kanade","doi":"10.1007/s13187-025-02747-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02747-3","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208160","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}
Curtis Liu, Cole Ferguson, Mayuri Vaish, Mona Arbab, Radhika Kainthla, Kiran A Kumar, Chul Ahn, Sandra L Hofmann, Samira Syed
{"title":"Implementing a Novel \"Frontiers in Neoplasia\" Curriculum to Engage Fourth-Year Medical Students in Evidence-Based, Multidisciplinary Oncology Care.","authors":"Curtis Liu, Cole Ferguson, Mayuri Vaish, Mona Arbab, Radhika Kainthla, Kiran A Kumar, Chul Ahn, Sandra L Hofmann, Samira Syed","doi":"10.1007/s13187-024-02557-z","DOIUrl":"10.1007/s13187-024-02557-z","url":null,"abstract":"<p><p>Few medical students are exposed to evidence-based, multidisciplinary oncology care, and few studies in oncology education reflect consolidated pre-clinical curricula. We developed a four-week curriculum, \"Frontiers in Neoplasia,\" for fourth-year medical students, which included didactic lectures, interactive site visits, and team-based simulations of tumor boards and clinical trial design. A mixed methods approach was utilized to investigate the course's impact on students' understanding and interest in oncology, involving pre- and post-course responses to Likert-scale and open-ended questions. Quantitative results were analyzed using Wilcoxon rank-sum tests, while open-ended course feedback was analyzed using iterative thematic coding analysis. Of the 107 fourth-year medical students enrolled between 2021 and 2024, 94 (88%) completed the pre-survey and 96 (90%) completed the post-survey. Students enjoyed the course, with 96.9% of students reporting they would choose this course again. Quantitative analysis showed a significant increase in students' comfort in evidence-based medicine in oncology (p < .001) and interest in keeping up-to-date with oncology literature (p < .001). Qualitatively, students reported enjoying the multidisciplinary curriculum, diverse hybrid-format learning modalities, and applicability of coursework to their careers. Exposure to our novel oncology curriculum featuring dynamic learning experiences and hybrid format significantly increased medical students' interest and understanding of evidence-based medicine in multidisciplinary comprehensive cancer care. Our findings support the hybrid learning model, which provided flexibility and student engagement. Through this course, we successfully increased interest and understanding of cancer care among final-year medical students, and we believe this program could be applied to other medical schools.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"660-666"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923822","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}
Heather Owens, Ellen M Daley, Morgan Richardson Cayama, Alessandro Villa, Jason Beckstead, Mark Pezzo, Rachel Sauls, Cheryl A Vamos
{"title":"Missed Opportunities for Adolescent HPV Vaccination in the United States: Parents' Perceptions of a Range of Healthcare Providers and Settings.","authors":"Heather Owens, Ellen M Daley, Morgan Richardson Cayama, Alessandro Villa, Jason Beckstead, Mark Pezzo, Rachel Sauls, Cheryl A Vamos","doi":"10.1007/s13187-025-02572-8","DOIUrl":"10.1007/s13187-025-02572-8","url":null,"abstract":"<p><p>Non-traditional providers and healthcare settings (e.g., dental offices, pharmacies) provide an opportunity to increase human papillomavirus (HPV) vaccine accessibility; however, they remain underutilized. The purpose of this study was to examine United States (U.S.) parents' perceptions of healthcare provider recommendations for the HPV vaccine and perceived convenience and likelihood of vaccination across healthcare settings. Parents' perceptions were assessed and compared according to the Transtheoretical Model stages of change (action: adolescent already vaccinated; preparation: intend-to-vaccinate; contemplation: unsure of intention). Parents of adolescents ages 11-12 from across the U.S. were recruited to participate in an online survey via Qualtrics that measured their perceptions of HPV vaccination by healthcare provider type and setting. The convenience and likelihood of vaccinating in different settings and the importance of provider recommendation were evaluated for those in the preparation and contemplations groups using one-way repeated measures ANOVAs. Participants across all stages of change were similar in their perceptions of vaccination across healthcare settings, rating family practice and pediatric offices as the most convenient and most likely settings for vaccination. Dental offices were perceived as the least convenient and least likely settings, and dental provider recommendations were rated as the least important. Among those in the contemplation stage, pharmacies were also rated lower in convenience and likelihood. There is a missed opportunity for HPV vaccination in non-traditional settings, including dental offices and pharmacies. Increasing education on HPV and availability of the vaccine in alternative settings can encourage vaccine uptake and move parents towards preparation and action.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"767-773"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076199","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":"Addressing the Gaps: Online Psychoeducational Support for Cancer Caregivers in Morocco-The Sanadoc Initiative.","authors":"Hiba Bourissi, Harti Hamza, Mellas Soufiane","doi":"10.1007/s13187-024-02561-3","DOIUrl":"10.1007/s13187-024-02561-3","url":null,"abstract":"<p><p>In Morocco, family caregivers of cancer patients face significant challenges due to the absence of legal recognition and structured support systems. This article highlights the urgent need to develop alternative solutions to meet their specific needs. It explores the potential of online platforms to enhance caregivers' skills and provide essential psychological support. Throughout this reflection, we also discuss our Sanadoc project, currently in development, which we believe represents an innovative and promising solution to address the difficulties faced by caregivers, particularly those caring for cancer patients in Morocco.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"831-833"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933433","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 and Psychometric Validation of a Comprehensive Questionnaire to Assess Oncologists' Knowledge of Chemotherapy-Drug Interaction.","authors":"Bassam Abdul Rasool Hassan","doi":"10.1007/s13187-025-02569-3","DOIUrl":"10.1007/s13187-025-02569-3","url":null,"abstract":"<p><p>Chemotherapy-drug interactions (CDIs) pose significant challenges in oncology, affecting treatment efficacy and patient safety. Despite their importance, there is a lack of validated tools to assess oncologists' knowledge of CDIs. This study aimed to develop and validate a comprehensive questionnaire to address this gap and ensure the reliability and validity of the instrument. A cross-sectional study was conducted among 135 oncologists from various clinical roles in Iraq. The questionnaire included 46 general knowledge and 26 specific knowledge items, developed based on literature and expert consultation. Psychometric validation involved exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess structural validity. Reliability was evaluated through Cronbach's alpha, composite reliability (CR), and test-retest reliability using the intraclass correlation coefficient (ICC). Item Response Theory (IRT) analysis was applied to evaluate item-level performance. The EFA and CFA identified six distinct domains in the general knowledge section, with strong factor loadings for most items. Items addressing definitions, classifications, and risk factors demonstrated high loadings (e.g., \"Severe chemotherapy-drug interactions often necessitate aggressive monitoring,\" EFA: 0.73, CFA: 0.78). Specific knowledge items also exhibited robust psychometric properties, with high discrimination indices (a > 1.5) and low guessing parameters. Reliability analysis indicated excellent internal consistency (Cronbach's alpha > 0.8) and stability over time (ICC > 0.75). The questionnaire effectively differentiated respondents based on their knowledge levels and demonstrated good model fit (CFI: 0.93, RMSEA: 0.06). This study developed and validated a reliable and robust questionnaire to assess oncologists' knowledge of CDIs. The tool provides a standardized method for evaluating CDI knowledge, addressing a critical gap in oncology practice. Future research should focus on applying this questionnaire in diverse contexts and updating it to reflect advancements in clinical guidelines and drug interaction knowledge.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"741-751"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030273","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":"Radiation Oncology Education and Training in Egypt: Lessons Learned and Opportunities for Other Countries.","authors":"Mohamed S Zaghloul, Rana H Mahmoud","doi":"10.1007/s13187-025-02724-w","DOIUrl":"10.1007/s13187-025-02724-w","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"645-647"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977181","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}
Alejandro Gómez-Bruton, Alex Gónzalez-Agüero, Gabriel Lozano-Berges, Angel Matute-Llorente, Nuria Garatachea, German Vicente-Rodríguez, Jose A Casajús
{"title":"Are Sport and Exercise Science Students Receiving Enough Training to Adequately Design Exercise Programs for Patients with Cancer, Overweight, or Obesity in Spain? A Comprehensive Archival and Survey Analysis of 52 Spanish Universities.","authors":"Alejandro Gómez-Bruton, Alex Gónzalez-Agüero, Gabriel Lozano-Berges, Angel Matute-Llorente, Nuria Garatachea, German Vicente-Rodríguez, Jose A Casajús","doi":"10.1007/s13187-025-02580-8","DOIUrl":"10.1007/s13187-025-02580-8","url":null,"abstract":"<p><p>Obesity and cancer are two of the most significant global public health concerns worldwide. Exercise in preventing and managing these diseases has become a prominent area of research, and BSc sport and exercise science (SES) graduates are among the professionals involved in designing exercise programs for these populations. The aims of the present study were (1) to quantify the number of teaching hours focused on exercise in patients with cancer or overweight/obesity and (2) to collect perceptions of SES teachers of whether these hours are enough to prescribe exercise to these populations adequately. An online survey was sent to 97 university teachers from 58 different institutions in Spain offering the sport and exercise sciences degree. The survey included questions designed to ascertain the number of hours lectured on the topics of exercise and cancer or overweight/obesity. Additionally, it aimed to gather teachers' perceptions of how prepared students were to work with these populations. Seventy-six teachers (representing a 78% response rate) from 52 different centers (representing 88% of the centers) completed the survey. The teachers reported an average of 8.7 class hours dedicated to exercise and cancer and 17.1 class hours dedicated to exercise in patients with overweight/obesity. Teachers expressed low satisfaction with the number of class hours allocated to cancer education (2.2 points out of 5) and a neutral response regarding the allocation of hours to overweight/obesity (3.1 points out of 5). The findings of the current study suggest that Spanish SES students may be receiving a limited amount of instruction in the area of exercise prescription for patients with cancer and overweight/obesity. Although the curriculum is explicitly dedicated to training SES students, teachers believe that additional training in specific exercise prescription for people with cancer would enhance SES qualifications.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"812-818"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411393","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":"Effect of Chemotherapy Patient Education Using the Teach-Back Method on Symptom Management and Quality of Life: A Randomized Controlled Trial.","authors":"Belkis Gullu Gucuyener, Bilgi Gulseven Karabacak","doi":"10.1007/s13187-024-02564-0","DOIUrl":"10.1007/s13187-024-02564-0","url":null,"abstract":"<p><p>This study aimed to evaluate the impact of the teach-back method in managing chemotherapy symptoms and improving quality of life. A secondary aim was to develop more effective care and education frameworks for cancer treatment. A single-center, randomized controlled trial was conducted with 80 patients who received chemotherapy between June 2022 and May 2023. Patients in the intervention group were educated about the chemotherapy process using the teach-back method, while those in the control group received standard education. Data were collected using a participant information form, the Edmonton Symptom Assessment Scale (ESAS), and the EQ-5D Quality of Life Scale. Statistical significance was accepted as p < 0.05 for all tests. In both groups, EQ-5D scores increased with the number of chemotherapy cycles, indicating a negative impact on quality of life. However, this increase was smaller in the intervention group. As the number of cycles increased, the intervention group scored lower on the Edmonton Symptom Assessment Scale compared to the control group. The results of the study show that using the teach-back method in patient education is effective in the management of chemotherapy-related symptoms and improving overall quality of life.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"700-712"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958130","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}