Journal of Cancer Education最新文献

{"title":"From Awareness to Access: Extending University Campus Photoprotection Beyond Free Sunscreen Dispensers.","authors":"Nina N Islam","doi":"10.1007/s13187-026-02978-y","DOIUrl":"https://doi.org/10.1007/s13187-026-02978-y","url":null,"abstract":"<p><p>Free sunscreen dispensers are a promising strategy for skin cancer prevention on university campuses, but access alone may not ensure use. Myers et al. reported that among students, faculty, and staff at a university with ten free sunscreen dispensers, 35.5% had noticed a dispenser and 22.7% had used one, with visibility, reliance on personal sunscreen, and product texture identified as barriers. This correspondence argues that campus photoprotection should be approached as a combined access-and-education problem. Recent evidence demonstrates substantial variation in the financial burden of recommended sunscreen use, persistent cultural and behavioral disparities in sun protection, and encouraging implementation outcomes when campus sunscreen access is paired with educational and digital messaging. Universities offer a practical setting in which to test multimodal skin cancer prevention strategies. Future evaluations should measure sustained dispenser use, placement and visibility, product acceptability, socioeconomic reach, and whether educational exposure and free access together produce durable changes in photoprotective behavior.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841920","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 Responsive Digital Intervention to Support Sexual Health Self-management and Quality of Life in Women with Breast Cancer.","authors":"Calinca Eliotério Oliveira, Patrícia Brito Ribeiro de Oliveira, Camila Rangel Santos, Izabel Almeida Alves","doi":"10.1007/s13187-026-02974-2","DOIUrl":"https://doi.org/10.1007/s13187-026-02974-2","url":null,"abstract":"<p><p>Breast cancer is one of the most prevalent malignancies among women, and despite improved survival associated with endocrine therapy, treatment-related adverse effects significantly affect quality of life, particularly sexual health. This study aimed to describe the development of the responsive website \"Cancer and My Life\", a digital self-management intervention designed to support the sexual health and well-being of women receiving oral endocrine therapy for hormone receptor-positive breast cancer. The development process followed the Medical Research Council framework for complex interventions and involved a multidisciplinary team, drawing on scientific evidence and relevant theoretical foundations. The resulting platform was developed as a responsive website and refined through iterative cycles of user testing and feedback. It provides educational content, psychosocial support tools, and interactive resources to promote autonomy, self-management, and informed decision-making. The website addresses topics identified through a comprehensive literature review, including body image, intimacy, genitourinary symptoms, and communication with partners. Overall, the platform demonstrates the potential of digital technology to deliver patient-centered support by addressing sensitive and frequently overlooked aspects of cancer care, such as sexual health, and highlights digital health as a promising strategy for more integrated and personalized oncology care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820163","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":"Knowledge Without Confidence: Internal Medicine Residents' Preparedness for Oncologic Emergencies and Goals-of-Care Communication.","authors":"Musa Kiyani, Daniel M Lichtstein","doi":"10.1007/s13187-026-02975-1","DOIUrl":"https://doi.org/10.1007/s13187-026-02975-1","url":null,"abstract":"<p><p>Internal medicine (IM) residents frequently provide frontline care for hospitalized patients with cancer, requiring competence in managing oncologic emergencies and conducting end-of-life communication. We evaluated resident preparedness by examining knowledge, confidence, clinical exposure, and perceived educational needs. We conducted a cross-sectional survey of all IM residents at a university-affiliated community teaching hospital (October-November 2025). The survey, developed through literature review, expert input, and pilot testing, included vignette-based knowledge questions, confidence ratings (0-10 scale), and items assessing oncology exposure and perceived barriers. Thirty-three of 58 residents participated (57%). Although 81.8% had not completed a hematology-oncology rotation, 45.5% had cared for ≥ 3 patients with cancer in the preceding month. Residents demonstrated high knowledge (mean 13.0/14; SD 1.0) but lower confidence in oncologic emergency management (mean 5.78; SD 2.09) and end-of-life communication (mean 5.84; SD 2.48). Higher postgraduate year and greater oncology exposure were associated with increased confidence. Residents identified system-level barriers and emphasized the need for greater structured oncology exposure and supervised practice. Despite strong knowledge, IM residents demonstrated a marked knowledge-confidence gap. These findings highlight opportunities to strengthen experiential learning, oncology exposure, and communication training within residency curricula to better prepare residents for frontline cancer care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834298","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 an Asynchronous E-learning Intervention on Cancer Knowledge and Clinical Practice for Pre-registration Nursing and Allied Health Professions Students and Cancer Support Workers.","authors":"Julie Armoogum, June Davis, John Gale, Vanessa Taylor","doi":"10.1007/s13187-026-02970-6","DOIUrl":"https://doi.org/10.1007/s13187-026-02970-6","url":null,"abstract":"<p><p>Pre-registration nursing and allied health professions students and cancer support workers can feel unprepared to care for people affected by cancer and at the end of life. To address this need, nine e-learning modules, collectively called 'Foundations of Cancer Care', have been developed aligned to the NHS England ACCEND Framework. The resultant programme is freely available to anyone with a UK email address via the NHS Learning Hub. To evaluate accessibility, structure, relevance, design and style of this nationwide digital education programme, and to understand the impact of the porgramme on cancer specific knowledge and clinical practice, an e-survey was developed based on the Kirkpatrick model of evaluation. On completing the programme, participants were invited to participate in the survey. Anonymised data were collated via the NHS Learning Hub and analysed using descriptive statistics. There was a mean of 343 distinct users per module and 123 participated in the evaluation. Most participants were student nurses (n=42, 33.9%) or support workers (n=35, 28.6%). In total, 88.6% (n=109) of participants rated the overall programme as good/very good. Over 90% agreed/strongly agreed that they had improved their knowledge and understanding of the impact of cancer on individuals, families and society (n=111). When asked how likely they would be to recommend the programme to their peers on a scale of 0-10 where 0 = not at all and 10 = extremely likely, 86.7% (n=105) rated a 5 or higher and 32.2% (n=39) rated 10 (extremely likely). Almost all thought the programme would help them with their role (n=111, 91.0%) and 89.4% (n=110) reported they would be able to use what they have learned in their clinical practice. This demonstrates that a digital education programme can increase knowledge and understanding of cancer care and is acceptable to users and their learning can be used in clinical practice. It is important to embed this digital intervention in pre-registration healthcare programmes and training and development opportunities for support workers providing care to people affected by cancer.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814720","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":"Cross-Cultural Validation of the 11-Item Frommelt Attitude Toward the Care of the Dying Scale Among U.S. Preclinical Medical Students.","authors":"Marco Miniotti, Barbara Loera, Giorgia Molinengo, Michael Lee, Amy Hayton, Julio Silvestre, Paolo Leombruni","doi":"10.1007/s13187-026-02971-5","DOIUrl":"https://doi.org/10.1007/s13187-026-02971-5","url":null,"abstract":"<p><p>Positive attitudes toward caring for dying patients are core competencies in medical education and particularly relevant to cancer education, where physicians must be prepared for communication, symptom management, and end-of-life decision-making. The Frommelt Attitude Toward the Care of the Dying (FATCOD) scale is widely used to assess these attitudes, yet the original 30-item version has shown psychometric limitations across cultures. This study examined the factorial structure and measurement properties of the FATCOD in the U.S. academic setting and tested the performance of an 11-item version previously validated in Italy. A cross-sectional survey was conducted among first- and second-year medical students at Loma Linda University School of Medicine (California, USA) during the 2024-2025 academic year. Participants completed the 30-item FATCOD online. Psychometric evaluation combined Principal Component Analysis, Confirmatory Factor Analysis, and Rasch modeling using Partial Credit and Rating Scale Models. Among 295 respondents, the 30-item FATCOD showed modest internal consistency (α = 0.667) and poor structural fit, with neither PCA nor CFA supporting its hypothesized multidimensional structure. By contrast, the 11-item version (FATCOD-11) demonstrated satisfactory fit (CFI = 0.932; RMSEA = 0.056; SRMR = 0.043) and unidimensionality under Rasch analysis, with ordered thresholds and a Person Separation Index of 2.04, indicating discrimination across three levels of attitude. In this sample of U.S. medical students, the FATCOD-11 outperformed the original scale and appears to be a robust instrument for assessing attitudes toward end-of-life care and evaluating educational interventions in palliative and oncology care. Future research may expand this study to other countries or other health professionals dealing with end-of-life care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820136","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":"Embedding Community Engagement in Underrepresented Student Cancer Research Training Programs: A Preliminary Report.","authors":"Dennis R Trinidad, Dahlia I Sandoval, Kirti Ghei, Tanya E Penn, Mercedes A Mendoza, Jill Dumbauld Nery, Valesca Largaespada, Jesse N Nodora, Noe C Crespo, Ricardo M Zayas, Richard M Cripps, James Murphy, Hala Madanat, Maria Elena Martinez, Corinne McDaniels-Davidson","doi":"10.1007/s13187-026-02969-z","DOIUrl":"10.1007/s13187-026-02969-z","url":null,"abstract":"<p><p>Training programs designed to increase participation of underrepresented students in cancer-related careers rarely include structured community engagement components. We describe the design and pilot of the Field Experience in Cancer Outreach and Engagement (FECOE), a program developed as part of the CREATE Partnership (Cancer Research and Education to Advance HealTh Excellence), a National Cancer Institute-funded grant to San Diego State University (SDSU) and University of California San Diego (UCSD). Scholars were situated within the UCSD Moores Cancer Center Community Outreach and Engagement (COE) component and completed 20 h of field and product-development activities from May-August 2025. A focus group was conducted at the conclusion of the program. Three SDSU Undergraduate Scholars and one UCSD Medical Student Scholar completed the pilot. Scholars reported gaining skills in health communication, community engagement, and cultural humility. Scholars described the experience as \"connected\" and \"eye-opening,\" and reported gains in career clarity. Feedback included improving tracking of hours, event preparation, and networking. The pilot FECOE demonstrates the feasibility of embedding a community outreach field experience within a cancer research training program. The COE-embedded model offers a scalable, sustainable approach that benefits Scholars and the host institution's outreach mission. Lessons learned will inform refinements for future iterations.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820159","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":"Whose Threshold Did You Inherit? The Apprenticeship of Cancer Referral.","authors":"Waseem Jerjes, See Chai Carol Chan, Austen El-Osta, Azeem Majeed","doi":"10.1007/s13187-026-02972-4","DOIUrl":"https://doi.org/10.1007/s13187-026-02972-4","url":null,"abstract":"<p><p>Cancer referral thresholds are usually presented as products of guidelines, risk estimates and clinical findings. In practice, trainees also learn them through apprenticeship. A supervisor who refers early, watches cautiously, distrusts certain tests or worries about overinvestigation can shape a learner's future decisions long after the placement ends. This article introduces threshold inheritance in the context of the largely unexamined transmission of cancer referral habits, risk tolerance and explanatory language from supervisor to trainee. The problem is not variation itself. Reasonable clinicians may reach different decisions when evidence is incomplete. The educational risk arises when variation remains tacit, authority substitutes for reasoning, and a local habit is absorbed as a universal standard. Cancer education should therefore make referral thresholds visible and discussable. Supervisors can compare decisions on the same borderline cases, identify which elements arise from evidence, experience, system pressure or patient context, and revisit outcomes without allowing diagnosis to retrospectively determine whether the original decision was sound. Learners should be assessed on calibrated reasoning, safety-netting and their ability to explain what would change the plan, rather than conformity with one trainer's preference. Deliberate threshold calibration could help future clinicians develop an accountable referral practice that is neither inherited uncritically nor defended as instinct.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800937","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":"2025 International Cancer Education Conference Program and Abstracts.","authors":"","doi":"10.1007/s13187-026-02930-0","DOIUrl":"https://doi.org/10.1007/s13187-026-02930-0","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800981","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":"RE-AIM Guided Evaluation of a Comprehensive Tobacco Treatment and Education Program at a Cancer Center.","authors":"Alison C Brecher, Linda A Fleisher, Donna Edmondson, Carolyn Zawislak, Kaitlyn Gregory, Cassidy Kenny, Zoe Landau, Alexandra Reyes, Nicole Harrington, Kelsey Lachow, Martin Edelman, Hossein Borghaei","doi":"10.1007/s13187-026-02968-0","DOIUrl":"https://doi.org/10.1007/s13187-026-02968-0","url":null,"abstract":"<p><p>Approximately 60% of patients with cancer have a history of smoking, and 20% continue to smoke after diagnosis. Despite the importance of smoking cessation for patients with cancer, it has been estimated that half of these patients are not offered smoking cessation treatment. Smoking cessation is an important element of comprehensive cancer care, and as such, the NCI developed the Cancer Center Cessation Initiative (C3I) with the goal of implementing sustainable tobacco cessation care. This paper addresses the design, implementation and sustainability of an evidence-based tobacco treatment program at an NCI comprehensive cancer center using the RE-AIM framework. The Reach, Effectiveness, Adoption, Implementation, and Maintenance goals were achieved through a multidisciplinary collaboration that led to the successful expansion of an evidence-based, yet under-resources and under-utilized tobacco cessation program into an organization-wide program employing standardized electronic medical records (EMR) workflows, a tobacco registry, additional certified tobacco specialists, and a strong programmatic and evaluation team including clinical and population science leadership. The program optimization led to a ten-fold increase in patients seen for tobacco cessation services and a 31% 7-day point prevalence of cessation. This paper serves to provide both a case study and guide on how to use RE-AIM to evaluate other cancer education programs and perhaps other areas of education, including vaping, nicotine replacement therapy, and relapse.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801000","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":"YouTube Videos as a Tool to Educate Medical Students About Careers in Radiation Oncology.","authors":"Sandy Lum-Wang, Brandon S Chai, Paris-Ann Ingledew","doi":"10.1007/s13187-026-02965-3","DOIUrl":"https://doi.org/10.1007/s13187-026-02965-3","url":null,"abstract":"<p><p>For medical students, choosing a specialty is a pivotal decision with major professional and personal implications. Career information from popular resources like YouTube may be particularly relevant for radiation oncology, where exposure in medical curricula is limited. This study aims to characterise YouTube videos providing career insights into the field. The first 50 results from six YouTube searches related to radiation oncology careers were programmatically extracted using a Python script, yielding an initial pool of 300 videos. Videos were ranked based on frequency across searches and position in the results. After applying predetermined inclusion criteria, the top 50 videos were analysed using a previously validated video assessment tool. Videos originated from the United States (36/50), India (9/50), Canada (3/50), and Australia (2/50). Most (80%) were released within four years of the search, including 32% in 2020. Half were published by healthcare facilities, with 12 of 25 promoting their respective residency programs. Overall, coverage varied across career needs, with frequent focus on the nature of work (86%), altruism (60%), and intellectual satisfaction (60%), while several aspects, including lifestyle (28%) and salary (18%), received less attention. Radiation oncology careers were often depicted as patient-oriented (74%), technology-driven (72%), compassionate (68%), and meaningful (62%). YouTube videos highlight values inherent to the specialty but underrepresent practical career considerations. These findings characterise one accessible source of radiation oncology career information and identify areas where future resources could provide a more comprehensive overview of the field.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765916","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}