Journal of Cancer Education最新文献

{"title":"Development of S-IMCICA_V.2: A User-Centered Educational and Decision-Support mHealth App for Early Detection of Childhood Cancer.","authors":"Elvia Karina Grillo, Oscar Ramirez, Catalina Niederbacher, Jesús Ardila, Santiago Bolivar, Patricia Montenegro, Michael Lauzardo, Paula Aristizabal","doi":"10.1007/s13187-026-02956-4","DOIUrl":"https://doi.org/10.1007/s13187-026-02956-4","url":null,"abstract":"<p><p>Early detection of childhood cancer is a key determinant of survival, as diagnostic delays result in advanced disease, higher treatment toxicity, and increased mortality. In low- and middle-income countries (LMICs), limited cancer education and awareness among primary care providers (PCPs) contribute to diagnosis delays, highlighting the need for educational interventions that support clinical decision-making. Mobile health (mHealth) tools offer a promising cancer education strategy; however, few are designed to address learning needs in local contexts. With support from the My Child Matters program and based on the Pan-American Health Organization (PAHO) Integrated Management of Childhood Illness-Cancer (IMCI-Cancer) \"traffic-light\" risk-stratification framework, we co-developed with PCPs S-IMCICA_V.2 (Sistema de Información para el Manejo Integral del Cáncer Infantil_Versión.2; Information System for Comprehensive Management of Childhood Cancer_Version.2), an mHealth educational and clinical decision support tool aimed at improving detection and referral of childhood cancer in Colombia. Applying user-centered design, we completed three phases: (1) app design and content development based on local educational needs, (2) participatory co-design sessions, and (3) iterative usability testing and prototype production. Seventy-nine stakeholders (37 PCPs, 8 nurses, 14 pediatric oncologists, 20 allied staff) participated. Rapid thematic analysis informed refinements in app content, usability, and functionality. The final high-fidelity prototype was perceived as intuitive and valuable for supporting cancer education and clinical reasoning, reinforcing knowledge and emphasizing timely referrals. Stakeholder input led to improvements in app personalization, navigation, clinical logic checks, educational content and referral guidance. Embedding educational content within mHealth clinical tools may enhance cancer knowledge retention and behavior change in clinical practice. Integrating S-IMCICA_V.2 into an e-learning curriculum and evaluating regional impact are underway.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664776","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":"Strengthening Adolescent Sexual Health Literacy through Targeted Educational Interventions in German Secondary Schools.","authors":"Gunda Waldmann, Michael Neureiter, Stefan Zippel, Corbinian Fuchs","doi":"10.1007/s13187-026-02962-6","DOIUrl":"https://doi.org/10.1007/s13187-026-02962-6","url":null,"abstract":"<p><p>Adolescents are a key population in STI prevention, yet many lack foundational knowledge and access to reliable information. This study aimed to evaluate the impact of a targeted sexual health education lecture on knowledge about STIs and HPV vaccination as well as behavioral intentions in Bavaria, Germany. We conducted a prospective, anonymized survey with students from secondary schools across Bavaria. An online questionnaire was completed before (t = 1; n = 5,988) and after (t = 2; n = 4,739) a standardized, extracurricular sexual health lecture. Participants were aged 14-20 years (mean age 16.1), from diverse school types. Key outcomes included self-assessed knowledge, ability to explain specific STIs, awareness of the HPV vaccine, and willingness to receive the vaccination. Self-reported STI knowledge increased significantly: only 29.1% of students felt well-informed at baseline, compared to 85.96% after the lecture. The average number of STIs students could explain rose from 1.91 to 6.49 (p < 0.001). HIV/AIDS was the most well-understood STI pre-intervention (69.9%), rising to 89.3% post-intervention. Uncertainty about STI transmission decreased from 20.3% to 5.0%. HPV vaccine awareness increased from 75.1% to 95.3%. Among those not vaccinated, willingness to receive the vaccine significantly improved (mean score 2.95 to 3.53 on a 5-point scale, p < 0.001). A single, structured sexual health lecture significantly improved adolescent knowledge of STIs, reduced misinformation, and increased willingness to engage in preventive behaviors, including HPV vaccination. These findings support integrating educational interventions into broader public health strategies targeting youth to reduce long-term infection risks and promote informed decision-making.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664791","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":"Perceptions of Artificial Intelligence in Gynecologic Oncology Education: Insights from a Qualitative Study Using Semi-Structured Interviews.","authors":"Jianye Wang, Jiaqi Xu, Zhaojing Fu, Li Song","doi":"10.1007/s13187-026-02943-9","DOIUrl":"10.1007/s13187-026-02943-9","url":null,"abstract":"<p><p>Training in gynecologic oncology requires mastery of complex decision making and technically demanding procedures, yet opportunities for repetitive practice are often limited by case volume, patient-safety considerations, and unequal access to expert supervision. Artificial intelligence (AI) has therefore attracted attention as a potential adjunct to simulation-based and feedback-intensive surgical education. This qualitative study explored how educators and learners perceive the role of AI in gynecologic oncology training. Semi-structured interviews were conducted with five gynecologic oncology faculty members and ten postgraduate obstetrics and gynecology trainees at a university-affiliated teaching hospital. Interview data were analyzed using inductive thematic analysis. Three themes were identified: AI as a tool for expanding deliberate practice and structured feedback, barriers that limit acceptable adoption, and conditions required for responsible implementation. Participants described AI-enhanced simulation as valuable for risk-free rehearsal, exposure to uncommon cases, and more objective assessment, while also emphasizing concerns about realism, cost, access, and data governance. Both groups supported a hybrid educational model in which AI supplements rather than replaces human mentorship. These findings suggest that AI can strengthen gynecologic oncology education when it is integrated into competency-based curricula, accompanied by faculty oversight, and supported by appropriate ethical and infrastructural safeguards.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664727","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":"Exploring the Current Use of Educational Technologies in the Oncology Domain Across Europe: A Cross-Sectional Study.","authors":"Jana Steinbacher, Taibe Kulaksız, Marco Kalz","doi":"10.1007/s13187-025-02703-1","DOIUrl":"10.1007/s13187-025-02703-1","url":null,"abstract":"<p><strong>Background: </strong>Considering the increasing relevance of digital education in cancer training, this study explores the current use of educational technologies in oncology across Europe.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using convenience sampling to gather responses from learners and educators across Europe. Data was collected online via Lime Survey.</p><p><strong>Results: </strong>Results indicate that both groups are most familiar with synchronous and blended learning, with less experience in asynchronous and hybrid formats. Live lectures were the most used tool, while virtual reality and simulations were less used. Regional differences reveal that Northern Europe prefers audio-based tools and e-books, while Central Europe demonstrates higher familiarity with asynchronous learning and interactive tools. Southern Europe has less experience with various modalities and tools. Professionally, cancer nurses reported more experience with asynchronous learning and learning management systems, while clinical oncologists demonstrated limited familiarity with various tools, particularly emerging technologies.</p><p><strong>Conclusions: </strong>For multi-disciplinary oncology training to succeed, practitioners need to align learning objectives with participants' prior experiences and balance diverse target groups and implementation needs to address regional and professional disparities. Targeted efforts are needed to bridge gaps in digital infrastructure, accessibility, and institutional support. Explanatory studies are needed to confirm these findings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"646-653"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977170","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":"Assessing Cancer Patients' Exposure to Treatment Misinformation.","authors":"Naomi D Parker, Skyler B Johnson, Andy J King, Tithi B Amin, Briony Swire-Thompson, Zhongyue Zhang, Carma L Bylund","doi":"10.1007/s13187-025-02712-0","DOIUrl":"10.1007/s13187-025-02712-0","url":null,"abstract":"<p><p>Understanding when and how patients encounter cancer treatment misinformation (CTM) is essential for developing innovative strategies to combat its spread. However, a major challenge in CTM research is the lack of a reliable and valid tool to assess exposure to misinformation. This study aimed to evaluate patients' exposure to CTM through the exposure to cancer treatment misinformation (ECTM) survey. CTM was operationalized as including unproven or disproven cancer treatments, foregoing recommended conventional cancer treatments, and acceptance of myths and misconceptions directly or indirectly related to cancer care. A total of 110 participants with a cancer diagnosis completed the survey. They were asked to identify non-evidence-based potential cancer treatments that they had heard of from a provided list. Overall, 93% (n = 102) reported exposure to at least one form of CTM. Most (79%) had encountered at least one cancer myth or misconception identified by the U.S. National Cancer Institute. Passive exposure to CTM, rather than active information-seeking, was more commonly reported. Friends and family were cited by participants as the most common source of CTM. These findings underscore the utility of the ECTM survey in capturing multiple dimensions of CTM exposure, including source, exposure type (seeking versus scanning), categorizing CTM types, and whether patients engage oncologists in discussions about the CTM they encounter. Future research should focus on validating the ECTM across diverse populations, exploring patient-oncologist communication about CTM, identifying patterns of CTM exposure, and using the tool as an outcome measure in interventions designed to decrease misinformation exposure.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"700-705"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006765","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":"How Information-Seeking Reduces Cancer Fatalism: A Comparison of the Mediating Role of Risk Perception in Young and Older Adults.","authors":"Jinran Li, Liuchang Tan","doi":"10.1007/s13187-025-02730-y","DOIUrl":"10.1007/s13187-025-02730-y","url":null,"abstract":"<p><p>This study investigates the relationship between cancer information-seeking, cancer risk perception, and cancer fatalism among young and older adults. It aims to examine whether cancer information-seeking affects cancer fatalism through the mediation of cancer risk perception. This cross-sectional study used secondary data from the Health Information National Trends Survey (HINTS 6). The sample included 2865 older adults (aged ≥ 60) And 1476 young adults (aged ≤ 40). Data were analyzed using SPSS (version 26), and mediation effects were examined using Hayes' PROCESS macro (version 4.3, Model 4). The direct relationship between cancer information-seeking and cancer fatalism was not significant in either the young or older adult groups. However, cancer information-seeking significantly reduced cancer fatalism by lowering cancer risk perception in both groups (older adults: β = -0.01, SE = 0.004, 95% CI [-0.02, -0.004]; young adults: β = -0.03, SE = 0.01, 95% CI [-0.05, -0.02]). The effect was stronger in the young adult group, suggesting that young adults are more influenced by information-seeking behavior in changing their cancer risk perceptions. This study highlights the importance of cancer information-seeking behavior in mitigating cancer fatalism, with risk perception playing a crucial mediating role. The findings indicate that the act of seeking cancer information helps alter perceptions of cancer risk. This effect was more pronounced in young adults compared. The results suggest that interventions aimed at encouraging cancer information-seeking could be effective in shifting risk perceptions, thereby reducing fatalistic attitudes toward cancer.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"777-786"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994211","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":"The Role of Dental Oncology in Cancer Care: a Critical Component of Comprehensive Treatment, Education, and Interdisciplinary Collaboration- a Narrative Review.","authors":"Amany Hany Mohamed Kamel, Fatma AlKindi, Rawan AlHarrasi, Nadiya AlKindi","doi":"10.1007/s13187-025-02639-6","DOIUrl":"10.1007/s13187-025-02639-6","url":null,"abstract":"<p><p>Dental oncology, a vital branch of special care dentistry, addresses the oral health needs of patients undergoing cancer treatment. This narrative review explores the critical role of dentists specializing in cancer care, known as \"onco-dentists,\" in managing the unique oral complications caused by cancer therapies, including chemotherapy, radiation therapy, and surgery. These treatments often lead to a range of oral health issues, such as mucositis, xerostomia, dental caries, periodontal disease, and trismus, significantly impacting a patient's quality of life and potentially disrupting cancer care. By providing tailored preventive and therapeutic interventions, onco-dentists enhance treatment outcomes and improve overall patient well-being. Furthermore, their collaboration with oncologists and other healthcare professionals promotes integrated care plans that address both cancer treatment and oral health management, emphasizing the importance of a holistic approach to patient care. This review aims to highlight the multifaceted role of onco-dentists, the significance of interdisciplinary collaboration, and the necessity of proactive oral health management in comprehensive cancer care. Moreover, the review underscores the importance of education at multiple levels-integrating dental oncology into medical and dental curricula, raising public awareness, and providing patient education to empower individuals in managing their oral health during cancer treatment.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"622-636"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057095","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":"Bridging Oncology and Rehabilitation: A High School Curriculum Model for Early Exposure to Interdisciplinary Cancer Care.","authors":"Jackson Wahman, Rhoda Hijazi, Danyal Tahseen, Adedeji Adeniyi, Julia E McGuinness, Layla Morgan, Kevin Placide, Tyler Roberson, Avonley Nguyen, Nima Sedghi, Sera Picillo, Raysha Farah, Paul Lewis, Toru Yoshino, Austin Manjila","doi":"10.1007/s13187-025-02715-x","DOIUrl":"10.1007/s13187-025-02715-x","url":null,"abstract":"<p><p>Cancer rehabilitation remains underutilized despite its value in addressing survivorship-related impairments. Early exposure to interdisciplinary cancer care, including oncology and physical medicine and rehabilitation (PM&R), is limited, particularly for students underrepresented in medicine (URiM). This study evaluated the impact of a novel interdisciplinary workshop introducing oncology and cancer rehabilitation, designed specifically to address the persistent educational and workforce disparities faced by URiM students. A half-day, in-person workshop was conducted in April 2025 at a medical school in New York City. The curriculum included lectures, case-based learning, a procedural suturing session, and a mentorship panel. Pre- and post-workshop surveys assessed self-reported knowledge and confidence in oncology, cancer rehabilitation, and clinical skills. Data were analyzed using descriptive statistics and unpaired t-tests. Of 160 pre-workshop survey respondents, 94 attended, with 73 completing post-workshop surveys (77.6% response rate). Over half of participants identified as URiM (53.3%). Significant improvements (p < 0.001) were observed across key domains, including confidence in cancer diagnosis (5.6 to 58.9%), understanding oncologist responsibilities (18.1 to 68.5%), oncology-PM&R collaboration awareness (8.8 to 71.2%), and procedural confidence in suturing (12.5 to 63.0%). A single-day interdisciplinary workshop significantly improved knowledge and confidence in oncology and cancer rehabilitation among high school students. Such targeted early-exposure initiatives could enhance diversity, address educational disparities, and improve awareness in the cancer care workforce.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"712-721"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977200","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":"Tumor, Node, Metastasis: The Hidden Hierarchy.","authors":"Aravind Sreeram","doi":"10.1007/s13187-025-02727-7","DOIUrl":"10.1007/s13187-025-02727-7","url":null,"abstract":"<p><p>Patients and clinicians often approach cancer information through different hierarchies. In clinic, I watched a family latch onto a single reassuring label in their patient's TNM staging while skimming past qualifiers that carried greater implications for risk and management. This piece reflects on how such imbalances arise, and what trainees can do in the moment to keep explanations aligned with clinical meaning. I go on to describe three practical habits to mitigate these disparities: (1) present key elements together, so no single \"good\" term becomes the headline; (2) choose one consistent plain-language frame rather than stacking multiple analogies or complexities that may occlude the main message; and (3) close the loop by reporting the patient's understanding to the care team so there is continuity in the message we deliver. These are acts of translation, not reinterpretation: they preserve the attending's authority while clarifying risk, uncertainty, and intent. Practiced deliberately, they help learners build a durable communication reflex that tempers optimism with context and supports shared decision-making across oncology clinics.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"822-823"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977172","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":"Oral Biopsy in General Dental Practice: Procedure, Indications, and Future Perspectives.","authors":"Emmanuelle Vigarios, Saman Warnakulasuriya, Aliénor Traissac, Bruno Bastiani, Delphine Maret","doi":"10.1007/s13187-025-02662-7","DOIUrl":"10.1007/s13187-025-02662-7","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"617-619"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250629","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}