Journal of Cancer Education最新文献

{"title":"Public Awareness and Feasibility of Social Marketing for Cholangiocarcinoma Prevention Through Multi-channel Media in Thailand: Lessons for Emerging Diseases.","authors":"Siwaporn Pungpop, Monthicha Raksilp, Nopparat Songserm","doi":"10.1007/s13187-025-02725-9","DOIUrl":"10.1007/s13187-025-02725-9","url":null,"abstract":"<p><p>Cholangiocarcinoma (CCA) remains a major public health concern in Thailand, particularly in areas endemic for Opisthorchis viverrini infection. During the period of 2020-2022, there was a rapid shift in public communication behaviors that created new opportunities to promote health education through diverse media channels. This study aimed to assess public awareness of CCA prevention and explore the feasibility of applying social marketing strategies during a time of health crisis. A cross-sectional survey of 150 participants was conducted in high-risk communities of Sisaket Province using multi-stage sampling. Data were collected using a validated questionnaire evaluating awareness of CCA prevention after exposure to five media types: broadcast, print, signage, personal (village health volunteers), and online media. Feasibility was assessed using a 16-item scale based on the 4P's marketing mix framework: product, price, place, and promotion. Descriptive statistics were conducted. Participants demonstrated high awareness across all media types, especially through online media (Facebook, Line), print media, and public signage. The feasibility of implementing social marketing strategies for education was rated high overall (mean = 4.26, SD = 0.14), with strong agreement in knowledge transfer and community participation. These findings underscore the potential of using multi-channel media and marketing principles to enhance public education and promote preventive behaviors for CCA. Importantly, the results provide insight into how such strategies may be adapted for other emerging diseases, where rapid and widespread public engagement is critical. Social marketing represents a promising tool for cancer education of the public, particularly in low-resource settings and during times of public health disruption.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"762-771"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008584","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 Screening as a Conversation, Not a Checklist: Enhancing Professional Cancer Education Through Narrative Medicine.","authors":"Waseem Jerjes, Sarah Williams","doi":"10.1007/s13187-025-02695-y","DOIUrl":"10.1007/s13187-025-02695-y","url":null,"abstract":"<p><p>Cancer screening guidelines aim for early detection but frequently face low patient adherence. This issue arises primarily from patient-provider interactions overly focused on procedural checklists, neglecting emotional and personal concerns. Effective screening discussions necessitate deeper communication, empathy, reflective listening, and narrative medicine-skills often missing in traditional clinical education. Integrating narrative approaches helps uncover patient anxieties, empowers decision-making, and enhances screening uptake. Additionally, shifting practice-level structures to prioritise meaningful conversations and employing technology thoughtfully can significantly improve patient engagement. Transforming cancer screening dialogues from checklist-driven interactions into emotionally intelligent conversations fosters trust, personal agency, and improved health outcomes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"819-821"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790625","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":"Call for Increased Community Education Regarding Common HPV-Associated Cancers Within the Urban Safety-Net Hospital Population.","authors":"Ishita Rai, Ekta Karkala, Ruchita Borgaonkar, Johane Seide, Rana Mokhtar, Natalie Pierre-Joseph","doi":"10.1007/s13187-025-02722-y","DOIUrl":"10.1007/s13187-025-02722-y","url":null,"abstract":"<p><p>While oropharyngeal and cervical cancer rates declined in the 1980s, incidence and mortality rates from both cancers have increased annually in the last two decades. The incidence of oropharyngeal cancer has now surpassed that of cervical cancer. A lack of knowledge about preventative measures and risk factors, including human papillomavirus [HPV] infection, may contribute to rising oropharyngeal cancer rates. This study examines patients' knowledge of oropharyngeal cancer and its relation to cervical cancer and HPV to identify the need for education surrounding HPV-related cancers. We analyzed self-reported baseline survey data from 347 women aged 16-45 participating in an open-label, randomized clinical trial comparing the efficacy of two versus three doses of the HPV vaccine. The survey evaluated participants' knowledge of HPV, transmission and prevention, and the vaccine. Descriptive statistics and contingency tables were utilized to evaluate associations between oropharyngeal and cervical cancer questions. There is a knowledge gap regarding HPV and its association with cervical and oropharyngeal cancer. Notably, 53.6% were unsure or did not have the knowledge that most oropharyngeal cancers are caused by infection, only 34.0% knew of a vaccine for oropharyngeal cancer prevention and 44.8% were unsure about a vaccine for oropharyngeal cancer but knew one for cervical cancer. Additionally, there are inconsistencies in patient knowledge regarding the availability and efficacy of an HPV vaccine to target secondary oropharyngeal cancer and cervical cancer. These findings suggest that addressing the knowledge gap with education about HPV and cancer may increase HPV vaccination rates and combat rising rates of oropharyngeal and cervical cancer.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"753-761"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977213","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":"Capacity of Understanding the Future Approaches in Cancer Treatment by Multiple Models of Artificial Intelligence.","authors":"Hong Xu, Chengyuan Yang, Xiao-Yang Hu, Weikuan Gu","doi":"10.1007/s13187-025-02706-y","DOIUrl":"10.1007/s13187-025-02706-y","url":null,"abstract":"<p><p>Artificial intelligence (AI) has emerged as a popular tool in education for disease treatment, not only for patients but also for physicians and scientists. We aimed to explore the educational values of different AI models in future disease treatment by providing them with real-world obstacles in cancer treatment for the most serious types of breast cancer and chondrosarcoma. We first asked seven large AI models to predict the future treatment approaches that would lead to a better outcome for triple-negative breast cancer (TNBC) and dedifferentiated chondrosarcoma (DDCS). We then requested each model to select the best one and provide supporting evidence. Next, the models were requested to provide a plan or clinical trial to test the treatment approach. Our test obtained ten treatment approaches for TNBC and DDCS from each of the seven models. Together, a total of 18 different unique approaches were suggested for TNBC and 34 for DDCS. Modified and/or extended usage of antibody-drug conjugates are predominantly selected by models as the best approach for TNBC. Combined immune checkpoint inhibition usage and isocitrate dehydrogenase (IDH) inhibitors were favored by models for DDCS. Specialized CAR-T cell therapy and clustered regularly interspaced short palindromic repeats (CRISPR)-based gene editing were selected by majority of AI models as high risk and high reward approaches. Our study indicated that most AI models are capable of keeping up with updated cancer research. However, for patients and physicians, consultation of multiple AI models may gain a better understanding of the pros and cons of a variety of approaches for cancer treatment.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"663-669"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856924","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":"Improving Lung Cancer Education and Screening Navigation Skills Among HBCU Health Trainees: A Pilot Study of Program CONNECT.","authors":"Shanada Monestime, Erika L Thompson, Monica Wilson, Tamara McCants, Lovoria B Williams","doi":"10.1007/s13187-025-02704-0","DOIUrl":"10.1007/s13187-025-02704-0","url":null,"abstract":"<p><p>Lung cancer is the leading cause of cancer death, disproportionately affecting Black communities due to delayed diagnoses and low screening rates. While these disparities persist, few educational interventions aim to equip health professional trainees-particularly those at Historically Black Colleges and Universities (HBCUs)-with the knowledge and confidence to address them. Empowering providers early in their training through culturally tailored education may help build a more prepared, equity-focused workforce. The purpose of this project was to evaluate a culturally tailored lung cancer education program, Program CONNECT, for health professional trainees at HBCUs. Program CONNECT was implemented in regions where lung cancer mortality among Black populations was ≥ 1.6 times higher than among White populations. From August to September 2024, healthcare trainees in nursing, medicine, pharmacy, and dentistry participated in a 90-min workshop covering lung cancer disparities, screening guidelines, and navigation strategies. A 21-item pre/post-test assessed changes in knowledge, beliefs, and self-efficacy. Participants (N = 100) were primarily nursing (63%), followed by pharmacy (29%), dentistry (5%), and medical (1%) students. While over half had healthcare experience, few had prior training in lung cancer navigation. Post-training, stigma related to personal responsibility for lung cancer significantly decreased (p = 0.005). Knowledge improved regarding risk factors, screening eligibility, disparities, and biomarker testing (p < 0.001). Confidence in identifying screening-eligible individuals, addressing barriers, and conducting difficult conversations improved significantly (p < 0.001). Recognition of ineligible screening scenarios increased, though shared decision-making knowledge remained unchanged. Interest in pursuing a cancer-related specialty rose from 66 to 78% (p < 0.001). Program CONNECT significantly improved knowledge and navigation self-efficacy among HBCU health trainees. Expanding this training across HBCUs may strengthen oncology workforce diversity and promote more equitable lung cancer outcomes in high-disparity communities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"654-662"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13524993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977211","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 the Impact of an Online Surgical Oncology Teaching Series on Learner Confidence on a Global Scale.","authors":"Charles Carey, Antoinette Yeung, Adam Gittins, Adam Safwaan, Ganesh Radhakrishna","doi":"10.1007/s13187-025-02741-9","DOIUrl":"10.1007/s13187-025-02741-9","url":null,"abstract":"<p><p>UK medical schools currently have no formal educational curricula for surgery and oncology. Many students and resident doctors also report low confidence levels and struggle to grasp key concepts within these fields. This study assessed the impact of an online teaching series on learner confidence in surgical oncology. Nine sessions focused on the surgical management of multiple forms of cancer were delivered. Learner confidence before and after the sessions was compared using paired t-tests, and qualitative feedback was collected and analysed using grounded theory. 275 people attended the sessions live from countries in Europe, Asia, and Africa, and 193 provided feedback. Attendees' cumulative confidence rating was significantly higher after the sessions (p = 0.0001, t = 14.0, Cohen's d = 4.06). 168 learners provided positive qualitative feedback, and 88 gave constructive criticism. Common strong points included the presentation, content, and visual materials used during the teaching. Recordings of the sessions were accessed by 391 learners across five continents. 48 provided feedback, and their mean confidence level was significantly greater after accessing the content compared to before (p = 0.0001, t = 8.104, Cohen's d = 3.90). There are currently few formal teaching programmes focusing on surgical oncology. Our series successfully improved learner confidence about the surgical management of a variety of malignancies. The promotion of similar online teaching methods with improved interactivity and accessibility should allow more learners across the world to build confidence in this field.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"811-818"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379281","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":"Enhancing Oncology Education: Effects of a Structured Enrichment Elective on Medical Student Engagement and Career Intentions.","authors":"Anna Chung, Ken Zou, Grant Tucker, Ellis Miller, Joan Reisch, Samira Syed","doi":"10.1007/s13187-025-02720-0","DOIUrl":"10.1007/s13187-025-02720-0","url":null,"abstract":"<p><p>Despite cancer's significant impact on global health and its prevalence in clinical settings, oncology education in medical schools often remains fragmented and unstandardized, leaving many students feeling underprepared to care for patients with cancer. This study evaluates the implementation and impact of a 3-month oncology enrichment elective designed to address these educational gaps. From 2021 to 2024, we offered an oncology enrichment elective to medical students at a single institution. The curriculum included multidisciplinary didactic sessions and facility tours covering various oncology specialties. Data were collected through immediate post-course surveys and a 2025 longitudinal survey to assess both short and long-term impacts on students' oncology exposure and career interests. Students reported high satisfaction with the curriculum and its clinical relevance. The elective significantly enhanced exposure to underrepresented areas in oncology education, particularly radiation oncology and palliative care. Over two-thirds of respondents indicated the elective influenced their residency choice, with a similar proportion expressing interest in oncology careers. Thematic analysis revealed that students valued personalized faculty insights and requested more interactive learning experiences. An oncology enrichment elective effectively addresses gaps in cancer education during medical school, particularly during condensed pre-clerkship curricula. The model demonstrates potential for improving student comfort with oncology concepts and enhancing multidisciplinary understanding of cancer care. Larger longitudinal studies are needed to assess long-term impacts on knowledge retention and career trajectories.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"745-752"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977161","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":"Monitoring of Colorectal Cancer Screening Adherence Among African American Patients of North Florida Community Health Centers.","authors":"John S Luque, Gebre-Egziabher Kiros, Askal A Ali, Sabrina L Dickey, Matthew Vargas, Deloria R Jackson, Ryan Mohorne, Tanvee Doddi, Kristin Wallace, Clement K Gwede","doi":"10.1007/s13187-025-02738-4","DOIUrl":"10.1007/s13187-025-02738-4","url":null,"abstract":"<p><p>In the United States, colorectal cancer (CRC) mortality rates are higher in African Americans compared to non-Hispanic whites, partly due to advanced stage cancer diagnosis. Timely CRC screening helps to increase CRC early detection and survival in this population. The objective of this monitoring study was to survey African American patients of Community Health Centers (CHC) in north Florida and to monitor CRC screening adherence (either stool-based or colonoscopy) after they had completed a clinical trial testing a screening education intervention. Seventy-nine African American patients who were between the ages of 45 and 64 years old at the time of initial trial recruitment completed a 24-month follow-up survey, and 44% reported stool-based CRC screening in the last year. Results from the general estimating equations (GEE) model found there was a statistically significant difference in CRC screening adherence by study arm at 24 months where the intervention group was less likely to be up to date than the usual care control (OR = 0.60, 95% CI 0.43-0.83). Married or partnered participants (OR = 1.52, 95% CI 1.31-1.77) and employed participants (OR = 1.34, 95% CI 1.17-1.53) were more likely to be adherent to screening, but female participants were less likely to be adherent (OR = 0.76, 95% CI 0.70-0.82). Participants with higher mistrust in doctors were less likely to have completed screening (OR = 0.93, 95% CI 0.88-0.99). The findings suggest the importance of screening outreach to unmarried, unemployed, female African Americans. The results of this monitoring study indicate one-on-one cancer education with a community health advisor and education on the availability and functionality of electronic patient portals have potential for increasing adherence to recommended CRC screening. The study has implications for measuring CRC screening adherence in community settings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"794-803"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356558","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":"Validation Of CAM Questionnaire To Access Literacy About Breast Cancer in Brazilian Population - QuIC-Mama.","authors":"P B Pujatti, C Barbosa Carroll, L H T Morais, M M C Martin, A B Souza, D B D F Martins, M R Resende, L M M G Gonçalves","doi":"10.1007/s13187-025-02710-2","DOIUrl":"10.1007/s13187-025-02710-2","url":null,"abstract":"<p><strong>Objective: </strong>Validated tools to assess the population's cancer-related knowledge are scarce in Brazil. Cancer Awareness Measure (CAM) is a validated tool developed by Cancer Research UK. We aimed to translate, culturally adapt, and validate the Breast Module of the CAM questionnaire to be used in Brazil to access literacy in breast cancer.</p><p><strong>Methods: </strong>Three independent volunteers conducted the instrument's translation. The translated version was revised by twelve healthcare professionals who made nearly thirty edits to improve understanding of the translated version. Then, the questionnaire was pilot-tested with thirty individuals, who rated the degree of question comprehension on a scale from 0 to 5. Content validity was assessed by five oncology specialists. The final version was administered to one hundred patients, and internal consistency was calculated by Cronbach's Alpha.</p><p><strong>Results: </strong>Women in the pilot test had an average comprehension of 4.88 (± 0.1). Thus, no modifications were made to the piloted questionnaire. Content validity showed a final clarity score of 0.93 and relevance score of 0.94. Among the one hundred patients, responses to the questionnaire indicated low literacy about breast cancer, and Cronbach's Alpha was 0.77.</p><p><strong>Conclusions: </strong>It was possible to obtain a validated instrument for surveying and monitoring the literacy of the Brazilian population regarding breast cancer. The instrument was named QuIC-Mama. This and similar tools for increasing awareness could be used in other low- and middle-income countries based on tool development in high-income countries after testing, validation, and cultural adaptation.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"682-688"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856927","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 Targets for Patient-Reported Outcomes and Caregiver-Reported Outcomes in Psycho-oncology Research.","authors":"Salene M W Jones, Erin E Kent, Maxime Caru, Hannah Arem, Youngmee Kim, Lixin Song, Shelby L Langer","doi":"10.1007/s13187-025-02709-9","DOIUrl":"10.1007/s13187-025-02709-9","url":null,"abstract":"<p><p>Patient-reported outcomes (PROs) and caregiver-reported outcomes (CROs) are tools for evaluating behavioral medicine interventions and for bringing the patient voice into observational research. This study aimed to identify barriers to using PROs/CROs in behavioral cancer research and to equitably address those barriers. Forty-nine members of a cancer special interest group from a research society completed surveys in early 2023 about needs related to the use of PROs and CROs. Descriptive statistics were used to summarize results. Most participants used PROs (n = 34, 69%) but few frequently used CROs (n = 12, 24%). More than 80% of the sample were familiar with common PRO/CRO properties such as reliability and validity. Participants reported considering a wide variety of population characteristics when using PROs and CROs, including language (n = 31, 70%) and education level (n = 31, 70%). The most common barriers to using PROs/CROs in research were time, funding, and technology with many reflecting potential reasons for inequitable representation of certain groups in research. Webinars were the most preferred educational format (n = 38, 78%) for resources related to PROs/CROs. Many participants encountered barriers to using PROs in research. Creation and dissemination of educational resources to promote equitable use of PROs/CROs across underrepresented groups and overcome common barriers to use of these measurement tools are warranted.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"676-681"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876570","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}