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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-06","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 Education in the Northwest Arctic: Empowering Youth on Cancer in Rural Alaska.","authors":"Katie Cueva, Fiona Rowles, Clayton Gindt, Jennifer I Schmidt","doi":"10.1007/s13187-025-02719-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02719-7","url":null,"abstract":"<p><p>Cancer is the leading cause of death in Alaska and the second leading cause of death in the USA, even though the most common cancers are largely preventable through screening and lifestyle changes. Consequently, interventions that promote sustainable behavioral change can reduce existing health disparities in cancer morbidity and mortality. In 2019, community sharing circles inspired the creation of a cancer education project for youth in the Northwest Arctic region of Alaska. We grounded the work in community-based participatory action research (CBPR), empowerment theory, and Indigenous ways of knowing, with a Community Advisory Board guiding the project. Eleven cancer education lessons were developed for young people in the Northwest Arctic, several of which were piloted remotely during the pandemic and delivered in-person in spring 2022. The project team visited each participating community in the spring of 2024 to support peer instructors in teaching cancer topics and presenting requested lessons to youth. Each participant was invited to complete a pre-lesson and a post-lesson survey. A total of 2303 pre-/post-surveys were completed. Respondents' mean cancer knowledge scores were significantly higher after seven different lessons. In 90% of post-lesson surveys, respondents (795/887) said they planned to share information they had learned during the lessons, including lessons about cancer screening exams and eating healthier. In 90% of post-lesson surveys, respondents (799/890) said they planned to reduce their cancer risk in the next 6 months, including by staying tobacco-free and stopping alcohol use. As a learner shared: \"Cancer fears hope. Medical research on cancer treatments advances every day. Hope is growing and cancer is soon to be no more.\"</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994250","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":"HPV Vaccination in Morocco: Quiet Progress or Public Health Failure?","authors":"Hiba Bourissi, Aaouinat Zinab","doi":"10.1007/s13187-025-02729-5","DOIUrl":"10.1007/s13187-025-02729-5","url":null,"abstract":"<p><p>Although the Human Papillomavirus (HPV) vaccine was integrated into Morocco's national immunization schedule in October 2022, its real impact remains difficult to assess due to the absence of accessible and official data, such as vaccination coverage, adherence rates, or public health impact. The absence of reliable data makes it difficult to assess the effectiveness of the program, and the extent of its impact in terms of population reach and geographic coverage remains unknown. Several studies conducted in Morocco have highlighted key barriers to the acceptance of the HPV vaccine. These include a general lack of awareness among young girls and their families regarding the vaccine's availability and preventive purpose, as well as prevailing sociocultural and religious sensitivities. Furthermore, public trust in vaccination has declined since the COVID-19 pandemic. In addition, the HPV vaccine is sometimes wrongly associated with the encouragement of early sexual activity, which reinforces hesitancy and contributes to its rejection in our context. Unlike other campaigns targeting sexually transmitted infections, such as those for HIV, which have benefited from widespread media coverage and sustained public awareness efforts without facing significant public rejection, HPV vaccine campaigns appear to have lacked similar visibility. This communication gap may have allowed misconceptions to persist. To overcome these challenges and improve vaccine uptake, Morocco's national strategy should include culturally sensitive communication, active involvement of healthcare professionals and educators, and targeted educational efforts for youth and families. Education remains the most effective tool to foster informed acceptance and prevent cervical cancer.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994184","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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-03","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":"Tumor, Node, Metastasis: The Hidden Hierarchy.","authors":"Aravind Sreeram","doi":"10.1007/s13187-025-02727-7","DOIUrl":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","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":"Advancing Early Medical School Exposure to Radiation Oncology: a Call to Action.","authors":"Trenton Reinicke, James R Burmeister","doi":"10.1007/s13187-025-02721-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02721-z","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of the \"l'O à la bouche\" Therapeutic Patient Education Program at a French Cancer Center: A Multidisciplinary Approach for Managing Post-Cancer Oral Toxicities.","authors":"Caroline de Bataille, Nathalie Caunes-Hilary, Aurélie Robello, Sabine Bétancourt, Emmanuelle Vigarios, Delphine Maret","doi":"10.1007/s13187-025-02716-w","DOIUrl":"https://doi.org/10.1007/s13187-025-02716-w","url":null,"abstract":"<p><p>Head and neck cancer treatments, particularly radiotherapy, cause significant oral toxicities that profoundly impact patients' quality of life, including salivary modifications, swallowing disorders, and the risk of osteoradionecrosis. While therapeutic patient education (TPE) programs exist for various chronic conditions, there remains a notable gap in specific programs addressing oral complications in head and neck cancer patients. This article describes the development and implementation of the innovative TPE program \"l'O à la bouche\" at a French cancer center, specifically designed for head and neck cancer patients experiencing post-treatment oral toxicities. A multidisciplinary working group was established, including ENT surgeons, speech-language pathologists, dietitians, radiotherapy technicians, nurses, dentists, psychologists, and patient partners. The program development followed a structured timeline from February 2020 to June 2021. The program comprises four complementary workshops addressing oral physiology modifications, safety and self-monitoring for aspiration risks, practical self-care skills, and psychosocial rehabilitation. The program obtained official authorization in December 2020 and began implementation in June 2021, with stable activity of 12 workshops annually, accommodating 5 to 8 patients per workshop. This initiative addresses a previously unmet national need, as no equivalent TPE programs existed specifically targeting salivary modifications and their oral consequences in head and neck cancer patients. The strong involvement of patient partners throughout all development phases ensures clinical relevance and patient-centered care. This program serves as a model for specialized therapeutic education that can improve patient self-management skills, enhance treatment adherence, and ultimately optimize quality of life through targeted patient education interventions.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977240","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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","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}