Journal of Cancer Education最新文献

{"title":"Development and Psychometric Validation of a Knowledge Assessment Tool on Radiotherapy Resistance Among Oncologists in Iraq.","authors":"Bassam Abdul Rasool Hassan, Ali Haider Mohammed, Ahmed Zuhair Abdulhameed Alsammarraie, Musaab Kadhim Alabboodi","doi":"10.1007/s13187-025-02687-y","DOIUrl":"https://doi.org/10.1007/s13187-025-02687-y","url":null,"abstract":"<p><p>Radiotherapy resistance (RTR) is a significant barrier in oncology, affecting treatment outcomes and clinical decision-making. Despite its importance, no standardized tool exists to measure oncologists' knowledge of RTR. This study aimed to develop and validate a comprehensive questionnaire to assess oncologists' knowledge of RTR. A 29-item questionnaire was developed following a multi-phase process. An initial pool of 45 items was refined through content and face validity assessments by a panel of 5 experts, leading to item revisions and deletions. Data were collected from 400 oncologists in Iraq. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted to establish construct validity, while Cronbach's alpha, Composite Reliability (CR), and Item Response Theory (IRT) analysis were used to assess internal consistency and item performance. EFA confirmed the eight-domain structure of the questionnaire, with factor loadings exceeding 0.70 for all items. CFA demonstrated good model fit, with indices of CFI = 0.92, TLI = 0.91, and RMSEA = 0.06. Internal consistency was high, with a Cronbach's alpha of 0.93 and a CR of 0.94 for the overall questionnaire. IRT analysis revealed that all items had acceptable difficulty, discrimination, and guessing parameters, indicating that the items effectively differentiate oncologists with varying levels of knowledge. The final 29-item questionnaire covered key RTR domains, including Conventional and Combined Therapies, Radioresistance, and Sensitivity and Resistance. The validated 29-item knowledge questionnaire demonstrated strong psychometric properties, making it a reliable tool for assessing oncologists' knowledge of RTR. This tool can support oncology education, training, and research. Future studies should focus on cross-cultural validation, test-retest reliability, and examining how RTR knowledge influences clinical decision-making. This tool is especially relevant for improving oncology training and clinical decision-making in Iraq, where systemic barriers such as limited equipment, training gaps, and uneven access to radiosensitizers challenge cancer care.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700164","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 North Carolina PARTNERS Program: Preparing Undergraduates for Research Careers in Cancer Prevention, Causes, and Treatment in Traditionally Underrepresented Populations.","authors":"Temitope O Keku, Trinnette Cooper, LaHoma Smith Romocki, Kim Harris, Wendy Heck Grillo","doi":"10.1007/s13187-025-02680-5","DOIUrl":"https://doi.org/10.1007/s13187-025-02680-5","url":null,"abstract":"<p><p>Eliminating disparities in cancer prevention, causes, and treatment is essential to reducing cancer death rates and improving overall health outcomes for all Americans, especially in racial and ethnic communities. Addressing this goal requires expanding the biomedical workforce of researchers from underrepresented groups, physicians, and public health professionals representing those populations. The PARTNERS Cancer Education Program was a collaboration between a Historically Black College and University (HBCU), North Carolina Central University (NCCU), and a research-intensive institution, the University of North Carolina-Chapel Hill (UNC-CH). PARTNERS was integrative and unique in providing NCCU fellows with 2 years of research education. Both NCCU and UNC-CH fellows participated in 10 weeks of mentored research experiences. The fellows gained cultural awareness and specific knowledge about cancer disparities among different racial, ethnic, and socioeconomic groups and developed the professional skills necessary to compete successfully for admission to graduate or professional programs. Seventy-five fellows participated in PARTNERS between 2011 and 2021, with 31 NCCU undergraduate students in Cancer Biology, 23 NCCU undergraduate students in Public Health, and 21 UNC-CH undergraduate students in Cancer Biology. Of those who completed the program and graduated college, 66% of Cancer Biology and 67% of Public Health fellows have obtained or are pursuing advanced degrees (Master's, MPH, PhD) in graduate or professional programs, medicine, dentistry, and pharmacy. PARTNERS Alumni have co-authored 45 peer-reviewed papers. The career trajectory of PARTNERS fellows suggests the program is an innovative and successful model for addressing undergraduate students' academic and professional workforce preparedness and promoting research careers in cancer health disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644038","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 Competency-Based Education and Multidisciplinary Team Teaching for Standardized Training Resident on Radiation Oncology.","authors":"Min Liu, Biao Dong, Xiaonan Pang, Bailong Liu","doi":"10.1007/s13187-025-02686-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02686-z","url":null,"abstract":"<p><p>Radiation oncology is a pivotal discipline in cancer management, requiring the integration of clinical expertise and technical skills. Traditional methods often fall short in fostering essential competencies such as interdisciplinary collaboration and problem-solving. This study evaluated the effectiveness of competency-based education (CBE) combined with multidisciplinary team (MDT) teaching in improving hospital standardized training trainees' academic performance and clinical competencies during their radiation oncology rotations. This trial involved 128 hospital standardized training trainees from Anhui Medical University, split into two groups: 64 trainees from the 2023 cohort received traditional teaching, while 64 trainees from the 2024 cohort were taught using the CBE-MDT model. The outcomes were assessed through rotation completion exams (100-point scale) and a 25-item Likert-scale survey. Statistical analysis included independent t tests and chi-square tests. The two groups were comparable in their general characteristics, such as sex and age (P > 0.05). The experimental group showed significant improvements in final exam scores (98.3 ± 1.9 vs. 97.7 ± 1.3, P < 0.05) and higher satisfaction scores (95.92 ± 2.80 vs. 87.73 ± 3.35, P < 0.001). The integration of CBE and MDT teaching significantly enhances academic performance and competency development in radiation oncology training. These findings support the adoption of innovative pedagogical approaches in medical education to prepare future healthcare professionals for multidisciplinary clinical challenges.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621047","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":"Culturally Adapting a Video-Based Self-acupressure Intervention to Manage Symptoms for Black and Latina Breast Cancer Survivors.","authors":"Katarina E AuBuchon, Amrita Bonthu, Lourdes Inbar-Albo, Thelma D Jones, Jacqueline Beale, Claudia Campos-Galván, Laura A Logie, Carla Arieta, Geng-Hao Liu, Alejandra Hurtado-de-Mendoza, Suzanne C Danhauer, Kristi D Graves, Judy Huei-Yu Wang","doi":"10.1007/s13187-025-02684-1","DOIUrl":"10.1007/s13187-025-02684-1","url":null,"abstract":"<p><p>Black and Latina breast cancer survivors (BCS) experience greater physical functioning decline and symptom burden than non-Hispanic White BCS, partially due to systemic racism and socioeconomic barriers. Self-administered acupressure has shown promising effects for reducing cancer-related symptoms and is a low-cost, integrative approach to managing symptoms. However, self-acupressure has not been tested in Black and Latina BCS. This study aimed to culturally adapt an existing self-acupressure video intervention and assess Black and Latina BCS's feedback on the acceptability of the adapted video. Following learner verification and revision methods, we collaborated with community organizations and partners for cultural and linguistic adaptation of the existing video. We conducted semi-structured interviews with four community partners, two oncology providers, and six Black and Latina BCS to gather feedback on content comprehension, engagement, cultural acceptability, and satisfaction with the intervention. We made iterative revisions to the video and then conducted usability testing with the six BCS. We produced an 11-min self-acupressure video following participant feedback, including a need for clear differentiation between acupressure and acupuncture, simplified explanations of physiological effects of self-acupressure, increased culturally relevant presentation by including Black and Latina BCS performing acupressure demonstrations, testimonial segments, and lay language explanations. In usability testing, the six BCS rated the intervention highly. Black and Latina BCS were highly satisfied with the culturally adapted self-acupressure video and expressed strong interest in performing self-acupressure. Future studies will evaluate the intervention's effects on symptom management and quality of life in these underrepresented populations.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621046","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":"Unveiling Oropharyngeal Cancer Patients' Perceptions of HPV Vaccination.","authors":"Sakshi Das, Trevor Greene, Ashlea Braun, Thanh Bui, Radhika Gogoi","doi":"10.1007/s13187-025-02678-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02678-z","url":null,"abstract":"<p><p>Although cervical cancer squamous cell carcinoma (CCSCC) rates have annually declined by 1.6% from 1999 to 2015, oropharyngeal cancer squamous cell carcinoma (OPSCC) rates have annually risen by 2.7% in men and 0.8% in women, driven by a rise in HPV-associated cancers.¹ The Human Papillomavirus (HPV) vaccine targets HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58, and has the potential to prevent over 90% of HPV-related cancers.^3,4 However, vaccination remains low, with only 58% of young women ages 18 to 26 years old and 35% of men of the same age in the USA being vaccinated against HPV in 2022.² The purpose of this study is to understand potential reasons behind these trends by interviewing OPSCC patients about their health literacy and social interactions involving HPV and the vaccine. Online focus groups discussions and individual interviews were conducted with one to five participants per group, totaling 14 participants, to explore the following topics: knowledge of the HPV vaccine before and at diagnosis of cancer, whether they discussed the vaccine with anyone in their social networks, results of these discussions, and interventions thought to increase vaccine awareness. These focus group discussions were coded, and common themes were identified. Common themes included lack of knowledge of HPV, stigma of HPV as an STI, vaccine mistrust, healthcare advocacy, and suggestions on improving vaccination rates. These findings provide key actionable targets for improving HPV vaccination rates and awareness in the future.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585525","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":"Awareness, Attitudes, and Practice Related to Herpes Zoster and its Vaccines among Patients with Malignant Cancers: A Multi-Center Cross-Sectional Study in China.","authors":"Pan Xiaoyuan, Zhu Xinyu, Dong Zhengbang","doi":"10.1007/s13187-025-02668-1","DOIUrl":"https://doi.org/10.1007/s13187-025-02668-1","url":null,"abstract":"<p><p>To assess the awareness, attitudes, and practice related to Herpes Zoster (HZ) and its vaccines among cancer patients from two tertiary hospitals in China, and explore the factors influencing the perceived necessity of vaccination against HZ. This was a multi-center cross-sectional study involving cancer patients from two tertiary hospitals in China from January to April 2024. A self-designed questionnaire was used to survey the baseline characteristics, awareness, attitudes and practice about HZ and its vaccines, and factors influencing the perceived necessity of vaccination against HZ. A total of 392 cancer patients were included in the study, with an overall awareness score towards HZ and its vaccines of 4.79 ± 2.36 points, and an overall attitude score of 11.69 ± 2.32 points. The awareness score towards HZ and its vaccines was negatively correlated with male gender (β = -0.51, P < 0.001), 50-59 years of age (β = -1.43, P = 0.001), ≥ 60 years of age (β = -1.84, P < 0.001), and divorced/widowed (β = -1.29, P = 0.018). It was positively correlated with higher education level (β = 0.62, P = 0.035), annual household income (AHI) ≥ 100,000-150,000 RMB (β = 0.89, P = 0.012), AHI > 150,000 RMB (β = 1.64, P = 0.002), urban residency (β = 0.72, P = 0.002), diabetes (β = 1.41, P = 0.001), and history of chickenpox (β = 0.56, P = 0.011). The attitude score towards HZ and its vaccines was negatively correlated with male gender (β = -0.67, P = 0.006) and uncertain history of chickenpox (β = -1.2, P = 0.005), while positively correlated with AHI > 150,000 RMB (β = 1.89, P < 0.001), history of HZ (β = 0.66, P = 0.013), and information source from community healthcare providers (β = 1.7, P < 0.001). The HZ vaccination rate was only 1.79% in the overall cohort, and 3.68% among older adults aged ≥ 50 years. Nearly half of participants (49.17%) ignored the significance of vaccination against HZ mainly due to the unawareness of HZ vaccine availability, and concerns about side effects. Misconceptions about an increased susceptibility to HZ in immunocompromised individuals, complications and prevention of HZ were the dominant factors influencing the perceived necessity of vaccination. While possessing a strong belief in the vaccine efficacy against HZ, the vaccination rate remains extremely low in Chinese cancer patients due to a low awareness of HZ and its vaccines. The education of vaccination against HZ by community healthcare providers is a promising way to increase the willingness to get vaccinated, particularly in the elderly, and those with low educational levels, and low AHI.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545902","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":"Assessing Readability of Skin Cancer Screening Resources: A Comparison of Online Websites and ChatGPT Responses.","authors":"Elissa Goorman, Sukul Mittal, Jennifer N Choi","doi":"10.1007/s13187-025-02683-2","DOIUrl":"https://doi.org/10.1007/s13187-025-02683-2","url":null,"abstract":"<p><p>Effective communication is essential for promoting appropriate skin cancer screening for the public. This study compares the readability of online resources and ChatGPT-generated responses related to the topic of skin cancer screening. We analyzed 60 websites and responses to five questions from ChatGPT-4.0 using five readability metrics: the Flesch-Kincaid Reading Ease, Flesch-Kincaid Grade Level, SMOG Index, Gunning Fog Index, and Coleman-Liau Index. Results showed that both websites and ChatGPT responses exceeded the recommended sixth grade reading level for health-related information. No significant differences were found between the readability for university-hosted versus non-university-hosted websites. However, across all readability metrics, ChatGPT responses were significantly more difficult to read. These findings highlight the need to enhance the accessibility of health information by aligning content with recommended literacy levels. Future efforts should focus on developing patient-centered, publicly accessible materials and refining AI-generated content to improve public understanding and encourage proactive engagement in skin cancer screenings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545892","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":"Evaluating the Health Literacy Characteristics of Question Prompt Lists on National Cancer Institute Designated Cancer Center Websites.","authors":"J Lockhart, M L Stellefson, L W Turner, R S Mkuu, B Mehra, J Leeper","doi":"10.1007/s13187-025-02675-2","DOIUrl":"https://doi.org/10.1007/s13187-025-02675-2","url":null,"abstract":"<p><p>Ineffective communication between cancer survivors and providers can contribute to health disparities. Question Prompt Lists (QPLs) help facilitate patient-provider communication; however little research has evaluated the tool. This study evaluated the characteristics of QPLs available on National Cancer Institute (NCI)-Designated Cancer Center websites. A cross-sectional content analysis was conducted on 64 NCI-Designated Cancer Center websites. Eighty-nine QPLs were coded based on the Information Literacy Framework and the National Culturally and Linguistically Appropriate Services (CLAS) Standards. The readability, actionability, understandability, clarity, and suitability of QPLs were evaluated using validated tools to determine their utility in supporting diverse cancer survivors. Thirty-nine centers (59.1%) provided a total of 89 QPLs, averaging 16.4 questions (SD ± 10.4) per list. No QPLs (0%) were created for a specific race/ethnicity or who identify with sexual and gender minority populations. Six (6.7%) were created based on age and seven (7.9%) were available in multiple languages. Common topics included diagnosis (68.5%) and treatment (79.8%). Twenty QPLs (29.2%) were available as PDFs, and most (70.8%) were not cancer-type specific. While most QPLs (76.4%) demonstrated good understandability, 62.9% had poor actionability, 82.0% exhibited superior suitability, and 92.1% had suboptimal clarity. The average readability was seventh grade. Cancer centers should develop QPLs that address diverse cultural and communication needs. Despite their importance, most QPLs lacked inclusivity. Additionally, while understandability was generally high, actionability and clarity were suboptimal, potentially limiting their effectiveness in guiding patient-provider discussions. Using validated tools before dissemination aligns with best practices to improve patient-centered care while reducing health disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530817","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":"Online Outcomes of a Pediatric Neuro-Oncology Course for Multidisciplinary Healthcare Professionals in Low- and Middle-Income Countries.","authors":"Fair Berg, Allyson Andujar, Georgia Chatman, Carlos Rodríguez-Galindo, Ibrahim Qaddoumi, Daniel C Moreira","doi":"10.1007/s13187-025-02681-4","DOIUrl":"https://doi.org/10.1007/s13187-025-02681-4","url":null,"abstract":"<p><p>Online and hybrid pediatric oncology training programs, such as the St. Jude Global Academy's Neuro-Oncology Training Seminar (NOTS), aim to address gaps in educational opportunities. This study examined the online components of the 2022 and 2023 NOTS, using mixed methods to assess strengths, limitations, and areas for improvement specific to the distance learning components. NOTS participants are required to complete 9 weeks of online modules. Participants were invited to evaluate their online learning experience which included both quantitative and qualitative measures related to participant perceptions of the course. Descriptive statistics were used to analyze quantitative results, and qualitative responses underwent thematic analysis. A total of 153 participants from 30 institutions participated in the online modules of the 2022 and 2023 NOTS. Among all participants, 106 (69.1%) completed the online course with a passing score of 70% or higher, and 83 completed the online evaluation. Pre-recorded lectures, rated highly by 73.5% of respondents, were appreciated for their content quality and flexibility. Live meetings were also of importance, with many participants requesting an expansion of interactive online sessions in future iterations of NOTS. Participants also felt the online learning activities (e.g., research projects and case discussions) were important and recommended more frequent knowledge assessments throughout the online modules and long-term follow-up. While most participants found the course duration of online components appropriate, some suggested adjustments to pacing and improved access to content. This study expands on the potential of technology-facilitated pediatric hematology-oncology education in LMICs by offering flexible and accessible learning formats. The findings suggest that blended learning models, interactive content, and incorporating peer and expert feedback can enhance knowledge retention and learner satisfaction among online participants.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530818","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":"Qualitative Evaluation of a Vicarious Trauma e-learning Initiative for Cancer Support Line Workers in the UK.","authors":"Donna Munro, Andrew Killen, Karen Campbell","doi":"10.1007/s13187-025-02674-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02674-3","url":null,"abstract":"<p><p>The concept of vicarious traumatisation (VT) is distinguished from psychological stress concepts of 'burnout', 'compassion fatigue', and 'secondary traumatic stress'. Cancer support line workers may have a heightened risk of VT. Taking education as an intervention for VT, the aim of this study was to capture pre- and post-perceptions of an e-learning intervention for cancer support line workers. To explore cancer support line workers' perceptions of VT pre- and post- e-learning intervention. Ten study participants were surveyed prior to a VT e-learning intervention. Nine study participants completed e-learning, followed by semi-structured interviews. Reflexive thematic analysis was utilised. Five themes emerged: pre-existing understanding of VT, resonance, recognition, refocus self-care, and reflection on the impact of VT experience. Varied levels of understanding of the concept of VT were identified. The module was impactful and increased understanding of VT for most participants. A requirement for formalised VT education, subsequent signposting, and support, was identified. Participants expressed desire for refresher courses.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512724","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}