Journal of Cancer Education最新文献

In China, the drug treatment of many cancer pain patients is obviously affected by people's lack of knowledge and confidence, and cancer pain symptoms fail to be effectively controlled. This retrospective case-control study explored the effect of application of structured education management in standardized treatment of cancer pain. Eligible cancer pain patients from June 2022 to April 2023 were selected as the control group. The intervention group was selected from May 2023 to December 2023. Control group received analgesic treatment according to three-step analgesia method, the intervention group received structured cancer pain education intervention on the basis of the treatment for control group. The level of pain control disorders, total effective rate of pain relief and the frequency of pain outbreak, equivalent morphine consumption, and incidence of adverse events were compared between the two groups at enrollment and 2 weeks after. After treatment, the pain control disorder scores and NRS scores in the two groups were lower than that before treatment, and intervention group were lower than that in control group. The total effective rate of pain relief in intervention group was higher than that in control group. The total equivalent morphine dosage in the intervention group was lower than that in the control group. The incidence of constipation, nausea, vomiting, and fatigue in the intervention group was significantly lower than that in the control group, but there was no significant difference in the incidence of rash. Clinical pharmacist-led structured education can significantly improve therapeutic effect on cancer pain and reduce the adverse reactions.

Inappropriate or delayed initial management of musculoskeletal neoplasms can lead to severe consequences, emphasizing the need to define core competencies for frontline practitioners. Such competencies can guide medical education and residency training objectives. This study aimed to identify core clinical competencies required by general practitioners and general orthopedic surgeons without oncologic training for the initial management of musculoskeletal tumors, with a focus on implications for medical education. A two-round modified Delphi method engaged 225 members of the Latin-American Tumor Society (SLATME) through an online questionnaire on competencies for evaluating and treating musculoskeletal tumors. Of these, 136 participated in the first round, and 111 in the second. Consensus was defined as 80% agreement on competencies being essential for the described scenarios. Consensus for all frontline practitioners included the ability to determine the need for standard or urgent referral to oncology specialists. For general orthopedic surgeons, additional competencies included performing focused anamnesis and physical exams emphasizing oncologic history, requesting and interpreting appropriate imaging and laboratory tests, and recognizing aggressive features on imaging with or without radiology input. No surgical procedure achieved strong consensus; however, there was moderate agreement that internal fixation of a pathological fracture in metastatic patients is a core competency. This study established consensus on essential evaluation competencies for frontline practitioners assessing musculoskeletal tumors. While procedural competencies for general orthopedic surgeons without oncologic training lacked consensus, the findings provide a foundation for educational priorities and guide initial patient management expectations in such settings. The results can be utilized to shape medical school curricula, residency training, and continuing medical education programs.

Black Men (BM) have disproportionately higher mortality rates from prostate cancer (PCa) and present with more advanced disease. Early screening may improve outcomes. The aim of our project was to provide education, screening, and provider outreach with a long-term goal to decrease the disproportionate number of PCa deaths in BM. We conducted focus group discussions with BM to assess their perceptions and understanding of PCa and screening. Focus groups aided in the development of educational materials. Educational materials were distributed at community events. Screening was offered, at select events, using prostate-specific antigen (PSA) testing. Men with PSA levels of ≥ 4 ng/ml were contacted for follow-up. The project included training for Henry Ford Health (HFH) providers and an assessment of their PCa screening practice. We completed 4 focus groups and distributed ~ 1000 PCa educational brochures. We participated in 45 community events between March 2022 to June 30, 2023. 340 men were screened. 28 men had an elevated PSA, and 17 men did not complete follow-up. Multiple HFH provider educational sessions were conducted. Of 129 providers who completed a screening practice assessment, 78 (60%) routinely offered PSA screening to men between ages 55-69. Between 2018 to 2023 at HFH, the PSA screening rate overall increased from 8.2% to 12.7%. Although our outreach efforts were effective at increasing PSA screening, 60.7% of men screened in our community events with elevated PSA did not follow-up. Future efforts should further reduce barriers to PCa screening and follow-up.

Low anterior resection syndrome (LARS) is a significant complication after sphincter-preserving rectal cancer surgery and negatively impacts a patient's quality of life. Treatment of LARS is multimodal, and many treatments require engagement from the patient. Understanding the complex array of treatment options and the potential additive effects of different therapies can be difficult. This systematic review aims to assess the role of patient education in treatment of LARS in colorectal cancer patients. A systematic literature search was conducted on PubMed, EMBASE and Ovid Medline according to the PRISMA guidelines for articles published from 1946 to October 2023 and registered with PROSPERO: 42,023,434,601. Studies that reported on clinical outcomes of patients with LARS that underwent any educational intervention were included for this review. Results from five publications including 368 patients with LARS were reviewed for analysis. Three interventions were delivered to symptomatic patients postoperatively and two to all patients who underwent low anterior resection preoperatively. Five trial protocols were also included for analysis, including three preoperative and two postoperative interventions Education interventions were often delivered alongside co-interventions such as medications and pelvic floor physiotherapy. Four studies reported improvement of mean LARS scores and quality of life measures related to the education intervention and associated co-interventions. Patient education has a positive impact towards improving functional outcomes in patients with LARS following resection for rectal cancer. In practice, it is often used in conjunction with other interventions. Determining optimal content and delivery methods is a target for future research.

We present findings from town hall meetings held with ethnically diverse Black prostate cancer (CaP) survivors in 2022 and 2023. Four town halls (total participants, N = 265) focused on diagnosis, treatment, psychosocial support, and overall survivorship. Moderated by a long-term CaP survivor, each session featured a panel that included medical providers (urologic oncologists and clinical psychologists), as well as CaP survivors of American, Caribbean, and African origin and their spouses. Surveys captured demographic data, clinical information, CaP-specific details (for survivors only), and perceptions of the town halls. The meetings highlighted three interrelated themesinfluencing decision-making: access to comprehensive information, the strength of support networks, and the availability of culturally competent care. These town halls revealed important educational and support opportunities for ethnically diverse Black men with CaP, promoting informed decision-making throughout the cancer journey and improving quality of life while reducing decisional regret during survivorship.

The incidence of colorectal cancer (CRC) in younger adults has risen by about 1-2% annually in the past decade. TikTok has become a popular venue for the discussion of health information among young adults. This study analyzed the top 85 most-liked TikToks under the search terms "early colon cancer" and "young adult colon cancer," to evaluate their educational value. Data on the post uploader, content, analytics, and mentioned tips/symptoms were collected. Two independent researchers rated the quality of each video using a global quality score (GQS). The videos analyzed had a total of over 37 million views. Among them, 16.47% highlighted how misinformation contributed to delayed diagnoses, yet only 2.35% specifically educated viewers about such misinformation. Provider-posted content had higher GQS ratings than non-provider content (p < 0.05), indicating better quality, although total views were higher for non-provider content. The GQS did not differ significantly between highly viewed (> 100,000 views) and lower-viewed (≤ 100,000 views) videos. Our results highlight that TikTok is a key platform for engaging young adults about rising CRC rates, though increased expert engagement is needed to address current gaps in combating misinformation and promoting high-quality educational content.

To diversify the cancer research workforce, it is necessary to broaden the accessibility of audience appropriate training programs. Cancer research training opportunities for undergraduates are often geographically bound and have limited enrollment capacities. To address this problem, the Genomic Education team at The Jackson Laboratory designed a free, 2-week, virtual short course in cancer genomics open to students across the USA. Each summer students learn foundational concepts in cancer genomics while gaining valuable exposure to a range of careers in the field. We developed recruitment strategies prioritizing students who are underrepresented in research and successfully scaled the course without compromising the student experience by creating tiered levels of engagement and flexibility through a mix of synchronous and interactive asynchronous activities. This approach accommodates students who work or are otherwise unable to participate in mentored research away from their home institution. In addition to 1-h live sessions designed for didactic content delivery and interaction with researchers and clinicians, the course offers participants in the highest tier of engagement collaboration in small groups on an inquiry project at the intersection of cancer genomics and patient care. Formal assessment of student attitudes indicates significant benefits and gains from participation in this course. Greater than ninety percent of surveyed students indicated the course was an effective way to learn about cancer genomics, had a positive effect on their interest in science, and provided clarification of their career path, which attests to the value of creating accessible training formats for undergraduates who wish to engage in biomedicine.

Pediatric oncology patients present unique challenges for healthcare professionals and caregivers. Strategies to enhance pharmaceutical knowledge among patients and their families are crucial for improving treatment adherence, safety, and outcomes. The objective was to investigate the impact of pharmaceutical health education on caregivers' ability to understand and administer medications to pediatric patients with cancer. Using a quasi-experimental design, the study implemented Medication Therapy Management services, with pharmacists providing comprehensive education through booklets and personalized consultations on chemotherapy administration, side effect management, and home medication use. The study included 29 patients, with a mean age of 5.7 years and 51.7% female. Initially, 10.3% of caregivers reported significant difficulties in medication administration. After the intervention, no caregivers reported extreme difficulty, while significant improvements in medication administration ease (W = 06.0; p = 0.047) and caregiver knowledge (W = 0.00; p < 0.001). Caregivers also better understood the importance of medication for their children's treatment (W = 0.0; p = 0.053). The present study highlights the critical role of tailored health education in empowering caregivers in pediatric oncology care. Despite some limitations, this study demonstrated that individualized pharmacist-led interventions can significantly improve outcomes in complex pediatric oncology scenarios.

Early onset colorectal cancer has been linked to lifestyle-related risk factors. Emerging adulthood (ages 18-25) has the greatest changes to lifestyle health behaviors with implications for health outcomes. College students have moderate consideration of future cancer risk (CFC-CA) when navigating current health behavior choices. This study explored cancer prevention knowledge, attitudes and behavioral intentions in a subset of students with low, medium and high CFC-CA. Qualitative interviews were used to explore cancer prevention among a sample of college students. We identified a stratified sample (N = 43) of high CFC-CA (n = 16), medium CFC-CA (n = 14), and low CFC-CA (n = 13) students who agreed to complete a 60-min interview on Zoom. Interviews were transcribed verbatim, and transcripts were coded using an iterative, line-by-line approach. Group comparisons were completed after coding was complete. Students exhibited greatest awareness of highly publicized cancers including the lung, breast, and skin. Fifty-four percent of those with low CFC-CA and 87% with high CFC-CA believe that their current health behavioral intentions are protective against cancer. Most students want more cancer education regardless of CFC-CA level to know how they can reduce their cancer risk. Differences in preferred information sources (indirect vs direct) were identified for low versus higher CFC-CA, respectively. Students' preferences for cancer education were related to their CFC-CA scores. This could be used to tailor information content and delivery modality. Delivering cancer prevention education through means that facilitate internal reflection may be more effective for improving risk reduction behaviors.

Gamification and social networking can be used as active learning tools, as they have been shown to increase learner motivation. Nevertheless, it is unclear whether they impact students' knowledge acquisition. This study aimed to share an educational experience for medical students using Kahoot and TikTok as active teaching/learning tools and assessed whether they improve academic performance. A retrospective quasi-experimental study was conducted with 176 students enrolled in radiation oncology in the 2021/22 academic year (control group), who received traditional teaching, and 166 students in the 2022/23 academic year (experimental group), where Kahoot and TikTok were added to traditional teaching. Final exam results of both groups were compared to assess learning differences, as well as those of the experimental group in terms of participation in Kahoot and TikTok and their relationship with the final grade. Comparing the average exam scores of the experimental group to the control group showed an increase of 12.9% in the first group compared to the traditional group (6.02 vs. 7.31 points, p = 0.0001). In the experimental group, students who participated in Kahoot or TikTok increased their mean score by 0.54 points (p = 0.021) and 1.57 points (p = 0.040), respectively, compared to those who did not. A correlated increase in mean test scores was observed based on tool usage: none, Kahoot or TikTok, or both (6.19, 6.88 ± 1.48, and 7.51 ± 1.20 points, p = 0.019). Using Kahoot and TikTok as active learning tools for medical students improved academic performance when integrated with traditional methodology.