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Khalis M, Diaby M, Toure AB, Charaka H, Abousselham L, Belakhel L, Bendahhou K, Al Hassani W, Soliman AS, Nejjari C. The Past, Present, and Future of Professional Cancer Education in Morocco. J Cancer Educ 2021; 36:95-100. [PMID: 34046820 DOI: 10.1007/s13187-021-02039-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/24/2021] [Indexed: 06/12/2023]
Abstract
Cancer is the second leading cause of death in Morocco after cardiovascular diseases. Changes associated with societal and economic development, longevity of the population, and lifestyle changes contribute to increasing the burden of cancer in the Morocco. Despite the advances and achievements in cancer care in Morocco, more efforts are needed to better treat, control, and prevent cancer in Morocco. This manuscript illustrates the professional cancer education activities in Morocco over the past 10 years. The manuscript also illustrates the current cancer education and the needed future directions in the field in this middle-income country that is undergoing significant epidemiologic and lifestyle transitions and projections for increasing cancer incidence and mortality in the next few decades.
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Affiliation(s)
- Mohamed Khalis
- International School of Public Health, Mohammed VI University of Health Sciences, Boulevard Mohammed Taïeb Naciri, Commune Hay Hassani Casablanca, 82403, Casablanca, Morocco.
| | - Maladho Diaby
- International School of Public Health, Mohammed VI University of Health Sciences, Boulevard Mohammed Taïeb Naciri, Commune Hay Hassani Casablanca, 82403, Casablanca, Morocco
| | - Aly Badara Toure
- International School of Public Health, Mohammed VI University of Health Sciences, Boulevard Mohammed Taïeb Naciri, Commune Hay Hassani Casablanca, 82403, Casablanca, Morocco
| | - Hafida Charaka
- Department of Research and Development, Hassan II University Hospital of Fez, Fez, Morocco
| | - Loubna Abousselham
- Epidemiology and Disease Control Department, Ministry of Health of Morocco, Rabat, Morocco
| | - Latifa Belakhel
- Epidemiology and Disease Control Department, Ministry of Health of Morocco, Rabat, Morocco
| | | | - Wafaa Al Hassani
- Faculty of Nursing and Allied Health Sciences, Mohammed VI University of Health Sciences, Casablanca, Morocco
| | - Amr S Soliman
- Department of Community Health and Social Medicine, School of Medicine, City University of New York, New York, NY, USA
| | - Chakib Nejjari
- International School of Public Health, Mohammed VI University of Health Sciences, Boulevard Mohammed Taïeb Naciri, Commune Hay Hassani Casablanca, 82403, Casablanca, Morocco
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Al Balushi S, Al Rawahi Y, Al Kharusi W, Al Bahrani B, Al Baimani K, Meza J, Roubidoux MA, Chamberlain RM, Soliman AS. Needs for Cancer Education In Oman Based on the Breast Cancer Screening Program. J Cancer Educ 2021; 36:78-86. [PMID: 34105108 DOI: 10.1007/s13187-021-02037-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/24/2021] [Indexed: 06/12/2023]
Abstract
Most breast cancers in Oman are diagnosed at advanced stages and therefore early detection is important. The Oman Cancer Association (OCA) initiated a mobile mammography program in 2009, but no studies have evaluated its impact. This study aimed at estimating the proportion and predictors of OCA-screened women who had repeated mammography (adherence) and the sensitivity and specificity of the program. Demographic, screening, diagnosis, and treatment data of 13,079 women screened in the OCA mammography clinic from 2009 to 2016, and medical records of all breast cancer patients seen at Royal and Sultan Qaboos University hospitals during the same period were retrieved. Logistic regression analysis was conducted to identify predictors of adherence. A total of 8278 screened women over age 42 years (median age of 50 ± 8 years) were included in the study. Only 18% of initially negative screened women were compliant with recommended subsequent screening. Predictors of adherence included age (50-69 years), family history of cancer, family history of breast cancer, and breast self-examination. The overall cancer detection rate was 4.1/1000 screened women. Positive predictive value of screening was 4.7% with a sensitivity rate of 53% and specificity of 92%. This study showed a low mammography adherence among previously screened women. The study revealed low sensitivity, high specificity, and an acceptable cancer detection rate. Future programs should focus on improving data collection of screened women, maintaining the linkage of databases of screening and treatment clinics, and developing guidelines for breast cancer screening in Oman. The recommendations based on the study results should be incorporated into future professional, patient, and public cancer education programs.
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Affiliation(s)
| | | | | | | | - Khalid Al Baimani
- Oncology Unit, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman
| | - Jane Meza
- Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
| | - Marilyn A Roubidoux
- Division of Breast Imaging, Department of Radiology, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Robert M Chamberlain
- Department of Epidemiology, University of Texas, MD Anderson Cancer Center, Houston, TX, USA
- Department of Community Health and Social Medicine, School of Medicine, City University of New York, 160 Convent Avenue, New York, NY, 10031, USA
| | - Amr S Soliman
- Department of Community Health and Social Medicine, School of Medicine, City University of New York, 160 Convent Avenue, New York, NY, 10031, USA.
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Ezelle HJ, Geiman T, Schnaper LA, Cullen KJ, Lapidus RS, Hassel BA. A Translational Approach to Cancer Research, Education and Training. J Cancer Educ 2021; 36:621-629. [PMID: 31907826 PMCID: PMC7384627 DOI: 10.1007/s13187-019-01675-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The demand for biomedical researchers and health science professionals has increased over the past several decades. This need is particularly acute in the fields of cancer research and oncology in which technological advances have fueled an unprecedented pace of laboratory discoveries and their applications in novel diagnostic and therapeutic strategies. Internships that expose undergraduate students to cancer research and patient care serve an important function in meeting this need by educating trainees about careers in this field and inspiring them to pursue these professional paths. Moreover, the translational impetus of cancer research incorporates research, regulatory, business, and clinical components, providing students with even more cancer-focused career options. With the goal of providing hands-on experiences in cancer research and oncology to undergraduate students who comprise the next generation of cancer physician-scientists and will fill this demand in our professional workforce, the Nathan Schnaper Intern Program in Translational Cancer Research (NSIP) has grown from a small laboratory-based local summer internship to a competitive national program. In this study, we evaluate three new modules of the NSIP research, education, and clinical components that have been implemented in the first 2 years of National Cancer Institute Cancer Research Education Grants Program funding. The impact of these modules on intern satisfaction, learning, and near-term career trajectory is assessed to identify the most effective approaches and key measures of program outcomes.
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Affiliation(s)
- Heather J Ezelle
- University of Maryland Greenebaum Comprehensive Cancer Center, 108 N. Greene St., Baltimore, MD, 21201, USA
| | - Theresa Geiman
- Department of Biology, Loyola University Maryland, 4501 N. Charles Street, Baltimore, MD, 21210, USA
| | - Lauren A Schnaper
- Greater Baltimore Medical Center, Berman Comprehensive Breast Care Center, 6701 N. Charles St, Towson, MD, 21204, USA
| | - Kevin J Cullen
- University of Maryland Greenebaum Comprehensive Cancer Center, 108 N. Greene St., Baltimore, MD, 21201, USA
| | - Rena S Lapidus
- University of Maryland Greenebaum Comprehensive Cancer Center, 108 N. Greene St., Baltimore, MD, 21201, USA
| | - Bret A Hassel
- University of Maryland Greenebaum Comprehensive Cancer Center, 108 N. Greene St., Baltimore, MD, 21201, USA.
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Pavlidis N, Peccatori F, Aapro M, Eniu A, Stahel R, Cervantes A, Cavalli F, Costa A. ESO-ESMO Masterclass in Clinical Oncology: Analysis and Evaluation of the Learning Self-Assessment Test. J Cancer Educ 2021; 36:556-560. [PMID: 31845109 DOI: 10.1007/s13187-019-01664-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Masterclass in Clinical Oncology (MCO) represents the "key educational event" of European School of Oncology's (ESO) teaching program. MCO in collaboration with European Society for Medical Oncology (ESMO) is a multidisciplinary and clinical oriented educational event offered mainly to young oncologists worldwide. It provides full immersion in oncology with clinical case presentations and a Learning Self-Assessment Test (LSAT).LSAT is consisting of 45 multiple choice questions on an electronic platform referring to the material taught during the MCO. Three questions related to their topics are requested in advance from each faculty member. The major intentions of LSAT are the following: (a) the learning reflection of the massive information given during 4-5 days of intensive teaching and (b) to offer the opportunity to the participants to prepare themselves for their National Boards or for ESMO examination.In this article, we are analyzing and evaluating the results of LSAT from the ESO-ESMO Central European MCOs. We used the information of Central European MCOs for analysis due to the homogeneity of the available data. We assessed the level of participants' knowledge in relation to their oncology specialty or to their country of origin and the level of the quality of faculty teaching.
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Affiliation(s)
- Nicholas Pavlidis
- University of Ioannina, Ioannina, Greece.
- Career Development Programme, ESO, Milan, Italy.
| | - Fedro Peccatori
- Fertility and Procreation Unit, Gynecologic Oncology Programme, European Institute of Oncology, Milan, Italy
| | - Matti Aapro
- Breast Center, Genolier Cancer Centre, Genolier, Switzerland
| | - Alexandru Eniu
- Cancer Institute Prof Dr I.Chiricuta, Cluj-Napoca, Romania
| | - Rolf Stahel
- University Hospital of Zurich, Zurich, Switzerland
| | - Andres Cervantes
- Department of Medical Oncology, University of Valencia, Valencia, Spain
| | - Franco Cavalli
- Oncology Institute of Southern Switzerland, Bellinzona, Switzerland
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Iverson N, Subbaraj L, Babik JM, Brondfield S. Evaluating an Oncology Video Curriculum Designed to Promote Asynchronous Subspecialty Learning for Internal Medicine Residents. J Cancer Educ 2021; 36:422-429. [PMID: 33515204 PMCID: PMC7846051 DOI: 10.1007/s13187-021-01968-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 01/24/2021] [Indexed: 05/05/2023]
Abstract
Internal medicine (IM) residents frequently see patients in subspecialty clinics. However, there are few published core subspecialty curricula targeted to residents' learning and practical needs, and little guidance exists regarding delivery of core subspecialty content to residents rotating across multiple clinical sites. Our study objective was to evaluate a novel oncology video curriculum for IM residents as a model for asynchronous subspecialty resident learning. Using the cognitive theory of multimedia learning, we developed a five-part oncology video curriculum targeted specifically to the needs of IM residents. All second- and third-year residents rotating in oncology clinics from October 2018 to March 2019 at a single training program were invited to participate. We evaluated curricular demand, efficacy, and acceptability, using completion rates, knowledge tests, and a survey. Twenty-eight of 31 (90.3%) residents utilized the curriculum. Resident knowledge improved after utilizing the modules, by 36.9% from pre- to posttests (95% CI [31.3-42.5]; P<0.001) and 13.7% from pre- to delayed posttests (95% CI [7.5-20.0]; P<0.001). Twenty-four of 31 (77.4%) answered the survey. Most residents agreed or strongly agreed that the curriculum contributed to their knowledge (95.2%) and added educational value beyond the clinical rotation (93.1%). Our curriculum evaluation supports the asynchronous delivery of oncology education targeted to the learning needs of IM residents using a novel core video curriculum. These curricular methods provide a model for delivering subspecialty education to IM residents with complex and busy schedules.
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Affiliation(s)
- Nicholas Iverson
- Division of Hospital Medicine, San Francisco General Hospital and Trauma Center, Department of Medicine, University of California, San Francisco, CA, USA.
| | - Lakshmi Subbaraj
- School of Medicine, University of California, San Francisco, CA, USA
| | - Jennifer M Babik
- Division of Infectious Diseases, Department of Medicine, University of California, San Francisco, CA, USA
| | - Sam Brondfield
- Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, CA, USA
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Sugisaki K, Ueda S, Yako-Suketomo H, Monobe H, Ueji M, Mori R, Watanabe M, Eto T. Cancer Awareness and Understanding of Students in Japan: What Do Students Having Close Relatives with Cancer Think About the Disease? J Cancer Educ 2021; 36:92-99. [PMID: 31418158 DOI: 10.1007/s13187-019-01602-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Students have become more familiar with cancer because of media, such as television or the Internet, reporting on celebrity cancer cases. Moreover, with Japan's increasing age and cancer rates, the number of students whose parents/relatives develop cancer is likely to increase. This study examined cancer awareness and understanding among students aged 10 to 16 or more. A cross-sectional nationwide survey was conducted using a self-administered questionnaire. Cancer awareness and cancer understanding were assessed using a self-administered questionnaire. We collected a total of 9139 questionnaires and excluded those with missing data. Thus, we analyzed the responses of 8701 students: 2135, 2902, and 3664 from elementary, junior, and high school, respectively. Data were analyzed using a multivariable model adjusted for gender and grade. Approximately 30% of respondents had parents/relatives with cancer. In addition, there was a significant association between having parents/relatives with cancer and cancer awareness; however, students having parents/relatives with cancer had more negative awareness (i.e., "I think cancer is scary," "I think I will get cancer in the future," and "I think cancer is preventable"). Furthermore, there was a significant association between cancer understanding and awareness. These findings suggest that cancer education could have a desirable effect on students whose parents/relatives have cancer. Further, cancer education offers benefits to students who are naive about cancer and ill prepared to cope when a family member discloses a cancer diagnosis.
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Affiliation(s)
- Koshu Sugisaki
- Department of Health and Sports, Niigata University of Health and Welfare, 1398, Shimamicho, Kita-Ku, Niigata City, Niigata Prefecture, 950-3198, Japan.
| | - Seiji Ueda
- Faculty of Liberal Arts, University of the Sacred Heart, Tokyo, Shibuya-ku, Tokyo, Japan
| | - Hiroko Yako-Suketomo
- Faculty of Sports and Health Sciences, Japan Women's College of Physical Education, Setagaya-ku, Japan
| | - Hirofumi Monobe
- College of Education, Yokohama National University, Yokohama City, Japan
| | - Masaru Ueji
- Faculty of Education, Ibaraki University, Mito City, Japan
| | - Ryoichi Mori
- School of Physical Education, Tokai University, Hiratsuka City, Japan
| | - Masaki Watanabe
- Faculty of Education, Tokyo Gakugei University, Koganei City, Japan
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Miguel CA, Paskett ED, Fisher JL, Fickle DK, Washington CM, Degraffinreid C, Tatum C, Gray II DM. Scripted tours through a giant inflatable colon: An innovative and effective educational tool in urban communities. Prev Med Rep 2020; 20:101248. [PMID: 33294315 PMCID: PMC7695982 DOI: 10.1016/j.pmedr.2020.101248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 09/22/2020] [Accepted: 11/08/2020] [Indexed: 01/05/2023] Open
Abstract
Colorectal cancer (CRC) is the second leading cause of cancer-related death among men and women in the US and mortality rates are increasing among young adults. Although CRC is largely preventable with screening and often curable when detected at an early stage, many age-appropriate individuals remain unscreened or are not currently up-to-date with screening. We aimed to examine the impact of providing guided, scripted tours through an inflatable colon on three domains: CRC knowledge, likelihood of communicating about CRC with others, and the intention to be screened for CRC in a diverse, urban population. The inflatable walk-through colon was exhibited at five community events in Franklin County, Ohio between March 2015 and August 2016. A pre and posttest research design and composite scores were stratified into three age groups (<45 years, 45-49 years and ≥ 50 years of age). Descriptive statistics were used to describe and compare demographic characteristics. Logistic regression was used to examine potential associations between demographic factors and the three outcomes of interest. These tours led to statistically significant increases in CRC knowledge, communication, and intention to undergo CRC screening among participants in all three age cohorts. In addition, the intention of undergo screening after a tour among individuals<45 years of age were nearly three times that of those older than 50 (OR = 2.66; 95%CI = 1.49-4.75). Overall, this study supports the use of scripted tours through an inflatable colon exhibit as a potentially effective intervention to increase age-appropriate CRC screening uptake.
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Affiliation(s)
| | - Electra D. Paskett
- The Ohio State University College of Medicine, Columbus, OH, USA
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA
| | - James L. Fisher
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA
| | - Darla K. Fickle
- The Ohio State University College of Medicine, Columbus, OH, USA
| | | | | | - Cathy Tatum
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA
| | - Darrell M. Gray II
- The Ohio State University College of Medicine, Columbus, OH, USA
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA
- The Division of Gastroenterology, Hepatology and Nutrition. The Ohio State University College of Medicine, Columbus, OH, USA
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Turner A, Burlein-Hall S, Gandhi M. The implementation of a novel patient symptom screening tool: The Odette Cancer Centre (OCC) experience. J Med Imaging Radiat Sci 2020; 51:546-549. [PMID: 32943361 DOI: 10.1016/j.jmir.2020.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 07/21/2020] [Accepted: 08/04/2020] [Indexed: 10/23/2022]
Abstract
AIM In 2017, as part of a readiness plan for the launch of a novel symptom screening tool for prostate cancer patients, an interprofessional working group was assembled at Odette Cancer Centre (OCC). A provincial Phase II pilot for the tool had stated (based on stakeholder feedback) that there was a need to: "Develop training and resources for patients and clinicians that facilitate the interpretation of patient reported outcomes measures (PROMs) …." With this recommendation in mind, the working group aimed to develop and implement a training and education plan. The plan would support healthcare professionals (HCPs) in their clinical response to the PROM tool symptom screening scores.The aim was to encourage evidence based symptom management and therefore improve care for patients. PROCESS A questionnaire was developed to elicit information regarding HCP's comfort level and knowledge related to issues experienced by prostate cancer patients. The issues were categorised according to the domains identified within the screening tool, i.e., bowel, urinary, sexual and hormonal/vitality domains. The questionnaire was emailed to all identified stakeholders via institutional email. Feedback from the questionnaire was utilised to develop an education work plan. Five education sessions were developed with pre session materials shared via email. Each session was evaluated via an anonymous and voluntary three item questionnaire completed at the end of each session. Chart audits of 20 prostate cancer patients' electronic medical records (EMR) were carried out pre and post launch of the education program and the novel screening tool. The audit process was to support assessment of any changes in HCPs clinical response to prostate cancer patient issues. RESULTS There were 50 responses to the preliminary needs assessment questionnaire (approximately 29% response rate). The sexual health domain was identified as the one with which HCPs had the least knowledge and comfort level. Five education sessions were developed and carried out with an average attendance of 14 HCPs from a variety of disciplines. Feedback demonstrated that the majority of attendees agreed or strongly agreed that the sessions increased their knowledge on each of the topics and that they were deemed useful for their clinical practice.The audit data showed differences in documentation of patient issues pre and post education program and implementation of the novel screening tool. CONCLUSIONS Employing a systematic approach, with interprofessional engagement, can support successful adoption of new initiatives such as a novel site specific screening tool. Ongoing assessment of HCPs education needs can be carried out using this process. Establishing a database of resources to facilitate independent education may be useful for some HCPs.
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Affiliation(s)
- Angela Turner
- Sunnybrook Odette Cancer Centre, Toronto, Ontario, Canada; University of Toronto, Ontario, Canada.
| | | | - Manisha Gandhi
- Sunnybrook Odette Cancer Centre, Toronto, Ontario, Canada
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Acuna N, Vento I, Alzate-Duque L, Valera P. Harnessing Digital Videos to Promote Cancer Prevention and Education: a Systematic Review of the Literature from 2013-2018. J Cancer Educ 2020; 35:635-642. [PMID: 31707640 DOI: 10.1007/s13187-019-01624-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Social media has transformed the way cancer patients search for information about their chronic health problems. The purpose of this systematic review is to identify the use of online digital videos to increase cancer knowledge and to understand information preference, behavioral changes, and attitudes towards online cancer education videos. The databases used for this review included MedLine, PsychINFO, and PubMed. These medical databases were used to locate peer-reviewed academic journals from 2013-2018 using the following MeSH terms: "cancer education videos," "cancer prevention videos," and "cancer education digital videos." A total of 4996 articles were retrieved from the initial search, and 33 articles were reviewed. Articles were excluded if videos did not (1) focus on cancer education and prevention; (2) posted on an online platform; and (3) assessed participants' knowledge, attitude, or beliefs about cancer. Eleven articles were found to meet inclusion criteria for final review. All of the studies focused on increasing education on preventive health behaviors (i.e., sunscreen use, smoking, and diet) and/or early detection strategies (i.e., screening testing and/or self-skin exams). While online digital health videos have the potential to improve health outcomes, issues related to technology access and health literacy must be considered when developing online health education videos.
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Affiliation(s)
- Nicholas Acuna
- Cancer Health Justice Lab, Rutgers University School of Public Health, Newark, NJ, 07102, USA
- Department of Biostatistics and Epidemiology, Rutgers University School of Public Health, Piscataway, NJ, 08854, USA
| | - Ismary Vento
- Cancer Health Justice Lab, Rutgers University School of Public Health, Newark, NJ, 07102, USA
- Department of Health Behavior, Society and Policy, Rutgers University School of Public Health, Piscataway, NJ, 08854, USA
| | - Luis Alzate-Duque
- Cancer Health Justice Lab, Rutgers University School of Public Health, Newark, NJ, 07102, USA
- Department of Urban-Global Public Health, Rutgers University School of Public Health, Newark, NJ, 07102, USA
- Rutgers New Jersey Medical School, Newark, NJ, 07103, USA
| | - Pamela Valera
- Cancer Health Justice Lab, Rutgers University School of Public Health, Newark, NJ, 07102, USA.
- Department of Urban-Global Public Health, Rutgers University School of Public Health, Newark, NJ, 07102, USA.
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Alawa J, Hamade O, Alayleh A, Fayad L, Khoshnood K. Cancer Awareness and Barriers to Medical Treatment Among Syrian Refugees and Lebanese Citizens in Lebanon. J Cancer Educ 2020; 35:709-717. [PMID: 30924080 DOI: 10.1007/s13187-019-01516-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The Syrian conflict has forced over a million refugees into Lebanon, which now faces the challenge of providing healthcare for this large, vulnerable population. Syrian refugees and Lebanese citizens suffer from an immense burden of cancer and encounter many barriers to obtaining healthcare. An increase in cancer awareness could prompt earlier diagnosis and treatment. This study aims to evaluate the level of cancer awareness and barriers to medical treatment among Syrian refugees and Lebanese citizens in Lebanon. A descriptive cross-sectional survey design was used. Four hundred seventeen Syrian refugees and 319 Lebanese citizens seeking healthcare in Lebanon completed the Cancer Awareness Measure. The mean age of Syrian refugees and Lebanese citizens was 33.8 years (SD 11.9) and 41.7 years (SD 16.3), respectively. Syrian refugees and Lebanese citizens were only able to recognize a low number of cancer symptoms (mean 4.2 (out of 9), SD 2.4 and 3.9, SD 2.3, respectively) and risk factors (mean 5.1 (out of 11), SD 2.6 and 5.2, SD 2.9, respectively). Barriers to seeking medical care were prevalent. The most commonly reported barrier among both samples was having no medical insurance or funds to cover the cost of treatment (78.9% and 67.7%, respectively). A comprehensive restructuring of the Lebanese healthcare system and a massive influx of resources are required for Syrian refugees and Lebanese citizens to obtain adequate access to cancer treatment. To encourage early diagnosis and treatment, much more work is needed to overcome barriers and enhance knowledge of cancer.
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Affiliation(s)
| | - Omar Hamade
- Santa Clara University, Santa Clara, CA, USA
| | - Amin Alayleh
- University of California San Diego, San Diego, CA, USA
| | - Luna Fayad
- University of Miami, Coral Gables, FL, USA
| | - Kaveh Khoshnood
- Yale School of Public Health, 60 College Street, Ste 405, New Haven, CT, 06510, USA.
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Abittan B, Pachtman S, Herman S, Indelicato J, Herman J. Perception of Breast Cancer Risk in Over 11,000 Patients During Routine Mammography Exam. J Cancer Educ 2020; 35:782-787. [PMID: 31062279 DOI: 10.1007/s13187-019-01530-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
To assess women's knowledge of personal breast cancer risk. Additionally, we aimed to determine how often physicians are discussing individualized risk assessments of breast cancer with their patients, and if those discussion affected risk perception. Surveys were distributed in radiology centers in New York and made available to patients presenting for routine mammography. As exact number of patients who viewed the survey is unknown, response rate could not be assessed. Data from the survey was used to calculate each patient's personal breast cancer risk using the National Cancer Institute Breast Cancer Risk Assessment Tool. Each patient's actual breast cancer risk was compared to her perceived risk. 15,006 subjects submitted the survey and 11,365 were included in the final analysis. Fourteen percent of women were accurate in their 5-year estimation as compared to calculated risk, and only 7% of respondents were accurate in their estimation of risk by 90 years of age. There was no association between time since discussion of breast cancer risk and accuracy of estimating personal breast cancer risk (p = 0.17). There was no difference in risk estimation accuracy between women who had ever or had never discussed risk with her physician (p = 0.1064). Patients' perceived personal risk of developing breast cancer does not match the Gail model calculated risk. These findings hold true whether or not her physician had discussed personal breast cancer risk with her in the past. Further studies should determine effective strategies to educate patients about their breast cancer risk.
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Affiliation(s)
- Baruch Abittan
- Department of Obstetrics and Gynecology, Long Island Jewish Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 270 - 05 76th Avenue, New Hyde Park, NY, 11040, USA.
| | - Sarah Pachtman
- Department of Obstetrics and Gynecology, Long Island Jewish Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 270 - 05 76th Avenue, New Hyde Park, NY, 11040, USA
| | - Sarah Herman
- University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Joseph Indelicato
- Department of Psychology, The Touro College School of Health Sciences, Bay Shore, NY, USA
| | - Jonathan Herman
- Department of Obstetrics and Gynecology, Long Island Jewish Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 270 - 05 76th Avenue, New Hyde Park, NY, 11040, USA
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Richards C, Thomas-Purcell KB, Vemulapalli KC, Primus-Joseph M, McBurnie-James A, Standifer M, Ashing K. Woman to Woman: Implementation of a Cervical Cancer Education Training Program for Grenadian Lay Health Advisors. J Cancer Educ 2020; 35:557-562. [PMID: 30788676 DOI: 10.1007/s13187-019-01495-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The reduction in cervical cancer (CC) in developed countries, due mainly to Pap testing, has not filtered down to Caribbean countries including Grenada despite accessible screening. This is attributed to a lack of knowledge and low screening. Researchers in low resource settings successfully trained lay health advisors (LHAs), using theory-based, culturally relevant interventions to reverse this trend. The use of LHAs in Grenada was not documented in the literature; therefore, the purpose of this study was to implement and evaluate a culturally relevant curriculum in an effort to educate Grenadian LHAs on CC. Using convenience sampling, 8 Grenadian women were recruited from the parishes with the highest rates of CC. They participated in Woman to Woman (W2W), a 2-day CC, and human papilloma virus (HPV) prevention education program facilitated by local content experts. W2W was adapted from an evidence-based curriculum and tailored for the Grenadian context. Training consisted of modules on CC and HPV. Knowledge of LHAs was measured pre- and post-intervention. Summative evaluation was assessed using a focus group discussion. There was a significant increase in CC knowledge among LHA post-training (p < 0.05) and LHAs had positive opinions about the intervention. They had an enhanced sense of self-efficacy and valued feeling part of a team. The W2W results indicated that an evidence-based and culturally tailored educational intervention has the potential for significant gains in CC and HPV knowledge. Future research will evaluate the LHA-led CC and HPV educational intervention in the community setting.
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Affiliation(s)
- C Richards
- Department of Public Health and Preventive Medicine, School of Medicine, St. George's University, St. George's, Grenada
| | - K B Thomas-Purcell
- College of Health Care Sciences, Department of Health Science, Nova Southeastern University, Fort Lauderdale, FL, USA.
| | - K C Vemulapalli
- Department of Public Health and Preventive Medicine, School of Medicine, St. George's University, St. George's, Grenada
| | - M Primus-Joseph
- Turks and Caicos Islands Community College, Cockburn, Grand Turk, Turks and Caicos Islands
| | - A McBurnie-James
- Ministry of Health St. George's Grenada General Hospital, St. George's, Grenada
| | - M Standifer
- Rehabilitation Outcomes Research Section, James A. Haley VA Hospital, Tampa, FL, USA
| | - K Ashing
- Center of Community Alliance for Research & Education, Division of Health Equity, City of Hope Medical Center, Duarte, CA, USA
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63
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Pavlidis N, Peccatori FA, Aapro M, Eniu A, Kay S, Rolfo C, Cavalli F, Costa A. The impact of the European School of Oncology masterclass in clinical oncology on self-professional development. Crit Rev Oncol Hematol 2020; 151:102976. [PMID: 32389896 DOI: 10.1016/j.critrevonc.2020.102976] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 04/24/2020] [Indexed: 12/27/2022] Open
Abstract
We investigated the impact of the European School of Oncology's (ESO) Masterclass (MCO) in Clinical Oncology on the career development of young participants. MCO represents the flagship educational activity of ESO and is organized annually, mostly in collaboration with the European Society for Medical Oncology (ESMO) in five different geographical regions. A questionnaire consisting of 21 questions was sent to all doctors who attended the ESO MCOs from 2009 to 2016. The 228 responders were mostly from European countries and hold the specialty of Medical Oncology. Ninety-five percent of them evaluated ESO MCOs as "extremely useful" or "useful" for their professional career. Around 60% were trained at University Hospitals or Cancer Institutes and currently, one-third of them are employed in Academic Centers. Eighty percent have performed translational or clinical research and 77.5% were able to publish in pertinent international journals. The contribution of ESO MCOs to trainees' career development in different oncology disciplines around the world is discussed.
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64
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Joshi SV, Chaudhari HR, Chaudhari NA. Effect of Education on Awareness, Knowledge, and Willingness to Be Vaccinated in Females of Western India. J Cancer Educ 2020; 35:61-68. [PMID: 30460493 DOI: 10.1007/s13187-018-1440-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Cervical Cancer is the second most leading cause of death among Indian women. Infection by human papillomavirus (HPV) is one of the major causes of cervical cancer. Two prophylactic HPV vaccines approved and recommended for adolescents and young women in India. However, due to lack of appropriate knowledge, education, resources, and proper communication, these tools have little impact on disease burden. It is important to understand attitude, knowledge, and beliefs of females about HPV, cervical cancer, and HPV vaccine. Hence, the present study aimed to check awareness, educate females about cervical cancer and HPV vaccine, and evaluate the major hurdles in acceptability of HPV vaccine. Total 693 females of age 16 to 40 years of diverse background were enrolled in the study. Questionnaires were prepared to assess knowledge about cervical cancer and HPV vaccine before and after education and impact of knowledge on willingness to administer the vaccine. Education was given with the help of concern physicians. Final follow-up was done after 1 month to assess the attitude towards vaccination. The overall awareness before education was found to be 20.63%; maximum in females of medical (51.37%), and paramedical background (33.33%). Improvement after education was observed in terms of improved information about etiology, symptoms, precautions, and vaccination for cervical cancer. Acceptability of HPV vaccine was found to be poor (40.11% refused to undergo vaccination and 32.17% were in dilemma/unable to decide). Besides religious beliefs, high cost of the vaccine and unavailability of proper and convincing information about the vaccine would be the chief reasons for poor acceptability of HPV vaccine.
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Affiliation(s)
- Shrikant V Joshi
- Department of Pharmacology, Maliba Pharmacy College, Maliba Campus, Bardoli-Mahuva Road, Tarsadi, Surat, Gujarat, 394350, India.
| | - Hiral R Chaudhari
- Department of Pharmacology, Maliba Pharmacy College, Maliba Campus, Bardoli-Mahuva Road, Tarsadi, Surat, Gujarat, 394350, India
| | - Nehal A Chaudhari
- Department of Pharmacology, Maliba Pharmacy College, Maliba Campus, Bardoli-Mahuva Road, Tarsadi, Surat, Gujarat, 394350, India
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65
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O'Connor KL. Building a Cancer Education Program in the Modern Era: Lessons from Stone Soup. J Cancer Educ 2020; 35:205-209. [PMID: 30887313 PMCID: PMC6751031 DOI: 10.1007/s13187-019-01514-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In 2017, the National Cancer Institute (NCI) announced new guidelines for the Cancer Center Support Grant (CCSG) application that requires reporting on education and career development activities in a section entitled, "Cancer Research Career Enhancement and Related Activities" (CRCERA). While these cancer education and training programs previously have been a required part of the CCSG application, the new guidelines require greater rigor in conducting and reporting these endeavors. In this commentary, I give my perspective of how I have built a cancer education program, first as a program director and then as an associate director of cancer education and mentoring, the critical role leadership plays in the process, and how I have recruited contributors to this educational "stone soup."
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Affiliation(s)
- Kathleen L O'Connor
- Markey Cancer Center and Department of Molecular and Cellular Biochemistry, University of Kentucky, 760 Press Avenue, RB2 Room 344, Lexington, KY, 40536, USA.
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66
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Sulakvelidze N, Burdick B, Kaklamani V, Tilton K, Baker K, Kim J, Javid S, Gralow JR. Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study. J Cancer Educ 2019; 34:1234-1240. [PMID: 31359374 DOI: 10.1007/s13187-019-01578-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Newly diagnosed breast cancer patients seek information through a variety of sources. In this small pilot study, we evaluated the feasibility of providing personalizable breast cancer video education prior to the first oncology consultation and compared outcomes to patients receiving standard of care educational materials. Personalized videos included detailed information on a patient's specific grade, stage, and tumor subtype (e.g., grade 2, stage 3, triple negative breast cancer) in addition to general videos that defined the terms of grade, stage, and cancer subtype. Newly diagnosed breast cancer patients who were scheduled for an initial oncology appointment at two sites were enrolled in this prospective, randomized control trial. Twenty-eight patients were assigned to receive either video education (experimental group) with the possibility of personalization or a video explaining how to view cancer education materials at the cancer center website (control group). Sixteen oncologists at the two centers also participated in evaluating patient outcomes. Pre- and post-education surveys queried patient-perceived understanding of breast cancer and treatment, perceived ability for decision-making, confidence in providers, and anxiety and depression symptoms. We observed that patients given video education had greater improvements in some of these areas, with the biggest improvement seen in patients who received a personalized video on their specific tumor subtype (based on tumor receptor status). Overall, however, there were no statistically significant differences between the study groups. We conclude that providing personalized video education during the time prior to first oncologic consultation is feasible and may provide benefit for patients, especially for explaining complex components of a diagnosis, such as a cancer subtype. Further research is needed to determine how to optimally provide education tailored to a given patient and tumor type, and how to leverage patients' electronic devices as an education delivery vehicle.
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Affiliation(s)
| | - Brian Burdick
- University of Washington School of Medicine, Seattle, WA, USA
- Department of Medicine, Division of Hematology and Oncology, University of Texas Health Science Center - San Antonio, San Antonio, TX, USA
- Division of Breast Oncology, Seattle Cancer Care Alliance, Seattle, WA, USA
- Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA, USA
- Department of Surgery, Division of Oncology, University of Washington School of Medicine, Seattle, WA, USA
- Department of Medicine, Division of Medical Oncology, University of Washington School of Medicine, Seattle, WA, USA
| | - Virginia Kaklamani
- Department of Medicine, Division of Hematology and Oncology, University of Texas Health Science Center - San Antonio, San Antonio, TX, USA
| | - Kay Tilton
- Division of Breast Oncology, Seattle Cancer Care Alliance, Seattle, WA, USA
| | - Kelsey Baker
- Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Janice Kim
- Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA, USA
| | - Sara Javid
- Department of Surgery, Division of Oncology, University of Washington School of Medicine, Seattle, WA, USA
| | - Julie R Gralow
- Department of Medicine, Division of Medical Oncology, University of Washington School of Medicine, Seattle, WA, USA
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Abstract
Hispanics are under-represented in clinical research. To ensure that the Hispanic population benefits from advances in public health and medicine, including personalized medicine, there is a need to increase their participation in clinical trials and biobanking. There is a great need for improving awareness and addressing concerns individuals may have about participation. The purpose of this study was to adapt, implement, and evaluate educational materials about clinical trials and biobanking for Hispanic individuals. We adapted existing materials based on focus group data. We then trained four promotoras de salud to deliver education to Hispanic adults in community settings in Houston, TX. The promotoras educated 101 Hispanic adults, 51 on biobanking and 50 on clinical trials. Study staff administered brief pre- and post-test questionnaires that measured benefits, barriers, norms, self-efficacy, and intention to participate in either clinical trials or biobanking. Our sample was predominately female (83%) and Spanish-speaking (69%) and made less than $25,000 a year (87%). This intervention increased perceived benefits of participating in biobanking and clinical trials, self-efficacy for donating biospecimens, and intention to participate in biobanking if invited. Perceived barriers to participating declined. This study demonstrated that brief education can result in improved perceptions and attitudes related to participation in biobanking and clinical trials, and could increase participation. Researchers and practitioners could use these educational materials to educate Hispanic community members on clinical research potentially increasing participation rates in the future.
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Affiliation(s)
- M Lizette Rangel
- Department of Behavioral Science, MD Anderson Cancer Center, Houston, TX, USA.
| | - Natalia I Heredia
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, USA
- Center for Health Promotion and Prevention Research, UTHealth School of Public Health, Houston, TX, USA
| | - Belinda Reininger
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Brownsville Regional Campus, Brownsville, TX, USA
| | - Lorna McNeill
- Department of Health Disparities, MD Anderson Cancer Center, Houston, TX, USA
| | - Maria E Fernandez
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, USA
- Center for Health Promotion and Prevention Research, UTHealth School of Public Health, Houston, TX, USA
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Hempstead B, Green C, Briant KJ, Thompson B, Molina Y. Community Empowerment Partners (CEPs): A Breast Health Education Program for African-American Women. J Community Health 2019; 43:833-841. [PMID: 29488155 DOI: 10.1007/s10900-018-0490-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Peer educators have been shown to provide effective interventions in breast cancer screening. Few studies have compared the effects of peer education on breast cancer knowledge among peer educators and the community members who are subsequently reached through the peer education. Further, little is known as to whether those who received the education then go on to educate others in the community. The purpose of this study is to address those gaps. Using a pre- and post-test study design, we trained peer educators, provided the educators with resources to train community members, and assessed changes in knowledge. We sought to train ten educators and recommended each train ten community members in breast cancer knowledge and screening strategies. A total of 14 peer educators were trained, who subsequently trained a total of 121 community members, of whom 94 were African American women. Peer educators and community members, showed comparable increases in knowledge. Community members who were educated also increased intention to discuss breast cancer and breast cancer screening with their family, friends, and acquaintances. Our study suggests that it is feasible to train peer educators to increase knowledge among community members to the same level that they themselves experience when trained. Further, community members are interested in sharing information learned related to how much they learn from peer educators.
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Affiliation(s)
| | - Cynthia Green
- Cierra Sisters, Inc., P.O. Box 1634, Renton, WA, 98057, USA
| | - Katherine J Briant
- Health Disparities Research Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, M3-B232, Seattle, WA, 98109, USA.
| | - Beti Thompson
- Health Disparities Research Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, M3-B232, Seattle, WA, 98109, USA
| | - Yamile Molina
- University of Illinois at Chicago, 1603 West Taylor Street, MC923, Chicago, IL, 60622, USA
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69
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Pavlidis N, Peccatori F, Aapro M, Rolfo C, Cervantes A, Stahel R, Eniu A, Cavalli F, Costa A. Changing the education paradigm in oncology: ESO masterclass, 17 years of continuous success. Crit Rev Oncol Hematol 2019; 146:102798. [PMID: 31918958 DOI: 10.1016/j.critrevonc.2019.07.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
In this review, we summarize the history of the 41 Masterclasses in Clinical Oncology (MCO) organized by ESO or ESO-ESMO during the last 17 years. MCOs have been held in five different geographical regions including: a) Central Europe, b) Eastern Europe and Balkans, c) Baltic and Euroasia, d) Arab World and Southern European Countries and e) Latin America. More than 2.000 young oncologists have attended and more than 250 distinguished faculty members have actively participated. The program exposes students to sessions covering all major tumors ("big killers") and to spotlights updating information on various important cancers and related topics. Participants are able to present their own clinical case in front of a tumor board or in parallel group sessions and are evaluated by a Learning Assessment Test (LAT) at the end of the event. They are asked to discuss the programme, using a questionnaire on the goals, quality and organization of the MCOs, which has been very highly scored by most of the participants. The Masterclass in Clinical Oncology has become the major educational event of ESO, intending to educate young oncologists from various countries within or outside Europe, providing an up-to-date interactive program based on solid evidence for all presented topics.
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Affiliation(s)
- Nicholas Pavlidis
- University of Ioannina, Career Development Programme, European School of Oncology, Greece.
| | - Fedro Peccatori
- Gynecologic Oncology Department, European Institute of Oncology IRCCS, Milan, Italy
| | - Matti Aapro
- Breast Center, Genolier Cancer Centre, Genolier, Switzerland
| | - Christian Rolfo
- University of Maryland and Stewart Greenebaum Comprehensive Cancer Centre, Baltimore, USA
| | - Andres Cervantes
- Department of Medical Oncology, Biomedical Research Institute INCLIVA, CIBERONC, University of Valencia, Valencia, Spain
| | - Rolf Stahel
- Chair Comprehensive Cancer Centre Zurich, Univeritatspital Zurich, Zurich, Switzerland
| | - Alex Eniu
- Cancer Institute Prof Dr I. Chiricuta, Cluj-Napoca, Romania
| | - Franco Cavalli
- Oncology Institute of Southern Switzerland, Lymphoma Unit-Ospedale San Giovanni, Belinzona, Switzerland
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Abstract
American Indians (AIs) continue to have elevated cancer incidence and mortality, and most have issues accessing cancer screening services. During 2013-2014, Mayo and its partners created Native Cancer 101 Module 10 "Prevention and Early Cancer Detection" education workshop. A community-based AI organization implemented nine of these workshops during 2014-2015 via diverse venues. Nearly all participants eligible for at least one type of cancer screening participated in a workshop and consented to follow-up within 3 to 6 months to determine if screenings had been completed or scheduled. Native Cancer 101 Module 10 workshops were conducted with 150 community members of whom 6 had recently completed cancer screening (n = 144). The workshops had a 25.20% increase in knowledge, and 97.1% of subjects responded that they would recommend the workshop to their friends and family. Most (136 of 144) submitted a consent form to be contacted 3 to 6 months following the workshop. Patient navigators reached 86 (63.2%) of the consented participants in the follow-up calls after the workshop, and 63 (46.3%) self-reported that they had completed at least one cancer screening test for which they were eligible. The single implementation of the workshop influenced community participants' completion of cancer screening.
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Affiliation(s)
- Linda Burhansstipanov
- Native American Cancer Research Corporation (NACR), 3022 South Nova Road, Pine, CO, 80470-7830, USA.
| | - Lisa Harjo
- Native American Cancer Research Corporation (NACR), 3022 South Nova Road, Pine, CO, 80470-7830, USA
| | - Judith Salmon Kaur
- Native American Programs, Spirit of EAGLES, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA
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71
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Schuitevoerder D, O'Donnell J, Michalek A, Vetto J. Thirty Years of the Journal of Cancer Education: a Review. J Cancer Educ 2019; 34:388-391. [PMID: 29380223 DOI: 10.1007/s13187-017-1318-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Since its foundation in 1986, the Journal of Cancer Education (JCE) has served as an important outlet for myriad aspects of cancer education and currently serves as the official journal of the American and European Associations for Cancer Education. During its history, the JCE has been under the auspices of five publishers, with its first full year under the current publisher, Springer, in 2010. Print and distribution metrics from 2010 to present were obtained from Springer. These were compared to historical data including the first 10 years of the JCE, published by Dr. Bakemeier in 1995. Since its beginning, the JCE has consisted of four issues per year. The original contract for 256 pages per year has increased to an average of 858 pages from 2010 to 2014. In 2015, the JCE received a total of 344 submissions, up from 339 in 2014, and 262 the year before. This is a stark contrast to the roughly 44 submission received in 1994. Over this same period, the overall rejection rate has increased from 30% in 2010 to 45% in 2015. The number of online deals has increased from 347 in 2014 to 361 in 2015 and has been accompanied by a steady increase in the number of full-text article downloads: 19,000 in 2010 to 58,923 in 2015. Accordingly, the JCE has seen a pronounced and steady increase in impact factor, rising from 0.52 in 2009 to 1.368 in 2015. Since moving to Springer, the JCE has seen unprecedented growth, receiving increasing submissions yearly, an increasing number of subscription deals and online full-text downloads, and a corresponding increase in impact factor.
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Affiliation(s)
- Darryl Schuitevoerder
- Department of Surgery, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Mail Code L223, Portland, OR, 97239, USA.
| | | | | | - John Vetto
- Department of Surgery, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Mail Code L223, Portland, OR, 97239, USA
- Division of Surgical Oncology, Oregon Health & Science University, Portland, OR, USA
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72
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Neeley BC, Golden DW, Brower JV, Braunstein SE, Hirsch AE, Mattes MD. Student Perspectives on Oncology Curricula at United States Medical Schools. J Cancer Educ 2019; 34:56-58. [PMID: 28782081 PMCID: PMC5818313 DOI: 10.1007/s13187-017-1265-9] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Delivering a cohesive oncology curriculum to medical students is challenging due to oncology's multidisciplinary nature, predominantly outpatient clinical setting, and lack of data describing effective approaches to teaching it. We sought to better characterize approaches to oncology education at US medical schools by surveying third and fourth year medical students who serve on their institution's curriculum committee. We received responses from students at 19 schools (15.2% response rate). Key findings included the following: (1) an under-emphasis of cancer in the curriculum relative to other common diseases; (2) imbalanced involvement of different clinical subspecialists as educators; (3) infrequent requirements for students to rotate through non-surgical oncologic clerkships; and (4) students are less confident in their knowledge of cancer treatment compared to basic science/natural history or workup/diagnosis. Based on these findings, we provide several recommendations to achieve robust multidisciplinary curriculum design and implementation that better balances the clinical and classroom aspects of oncology education.
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Affiliation(s)
- Brandon C Neeley
- West Virginia University School of Medicine, Morgantown, WV, USA
| | - Daniel W Golden
- Department of Radiation and Cellular Oncology at the Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | - Jeffrey V Brower
- Department of Human Oncology, University of Wisconsin, Madison, WI, USA
| | - Steve E Braunstein
- Department of Radiation Oncology, University of California, San Francisco, CA, USA
| | - Ariel E Hirsch
- Department of Radiation Oncology, Boston University School of Medicine, Boston, MA, USA
| | - Malcolm D Mattes
- Department of Radiation Oncology, West Virginia University, PO Box 9234, One Medical Center Drive, Morgantown, WV, USA.
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73
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Krishnamachari B, Rehman M, Cohn JE, Chan V, Modi N, Leitner O, Tangney K, O'Connor A, Blazey W, Koehler S, Tegay D. Video Education on Hereditary Breast and Ovarian Cancer (HBOC) for Physicians: an Interventional Study. J Cancer Educ 2018; 33:1213-1221. [PMID: 28573517 DOI: 10.1007/s13187-017-1233-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The National Comprehensive Cancer Network (NCCN) guidelines are the gold standard in hereditary cancer risk assessment, screening, and treatment. A minority of physicians follow NCCN guidelines for BRCA1 or BRCA2 mutations. This study assesses the impact of an interventional educational program on HBOC in terms of knowledge. Physicians were sent an invite to join either an intervention survey (web-training offered prior to the knowledge survey) or control survey (web-training offered after the knowledge survey). Sixty-nine physicians in the intervention arm and 67 physicians in the control arm completed the survey. The interventional group regularly answered items correctly at a higher frequency than the control group. For example, 64.71% (n = 44) of physicians in the intervention group knew that multi-gene testing does not have to include only highly penetrant genes compared to 32.84% (n = 22) of the control group (p < 0.01). Similar results were seen with other specific survey items. The current study is important in that it shows web-based education to be a feasible and effective modality for training on hereditary breast cancer. This type of education may be incorporated into CME programs and can be used as a foundation for further studies as well.
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Affiliation(s)
- Bhuma Krishnamachari
- Department of Clinical Specialties, New York Institute of Technology College of Osteopathic Medicine, 20 Riland PO Box 8000, Northern Boulevard, Old Westbury, NY, 11568, USA.
| | - Mahin Rehman
- Academic Medicine Scholars Program, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | - Jason E Cohn
- Department of Otolaryngology-Facial Plastic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
| | - Vivian Chan
- Academic Medicine Scholars Program, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | - Neil Modi
- Division of Research, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | | | | | | | - William Blazey
- Department of Family Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | - Sharon Koehler
- Department of Clinical Specialties, New York Institute of Technology College of Osteopathic Medicine, 20 Riland PO Box 8000, Northern Boulevard, Old Westbury, NY, 11568, USA
| | - David Tegay
- Department of Clinical Specialties, New York Institute of Technology College of Osteopathic Medicine, 20 Riland PO Box 8000, Northern Boulevard, Old Westbury, NY, 11568, USA
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Cueva K, Revels L, Cueva M, Lanier AP, Dignan M, Viswanath K, Fung TT, Geller AC. Culturally-Relevant Online Cancer Education Modules Empower Alaska's Community Health Aides/Practitioners to Disseminate Cancer Information and Reduce Cancer Risk. J Cancer Educ 2018; 33:1102-1109. [PMID: 28405897 PMCID: PMC5638663 DOI: 10.1007/s13187-017-1217-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
To address a desire for timely, medically accurate cancer education in rural Alaska, ten culturally relevant online learning modules were developed with, and for, Alaska's Community Health Aides/Practitioners (CHA/Ps). The project was guided by the framework of Community-Based Participatory Action Research, honored Indigenous Ways of Knowing, and was informed by Empowerment Theory. A total of 428 end-of-module evaluation surveys were completed by 89 unique Alaska CHA/Ps between January and December 2016. CHA/Ps shared that as a result of completing the modules, they were empowered to share cancer information with their patients, families, friends, and communities, as well as engage in cancer risk reduction behaviors such as eating healthier, getting cancer screenings, exercising more, and quitting tobacco. CHA/Ps also reported the modules were informative and respectful of their diverse cultures. These results from end-of-module evaluation surveys suggest that the collaboratively developed, culturally relevant, online cancer education modules have empowered CHA/Ps to reduce cancer risk and disseminate cancer information. "brought me to tears couple of times, and I think it will help in destroying the silence that surrounds cancer".
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Affiliation(s)
- Katie Cueva
- Institute of Social and Economic Research, University of Alaska Anchorage, 3211 Providence Dr, Anchorage, AK, 99508, USA.
| | - Laura Revels
- Clinical & Research Services, Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | - Melany Cueva
- Community Health Aide Program, Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | - Anne P Lanier
- Alaska Native Tribal Health Consortium, Anchorage, AK, USA
| | - Mark Dignan
- Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, KY, USA
| | - K Viswanath
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Teresa T Fung
- Department of Nutrition, Simmons College, Boston, MA, USA
| | - Alan C Geller
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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McIntyre J, Jiménez J, Rivera YM, Sutton SK, Asencio G, Castro-Figueroa EM, Gwede CK, Brandon TH, Vadaparampil ST, Simmons VN, Corchado J, Moreno L, Wells KJ, Quinn GP. Comparison of Health Communication Channels for Reaching Hispanics About Biobanking: a Pilot Trial. J Cancer Educ 2018; 33:833-841. [PMID: 28378199 PMCID: PMC5628139 DOI: 10.1007/s13187-017-1214-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Cancer education is essential for improving cancer prevention and biobanking knowledge among racial-ethnic minorities, with the goal of increasing diversity and representativeness of biospecimen collections. However, little is known about the communication modalities for optimal delivery of information. We examined feasibility of recruitment and compared communication modalities for delivering cancer prevention and biobanking education to Hispanics. Communication modalities were evaluated using participation rates and change in knowledge, attitudes, self-efficacy, intention, receptivity, and trust. Enrollment in a biobanking registry was a behavioral outcome. Community members in Ponce, Puerto Rico and Tampa, Florida were recruited. Participants (N = 254) were randomized to one of three communication modalities: standard dissemination (mailed materials); enhanced dissemination (mailed materials plus follow-up call); and 'charla' (face-to-face group discussion). Participants completed questionnaires about their knowledge, attitudes, self-efficacy, intentions, receptivity, and trust regarding biobanking and cancer prevention pre- and post-intervention. Knowledge, attitudes, and self-efficacy were improved among all three modalities. Although the greatest increases in knowledge were observed when the information was delivered via charla, the charla had the lowest participation rate. The standard and enhanced dissemination modalities were more feasible for delivering cancer prevention and biobanking education to Hispanics. Lack of differences among the three modalities suggests culturally tailored education may be sufficient to capture the community's intention to participate in biobanking research, regardless of the delivery method for the education. Results from this study contribute to the limited knowledge regarding Hispanics knowledge and intentions for biospecimen collection, and in the future may improve participation in this underrepresented group.
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Affiliation(s)
- Jessica McIntyre
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA.
| | - Julio Jiménez
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
- Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
| | - Yonaira M Rivera
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
| | - Steven K Sutton
- Department of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, FL, USA
- Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA
| | - Gloria Asencio
- Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
| | - Eida M Castro-Figueroa
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
- Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
| | - Clement K Gwede
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
- Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA
| | - Thomas H Brandon
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
- Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA
| | - Susan T Vadaparampil
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
- Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA
| | - Vani N Simmons
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
- Department of Oncologic Sciences, University of South Florida, Tampa, FL, USA
| | - Johanna Corchado
- Department of Psychiatry and Human Behavior, Ponce Health Sciences University, Ponce Research Institute, Ponce, Puerto Rico
| | - Laura Moreno
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
| | - Kristen J Wells
- Department of Psychology, San Diego State University, San Diego, CA, USA
- San Diego Moores Cancer Center, University of California, San Diego, CA, USA
| | - Gwendolyn P Quinn
- Health Outcomes and Behavior Department, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA
- Department of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, FL, USA
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76
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Padrnos L, Bennett R, Kosiorek H, Dueck AC, Northfelt D, Mikhael J, Tibes R, Khera N, Mesa RA. Living with Cancer: an Educational Intervention in Cancer Patients Can Improve Patient-Reported Knowledge Deficit. J Cancer Educ 2018; 33:653-659. [PMID: 27730534 PMCID: PMC8148893 DOI: 10.1007/s13187-016-1123-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A cancer diagnosis requires significant information to facilitate health care decision making, understand management options, and health care system navigation. Patient knowledge deficit can decrease quality of life and health care compliance. Surveys were distributed to attendees of the Mayo Clinic "Living with and Surviving Cancer" patient symposium January 2015. Follow-up survey was sent to participants 3 months after the symposium. Surveys included demographic data and patient-reported disease comprehension, symptom burden, desired information, and quality-of-life assessment. Demographics: 113 patients completed the pre-intervention survey. Average age was 64.7 years. Disease types included hematologic (N = 50) and solid malignancies (N = 77). Most patients self-reported adequate baseline understanding of their disease (80 %), screening tests (74 %), and monitoring tools (72 %). Lowest knowledge topics were legal issues (13 %) and pain management (35 %). Pre- and post-analysis: 79 of the initial 113 participants completed both surveys. In the post-symposium setting, durable knowledge impact was noted in disease understanding (pre 80 % vs post 92 %), treatment options (pre 60 % vs post 76 %), nutrition (pre 68 % vs post 84 %), and legal issues (pre 15 % vs post 32 %). Most patients desired increased understanding regarding disease, screening tests, nutrition, and stress and fatigue management. The level of desired information for these topics decreased in the post-symposium setting, statistically significant decrease noted in 4 of 5 topics assessed. Knowledge needs and deficit in cancer care range from disease-specific topics, social stressors, and health care navigation. A cancer patient-centered symposium can improve patient-reported knowledge deficit, with durable responses at 3 months, but patient needs persist.
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Affiliation(s)
- Leslie Padrnos
- Mayo Clinic, Scottsdale, AZ, USA
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA
| | | | - Heidi Kosiorek
- Mayo Clinic, Scottsdale, AZ, USA
- Department of Health Sciences Research, Section of Biostatistics, Mayo Clinic, Phoenix, AZ, USA
| | - Amylou C Dueck
- Mayo Clinic, Scottsdale, AZ, USA
- Department of Health Sciences Research, Section of Biostatistics, Mayo Clinic, Phoenix, AZ, USA
| | - Donald Northfelt
- Mayo Clinic, Scottsdale, AZ, USA
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA
| | - Joseph Mikhael
- Mayo Clinic, Scottsdale, AZ, USA
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA
| | - Raoul Tibes
- Mayo Clinic, Scottsdale, AZ, USA
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA
| | - Nandita Khera
- Mayo Clinic, Scottsdale, AZ, USA
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA
| | - Ruben A Mesa
- Mayo Clinic, Scottsdale, AZ, USA.
- Division of Hematology and Medical Oncology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA.
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Hein DW, Kidd LCR. Design and Success of a 21st Century Cancer Education Program at the University of Louisville. J Cancer Educ 2018; 33:298-308. [PMID: 27474114 PMCID: PMC5280580 DOI: 10.1007/s13187-016-1083-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Cancer incidence, morbidity, and mortality in the Commonwealth of Kentucky are among the highest in the nation. The University of Louisville was the recipient of a National Cancer Institute (NCI)-funded cancer education program grant in 1975 under the leadership of Dr. Norbert Burzynski. A new and totally redesigned performance-based University of Louisville Cancer Education Program was funded by NCI in 2011 to recruit and motivate outstanding undergraduate and health professional students to pursue further training and careers in cancer research. Here, we describe the strategy, design, methods, implementation, and accomplishments of our twenty-first century performance-based cancer education program. Our program will meet or exceed all of its 5-year performance goals, including the total number students (n = 156) and under-represented minorities (n = 53) who successfully completed the program under the mentorship of cancer research-intensive faculty members of the James Graham Brown Cancer Center (JGBCC). The mentored research program is complemented with professional development and enhancement activities, including cancer research seminars presented by faculty members actively engaged in research centered on the diagnosis, treatment or prevention of cancer, creation of individual career development plans, exploration of cancer research careers, and acquisition of professionalism skills. Student interests towards cancer research significantly increased after completion of the program compared to baseline (P = 0.02). Based on quantitative and qualitative analysis of various components of the curricula, the trainees favor practical, engaging, and interactive activities aligned within professional career goals and objectives. For instance, the trainees prefer two 30-min small group discussions on "Navigating Careers in Cancer Research" with faculty, professional students, and program alumni. Future updates to the program include new activities that capitalize on the cross-disciplinary background of our mentors and trainees as well as a team-based approach to professional development. Our cancer education program will continue to enhance the professional development of the next generation of cancer scientists and clinicians.
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Affiliation(s)
- David W Hein
- Department of Pharmacology & Toxicology and James Graham Brown Cancer Center, University of Louisville, Kosair Charities Clinical and Translational Research, 505 South Hancock Street, Louisville, KY, USA.
| | - La Creis R Kidd
- Department of Pharmacology & Toxicology and James Graham Brown Cancer Center, University of Louisville, Kosair Charities Clinical and Translational Research, 505 South Hancock Street, Louisville, KY, USA
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Maggiore RJ, Callahan KE, Tooze JA, Parker IR, Hsu T, Klepin HD. Geriatrics fellowship training and the role of geriatricians in older adult cancer care: A survey of geriatrics fellowship directors. Gerontol Geriatr Educ 2018; 39:170-182. [PMID: 27749199 PMCID: PMC5796867 DOI: 10.1080/02701960.2016.1247070] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The number of older adults with cancer is growing, necessitating more collaborative training in geriatric principles and cancer care. The authors administered a web-based survey to U.S. geriatrics program directors (PDs) addressing cancer-specific training and perspectives on optimal training content and roles for geriatricians in cancer care. Of 140 PDs contacted, 67 (48%) responded. Topics considered very important in training included cancer screening (79%) and cancer-related pain management (70%). Respondents strongly agreed that some of the geriatrician's roles in cancer care included assessing functional status (64%) and assessing physical/cognitive function for goals of care (64%). About one half (54%) agreed that having a standardized geriatric oncology curriculum overall was important. The presence of a geriatric oncologist, requiring cancer-based rotations, being affiliated with a cancer center, or being internal versus family medicine-based did not affect this response. Despite this high level of support, cancer-related skills and knowledge warrant better definition and integration into current geriatrics training. This survey establishes potential areas for future educational collaborations between geriatrics and oncology training programs.
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Affiliation(s)
- Ronald J Maggiore
- a Department of Medicine, Division of Hematology/Oncology , University of Rochester , Rochester , New York , USA
| | - Kathryn E Callahan
- b Department of Internal Medicine, Section on Hematology and Oncology , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA
| | - Janet A Tooze
- c Department of Biostatistical Sciences , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA
| | - Ira R Parker
- d Geriatric Oncology Solutions, La Jolla , California , USA
| | - Tina Hsu
- e Division of Medical Oncology , Ottawa Hospital Cancer Centre , Ottawa , Ontario , Canada
| | - Heidi D Klepin
- b Department of Internal Medicine, Section on Hematology and Oncology , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA
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Haring RC, Henry WA, Hudson M, Rodriguez EM, Taualii M. Views on clinical trial recruitment, biospecimen collection, and cancer research: population science from landscapes of the Haudenosaunee (People of the Longhouse). J Cancer Educ 2018; 33:44-51. [PMID: 27392418 PMCID: PMC5716929 DOI: 10.1007/s13187-016-1067-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Biomedical research in culturally distinct communities is often a challenge. Potential barriers to participation occur because science is presented in a format that lacks cultural acknowledgement. Investigations may also fail to showcase beneficial relevance to the communities or include them in true partnership. The history of biomedical research within Native American societies has been complicated by these issues. Historical trauma among many Native groups sometimes transcends into contemporary challenges in both recruitment to and participation particularly in biobanking research. The participants for this study included members of the Haudenosaunee, the People of the Longhouse. Native Americans, including the Haudenosaunee, endure some of the worst health disparities in the country. These include high rates of cancer, obesity, and diabetes which may be linked at least partially to genetic predisposition. Results from a Haudenosaunee urban population shared response on ways to improve recruitment strategies for biospecimen, cancer, and other health-related clinical trials. Mixed methods approaches were used, and community responses indicated the importance of creating trust through respectful partnership; promoting culturally appropriate recruitment materials; the need for a greater understanding of consenting and signature processes; the necessity for concise summary sheets; and a desire to have information that community member understand. Discussion items also include international Indigenous perspectives to biobanking and genetic-related health disparity research.
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Affiliation(s)
- Rodney C Haring
- Roswell Park Cancer Institute, Office of Cancer Health Disparities, Cancer Prevention and Population Sciences, Elm & Carlton Streets, Buffalo, NY, 14263, USA.
| | - Whitney Ann Henry
- Roswell Park Cancer Institute, Office of Cancer Health Disparities, Cancer Prevention and Population Sciences, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Maui Hudson
- Environmental Research Institute-Faculty of Science, Dept of Management Communications-Waikato Management School, University of Waikato: Maori & Indigenous Governance Centre-Faculty of Law, Private Bag 3105, Hamilton, 3240, New Zealand
| | - Elisa M Rodriguez
- Roswell Park Cancer Institute, Office of Cancer Health Disparities, Cancer Prevention and Population Sciences, Elm & Carlton Streets, Buffalo, NY, 14263, USA
| | - Maile Taualii
- Office of Public Health Studies, Native Hawaiian and Indigenous Health, 1960 East-West Road, Honolulu, HI, 96822, USA
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80
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Rivera YM, Moreno L, Briant KJ, Vélez H, Jiménez JC, Torres J, Vadaparampil ST, Muñoz-Antonia T, Quinn GP. Developing Sustainable Cancer Education Programs: Training Public Health Students to Deliver Cancer 101 in Puerto Rico. J Cancer Educ 2018; 33:128-133. [PMID: 27424481 PMCID: PMC5243927 DOI: 10.1007/s13187-016-1076-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The use of promotores to educate Hispanic communities about different health topics has been proven successful, albeit with limitations in program sustainability. The goal of this study was to develop a sustainable train-the-trainer model to train graduate public health (PH) students to disseminate cancer education among communities in Puerto Rico (PR). Graduate students (n = 32) from Ponce Health Sciences University's (PHSU) PH program participated in a 2-day Cáncer 101 training, where they learned how to deliver nine cancer modules to the community. Cancer knowledge was assessed before and after the training via 54 items measuring discussed concepts. Participants also assessed the training's effectiveness by completing a training evaluation informed by social cognitive theory (SCT) constructs of self-efficacy, outcome expectations, facilitation, and observational learning. Participants were mainly female (78.1 %), 26.7 ± 3.9 years old, and enrolled in a Masters-level program (81.3 %). Participants reported an average 11.38-point increase in cancer knowledge after attending the training [t(31) = 14.88, p < .001]. Participants also evaluated the training favorably upon completion, reporting satisfactory comments in the open-ended responses and high scores on measured SCT constructs. The Cáncer 101 training program effectively prepared students to deliver cancer education to local communities. Training graduate PH students to educate communities about health issues is an innovative, and potentially sustainable, way to reach underserved populations.
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Affiliation(s)
- Y M Rivera
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - L Moreno
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - K J Briant
- Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA
| | - H Vélez
- Public Health Program, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - J C Jiménez
- Clinical Psychology Program, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - J Torres
- Department of Academic Affairs, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - S T Vadaparampil
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA
| | - T Muñoz-Antonia
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA
- Department of Tumor Biology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - G P Quinn
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA.
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81
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Jiménez J, Ramos A, Ramos-Rivera FE, Gwede C, Quinn GP, Vadaparampil S, Brandon T, Simmons V, Castro E. Community Engagement for Identifying Cancer Education Needs in Puerto Rico. J Cancer Educ 2018; 33:12-20. [PMID: 27722911 PMCID: PMC5386827 DOI: 10.1007/s13187-016-1111-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Cancer is the leading cause of death in Puerto Rico, suggesting a need for improved strategies, programs, and resources devoted to cancer prevention. Enhanced prevention needs in Puerto Rico were initially identified in pilot studies conducted by the Ponce School of Medicine (PSM) in collaboration with the H. Lee Moffitt Cancer Center (MCC). In the current study, we used community engagement to identify specific needs in cancer prevention and education and strategies to create culturally attuned, effective cancer prevention education programs. A total of 37 participants attended a community forum and were assigned to one of three discussion groups: patients/survivors (n = 14); family/caregivers (n = 11); or healthcare providers (n = 12). Most participants were women (73 %), over 35 years of age, and a majority were married (58 %) and had a university education (81 %). The sessions were recorded and transcribed and analyzed for key themes. Participants wanted improved awareness of cancer prevention in Puerto Rico and believed cancer prevention education should start early, ideally in elementary school. Participants also stressed the importance of creating partnerships with private and government agencies to coordinate educational efforts. Suggested strategies included outreach to communities with limited resources, incorporating the testimony of cancer survivors, and utilizing social media to disseminate cancer prevention information.
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Affiliation(s)
- Julio Jiménez
- School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, P.O. Box 7004, Ponce, 00732-7004, Puerto Rico.
| | - Axel Ramos
- School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, P.O. Box 7004, Ponce, 00732-7004, Puerto Rico
| | - Francisco E Ramos-Rivera
- School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, P.O. Box 7004, Ponce, 00732-7004, Puerto Rico
| | - Clement Gwede
- Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Gwendolyn P Quinn
- Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
- Morsani College of Medicine, University of South Florida, Tampa, FL, USA
| | - Susan Vadaparampil
- Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Thomas Brandon
- Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Vani Simmons
- Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Eida Castro
- School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, P.O. Box 7004, Ponce, 00732-7004, Puerto Rico
- Psychiatry Department, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
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Abstract
Traditional hard copy information materials are still present in our cancer clinics. While their actual impact on patient care often goes un-assessed, it is important to understand their role in today's electronic age where information can easily be obtained from various sources. It has remained the practice in our melanoma clinic to provide an information booklet to all of our new patients. The purpose of this study was to evaluate how useful this booklet was, as well as determine the current resources our patients use to gather cancer information. All patients referred to the clinic in the previous 3 years were pooled from our prospective, IRB-approved, melanoma sentinel node database. Of these 205 patients, a valid email address was listed for 147. A ten-question survey was emailed to all of these patients, who were not told ahead of time that their experience with the booklet would be studied. Seventy-seven of the 147 (52 %) patients polled responded. Fifty-eight (75 %) remembered receiving the booklet at their initial consultation. Forty-four (76 %) of those patients rated it as extremely or very useful, and no patients reported the booklet as not useful at all. Eighty-eight percent of respondents found the information to be clear and helpful. Sixty-four percent remembered the provider reviewing the material with them, and nearly all of these patients found that helpful. When asked to rank the importance of the various resources for obtaining cancer information, providers were ranked as most important, followed by the information booklet and Internet information sites. Internet blogs and friends and family were rated as the least important sources of information. Even in the current electronic age, our results indicate that information shared by providers, including the hard copy education booklet, was the most important source of information for our newly referred melanoma patients.
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Affiliation(s)
| | - Jeanine Fortino
- Department of Surgery, Division of Surgical Oncology, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Mail code L619, Portland, 97239, OR, USA
| | - John T Vetto
- Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
- Department of Surgery, Division of Surgical Oncology, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Mail code L619, Portland, 97239, OR, USA.
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Lütgendorf-Caucig C, Kaiser PA, Machacek A, Waldstein C, Pötter R, Löffler-Stastka H. Vienna Summer School on Oncology: how to teach clinical decision making in a multidisciplinary environment. BMC Med Educ 2017; 17:100. [PMID: 28587603 PMCID: PMC5461756 DOI: 10.1186/s12909-017-0922-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 04/27/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND Clinical decision making in oncology is based on both inter- and multidisciplinary approach. Hence teaching future doctors involved in oncology or general health practice is crucial. The aim of the Vienna Summer School on Oncology (VSSO) as an international, integrated, undergraduate oncology course is to teach medical students interdisciplinary team communication and application of treatment concepts/algorithms in a multidisciplinary setting. METHOD The teaching is based on an inter- and multidisciplinary faculty and a multimodal education approach to address different learning styles. The participants rated their satisfaction of the program voluntarily after finishing the course according to a grading scale from one (not good) to five (very good). The learning success was assessed by a compulsory pre-VSSO and post-VSSO single choice questionnaire. RESULTS Program organisation was rated with a mean score of 4.47 out of 5.0 (SD 0.51), composition of the program and range of topics with a mean score of 4.68 (SD 0.58) and all teachers with a mean score of 4.36 (SD 0.40) points. Student evaluation at the beginning and end of the program indicated significant knowledge acquisition -i.e., general aspects of cancer: median 8.75 points (IQR 7.5-9.4) vs.10.0 points (IQR 9.4-10.0) p = 0.005; specific aspects of cancer: median 4.87 points (IQR 3.33-5.71) vs. 8.72 points (IQR 6.78-9.49) p ≤ 0.001, respectively. CONCLUSION Even though the participants represent a selection of students with special interest in cancer, the results of the VSSO indicate the benefit of an inter- and multidisciplinary teaching approach within an oncology module.
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Affiliation(s)
- Carola Lütgendorf-Caucig
- Department of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology; Medical University of Vienna/General Hospital of Vienna, Vienna, Austria
| | - Philipp A. Kaiser
- 0000 0000 9259 8492grid.22937.3dInternational Students Office, Medical Students Association, Medical University Vienna, Vienna, Austria
| | - Alexandra Machacek
- Department of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology; Medical University of Vienna/General Hospital of Vienna, Vienna, Austria
| | - Cora Waldstein
- Department of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology; Medical University of Vienna/General Hospital of Vienna, Vienna, Austria
| | - Richard Pötter
- Department of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology; Medical University of Vienna/General Hospital of Vienna, Vienna, Austria
| | - Henriette Löffler-Stastka
- Department of Psychoanalysis and Psychotherapy, and Teaching Center, Medical University of Vienna/General Hospital of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria
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Adams N, Gisiger-Camata S, Hardy CM, Thomas TF, Jukkala A, Meneses K. Evaluating Survivorship Experiences and Needs Among Rural African American Breast Cancer Survivors. J Cancer Educ 2017; 32:264-271. [PMID: 26498472 DOI: 10.1007/s13187-015-0937-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Disparities in cancer survivorship exist among specific populations of breast cancer survivors, specifically rural African American breast cancer survivors (AA-BCS). While effective survivorship interventions are available to address and improve quality of life, interventions must be culturally tailored for relevance to survivors. Here, we report the results of our formative research using focus groups and in-depth interview to better understand unique rural AA-BCS survivorship experiences and needs in the Alabama Black Belt. Surveys were used to gather sociodemographic and cancer treatment data. Fifteen rural AA-BCS shared their experiences and concerns about keeping their cancer a secret, lack of knowledge about survivorship, lingering symptoms, religion and spirituality, cancer surveillance, and general lack of survivorship education and support. Rural AA-BCS were unwilling to share their cancer diagnosis, preferring to keep it a secret to protect family and friends. Quality-of-life issues like lymphedema body image and sexuality were not well understood. They viewed spirituality and religion as essential in coping and accepting cancer. Participants also discussed the importance of and barriers to maintaining health through regular check-ups. They needed social support from family and friends and health care providers. Overall, rural AA-BCS expressed their need for knowledge about survivorship self-management by providing a vivid picture of the realities of cancer survival based on shared concerns for survivorship support and education within the context of culture.
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Affiliation(s)
- Natasia Adams
- Department of Psychology, College of Liberal Arts & Sciences, University of Kansas, Lawrence, KS, 66046, USA.
| | - Silvia Gisiger-Camata
- Office of Research & Scholarship, School of Nursing, University of Alabama, Birmingham, USA
| | - Claudia M Hardy
- Deep South Network for Cancer Control, UAB Comprehensive Cancer Center, University of Alabama, Birmingham, USA
| | - Tammi F Thomas
- Division of Clinical Immunology & Rheumatology, University of Alabama, Birmingham, USA
| | - Angela Jukkala
- School of Nursing, University of Alabama, Birmingham, USA
| | - Karen Meneses
- School of Nursing, UAB Comprehensive Cancer Center, University of Alabama, Birmingham, USA
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85
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Nimmons K, Beaudoin CE, St John JA. The Outcome Evaluation of a CHW Cancer Prevention Intervention: Testing Individual and Multilevel Predictors Among Hispanics Living Along the Texas-Mexico Border. J Cancer Educ 2017; 32:183-189. [PMID: 26462478 DOI: 10.1007/s13187-015-0930-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This paper evaluates the effectiveness of community health workers/promotores (CHWs) in promoting cancer preventive behaviors in the 2011-2013 Education to Promote Improved Cancer Outcomes (ÉPICO) project. The ÉPICO project utilized CHWs to disseminate cancer education to predominately Spanish-speaking Hispanics living in colonias in the Lower Rio Grande Valley of Texas. The CHWs received training to become Texas-certified CHW instructors and specialized training in message tailoring, and they delivered more than 5000 units of resident education on cancer prevention/detection, treatment, and survivorship for breast, cervical, and colorectal cancer. Using panel data to examine overtime changes in cancer knowledge among Lower Rio Grande Valley residents, the evaluation found significant changes from baseline to both times 1 and 2. Additional individual-level analysis indicated that the increase in resident cancer knowledge was predicted by residents' perceptions of CHW credibility and intention to change their lifestyles. Multilevel analysis also showed that the increase in cancer prevention knowledge among residents was predicted by attributes of the CHWs who taught them. In particular, CHWs with higher education levels had the most impact on residents' increased knowledge over time. Unexpectedly, CHWs with more years of experience were less effective teachers than their early-career counterparts.
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Affiliation(s)
- Katharine Nimmons
- Texas A&M Health Science Center, Center for Community Health Development, National CHW Training Center, 1266 TAMU, College Station, TX, 77843, USA.
| | - Christopher E Beaudoin
- Department of Communication, Texas A&M University, 4234 TAMU, College Station, TX, 77843, USA
| | - Julie A St John
- Department of Public Health, Graduate School of Biomedical Sciences, Texas Tech University Health Sciences Center, 1718 Pine Street, Abilene, TX, 79601, USA
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86
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Korczak JF, Chung DW, Rosemond E, Von Hoff DD, Haspel RL, Waterbor JW, Chang S, Ramirez AG, Perkins S, Wiest J, Lei M. The National Cancer Institute R25 Cancer Education Grants Program: A Workshop Report. J Cancer Educ 2017; 32:3-10. [PMID: 28064401 PMCID: PMC5290060 DOI: 10.1007/s13187-016-1161-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Through the R25 Cancer Education Grants Program (CEGP), the National Cancer Institute (NCI) has been supporting the broad educational needs of the cancer research and cancer healthcare communities since 1974. NCI sponsored a workshop on September 13, 2016 in Bethesda, Maryland, with the objectives of sharing best practices in cancer education, communicating R25 CEGP programmatic information, and gathering ideas to strengthen the R25 CEGP to better meet the emerging needs in cancer education in the face of a rapidly changing landscape in cancer research and cancer care. With 53 leaders in cancer education in attendance, the workshop featured an overview of the R25 CEGP by NCI Program Staff, a showcase of several types of CEGP programs by current R25 grantees, and in-depth discussions on a broad range of questions critical for the continued success of the R25 CEGP. The workshop afforded an opportunity, for the first time, for cancer researchers and clinicians conducting different forms of cancer education activities to gather in one place as leaders of a community of increasing importance. The discussion resulted in a set of suggestions that will benefit the R25 CEGP and cancer education in general. There was a general consensus among the participants that bringing the cancer education community together is a significant achievement of the workshop that will have a long-lasting impact on cancer education.
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Affiliation(s)
- Jeannette F Korczak
- National Cancer Institute, 9609 Medical Center Dr., Room 2W110, Rockville, MD, 20852, USA
| | - Davyd W Chung
- National Cancer Institute, 9609 Medical Center Dr., Room 2W110, Rockville, MD, 20852, USA
| | - Erica Rosemond
- National Center for Advancing Translational Sciences, Bethesda, Maryland, USA
| | | | | | - John W Waterbor
- University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA
| | - Shine Chang
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Amelie G Ramirez
- University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Susan Perkins
- National Cancer Institute, 9609 Medical Center Dr., Room 2W110, Rockville, MD, 20852, USA
| | - Jonathan Wiest
- National Cancer Institute, 9609 Medical Center Dr., Room 2W110, Rockville, MD, 20852, USA
| | - Ming Lei
- National Cancer Institute, 9609 Medical Center Dr., Room 2W110, Rockville, MD, 20852, USA.
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87
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Vetto JT. Reflections: Cancer Education and "The Platinum Rule". J Cancer Educ 2017; 32:206-207. [PMID: 26341222 DOI: 10.1007/s13187-015-0907-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- John T Vetto
- Division of Surgical Oncology, L619, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Portland, Oregon, 97239, USA.
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88
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Rivera YM, Vélez H, Canales J, Jiménez JC, Moreno L, Torres J, Vadaparampil ST, Muñoz-Antonia T, Quinn GP. When a Common Language Is Not Enough: Transcreating Cancer 101 for Communities in Puerto Rico. J Cancer Educ 2016; 31:776-783. [PMID: 26365291 PMCID: PMC4791206 DOI: 10.1007/s13187-015-0912-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In Puerto Rico (PR), cancer is the leading cause of death. Previous research has identified the need for cancer education in PR. Using culturally adapted cancer curricula to train local health educators may effectively increase cancer education and reduce health disparities. This article describes the three-phase process used to transcreate the Cancer 101 curriculum to train Master of Public Health (MPH) students to educate PR communities. First, an expert panel collaboratively reviewed the curriculum for content, legibility, utility, and colloquialisms. Recommendations included incorporating local references and resources, replacing words and examples with culturally relevant topics, and updating objectives and evaluation items. Subsequent focus groups with 10 MPH students assessed the adaptation's strengths, weaknesses, and utility for future trainees. Participants were satisfied with the curriculum's overall adaptation, ease of use, and listed resources; further improvements were suggested for all modules. Final expert panel revisions highlighted minor feedback, with the final curriculum containing nine transcreated modules. The transcreation process identified the need for changes to content and cultural translation. Changes were culturally and literacy-level appropriate, represented PR's social context, and were tailored for future trainees to successfully deliver cancer education. Findings highlight the importance of adapting Spanish educational materials across Hispanic sub-groups.
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Affiliation(s)
- Y M Rivera
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - H Vélez
- Public Health Program, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - J Canales
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - J C Jiménez
- Clinical Psychology Program, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - L Moreno
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - J Torres
- Biochemistry Department, Ponce Health Sciences University, Ponce, PR, 00732, USA
| | - S T Vadaparampil
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA
| | - T Muñoz-Antonia
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA
- Department of Tumor Biology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA
| | - G P Quinn
- Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
- Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA.
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Abstract
Cancer is the second leading cause of death in the USA, but there is minimal data on how oncology is taught to medical students. The purpose of this study is to characterize oncology education at US medical schools. An electronic survey was sent between December 2014 and February 2015 to a convenience sample of medical students who either attended the American Society for Radiation Oncology annual meeting or serve as delegates to the American Association of Medical Colleges. Information on various aspects of oncology instruction at participants' medical schools was collected. Seventy-six responses from students in 28 states were received. Among the six most common causes of death in the USA, cancer reportedly received the fourth most curricular time. During the first, second, and third years of medical school, participants most commonly reported 6-10, 16-20, and 6-10 h of oncology teaching, respectively. Participants were less confident in their understanding of cancer treatment than workup/diagnosis or basic science/natural history of cancer (p < 0.01). During the preclinical years, pathologists, scientists/Ph.D.'s, and medical oncologists reportedly performed the majority of teaching, whereas during the clinical clerkships, medical and surgical oncologists reportedly performed the majority of teaching. Radiation oncologists were significantly less involved during both periods (p < 0.01). Most schools did not require any oncology-oriented clerkship. During each mandatory rotation, <20 % of patients had a primary diagnosis of cancer. Oncology education is often underemphasized and fragmented with wide variability in content and structure between medical schools, suggesting a need for reform.
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Affiliation(s)
- Malcolm D Mattes
- Department of Radiation Oncology, West Virginia University School of Medicine, PO Box 9234, One Medical Center Drive, Morgantown, WV, USA.
| | - Krishnan R Patel
- Department of Radiation Oncology, Boston University School of Medicine, Boston, MA, USA
| | - Lindsay M Burt
- Department of Radiation Oncology, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Ariel E Hirsch
- Department of Radiation Oncology, Boston University School of Medicine, Boston, MA, USA
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90
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Truong L, Tat J, Booy M, Le A, Marasigan JM, Yuan C, Zeng A, Panchal A, Sadler GR. The Asian Grocery Store-Based Cancer Education Program: Creating New Education Modules. J Cancer Educ 2016; 31:292-300. [PMID: 25971431 PMCID: PMC4644696 DOI: 10.1007/s13187-015-0836-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Operating since 1994, the UCSD Moores Cancer Center's Asian Grocery Store-Based Cancer Education Program (the Program) is a proven and sustainable strategy for disseminating cancer and poison control information to Asian and Pacific Islander (API) communities. This paper describes the process taken to identify health topics that can be readily addressed within the Program's infrastructure and reports results of the pilot testing of the educational module that was developed by following that process. The development of each new module is guided by the Health Belief Model and the Tipping Point Model. The process starts with the selection of a health topic demonstrating pressing need and treatment options in the API community. Then, using the Pareto principle, reasonably modifiable risk factors are chosen to be addressed in the module. "Sticky messaging" for the modifiable risk factors is developed to package the health information as memorable and transmissible calls-to-action. Finally, grocery store outreaches were used to pilot test the new module to assess its effectiveness at facilitating health care information to API community members. By adhering to the steps described in this paper, the authors were able to: (1) select liver cancer as a pressing API health issue that could be positively impacted by the Program; (2) identify reasonably modifiable risk factors for the chosen health issue; (3) generate compelling call-to-action messages to decrease risk of exposure; and (4) demonstrate the cultural and linguistic alignment of the liver cancer control module. The development and testing of new health education modules follow a methodical process guided by scientific principles. Understanding and employing the elements of an existing evidence-based and sustainable health education program can increase the likelihood of success in addressing the health needs of the API community.
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Affiliation(s)
- Linh Truong
- University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - John Tat
- Department of Cell and Molecular Biology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA
- Kellogg School of Science and Technology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Molly Booy
- Northeast Ohio Medical University, 4209 Ohio 44, Rootstown, OH, 44272, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Annie Le
- Fielding School of Public Health, University of California, Los Angeles, 640 Charles E. Young Dr. S, Los Angeles, CA, 90024, USA
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Jeanne Marie Marasigan
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
- San Diego Mesa College, 7250 Mesa College Drive, San Diego, CA, 92111, USA
| | - Christine Yuan
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Athena Zeng
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Anand Panchal
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA
| | - Georgia Robins Sadler
- University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA.
- UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
- Department of Surgery, University of California, San Diego, School of Medicine, 9500 Gilman Dr, La Jolla, CA, 92093-0850, USA.
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91
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Head BA, Schapmire T, Earnshaw L, Faul A, Hermann C, Jones C, Martin A, Shaw MA, Woggon F, Ziegler C, Pfeiffer M. Evaluation of an Interdisciplinary Curriculum Teaching Team-Based Palliative Care Integration in Oncology. J Cancer Educ 2016; 31:358-65. [PMID: 25708910 PMCID: PMC4549232 DOI: 10.1007/s13187-015-0799-y] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
For students of the health care professions to succeed in today's health care environment, they must be prepared to collaborate with other professionals and practice on interdisciplinary teams. As most will care for patients with cancer, they must also understand the principles of palliative care and its integration into oncology. This article reports the success of one university's effort to design and implement an interdisciplinary curriculum teaching team-based palliative care in oncology which was mandatory for medical, nursing, social work, and chaplaincy students. Quantitative evaluation indicated that students made significant improvements related to palliative care knowledge and skills and readiness for interprofessional education. Qualitative feedback revealed that students appreciated the experiential aspects of the curriculum most, especially the opportunity to observe palliative teams at work and practice team-based skills with other learners. While there exist many obstacles to interprofessional education and hands-on learning, the value of such experiences to the learners justifies efforts to initiate and continue similar programs in the health sciences.
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Affiliation(s)
- Barbara A Head
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA.
- MedCenter One, Suite 330B 501 East Broadway, Louisville, KY, 40202, USA.
| | - Tara Schapmire
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | - Lori Earnshaw
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | - Anna Faul
- University of Louisville Kent School of Social Work, Louisville, KY, 40292, USA
- University of the Free State, Bloemfontain, South Africa
| | - Carla Hermann
- University of Louisville School of Nursing, Louisville, KY, 40292, USA
| | - Carol Jones
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | - Amy Martin
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | - Monica Ann Shaw
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | | | - Craig Ziegler
- Office of Undergraduate Medical Education, University of Louisville School of Medicine, Louisville, KY, 40292, USA
| | - Mark Pfeiffer
- Division of General Internal Medicine, Medical Education and Palliative Medicine, University of Louisville School of Medicine, Louisville, KY, 40292, USA
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McDonald R, Lechner B, Pulenzas N, Bedard G, Wong E, Holden L, Tsao M, Barnes E, Szumacher E, Fenton G, Chow E, Popovic M, Danjoux C. Student Accomplishments in the Rapid Response Radiotherapy Program: A 10-Year Review. J Cancer Educ 2015; 30:693-698. [PMID: 25370839 DOI: 10.1007/s13187-014-0748-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In 1996, the Toronto Sunnybrook Regional Cancer Centre developed the Rapid Response Radiotherapy Program (RRRP). The objective of this clinic is to consult, simulate, plan, and treat patients with palliative radiotherapy on the same day. In 2004, the RRRP initiated a program to provide clinical and research experience to undergraduate students interested in health sciences. The purpose of this study is to review the 10-year (2004-2013) experience of the RRRP and to examine whether the goals of the student program have been met. Students who worked in the RRRP from 2004 to 2013 were contacted to complete a short survey regarding their overall experience with the program and their current endeavors. Student accomplishments were collected from an internal database as well as PubMed. Descriptive statistics were used to analyze results. A total of 54 students from ten postsecondary institutions have worked in the RRRP; 29 were from the University of Waterloo undergraduate co-op program. In total, 214 articles with first authorship from students were published, 93 (43%) of which can be found on PubMed. Other accomplishments include 40 book chapters, 58 invited presentations, and 99 awards cumulatively. Qualitative data regarding student perspectives of their experience in the RRRP were also analyzed. Over the past 10 years, the RRRP has achieved its goal of providing quality medical and research experience to students interested in the health sciences. Using the responses of past and present students, we hope to continue to shape our program and provide unique opportunities to future students.
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Affiliation(s)
- Rachel McDonald
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Breanne Lechner
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Natalie Pulenzas
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Gillian Bedard
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Erin Wong
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Lori Holden
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - May Tsao
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Elizabeth Barnes
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Ewa Szumacher
- Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Gonenc Fenton
- Co-operative Education and Career Action, University of Waterloo, Waterloo, ON, Canada
| | - Edward Chow
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Marko Popovic
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - Cyril Danjoux
- Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
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93
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Luque JS, Roy S, Tarasenko YN, Ross L, Johnson J, Gwede CK. Feasibility Study of Engaging Barbershops for Prostate Cancer Education in Rural African-American Communities. J Cancer Educ 2015; 30:623-628. [PMID: 25288347 PMCID: PMC4390419 DOI: 10.1007/s13187-014-0739-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The barbershop is a promising setting where African-American men might receive information and education about prostate cancer. In this study, we assessed the feasibility of engaging rural barbershops as venues for barbers to deliver a prostate cancer education intervention to increase informed decision-making for prostate cancer screening among customers. Twelve barbershops were recruited from two separate micropolitan areas in Georgia as intervention and control sites. Structured interviews were conducted with 11 barbers in both sites about customer characteristics as well as their willingness to participate in the study. The interviews were audio recorded and transcribed for analysis. In the intervention site, six barbers completed a survey and a pre-/posttest prostate cancer knowledge instrument following training classes. Barbers reported a wide average range of customers served per week (50 to 300). African-American men made up an average of 87% of customers. Barbers thought prostate cancer was an important discussion topic, felt they would be comfortable discussing it, and supported the participation of their barbershop in the study. For intervention group barbers, there was a statistically significant difference between the average pretest knowledge score of 72% (mean 12.2, SD=3.2) and the posttest knowledge score of 89% (mean 15.2, SD=1.1) (P=0.03) on the 17-item prostate cancer knowledge instrument. Based on the multiple interactions with the barbers, there was high receptivity to the topic and consensus about the importance of addressing prostate cancer with their customers. Rural barbershops represent feasible venues for delivering a prostate cancer education intervention.
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Affiliation(s)
- John S Luque
- Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA.
| | - Siddhartha Roy
- Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA
- Rural Health Research Institute, Statesboro, GA, USA
| | - Yelena N Tarasenko
- Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA
| | - Levi Ross
- Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA
| | - Jarrett Johnson
- Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA
| | - Clement K Gwede
- Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA
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94
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Padrnos L, Dueck AC, Scherber R, Glassley P, Stigge R, Northfelt D, Mikhael J, Aguirre A, Bennett RM, Mesa RA. Quality of life and disease understanding: impact of attending a patient-centered cancer symposium. Cancer Med 2015; 4:800-7. [PMID: 25641947 PMCID: PMC4472202 DOI: 10.1002/cam4.422] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Revised: 12/12/2014] [Accepted: 12/16/2014] [Indexed: 12/26/2022] Open
Abstract
To evaluate the impact of a patient-centered symposium as an educational intervention on a broad population of cancer patients. We developed a comprehensive patient symposium. Through voluntary questionnaires, we studied the impact of this cancer symposium on quality of life, cancer-specific knowledge, and symptom management among cancer patients. Symposium attendees were provided surveys prior to and 3 months following the educational intervention. Surveys included (1) EORTC-QLQ-C30; (2) disease understanding tool developed for this conference; (3) validated disease-specific questionnaires. Changes over time were assessed using McNemar's tests and paired t-tests for categorical and continuous variables, respectively. A total of 158 attendees completed the pre-convention survey. Most respondents reported at least “quite a bit” of understanding regarding treatment options, screening modalities, symptomatology, and cancer-related side effects. Attendees endorsed the least understanding of disease-related stress, risk factors, fatigue management, and legal issues related to disease/treatment. At 3 months, there was improvement in understanding (12 of 14 areas of self-reported knowledge especially regarding nutrition, and stress/fatigue management). However, no significant change was seen in QLQ-C30 functioning, fatigue, pain, or insomnia. A patient symposium, as an educational intervention improves a solid knowledge base amongst attendees regarding their disease, increases knowledge in symptom management, but may be insufficient to impact QoL as a single intervention.
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Affiliation(s)
- Leslie Padrnos
- Internal Medicine Residency Program, Mayo Clinic, Scottsdale, Arizona
| | - Amylou C Dueck
- Division of Health Sciences Research, Mayo Clinic, Scottsdale, Arizona
| | - Robyn Scherber
- Internal Medicine Residency Program, Mayo Clinic, Scottsdale, Arizona
| | - Pamela Glassley
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
| | - Rachel Stigge
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
| | - Donald Northfelt
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
| | - Joseph Mikhael
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
| | - Annette Aguirre
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
| | | | - Ruben A Mesa
- Division of Hematology and Medical Oncology, Mayo Clinic, Scottsdale, Arizona
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Davis SN, Sutton SK, Vadaparampil ST, Meade CD, Rivers BM, Patel MV, Torres-Roca JF, Heysek RV, Spiess P, Pow-Sang J, Jacobsen PB, Gwede CK. Informed decision making among first-degree relatives of prostate cancer survivors: a pilot randomized trial. Contemp Clin Trials 2014; 39:327-34. [PMID: 25465497 DOI: 10.1016/j.cct.2014.10.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Revised: 10/10/2014] [Accepted: 10/10/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND First degree relatives (FDRs) of men diagnosed with prostate cancer (PCa) are at increased risk for developing the disease, due in part to multiple concurrent risk factors. There is a lack of innovative targeted decision aids to help FDRs make an informed decision about whether or not to undergo PCa screening. PURPOSE This randomized pilot trial evaluated the efficacy of a targeted PCa screening decision aid in unaffected FDRs of PCa survivors. METHODS Seventy-eight Black and White FDRs were randomized to one of two decision aid groups; 39 to a FDR-targeted decision aid and 39 to a general decision aid. The targeted decision aid group received a general PCa decision aid booklet plus a newly developed decision aid DVD targeted specifically for FDRs. PCa screening decision outcomes included knowledge, decisional conflict, distress, and satisfaction with screening decision. Outcomes were assessed at baseline and 4 weeks after baseline. RESULTS There were no differences by intervention group for knowledge, decisional conflict, distress, or satisfaction with screening decision (p>0.05). However, men in both groups had significant increases in knowledge and decreases in decisional conflict (p<0.001). These changes were most pronounced (p<0.05) for younger men compared to older men. CONCLUSION Results suggest that general and targeted information can play an important role in increasing knowledge and decreasing decisional conflict among FDRs. Additional research is needed to identify subgroups of men who benefit the most and better understand the outcomes of a screening decision aid among diverse samples of FDRs.
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Affiliation(s)
- Stacy N Davis
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States.
| | - Steven K Sutton
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Susan T Vadaparampil
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Cathy D Meade
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Brian M Rivers
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Mitul V Patel
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States.
| | - Javier F Torres-Roca
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Randy V Heysek
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Philippe Spiess
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Julio Pow-Sang
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Paul B Jacobsen
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
| | - Clement K Gwede
- 1902 Magnolia Drive, MRC-CANCONT, Moffitt Cancer Center, Tampa, FL 33612, United States; Department of Oncologic Sciences, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., MDC 44, Tampa, FL 33612, United States.
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