Abstract
In 2006, St. Jude Children’s Research Hospital (Memphis, Tennessee) began developing a school-based outreach program known as the St. Jude Cancer Education for Children Program (SJCECP). The aim of this program is to teach Memphis-area children about cells, cancer, and healthy habits that can prevent the development of cancer in adulthood. Initial plans for delivery of the program was for St. Jude staff to present the program at local schools. This plan for disseminating instruction was not feasible due to the limited availability of St. Jude staff. As a next step, during the 2012–2014 academic years, we conducted a study entitled SJCECP2, utilizing the SJCECP curriculum, with the objective of evaluating the impact of the educational intervention on knowledge acquisition and retention among fourth-grade students participating in a modified, teacher-led version of the program. Eighteen teachers and 426 students from 10 local schools in the greater Memphis area participated in the program evaluation. This study used a single-group, pre-test/post-test design to determine the impact of the SJCECP intervention on changes in knowledge scores among fourth-grade students. Testing was on cells, cancer, and healthy living. The mean scores increased from 6.45 to 8.12, 5.99 to 7.65, and 5.92 to 7.96 on cell, cancer, and health behaviors units, respectively (all p values <.001). Preliminary evidence suggests that the SJCECP2 intervention is a useful tool for teachers to improve student knowledge of knowledge of cells, cancer, and healthy living concepts at the fourth-grade level.
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Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, et.al. (2013) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. 330: 2095–2128
Reardon SA (2011) World of chronic disease. Science 333:558–9
American Cancer Society (2014) Lifetime risk of developing cancer. American Cancer Society, Atlanta, http://www.cancer.org/cancer/cancerbasics/lifetime-probability-of-developing-or-dying-from-cancer. Accessed 05 Jan 2016
American Cancer Society (2015) ACS guidelines on nutrition and physical activity for cancer prevention. http://www.cancer.org/acs/groups/cid/documents/webcontent/002577-pdf.pdf. Accessed 07 Dec 2015
National Institute of Health (2015) Cancer prevention. http://www.cancer.gov/research/areas/prevention. Accessed 07 Dec 2015
Centers for Disease Control (2014) Cancer prevention among youth. http://www.cdc.gov/cancer/dcpc/prevention/youth.htm. Accessed 07 Dec 2015
U.S. Department of Health and Human Services. Healthy people 2020. http://www.healthypeople.gov/2020/topics-objectives/topic/cancer. Accessed 07 Dec 2015
World Health Organization (2015) Cancer prevention. http://www.who.int/cancer/prevention/en/. Accessed 07 Dec 2015
Danaei G, Ding E, Mozaffarian D et al (2009) The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med 6:e1000058
World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. http://www.aicr.org/assets/docs/pdf/reports/Second_Expert_Report.pdf. Accessed 07 Dec 2015
World Cancer Research Fund International. Continuous update project. http://wcrf.org/int/research-we-fund/continuous-update-project-cup. Accessed 07 Dec 2015
Norat T, Aune D, Chan D, Romaguera D (2014) Fruits and vegetables: updating the epidemiologic evidence for the WCRF/AICR lifestyle recommendations for cancer prevention. Cancer Treat Res 159:35–50
Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, Leschik-Bonnet E, Müller MJ, Oberritter H, Schulze M, Stehle P, Watzl B (2012) Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr 51(6):637–63
White MC, Peipins LA, Watson M, Trivers KF, Holman D, Rodriguez JL (2013) Cancer prevention for the next generation. J Adolesc Health 52(5 Suppl):S1–7
Holman DM, Rodriguez J, Peipins L, Watson M, White MC (2013) Highlights from a workshop on opportunities for cancer prevention during preadolescence and adolescence. J Adolesc Health 52(5 Suppl):S8–14
Haverkos L (2010) Pediatric behavior and health promotion research program. National Institutes of Health, Washington, DC, http://www.nichd.nih.gov/about/org/crmc/cdb/prog_pbhp/index.cfm. Accessed 14 Oct 2014
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC et al (2011) Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act 8:98
Nielsen SJ, Popkin BM (2003) Patterns and trends in food portion sizes, 1977–1998. JAMA 289:450–3
U.S. Department of Health & Human Services (2015) Adolescent and school health. Centers for disease control and prevention, division of adolescent and school health. National Center for HIV/AIDS, viral hepatitis, STD, and TB prevention. http://www.cdc.gov/healthyyouth/index.htm. Accessed 07 Dec 2015
U.S. Department of Health & Human Services (2014) School health policies and practices study 2014. Centers for disease control. Division of adolescent and school health, National Center for HIV/AIDS, viral hepatitis, STD, and TB Prevention. http://www.cdc.gov/healthyyouth/data/shpps/index.htm. Accessed 07 Dec 2015
Merlo C, Brener N, Kann L, McManus T, Harris D, Mugavero K (2015) School-level practices to increase availability of fruits, vegetables, and whole grains, and reduce sodium in school meals—United States, 2000, 2006, and 2014. http://www.cdc.gov/mmwr/pdf/wk/mm6433.pdf. Accessed 07 Dec 2015
Alliance for a Healthier Generation (2015) Program website. https://www.healthiergeneration.org/dev_home/. Accessed 07 Dec 2015
Bares CB, Gelman SA (2008) Knowledge of illness during childhood: making distinctions between cancer and colds. Int J Behav Dev 32:443–450
Rechis R, Neal C, McGoldrick D (2010) LIVESTRONG at school: changing classroom talk about cancer. J Cancer Educ 25(1):127–128
Stöver LA, Hinrichs B, Petzold U, Kuhlmei H, Baumgart J, Parpart C, Rademacher O, Stockfleth E (2012) Getting in early: primary skin cancer prevention at 55 German kindergartens. Br J Dermatol 167(Suppl 2):63–9
Shihab RA, Obeidat NA, Bader RK, Shtaiwi A, Ayub A, Hawari FI (2012) Cancer-related knowledge, attitudes, and risk perception among 6 grade students in Jordan. Stud Health Technol Inform 172:155–60
Rennie LJ, Bazillier-Bruneau C, Rouëssé J (2015) CaPSCA: evaluation of a brief cancer prevention education programme to promote balanced diet in French school children. J Cancer Educ 30(4):759–65
Kyle RG, Forbat L, Rauchhaus P, Hubbard G (2013) Increased cancer awareness among British adolescents after a school-based educational intervention: a controlled before-and-after study with 6-months follow-up. BMC Public Health 4(13):190
Kyle RG, Macmillan I, Rauchhaus P, O’Carroll R, Neal RD, Forbat L, Haw S, Hubbard G (2013) Adolescent Cancer Education (ACE) to increase adolescent and parent cancer awareness and communication: study protocol for a cluster randomised controlled trial. Trials 8(14):286
Divakaran B, Muttapillymyalil J, Sreedharan J, Shalini K (2010) Lifestyle risk factors of noncommunicable diseases: awareness among school children. Indian J Cancer 47(Suppl 1):9–13
Stölzel F, Seide N, Uhmann S, Baumann M, Berth H, Hoyer J, Ehninger G (2014) Be smart against cancer! A school-based program covering cancer-related risk behavior. BMC Public Health 23(14):392
Heuckmann B, Asshoff R (2012) German high school students’ attitudes and interest in cancer and factors influencing proactive behaviour for cancer prevention. J Cancer Educ 29(3):497–505
Van Kirk Villalobos A, Quintana Y, Ribeiro RC (2012) Cure4Kids for Kids: school-based cancer education outreach. Stud Health Technol Inform 172:111–9
Quintana Y, Van Kirk Villalobos A, Li Z, Kumar Srivastava D, Ribeiro RC (2012) Cure4Kids for Kids: preliminary results on evaluating knowledge acquisition and knowledge retention. Stud Health Technol Inform 172:120–8
Ayers K, Villalobos A, Li Z, Krasin M (2014) The St. Jude Cancer Education for Children Program Pilot Study: determining the knowledge acquisition and retention of 4th-grade students. J Cancer Educ. doi:10.1007/s13187-014-0752-5
St. Jude Children’s Research Hospital (2015) Cure4Kids for kids website. http://www.cure4kids.org/kids. Accessed 05 Jan 2016
Glanz K, Rimer BK, Viswanath K (2008) Health behavior and health education: theory, research, and practice. Jossey-Bass, San Francisco, pp 465–82
Hoelscher DM, Springer AE, Ranjit N et al (2010) Reductions in child obesity among disadvantaged school children with community involvement: the Travis County CATCH Trial. Obesity 18(S1):S36–44
Acknowledgments
We thank the St. Jude Children’s Research Hospital International Outreach Program. This study was funded by the American Lebanese and Syrian Associated Charities (ALSAC) of St. Jude Children’s Research Hospital.
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This study was reviewed and approved by the St. Jude Children’s Research Hospital Institutional Review Board for Human Subjects Research and therefore was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All classroom teachers and parents of students gave their informed consent prior to their inclusion in the study.
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The authors declare that they have no conflicts of interest.
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Ayers, K., Li, Z., Quintana, Y. et al. St. Jude Cancer Education for Children Program: The Impact of a Teacher-Led Intervention on Student Knowledge Gains. J Canc Educ 32, 808–813 (2017). https://doi.org/10.1007/s13187-016-1010-9
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DOI: https://doi.org/10.1007/s13187-016-1010-9