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“Cancer Education on Wheels,” a Novel Cost-Effective Method in Creating Awareness in the Community: a Pilot Study

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Abstract

Cancer education raises disease awareness, the value of early identification and importantly the need for prompt screening and treatment when diagnosed. In this study, an effort was made to understand how well a unique cancer education program, “Cancer Education on Wheels,” transfers knowledge in general public in society. The community was shown prerecorded cancer awareness videos using a TV monitor, CD player, and speaker system mounted on an eight-seat Toyota Innova. Before and after seeing the video presentation, consenting volunteers filled out questionnaires asking about demographics and understanding of cancer. Frequency and percentage calculations were done on the demographic information and a Wilcoxon signed-rank test was run on the overall subject score. Data was stratified based on demographic information and compared by applying Kruskal–Wallis test and Mann–Whitney test. p values under 0.05 were regarded as significant. A total of 584 people completed the pre-test and post-test questionnaires. The Wilcoxon signed-rank test revealed a difference between the pre-test and post-test (3.29 ± 2.48 vs. 6.78 ± 3.52; P = 0.0001). The pre-test results showed that volunteers between the ages of 18 and 30; men; students; urban residents; single volunteers; graduates; people who had known a person/or family member with cancer; and people who were aware of the suffering cancer causes had a high baseline knowledge of cancer (p = 0.015 to 0.001). The post-test results show that participants who had less baseline scores like housewives and unemployed people performed better (p = 0.006 to 0.0001). The findings unambiguously demonstrated that “Cancer Education on Wheels” was successful in raising participants’ awareness of cancer signs and screening. Additionally, the findings showed that volunteers who were aged, married, housewives, and unemployed had higher scores. Most importantly, this approach to cancer education is simple to organize and carry out in a local setting. It is also affordable and simple to execute using readily available technological equipment and manageable logistics. According to the authors’ knowledge, this is the first study to use “Cancer Education on Wheels” to spread awareness of cancer throughout the neighborhood especially in budget constrained areas.

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Data available on request from the corresponding authors.

References

  1. Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, Bray F (2021) Cancer statistics for the year 2020: an overview. Int J Cancer. https://doi.org/10.1002/ijc.33588

  2. Siegel RL, Miller KD, Fuchs HE, Jemal A (2022) Cancer statistics. CA: Cancer J Clin 72(1):7–33. https://doi.org/10.3322/caac.21708

  3. Miller KD, Nogueira L, Devasia T, Mariotto AB, Yabroff KR, Jemal A, Kramer J, Siegel RL (2022) Cancer treatment and survivorship statistics. CA: Cancer J Clin 72(5):409–436. https://doi.org/10.3322/caac.21731

  4. Raj S, Piang LK, Nair KS, Tiwari VK, Kaur H, Singh B (2012) Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India. Asian Pac J Cancer Prev 13(8):4057–4062

    Article  PubMed  Google Scholar 

  5. Sahu DP, Subba SH, Giri PP (2020) Cancer awareness and attitude towards cancer screening in India: a narrative review. J Family Med Prim Care 9:2214–8

  6. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (2017) National centre for disease control directorate general of health services ministry of health and family welfare, GOI 22 - Sham Nath Marg, New Delhi. https://main.mohfw.gov.in/Major-Programmes/noncommunicable-diseases-injury-trauma/Non-Communicable-Disease-II/National-Programme-for-Prevention-and-Control-of-Cancer-Diabetes-Cardiovascular-diseases-and-Stroke-NPCDCS

  7. Smith RD, Mallath MK (2019) History of the growing burden of cancer in India: from antiquity to the 21st century. J Glob Oncol 5:1–15. https://doi.org/10.1200/JGO.19.00048

    Article  PubMed  Google Scholar 

  8. Anonymous (n.d.) Over 7 crore in India likely to suffer from cancer by 2021: IIHMR. https://www.The.Hindu.business.line.com/news/over-7-crore-in-india-likely-to-suffer-from-cancer-by-2021-iihmr/article9526099.ece. Accessed 10 Feb 2021

  9. Singh M, Prasad CP, Singh TD, Kumar L (2018) Cancer research in India: challenges & opportunities. Indian J Med Res 148(4):362–365. https://doi.org/10.4103/ijmr.IJMR_1711_18

    Article  PubMed  PubMed Central  Google Scholar 

  10. Allgar VL, Neal RD (2005) Delays in the diagnosis of six cancers: analysis of data from the National Survey of NHS Patients: Cancer. Br J Cancer 92(11):1959–1970

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Austoker J, Bankhead C, Forbes L et al (2009) Interventions to promote cancer awareness and early presentation: systematic review. Br J Cancer 101:S31–S39. https://doi.org/10.1038/sj.bjc.6605388

    Article  PubMed  PubMed Central  Google Scholar 

  12. Comber H, Cronin DP, Deady S, Lorcain PO, Riordan P (2005) Delays in treatment in the cancer services: impact on cancer stage and survival. Ir Med J 98(8):238–239

    CAS  PubMed  Google Scholar 

  13. Macleod U, Mitchell ED, Burgess C, Macdonald S, Ramirez AJ (2009) Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers. Br J Cancer 101(Suppl 2):S92–S101. https://doi.org/10.1038/sj.bjc.6605398

    Article  PubMed  PubMed Central  Google Scholar 

  14. Al-Azri M, Al-Hamedi I, Al-Awisi H, Al-Hinai M, Davidson R (2015) Public awareness of warning signs and symptoms of cancer in Oman: a community-based survey of adults. Asian Pac J Cancer Prev 16(7):2731–2737. https://doi.org/10.7314/APJCP.2015.16.7.2731

    Article  PubMed  Google Scholar 

  15. Al-Azri MH (2016) Delay in cancer diagnosis: causes and possible solutions. Oman Med J 31(5):325–326. https://doi.org/10.5001/omj.2016.65

    Article  PubMed  PubMed Central  Google Scholar 

  16. Basharat S, Shaikh BT, Rashid HU et al (2019) Health seeking behaviour, delayed presentation and its impact among oral cancer patients in Pakistan: a retrospective qualitative study. BMC Health Serv Res 19:715. https://doi.org/10.1186/s12913-019-4521-3

    Article  PubMed  PubMed Central  Google Scholar 

  17. Azhar N, Doss JG (2018) Health-seeking behaviour and delayed presentation of oral cancer patients in a developing country: a qualitative study based on the self-regulatory model. Asian Pac J Cancer Prev 19(10):2935–2941

    PubMed  PubMed Central  Google Scholar 

  18. Nessa A, Hussain MA, Rashid MH, Akhter N, Roy JS, Afroz R (2013) Role of print and audiovisual media in cervical cancer prevention in Bangladesh. Asian Pac J Cancer Prev 14(5):3131–3137. https://doi.org/10.7314/apjcp.2013.14.5.3131

    Article  PubMed  Google Scholar 

  19. Siddique I, Mitchell D (2013) The impact of a community-based health education programme on oral cancer risk factor awareness among a Gujarati community. Br Dent J 215:E7

    Article  CAS  PubMed  Google Scholar 

  20. Jain SD, Jain M, Khan K, Pandey A, Bagban A (2017) Evaluating the use of audiovisual aids in health education of patients visiting a dental college in Greater Noida. Int Healthcare Res J 1(9):278–283

    Article  Google Scholar 

  21. Binka C, Nyarko SH, Awusabo-Asare K, Doku DT (2019) Barriers to the uptake of cervical cancer screening and treatment among rural women in Ghana. BioMed Res Int 2019(6320938):8. https://doi.org/10.1155/2019/6320938

  22. O’Donovan J, Newcomb A, MacRae MC et al (2020) Community health workers and early detection of breast cancer in low-income and middle-income countries: a systematic scoping review of the literature. BMJ Glob Health 5:e002466. https://doi.org/10.1136/bmjgh-2020-002466

    Article  PubMed  PubMed Central  Google Scholar 

  23. Van Parijs LG (1986) Public education in cancer prevention. Bull World Health Organ 64(6):917–927

    PubMed  PubMed Central  Google Scholar 

  24. Meneses-Echávez J, Alba-Ramírez P, Correa-Bautista J (2018) Raising awareness for lung cancer prevention and healthy lifestyles in female scholars from a low-income area in Bogota, Colombia: evaluation of a national framework. J Cancer Educ 33:1294–1300

    Article  PubMed  Google Scholar 

  25. Laiho M, Honkala E, Nyyssonen V, Milen A (1993) Three methods of oral health in secondary schools. Scand J Dent Res 101:442–447

    Google Scholar 

  26. Paulin-Palokas T, Nordblad A, Remes-Lyly T (1997) Video as a medium of oral health education for children with mental handicaps. Spec Care Dentist 17:211–214. https://doi.org/10.1111/j.1754-4505.1997.tb00899.x

    Article  Google Scholar 

  27. Alsada LH, Sigal MJ, Limback H, Fiege J, Kulkarni GV (2005) Development and testing of an audiovisual aid for improving infant oral health through primary care giver education. J Can Dent Assoc 71:241a–241h

    Google Scholar 

  28. Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA (2014) Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health 14:814. https://doi.org/10.1186/1471-2458-14-814

  29. Bankole O, Ibiyemi O (2013) Effects of information dissemination using video of indigenous language on 11–12 years children’s dental health. Ethiop J Health Sci 23(3):201–208

    Google Scholar 

  30. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25:3186–3191

    Article  CAS  PubMed  Google Scholar 

  31. Sharma V, Giri S (2009) Cancer control in India – a sorry state. Indian J Cancer 46:340

    Article  CAS  PubMed  Google Scholar 

  32. Mukherjee PS, Ghosh S, Mukhopadhyay P et al (2020) A diabetes perception study among rural and urban individuals of West Bengal, India: are we ready for the pandemic? Int J Diabetes DevCtries 40:612–618

    Google Scholar 

  33. Mathew A, Gajalakshmi V, Rajan B, Kanimozhi VC, Brennan P, Binukumar BP et al (2009) Physical activity levels among urban and rural women in south India and the risk of breast cancer: a case-control study. Eur J Cancer Prev 18:368–376

    Article  PubMed  Google Scholar 

  34. Ismail IM, Kulkarni AG, Meundi AD, Amruth M (2016) A community-based comparative study of prevalence and risk factors of hypertension among urban and rural populations in a coastal town of South India. Sifa Med J 3:41–47

    Google Scholar 

  35. Girdhar S, Sharma S, Chaudhary A, Bansal P, Satija M (2016) An epidemiological study of overweight and obesity among women in an Urban area of North India. Indian J Community Med 41:154–157

    Article  PubMed  PubMed Central  Google Scholar 

  36. NagarkarAM KulkarniSS (2018) Obesity and its effects on health in middle-aged women from slums of Pune. J Mid-life Health 9:79–84

    Article  Google Scholar 

  37. Anand K, Shah B, Gupta V, Khaparde K, Pau E, Menon GR et al (2008) Risk factors for non- communicable disease in urban Haryana: a study using the STEPS approach. Indian Heart J 60:9–18

    PubMed  Google Scholar 

  38. Kinra S, Bowen LJ, Lyngdoh T, Prabhakaran D, Reddy KS, Ramakrishnan L et al (2010) Sociodemographic patterning of non-communicable disease risk factors in rural India: a cross sectional study. BMJ 341:c4974

  39. Jayamani V, Gopichandran V, Lee P, Alexander G, Christopher S, Prasad JH (2013) Diet and physical activity among women in urban and rural areas in South India: a community based comparative survey. J Family Med Prim Care 2(4):334–338. https://doi.org/10.4103/2249-4863.123782

    Article  PubMed  PubMed Central  Google Scholar 

  40. Harsha Kumar H, Tanya S (2014) A study on knowledge and screening for cervical cancer among women in Mangalore City. Ann Med Health Sci Res 4(5):751–756. https://doi.org/10.4103/2141-9248.141547

    Article  PubMed  PubMed Central  Google Scholar 

  41. Özcan H, DemirDoğan M (2021) Gynecological cancer awareness among women. Indian J Gynecol Oncolog 19:13. https://doi.org/10.1007/s40944-020-00481-w

    Article  Google Scholar 

  42. Gangane N, Ng N, Sebastián MS (2015) Women’s knowledge, attitudes, and practices about breast cancer in a rural district of central India. Asian Pac J Cancer Prev 16(16):6863–6870

    Article  PubMed  Google Scholar 

  43. Sarkar S, Ghosh D, Mahata S et al (2020) Sociodemographic factors and clinical presentation of women attending Cancer Detection Centre, Kolkata for breast examination. J Clin Transl Res 5(3):132–139

    PubMed  PubMed Central  Google Scholar 

  44. Singh S, Alok A, Nagesh L, Shivalingesh KK, Sah VK, Singh ID (2020) Awareness of oral cancer, oral premalignant disorders and their risk factors among adult population in Bareilly city. Indian J Dent Sci 12:126–131

    Google Scholar 

  45. Choi SY, Park MN (2012) Knowledge about cervical cancer and health beliefs on HPV vaccination in married immigrant women. J Korea Data Anal Soc 14(3):1399–1410

    Google Scholar 

  46. Changizi M, Kaveh MH, Jouybari TA, Hosseini MS (2016) The role of health education in cancer prevention: a systematic review. Int J Pharma Technol 8(4):24082–24099

    Google Scholar 

  47. Edwards BK, Ward E, Kohler BA, Eheman C, Zauber AG, Anderson RN, van Ballegooijen M (2010) Annual report to the nation on the status of cancer 1975–2006 featuring colorectal cancer trends and impact of interventions (risk factors screening and treatment) to reduce future rates. Cancer 116(3):544–573

    Article  PubMed  Google Scholar 

  48. Smith SA, Blumenthal DS (2013) Efficacy to effectiveness transition of an Educational Program to Increase Colorectal Cancer Screening (EPICS): study protocol of a cluster randomized controlled trial. Implement Sci 8:86. https://doi.org/10.1186/1748-5908-8-86

  49. Lana A, Faya-Ornia G, López ML (2014) Impact of a web-based intervention supplemented with text messages to improve cancer prevention behaviors among adolescents: Results from a randomized controlled trial. Prev Med 59:54–59

    Article  PubMed  Google Scholar 

  50. 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 Edu 30(4):759–765

    Article  Google Scholar 

  51. Velasques K, Michels LR, Colome LM, Haas SE (2015) Educational activities for rural and urban students to prevent skin cancer in Rio Grande do Sul Brazil Asian Pacific journal of cancer prevention: APJCP 17(3) 1201-1207

  52. Kwan TT, Tam KF, Lee PW, Chan KK, Ngan HY (2011) The effect of school- based cervical cancer education on perceptions towards human papillomavirus vaccination among Hong Kong Chinese adolescent girls. Patient Educ Couns 84(1):118–122

  53. Moysés R, Amaral G, Viana J, Benzaken A, Pereira MG (2022) Impact of a culturally tailored informative video on cervical cancer: a pilot study with Amazonian women in treatment for cervical cancer. J Obstet Gynaecol 42(5):1340–1346. https://doi.org/10.1080/01443615.2021.1963222

  54. Nagamma T, Ashok L, Konuri A, Chandrasekaran V (2020) Effectiveness of audio-visual and print media intervention on knowledge of cervical health among rural women in Southern India. Niger Postgrad Med J 27(4):343–347. https://doi.org/10.4103/npmj.npmj_148_20

    Article  PubMed  Google Scholar 

  55. Wang DS, Jani AB, Sesay M, Tai CG, Lee DK, Echt KV, Goodman MG, Kilbridge KE, Master VA (2015) Video-based educational tool improves patient comprehension of common prostate health terminology. Cancer 121(5):733–740. https://doi.org/10.1002/cncr.29101

    Article  PubMed  Google Scholar 

  56. Shallwani K, Ramji R, Ali TS, Khuwaja AK (2010) Self-examination for breast and testicular cancers: a community-based intervention study. Asian Pac J Cancer Prev 11(2):383–386

    PubMed  Google Scholar 

  57. Mojica CM, Morales-Campos DY, Carmona CM, Ouyang Y, Liang Y (2016) Breast, cervical, and colorectal cancer education and navigation: results of a community health worker intervention. Health Promot Pract 17(3):353–63. https://doi.org/10.1177/1524839915603362

  58. Livaudais JC, Coronado GD, Espinoza N, Islas I, Ibarra G, Thompson B (2010) Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention. J Womens Health 19(11):2049–2056

    Article  Google Scholar 

  59. Lee C, Duffy SA, Louzon SA, Waltje AH, Ronis DL, Redman RW, Kao TS (2014) The impact of sun solutions educational interventions on select health belief model constructs. Workplace Health Saf 62(2):70

    Article  PubMed  Google Scholar 

  60. Kumar S, Preetha G (2012) Health promotion: an effective tool for global health. Indian J Community Med 37(1):5–12. https://doi.org/10.4103/0970-0218.94009

    Article  PubMed  PubMed Central  Google Scholar 

  61. Shin HY, Kim KY, Kang P (2020) Concept analysis of community health outreach. BMC Health Serv Res 20(1):417. https://doi.org/10.1186/s12913-020-05266-7

    Article  PubMed  PubMed Central  Google Scholar 

  62. McLeroy KR, Norton BL, Kegler MC, Burdine JN, Sumaya CV (2003) Community-based interventions. Am J Public Health 93(4):529–533. https://doi.org/10.2105/ajph.93.4.529

    Article  PubMed  PubMed Central  Google Scholar 

  63. World Health organization (n.d.) Health Promotion. https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference/actions. Accessed 18 Dec 2021

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Acknowledgements

The authors are also grateful to all the participants who volunteered to take part in the study.

Funding

The study was supported by Mangalore Institute of Oncology.

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Correspondence to Manjeshwar Shrinath Baliga.

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This was a prospective study ad was conducted after obtaining clearance from Institutional Ethics Committee (MIO/IEC/11/2015). Written informed consent was taken from all the study participants.

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Rao, S., Rao, P., Shetty, R. et al. “Cancer Education on Wheels,” a Novel Cost-Effective Method in Creating Awareness in the Community: a Pilot Study. J Canc Educ 38, 1792–1800 (2023). https://doi.org/10.1007/s13187-023-02334-4

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