Cancer literacy among Jordanian colorectal cancer survivors and informal carers: Qualitative explorations

Melhem, Samar J.; Nabhani‐Gebara, Shereen; Kayyali, Reem

doi:10.3389/fpubh.2023.1116882

Cited by 3 publications

(6 citation statements)

References 68 publications

(129 reference statements)

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“…The delivery of informational and educational needs in a personalized, non-distressing manner, adaptable to various HL levels, was deemed necessary to enhance the uptake and reap the benefits. HL is an individual, global, contextual, and multifaceted challenge ( 45 , 79 ). Considering the literacy levels of cancer patients and carers is crucial when designing effective educational programs ( 44 , 45 ).…”

Section: Discussionmentioning

confidence: 99%

“…HL is an individual, global, contextual, and multifaceted challenge ( 45 , 79 ). Considering the literacy levels of cancer patients and carers is crucial when designing effective educational programs ( 44 , 45 ). This is especially pertinent for cancer patients above the age of 65, who constitute a significant proportion of those diagnosed ( 54 ).…”

Section: Discussionmentioning

confidence: 99%

“…The existing healthcare system often fails to provide sufficient psychosocial support due to increasing numbers of survivors, limited carers, and lack of requisite expertise ( 64 ). Caregivers also require social support owing to the demands of their role ( 45 ). The study also stressed the importance of lifestyle and wellness issues like nutritional support, dietary planning, and CAM.…”

Section: Discussionmentioning

confidence: 99%

“…eHealth solutions should be designed considering the complex HL dimensions, healthcare system contextual elements, and by producing responsive and adaptable content suitable to diverse learning styles. Melhem et al ( 44 , 45 ), in their recent qualitative and quantitative research on the digital experiences, digital health literacy (DHL) and trends of cancer survivors and the adoption of eHealth apps, highlighted this necessity ( 44 , 45 ). Patients with low HL may experience information overload while using eHealth applications relying on vast data volumes.…”

Section: Introductionmentioning

confidence: 99%

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Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study

Melhem,

Kayyali

2023

Front. Public Health

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BackgroundThe advent of eHealth services offers the potential to support colorectal cancer (CRC) survivors and their informal caregivers (ICs), yet research into user needs and design requirements remains scant. This exploratory qualitative study addresses this knowledge gap by focusing on the development of a Digital Multicomponent Platform (DMP) designed to provide comprehensive support to these populations.AimsThe objective of this research is to use qualitative methodologies to identify key user needs and design requirements for eHealth services. It seeks to propose and apply a multi-tiered framework for creating a DMP that encapsulates the needs of CRC survivors and their ICs.MethodsSkype-based focus groups (FGs) were utilized to gather qualitative data from CRC survivors and ICs. This approach served to elicit crucial themes integral to the design of the DMP. A multi-tiered framework was subsequently developed to integrate user-centered design (UCD) principles and requirements with predetermined outcomes, eHealth services, and IT infrastructure.ResultsThe first stage of the analysis identified five crucial themes: (1) the importance of healthcare system interaction via eHealth, (2) interaction between healthcare providers and peers, (3) lifestyle and wellness considerations, (4) platform content and user interface requirements, (5) caregiver support. The second stage analysis applied the multi-tiered framework, to determine the DMP that was conceptualized from these themes, underscores the significance of personalized content, caregiver involvement, and integration with electronic health records (EHRs).ConclusionThe study offers novel insights into the design and development of digital supportive care interventions for CRC survivors and their caregivers. The results highlight the utility of user-centered design principles, the significance of personalized content and caregiver involvement, and the need for a unified health data platform that promotes communication among patients, healthcare providers, and peers. This multi-tiered framework could serve as a prototype for future eHealth service designs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study

Melhem,

Kayyali

2023

Front. Public Health

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“…For example, asymptomatic presentation and lack of acute intolerable pain can often hinder presentation to primary care facilities [ 10 , 11 ]. Other barriers to help-seeking for possible CRC symptoms include the willingness to use herbs, fear of disease, distrust in medical professionals, lack of social support, and poor health literacy [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the interplay of colorectal cancer awareness and attitudes among Palestinians: a national cross-sectional study

Elshami,

Dwikat,

Al-Slaibi

et al. 2024

BMC Cancer

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Background In Palestine, colorectal cancer (CRC) is the second most common cause of cancer-related mortality after lung cancer. No studies have examined the relationship between CRC awareness and attitudes. This study aimed to investigate the interplay between CRC awareness and attitudes among the Palestinian population. Methods A nationwide cross-sectional survey was carried out between July 2019 and March 2020. Convenience sampling was used to collect data from hospitals, primary healthcare facilities, and public areas in 11 governorates. Modified, translated-into-Arabic versions of the validated Bowel Cancer Awareness Measure and Cancer Awareness Measure-Mythical Causes Scale were utilized to assess the awareness of CRC signs/symptoms, risk factors, and causation myths. The cumulative awareness score for each domain was computed and stratified into tertiles. The top tertile denoted ‘high’ awareness, while the remaining two tertiles denoted ‘low’ awareness. Results The final analysis included 4,623 participants; of whom, 3115 (67.4%) reported positive attitudes toward CRC. In total, 1,849 participants (40.0%) had high awareness of CRC signs/symptoms. There was no association between displaying a high awareness of CRC signs/symptoms and having positive attitudes toward CRC. A total of 1,840 participants (38.9%) showed high awareness of CRC risk factors. Participants with high CRC risk factor awareness were more likely to display positive attitudes toward CRC (OR = 1.22, 95% CI: 1.07–1.39). Only 219 participants (4.7%) had high awareness of CRC causation myths. Participants with high awareness of CRC causation myths were more likely to exhibit positive attitudes toward CRC (OR = 2.48, 95% CI: 1.71–3.58). Conclusion A high awareness level of CRC risk factors and causation myths was associated with a greater likelihood of demonstrating positive attitudes toward CRC in terms of perceived susceptibility, importance of early detection, and consequences of developing the disease. Future educational interventions should focus on raising public awareness about CRC, with a particular emphasis on risk factors and causation myths, to maximize the potential for shaping favorable attitudes toward the disease.

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Cancer Health Literacy and Its Correlated Factors in the United Arab Emirates-A Cross Sectional Study

Elbarazi,

Aziz,

Ahmed

et al. 2024

Cancer Control

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Introduction Cancer Health literacy (CHL) is the health literacy related to cancer knowledge, prevention, treatment, screening, and access to services. It is an important indicator of people’s adherence to screening and preventive measures, which helps to reduce the incidence and prevalence of cancer. The study assessed the CHL level and its association with relevant socio-demographic characteristics and sources of information among primary health care patients and visitors in the United Arab Emirates (UAE). Methods A cross-sectional study recruited survey participants who consented to respond to an interviewer-administered questionnaire. The assessment of CHL was done by using 15 questions. CHL level was measured as a median score and also categorized as poor/inadequate, moderate, good/excellent. Nominal logistic regression was used to analyze the relationship between CHL categories and participants’ sociodemographic characteristics and CHL sources of information. Results Of the total 492 participants, 45.5% were young adults (30-39 years old), 32.9% were males, and 70.8% were UAE nationals. The overall median CHL score was 8.0 (IQR = 5.0-10). 33.7% of the participants had a poor/inadequate level of CHL, 49.6% had a moderate level and 16.7% had a good to excellent level of CHL. 76.9% of the participants knew the importance of early cancer screening tests, 72.7% acknowledged the metastatic capacity of cancer, and the protective factors of cancer, especially, in colon cancer (71.7%). A high proportion of participants received health information about cancer via the internet (50.7%), television (45.3%), social media (40.2%), and doctors (43.6%). Nationality other than UAE (aOR = 1.62, 95% CI = 1.03-2.56, P = .038), having university education (aOR = 2.20, 95% CI = 1.21-3.99, P = .010) compared to those with lower than high school, and having a family history of cancer (aOR = 2.42, 95% CI = 1.33-4.41, P = .004) were positively associated with CHL. Older age (aOR = .36, 95% CI = .17-.75, P = .007 for 50-59 years, and aOR = .29, 95% CI = .11-.82, P = .019) for 60-69 years, higher-income (aOR = .57, 95% CI = .33-.99, P = .047 for 10,000-19,999 AED; aOR = .53, 95% CI = .33-.88, P = .013 for ≥20,000) compared with those earning <10,000 AED were negatively associated with CHL. Conclusions CHL among the resident UAE population was moderately adequate, therefore implementation of awareness campaigns seems to be warranted. Moreover, evaluation research targeting the CHL impact on cancer prevention practices and screening is also advocated.

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Cancer literacy among Jordanian colorectal cancer survivors and informal carers: Qualitative explorations

Cited by 3 publications

References 68 publications

Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study

Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study

Understanding the interplay of colorectal cancer awareness and attitudes among Palestinians: a national cross-sectional study

Cancer Health Literacy and Its Correlated Factors in the United Arab Emirates-A Cross Sectional Study

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