Relationship between Consulting for Second Medical Opinions, Radiotherapy, and Satisfaction with Therapy, Analyzed by Structural Equation Modeling: A Web-Based Survey

Minamitani, Masanari; Mukai, Tomoya; Ogita, Mami; Yamashita, Hideomi; Katano, Atsuto; Nakagawa, Keiichi

doi:10.31557/apjcp.2021.22.9.2889

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Our study revealed a disappointingly low positive response rate (16%) to the curative potential of radiotherapy. This reflects the common perception that radiotherapy is less curative than surgery [22].…”

Section: Discussionmentioning

confidence: 64%

Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey

Minamitani,

Morishima,

Katano

et al. 2024

J Canc Educ

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Health literacy (HL) plays a vital role in an individual’s ability to make informed health decisions. Japan faces several challenges in cervical cancer control, including low human papillomavirus (HPV) vaccination and screening rates, underutilization of radiotherapy, and limited HL. This study explored the association between HL and knowledge of cervical cancer and radiotherapy, particularly among young Japanese women. We conducted a web-based survey among users of LunaLuna, a popular women’s healthcare application, to assess their HL and knowledge about cervical cancer and radiotherapy through a 46-question survey. We compared three groups in terms of HL (inadequate, problematic, and sufficient & excellent). Multiple regression analysis was used to identify factors associated with knowledge. In total, 1468 respondents were included in this study. HL was positively correlated with knowledge scores (inadequate: 51.8%; problematic: 56.3%; sufficient & excellent: 60%). Participants displayed relatively low accuracy for treatment-related questions. Higher HL (β = 0.15, p < 0.01), education (β = − 0.11, p < 0.01), cervical cancer screening (β = − 0.11, p < 0.01), income (β = 0.09, p < 0.01), and employment (β = − 0.06, p = 0.04) were significant factors affecting knowledge of cervical cancer and radiotherapy. Our findings underscore the pivotal role of HL in promoting cervical cancer prevention and providing a better understanding of radiotherapy. Despite factors such as age, education, and history of cervical cancer screening, HL showed the strongest association with knowledge of cervical cancer and radiotherapy. The enhancement of HL and knowledge dissemination may be critical for promoting cervical cancer prevention and radiotherapy in Japan.

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Section: Discussionmentioning

confidence: 64%

Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey

Minamitani,

Morishima,

Katano

et al. 2024

J Canc Educ

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“…The radiation fallout has been shown to bioaccumulate in the organisms via food chain cycles that have been vital sources of food and recreation for Pacific Island communities [ 18 ]. The lived experiences and multigenerational trauma that persists among these patients and communities likely influence their perceptions of medical radiation, cancer risk, trust in healthcare providers, and approach to standard and experimental cancer treatments that relate specifically to radiation [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, during the Cold War, 67 hydroge equivalent to 7200 Hiroshima bombs, were detonated in the Marshall Islands le nificant amounts of radioactive particles and radionuclides in the air, water and The radiation fallout has been shown to bioaccumulate in the organisms via fo cycles that have been vital sources of food and recreation for Pacific Island com [18]. The lived experiences and multigenerational trauma that persists among tients and communities likely influence their perceptions of medical radiation, ca trust in healthcare providers, and approach to standard and experimental can ments that relate specifically to radiation [19,20].…”

Section: Discussionmentioning

confidence: 99%

Racial Disparities among Asian American, Native Hawaiian, and Other Pacific Islander Patients with Cancer Who Refuse Recommended Radiation Therapy or Surgery

Lau,

Tominez,

Shing

et al. 2023

Cancers

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Despite radiation therapy (RT) and surgery being the curative treatments, prior work demonstrated that the aggregated Asian American (AA) and Native Hawaiian and Other Pacific Islanders (NHPI) population refuse RT and surgery at a higher rates than other races. Given that AA and NHPI are distinct groups, data disaggregation is necessary to understand racial and ethnic disparities for treatment refusal. We aimed to (1) compare RT and surgery refusal rates between AA and NHPI populations, (2) assess RT and surgery refusal on overall mortality, and (3) determine predictors of refusing RT and surgery using the United States (U.S.) National Cancer Database. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CI) for treatment refusal were calculated using logistic regression. Adjusted hazard ratios (aHR) were calculated for overall survival using Cox proportional hazard models among propensity score-matched groups. The overall rate of RT refusal was 4.8% and surgery refusal was 0.8%. Compared to East AA patients, NHPI patients had the highest risk of both RT refusal (aOR = 1.38, 95%CI = 1.21–1.61) and surgery refusal (aOR = 1.28, 95%CI = 1.00–1.61). RT refusal significantly predicted higher mortality (aHR = 1.17, 95%CI = 1.08–1.27), whereas surgery refusal did not. Predictors of RT and surgery refusal were older patient age, high comorbidity index, and cancer diagnosis between 2011–2017. The results show heterogenous treatment refusal patterns among AA and NHPI populations, suggesting areas for targeted intervention.

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“…The contents of the videos were carefully curated to include technological advances that have improved the effectiveness of radiotherapy, minimised its adverse effects and reduced treatment duration, thereby facilitating a better balance between treatment and work obligations. Previous research conducted by our team has established that radiotherapy was believed to be associated with a higher risk of cancer recurrence, a higher incidence of adverse events, longer treatment periods, increased costs and a more demanding commute to hospitals compared with surgical interventions in Japan (Minamitani et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

Assessing the effectiveness of a school educational video on cancer and radiotherapy

Minamitani,

Katano,

Nakagawa

2023

Health Education Journal

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Background: Japan has recently begun introducing educational programmes on cancer as part of health and physical education (HPE) classes in schools. In support of this work, the Japanese Society for Radiation Oncology has developed an educational video to enhance children’s understanding of cancer and radiotherapy. Objectives: This study examined the perceived effectiveness of this video among teachers and clarified whether their specialisation played a role in their responses. Methods: An online survey was administered to junior and senior high school teachers without a history of cancer. Respondents’ demographic characteristics, healthy lifestyle habits, anxiety about cancer treatment and knowledge about cancer and radiotherapy were surveyed pre- and post-video. We compared the data from science teachers, HPE teachers and teachers of other specialties. Subsequently, we performed a multiple logistic regression analysis to estimate significant factors that predicted post-watch correct-answer rates. Results: Science teachers were less anxious about radiotherapy and surgery than the other-specialty teachers. They were also the most knowledgeable about cancer and radiotherapy. Post-viewing correct-answer rates improved, except for questions about the work of medical physicists and damage to normal cells. The multiple regression analysis identified age (β = .07), sex (β = .08), anxiety about radiotherapy (β = −.09) and pre-video correct-answer rates (β = .46) as significant factors predicting post-watch correct-answer rates. Conclusion: The video was beneficial in enhancing teachers’ understanding of cancer and radiotherapy. Compared with HPE and other-specialty teachers, science teachers were superior in terms of cancer and radiotherapy comprehension. There may be value in exploring possibilities for cross-disciplinary instruction involving not only HPE but also science teachers in cancer education, especially radiotherapy education.

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Relationship between Consulting for Second Medical Opinions, Radiotherapy, and Satisfaction with Therapy, Analyzed by Structural Equation Modeling: A Web-Based Survey

Cited by 3 publications

References 21 publications

Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey

Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey

Racial Disparities among Asian American, Native Hawaiian, and Other Pacific Islander Patients with Cancer Who Refuse Recommended Radiation Therapy or Surgery

Assessing the effectiveness of a school educational video on cancer and radiotherapy

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