Evidence map›Paper›PMID 26502987›Full record

Trial reportPsycho-oncology2016

School-based brief psycho-educational intervention to raise adolescent cancer awareness and address barriers to medical help-seeking about cancer: a cluster randomised controlled trial.

Gill Hubbard, Iona Stoddart, Liz Forbat, Richard D Neal, Ronan E O'Carroll, Sally Haw, Petra Rauchhaus, Richard G Kyle

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The Effectiveness of Interventional Cancer Education Programs for School Students Aged 8-19 Years: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
  4. Trial
  5. School-Based Cancer Education and Health Literacy: A Pre-Post Study on Cancer Prevention and System Navigation Among Brazilian Adolescents.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  6. Article
  7. Integrating Cancer Education Into High School Curricula.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  8. Article
  9. Review
  10. I Choose Health. It is OncoLogical!-Informative and Educational Campaign Dedicated to the High School Students in Poland.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  11. Article
  12. Article
  13. Adolescents and young adults' (AYA) views on their cancer knowledge prior to diagnosis: Findings from a qualitative study involving AYA receiving cancer care.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  14. Article
  15. Article
  16. Development and Validation of Social-Cognitive Theory Based Oral Cancer Awareness Assessment Tool for Adolescents.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Gill HubbardCancer Care Research Centre, School of Health Sciences, University of Stirling, Stirling, UK.
Iona StoddartTeenage Cancer Trust, London, UK.
Liz ForbatAustralian Catholic University, Canberra, Australia.
Richard D NealNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Ronan E O'CarrollDivision of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK.
Sally HawSchool of Health Sciences, University of Stirling, Stirling, UK.
Petra RauchhausCollege of Medicine, Dentistry and Nursing, University of Dundee, Dundee, UK.
Richard G KyleSchool of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh, UK.
University of Stirling · GBAustralian Catholic University · AUBangor University · GBEdinburgh Napier University · GBUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRaising cancer awareness and addressing barriers to help-seeking may improve early diagnosis. The aim was to assess whether a psycho-educational intervention increased adolescents' cancer awareness and addressed help-seeking barriers.

methodsThis was a cluster randomised controlled trial involving 2173 adolescents in 20 schools. The intervention was a 50-min presentation delivered by a member of Teenage Cancer Trust's (UK charity) education team. Schools were stratified by deprivation and roll size and randomly allocated to intervention/control conditions within these strata. Outcome measures were the number of cancer warning signs and cancer risk factors recognised, help-seeking barriers endorsed and cancer communication. Communication self-efficacy and intervention fidelity were also assessed.

resultsRegression models showed significant differences in the number of cancer warning signs and risk factors recognised between intervention and control groups. In intervention schools, the greatest increases in recognition of cancer warning signs at 6-month follow-up were for unexplained weight loss (from 44.2% to 62.0%) and change in the appearance of a mole (from 46.3% to 70.7%), up by 17.8% and 24.4%, respectively. Greatest increases in recognition of cancer risk factors were for getting sunburnt more than once as a child (from 41.0% to 57.6%) and being overweight (from 42.7% to 55.5%), up by 16.6% and 12.8%, respectively. Regression models showed that adolescents in intervention schools were 2.7 times more likely to discuss cancer at 2-week follow-up compared with the control group. No differences in endorsement of barriers to help-seeking were observed.

conclusionsSchool-based brief psycho-educational interventions are easy to deliver, require little resource and improve cancer awareness. © 2015 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

Indexed as

AwarenessAdolescentAdolescent BehaviorCommunicationFemaleHealth EducationHumansMaleNeoplasmsRisk FactorsSchool Health ServicesSelf EfficacySocioeconomic FactorsUnited Kingdom

Identifiers

PMID26502987
PMCPMC5057352
OpenAlexW2132018167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.