title: Efficacy of an educational material on second primary cancer screening practice for cancer survivors: a randomized controlled trial.
abstract: BACKGROUND
  Cancer surivors have limited knowledge about second primary cancer (SPC) screening and suboptimal rates of completion of screening practices for SPC. Our objective was to test the efficacy of an educational material on the knowledge, attitudes, and screening practices for SPC among cancer survivors.
  
  
  METHODS
  Randomized, controlled trial among 326 cancer survivors from 6 oncology care outpatient clinics in Korea. Patients were randomized to an intervention or an attention control group. The intervention was a photo-novel, culturally tailored to increase knowledge about SPC screening. Knowledge and attitudes regarding SPC screening were assessed two weeks after the intervention, and screening practices were assessed after one year.
  
  
  RESULTS
  At two weeks post-intervention, the average knowledge score was significantly higher in the intervention compared to the control group (0.81 vs. 0.75, P<0.01), with no significant difference in their attitude scores (2.64 vs. 2.57, P = 0.18). After 1 year of follow-up, the completion rate of all appropriate cancer screening was 47.2% in both intervention and control groups.
  
  
  CONCLUSIONS
  While the educational material was effective for increasing knowledge of SPC screening, it did not promote cancer screening practice among cancer survivors. More effective interventions are needed to increase SPC screening rates in this population.
  
  
  BACKGROUND
  ClinicalTrial.gov NCT00948337.
authors.affiliation: Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, Korea.
authors.forename: Dong Wook
authors.initials: DW
authors.lastname: Shin
authors.forename: Juhee
authors.initials: J
authors.lastname: Cho
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Kim
authors.forename: Jae Hwan
authors.initials: JH
authors.lastname: Oh
authors.forename: Seok Won
authors.initials: SW
authors.lastname: Kim
authors.forename: Ki-Wook
authors.initials: KW
authors.lastname: Chung
authors.forename: Woo-Yong
authors.initials: WY
authors.lastname: Lee
authors.forename: Jeong Eon
authors.initials: JE
authors.lastname: Lee
authors.forename: Eliseo
authors.initials: E
authors.lastname: Guallar
authors.forename: Won-Chul
authors.initials: WC
authors.lastname: Lee
mesh_terms: D000368:Aged; D055088:Early Detection of Cancer; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000175:diagnosis*; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D017410:Practice Guidelines as Topic; D056910:Republic of Korea; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*