Introduction of Cancer Education Program in Secondary School Curriculum: Perceptions of Education Teachers and Policymakers in Oman.

Ahead of Print

Publisher: Springer Country of Publication: England NLM ID: 8610343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1543-0154 (Electronic) Linking ISSN: 08858195 NLM ISO Abbreviation: J Cancer Educ Subsets: MEDLINE

Publication: New York : Springer
Original Publication: New York : Pergamon Press, c1986-

The prevalence of cancer is expected to increase worldwide for reasons related to a lack of awareness of cancer prevention, diagnosis, and treatment. Implementing cancer education programs in schools in the developing countries with similar demographic, economic, and health transition to that of Oman is crucial for enhancing students' cancer knowledge and promoting healthy behavior. This study aims to explore the perceptions of education, policymakers, and teachers regarding the inclusion of cancer education in secondary school curriculum. The study employed a qualitative method, conducting semi-structured interviews with ten education policymakers and ten school teachers. Interviews were audio recorded, transcribed, and analyzed verbatim and qualitatively using the framework approach. Three main themes have emerged: (1) perception of the importance of cancer education inclusion within the school curriculum, (2) the perception of cancer education implementation in schools, and (3) the perceived challenges of introducing cancer education in schools. Policymakers and teachers in Oman recognize the importance of cancer education in schools and emphasized the need to prioritize it due to the increasing prevalence of the disease and the belief that negative lifestyle habits played a role in its increased prevalence. Implementing cancer education programs in schools is essential in improving students' knowledge of cancer and health behaviors. Collaboration between the department of school health in ministry of education and in ministry of health and incorporating cancer education into different school activities can be beneficial. However, the perceived challenges of cancer education in schools include the decision on the priority of cancer education among other topics, the required procedures to introduce cancer education in schools, and the financial and logistics obligations of implementing cancer education programs. Therefore, addressing the financial and logistic requirements is essential to overcome the associated challenges for implementing cancer education programs within the school curriculum.
(© 2024. The Author(s) under exclusive licence to American Association for Cancer Education.)

World Health Organization, WHO (2020) World Health Organization, Geneva. Available: https://apps.who.int/iris/handle/10665/330745 . Accessed 6 Apr 2023.
Amgad M, Shash E, Gaafar R (2012) Cancer education for medical students in developing countries: where do we stand and how to improve? Crit Rev Oncol Hematol 84(1):122–129. (PMID: 10.1016/j.critrevonc.2012.01.00322386807)
Akram M, Iqbal M, Daniyal M, Khan AU (2017) Awareness and current knowledge of breast cancer. Biol Res 50:1–23. (PMID: 10.1186/s40659-017-0140-9)
Al-Riyami A, Abdulhadi NN, Al-Azri M (2020) Understanding the perceptions of Omani women regarding life after a breast cancer diagnosis. Sultan Qaboos Univ Med J 20(4):e360. (PMID: 10.18295/squmj.2020.20.04.013334149427757920)
Al Hamdan N, Ravichandran K, Al Sayyad J, Al Lawati J, Khazal Z, Al Khateeb F, Abdulwahab A, Al Asfour A (2009) Incidence of cancer in Gulf Cooperation Council countries, 1998–2001. EMHJ-Eastern Mediterranean Health Journal 15(3):600–611.
Al-Azri MH (2016) Delay in cancer diagnosis: causes and possible solutions. Oman Med J 31.5:325. (PMID: 10.5001/omj.2016.65)
Abraham O, Rosenberger CA, LeMay SM, Bittner SJ (2021) Adolescents’ perceptions about cancer and preferences for cancer education. Cancer Control 28:10732748211036057. (PMID: 10.1177/10732748211036057344032778375333)
Moosa A, Hussain N (2014) A qualitative study of change: implementing quality assurance and continuous quality improvement in health professions education during a period of transition. Villanova University.
Creswell JW, Hanson WE, Clark Plano VL, Morales A (2007) Qualitative research designs: selection and implementation. Couns Psychol 35(2):236–264.
Creswell JW, Garrett AL (2008) The “movement” of mixed methods research and the role of educators. S Afr J Educ 28(3):321–333. (PMID: 10.15700/saje.v28n3a176)
Cohen L, Manion L, Morrison K (2013) Validity and reliability research methods in education, pp 203–240.
Srivastava A, Thomson SB (2009) Framework analysis: a qualitative methodology for applied policy research. JOAAG 4(2):72–79.
World Health Organization, WHO (2020) World Health Organization, Geneva. Available: https://apps.who.int/iris/handle/10665/330745 . Accessed 6 Apr 2023.
Amgad M, Shash E, Gaafar R (2012) Cancer education for medical students in developing countries: where do we stand and how to improve? Crit Rev Oncol Hematol 84(1):122–129. (PMID: 10.1016/j.critrevonc.2012.01.00322386807)
Akram M, Iqbal M, Daniyal M, Khan AU (2017) Awareness and current knowledge of breast cancer. Biol Res 50:1–23. (PMID: 10.1186/s40659-017-0140-9)
Al-Riyami A, Abdulhadi NN, Al-Azri M (2020) Understanding the perceptions of Omani women regarding life after a breast cancer diagnosis. Sultan Qaboos Univ Med J 20(4):e360. (PMID: 10.18295/squmj.2020.20.04.013334149427757920)
Al Hamdan N, Ravichandran K, Al Sayyad J, Al Lawati J, Khazal Z, Al Khateeb F, Abdulwahab A, Al Asfour A (2009) Incidence of cancer in gulf cooperation council countries, 1998-2001. EMHJ-Eastern Mediterranean Health Journal 15(3):600–611.
Al-Azri MH (2016) Delay in cancer diagnosis: causes and possible solutions. Oman Med J 31(5):325. (PMID: 10.5001/omj.2016.65276021844996960)
Abraham O, Rosenberger CA, LeMay SM, Bittner SJ (2021) Adolescents’ perceptions about cancer and preferences for cancer education. Cancer Control 28:10732748211036057. (PMID: 10.1177/10732748211036057344032778375333)
Moosa A, Hussain N (2014) A qualitative study of change: implementing quality assurance and continuous quality improvement in health professions education during a period of transition. Villanova University.
Creswell JW, Hanson WE, Clark Plano VL, Morales A (2007) Qualitative research designs: selection and implementation. Couns Psychol 35(2):236–264.
Creswell JW, Garrett AL (2008) The “movement” of mixed methods research and the role of educators. S Afr J Educ 28(3):321–333. (PMID: 10.15700/saje.v28n3a176)
Cohen L, Manion L, Morrison K (2013) Validity and reliability research methods in education, pp 203–240.
Srivastava A, Thomson SB (2009) Framework analysis: a qualitative methodology for applied policy research. JOAAG 4(2):72–79.
Albano JD, Ward E, Jemal A, Anderson R, Cokkinides VE, Murray T, Henley J, Liff J, Thun MJ (2007) Cancer mortality in the United States by education level and race. J Natl Cancer Inst 99(18):1384–1394. (PMID: 10.1093/jnci/djm12717848670)
Kyle RG, Macmillan I, Rauchhaus P, O’Carroll R, Neal RD, Forbat L, Haw S, Hubbard G (2013) Adolescent Cancer education (ACE) to increase adolescent and parent cancer awareness and communication: study protocol for a cluster randomised controlled trial. Trials 14(1):1–10. (PMID: 10.1186/1745-6215-14-286)
Hadi MA, Hassali MA, Shafie AA, Awaisu A (2010) Evaluation of breast cancer awareness among female university students in Malaysia. Pharm Pract 8(1):29.
Al-Hosni K, Chan MF, Al-Azri M (2023) Effectiveness of an educational program on awareness of Cancer risk factors, symptoms, and barriers to medical help-seeking among adolescent Omani students: an interventional study. J Cancer Educ 38(4):1304–1312. (PMID: 10.1007/s13187-023-02263-236609965)
Ayers K, Klosky J, Li Z, Villalobos AVK (2020) Evaluation of the St. Jude cancer education for children program on cancer risk awareness, attitudes, and behavioral intentions among fourth-grade science students: comparisons between racially identifiable/high-poverty schools and racially diverse/affluent schools. J Cancer Educ 35:380–387. (PMID: 10.1007/s13187-019-1476-330712142)
Zha N, Alabousi M, Patel BK, Patlas MN (2019) Beyond universal health care: barriers to breast cancer screening participation in Canada. J Am Coll Radiol 16(4):570–579. (PMID: 10.1016/j.jacr.2019.02.04430947889)
Hamadeh RR, Borgan SM, Sibai AM (2017) Cancer research in the Arab world: a review of publications from seven countries between 2000–2013. Sultan Qaboos Univ Med J 17(2):e147. (PMID: 10.18295/squmj.2016.17.02.003286908855488814)
Sung H, Ferlay J, Siegel RL et al (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 71:209–249. (PMID: 10.3322/caac.2166033538338)
Mehdi I, Al Farsi AA, Al Bahrani B, Al-Raisi SS (2022) General oncology Care in Oman. In: Al-Shamsi HO, Abu-Gheida IH, Iqbal F, Al-Awadhi A (eds) Cancer in the Arab world. Springer, Singapore. https://doi.org/10.1007/978-981-16-7945-2_12. (PMID: 10.1007/978-981-16-7945-2_12)
Al-Sayegh H, Al-Zadjali S, Al-Moundhri M (2024 Jan) Analyzing Cancer incidence trends in Oman from 1996 to 2019: a comprehensive study of the National Cancer Annual Reports. JCO Glob Oncol 10:e2300337. https://doi.org/10.1200/GO.23.00337. (PMID: 10.1200/GO.23.003373827164810830084)
Sadjadi A, Nouraie M, Ghorbani A, Alimohammadian M, Malekzadeh R (2009) Epidemiology of breast cancer in the Islamic Republic of Iran: first results from a population-based cancer registry. EMHJ-Eastern Mediterranean Health Journal 15(6):1426–1431 2009.
Mamdouh HM, El-Mansy H, Kharboush IF, Ismail HM, Tawfik MM, El-Baky MA, El Sharkawy OG (2014) Barriers to breast cancer screening among a sample of Egyptian females. J Fam Community Med 21(2):119. (PMID: 10.4103/2230-8229.134771)
Fitch M, McAndrew A, Turner F, Ross E, Pison I (2011) Survivors teaching students: increasing awareness about ovarian cancer. Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie 21(1):16–20. (PMID: 10.5737/1181912x2111620)
Al-Azri MH (2021) Delay in cancer diagnosis during the era of the coronavirus disease 2019 pandemic: learning lessons. Sultan Qaboos Univ Med J 21(3):341. (PMID: 10.18295/squmj.4.2021.028345223978407914)
Alanzi TM, Alobrah A, Alhumaidi R, Aloraifi S (2018) Evaluation of the SnapChat mobile social networking application for breast cancer awareness among Saudi students in the Dammam region of the Kingdom of Saudi Arabia. Breast Cancer: Targets and Therapy:113–119.
Ayers K, Li Z, Quintana Y, Villalobos AVK, Klosky JL (2017) St. Jude Cancer education for children program: the impact of a teacher-led intervention on student knowledge gains. J Cancer Educ 32:808–813. (PMID: 10.1007/s13187-016-1010-926939672)
Abrawi A, Ali N (2022) ‘English as a modern foreign language’: investigating primary learners and their parents’ views in Omani primary schools. Education 3-13:1–14.
Özgül K, Özmen D, Çetinkay AÇ (2008) Awareness of breast cancer risk factors and practice of breast self-examination among high school students in Turkey. BMC Public Health 8(1):1–8.
Imran M, Sayedalamin Z, Alsulami SS, Atta M, Baig M (2016) Knowledge and awareness of colorectal cancer among undergraduate students at king Abdulaziz University, Jeddah, Saudi Arabia: a survey-based study. Asian Pac J Cancer Prev 17(5):2479–2483. (PMID: 27268617)
Mtshali NG (2009) Implementing community-based education in basic nursing education programs in South Africa. Curationis 32(1):25–32. (PMID: 10.4102/curationis.v32i1.87020225750)
Burridge N, Chodkiewcz A, Payne AM, Oguro S, Varnham S, Buchanan J (2015) Human rights education in the Australian school curriculum. Human Rights Education in Asia-Pacific.
Al-Hosni K, Chan MF, Al-Azri M (2023) Effectiveness of an educational program on awareness of breast Cancer risk factors, symptoms, and barriers to seeking medical help among adolescent Omani school students—an interventional study. Curr Oncol 30(4):4126–4138. (PMID: 10.3390/curroncol300403143718542710137335)

Keywords: Cancer education; Challenges; Oman; Policymakers; School curriculum; Teachers

Date Created: 20240604 Latest Revision: 20240604

20240604

10.1007/s13187-024-02457-2

38833139