2022 International Cancer Education Conference Program and Abstract

Description: The American Association for Cancer Education (AACE), the Cancer Patient Education Network (CPEN), and the European Association for Cancer Education (EACE), in conjunction with our CME-accredited co-provider, Amedco, will sponsor the premier meeting in North America dedicated to cancer education, the International Cancer Education Conference (ICEC). The ICEC is designed to support cancer educators in learning best practices for cancer prevention, diagnosis, treatment, and survivorship. Our goal is to increase positive outcomes for cancer patients, survivors, their families, and the general public. Effective evidence-based education is pivotal in develo** cancer scientists, advancing cancer curriculum in professional health education programs, promoting cancer prevention and early detection among the general public, and in achieving optimal outcomes for cancer patients/survivors. The use of best practices in professional, patient, family, and public education contributes significantly to the ongoing national and international efforts to reduce cancer morbidity and mortality.

The ICEC facilitates interdisciplinary research and practice/program collaborations among cancer researchers, educators, and students on a national and global level. Educational models, programs and research strategies will be presented to support the development of evidence-based practices in the field of cancer education.

NEEDS ASSESSMENT

Significant strides have been made to reduce cancer incidence and mortality globally. However, evidence shows that the COVID-19 pandemic had a significant impact on cancer outcomes. (Fisher-Borne et al., 2021) Access to cancer screenings and treatment was delayed due to shutdowns aimed at thwarting the spread of COVID-19. (Seña & Weber, 2021; Yin et al., 2020) Experts predict that the delays in cancer prevention services and care will lead to an increase in the incidence rates of late-stage cancers, increased cancer mortality rates, and an exacerbation of existing cancer health inequities. (Dennis et al., 2021; Yin et al., 2020) Prior to the COVID-19 pandemic, certain populations experienced cancer disparities that were caused by inequities in access to cancer prevention services and high quality cancer treatment. (de Souza et al., 2016; Siegel et al., 2022)

Cancer health equity can be achieved with the implementation of multi-level interventions aimed at reducing barriers to preventive services and care. (Alcaraz et al., 2020; de Souza et al., 2016; Platz, 2017) A systematic review of the effectiveness of interventions aimed at reducing barriers to cancer prevention services revealed that cancer navigation programs and programs that use a community engaged approach are effective at increasing cancer screening and improving adherence to care among populations who experience barriers to care. (Nelson, Cantor, Wagner, Jungbauer, Quiñones, et al., 2020)

Cancer patient navigators can help to effectively support and guide people across the cancer care continuum. (Jean-Pierre et al., 2011) Cancer patient navigation programs have been proven to be effective for people who are most likely to face barriers to care. (Nelson, Cantor, Wagner, Jungbauer, Fu, et al., 2020) Evidence from cancer patient navigation programs has shown that patient navigators are highly effective at increasing adherence to cancer screening recommendations, increasing the timeliness of diagnostic follow up, reducing delays in care, and improving satisfaction with care. (Fenton et al., 2022; Freund et al., 2014; Gabitova & Burke, 2014; Jean-Pierre et al., 2011; Lewis-Thames et al., 2022; Nelson, Cantor, Wagner, Jungbauer, Fu, et al., 2020; Perez-Bustos et al., 2021)

Community engagement is an important approach in efforts to advance cancer health equity. Evidence shows that engaging community members in the development and implementation of cancer prevention and control interventions is critical to the success of the programs. (Hardy et al., 2012; Lisovicz et al., 2006; Martin, 2005) The use of community health advisors in the development and implementation of evidence-based cancer prevention and control interventions is one example of an effective community engagement approach. Community health advisors have been used to increase rates of colorectal cancer screening, breast cancer screening, cervical cancer screening, and most recently lung cancer screening. (Ahmed et al., 2022; Coronado et al., 2016; Luque et al., 2022; Paskett et al., 2011; Powell et al., 2005; Vargas et al., 2021)

Reducing cancer health inequities has to be at the forefront of the renewed focus on “ending cancer as we know it.” (Fact Sheet: President Biden Reignites Cancer Moonshot to End Cancer as We Know It, 2022) To make this happen, there is a need to enhance awareness about and promote the use of cancer patient navigation programs and community-engaged approaches to cancer prevention and control.

Clinical Practice Learning Gaps

The 2022 ICEC will address the following learning gaps among cancer education professionals and students:

• Knowledge about factors that cause and sustain cancer health inequities in high-, low-, and middle- income countries. (de Souza et al., 2016; Nelson, Cantor, Wagner, Jungbauer, Quiñones, et al., 2020; Platz, 2017)

• Strategies to develop, implement and evaluate cancer prevention and control interventions that use a community-engaged approach. (Hardy et al., 2012; Michener et al., 2012)

• Strategies to use cancer patient navigators across the cancer care continuum. (Freund et al., 2014; Nelson, Cantor, Wagner, Jungbauer, Quiñones, et al., 2020; Rodday et al., 2015)

• Strategies to integrate culture, spirituality and social support into cancer education programs and interventions. (Meade et al., 2020)

• Skills to equitably disseminate and implement cancer prevention and control interventions. (Alcaraz et al., 2020; Meade et al., 2020; Platz, 2017)

• Strategies to build the capacity of health care professionals associated with cancer care, with an emphasis on underrepresented populations in the field of cancer education. (Alcaraz et al., 2020; Meade et al., 2020)

• Knowledge about the latest advances in technology and other forms of digital engagement to deliver cancer education to patients, survivors and professionals. (Fisch et al., 2016)

• Up-to-date information on evidence-based practices related to alleviating disparities, cancer diagnosis, treatment and survivorship care. (Alcaraz et al., 2020; S. Jane Henley et al., 2020; Moore et al., 2019; Spinks et al., 2012)

• Skills related to health literacy, communication, forming community partnerships, and psychosocial education strategies with a specific focus on community outreach to special populations.

LEARNING OBJECTIVES

The International Cancer Education Conference (ICEC) explores new and creative education models that support the development of best practices and facilitate interdisciplinary research across the cancer care continuum. This year’s conference will focus on improving health equity in the work of providing education for health professionals, cancer patients and their families, and cancer survivors. The conference will improve understanding of how robust community engagement and effective patient navigation impact cancer and cancer education outcomes, alleviate health inequities, and increase health literacy. Sessions will focus on effective and innovative cancer education strategies and technologies; best practices for fostering meaningful relationships with communities, promoting community engagement, and building successful patient navigation systems to meet patient, family, and community needs; and advocacy to reduce the burden of cancer.

ICEC attendees will be able to identify cancer education opportunities that address health equity in the following domains:

Healthcare Professional Education

1. Develop strategies that explore and address health inequities to alleviate cancer disparities.

2. Identify and support training, interdisciplinary collaboration, and mentorship opportunities for junior investigators and practitioners to support their development as cancer researchers and educators.

3. Plan and advocate for interdisciplinary programs that promote patient-centered care and equity in cancer diagnosis, prevention, treatment, and survivorship for patients, their families, communities, and society.

Patient, Family, and Public Education

4. Identify and implement innovative and evidence-based cancer education strategies, including culturally, linguistically, and literacy relevant approaches.

5. Discuss creative and effective approaches to incorporating multimedia and technology in cancer education, including in the design, implementation, and evaluation of programs.

6. Promote best practices of patient-centered care to improve social, economic, and environmental conditions; promote health equity; and engage and educate patients, families, and survivors.

7. Discuss strategies for fostering meaningful relationships with communities, promoting community engagement, and building successful patient navigation systems to meet patient, family, and community needs.

Global Cancer Education

8. Enhance collaborations to enable participants across the care continuum to foster new discoveries and lead to lowering the global burden of cancer.

9. Identify opportunities to support and promote biomedical, clinical, behavioral, and health services research that is culturally relevant and responsive to the needs of communities that have been historically underserved or marginalized.

10. Support activities that establish and promote global cancer education initiatives among national and international cancer education organizations.

TARGET AUDIENCE

Attendees will include oncologists, primary care physicians, surgeons, radiologists, ministries of health, cancer experts (government and association), researchers, nurses, dentists, geneticists, epidemiologists, behavioral scientists, pharmacists, pharmacologists, health/patient educators, patient navigators and community health educators, librarians, social workers, allied and public health professionals, students, and members of patient advocacy groups.

Past participants have included attendees from the world’s medical centers, cancer care organizations, comprehensive cancer centers, and academic institutions responsible for develo**, implementing, and evaluating cancer education curricula, research, and programs.

CONFERENCE GOALS

ICEC attendees will engage in professional development through educational opportunities, including:

• Expert plenary sessions, panel discussions, and abstract presentations that address topics of disparities in cancer care and research, patient navigation, community engagement, survivorship, professional education (medical, nursing, and allied health), and global innovations in cancer education.

• Skill-based workshops that address cancer education such as integrating patients as educators, advancing social and community participation in cancer education, using play to build better learning experiences, self-care for oncology professionals using art therapy, and two separate grant workshops from the National Cancer Institute.

• Poster presentations featuring over 100 research studies, evidence-based practices in oncology, innovative education programs and quality improvement projects.

• Forums focused on current topics in cancer education including targeted therapies, survivorship, health literacy, social media, professional training and international outreach with disparate populations.

• Networking opportunities and scheduled mentorship with international leaders and researchers in cancer education to enable collaborations for addressing common challenges and sharing resources.

ACCREDITATIONS

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and the American Association for Cancer Education. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians:

Amedco LLC designates this live activity for a maximum of 24.0 AMA PRA Category 1 Credits^TM for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses:

Amedco LLC designates this activity for a maximum of 24.0 ANCC contact hours.

Certified Health Education Specialists (CHES):

The program entitled “2022 International Cancer Education Conference” has been reviewed and approved for a total of 22.5 CECH. All (22.5) CECH were approved for advanced-level. No Continuing Competency CECH were approved. Your NCHEC Provider Number is 114570. Your Program number is 37221.

Social Workers (application by AACE alone, not jointly with Amedco)

Application has been made to the National Association of Social Workers (provider #886679014) for this event. An approval message will be posted to the ICEC website if and when approval for the application is received.

DISCLOSURES

Disclosure of Relevant Financial Relationships with Commercial Interests

Amedco endorses the standards of the ACCME and ANCC that require everyone in a position to control the content of accredited educational activity to disclose all financial relationships with commercial interests that are related to the content of the educational activity. All accredited activities must be balanced, independent of commercial bias and promote improvements or quality in healthcare. All recommendations involving clinical medicine must be based on evidence accepted within the medical profession.

A conflict of interest is created when individuals in a position to control the content of an accredited educational activity have a relevant financial relationship with a commercial interest which therefore may bias his/her opinion and teaching. This may include receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, stocks or other financial benefits.

Amedco will identify, review and resolve all conflicts of interest that speakers, authors or planners disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Amedco does not endorse any products or services.

The following speakers, authors and planners have provided Amedco with disclosures of relevant financial relationships that exist and may be considered a potential conflict of interest. Presentations of these individuals have been peer-reviewed and were found to be balanced, to be free of commercial bias, and to promote improvements or quality in healthcare:

Daniel Golden, University of Chicago Department of Radiation and Cellular Oncology (abstract co-author): contractual services to RadOncQuestions LLC

Linda Krebs, University of Colorado College of Nursing (abstract reviewer): contractual services to Native American Cancer Initiatives, Inc.

Nicole Stout, West Virginia University Cancer Institute (abstract reviewer, subcommittee member): speaker’s bureau for Survivorship Solutions LLC

Cherell Cottrell-Daniels, Georgia State University (abstract reviewer, subcommittee member): consultant to Transformative Research & Evaluation Consulting Firm

Amy Kampschroeder, GO2 Foundation for Lung Cancer (abstract reviewer): advisory board for both Amgen and Jazz Pharmaceuticals

All other speakers, authors and planners have disclosed no potential conflicts of interest as of 29 August 2022.

EXECUTIVE PLANNING COMMITTEE

*Angela Adjetey Appiah DNP, MPH, RN, COA, FAACM, Pace University

Victoria Baggio MSW, Dana-Farber Cancer Institute

Bret Hassel PhD, University of Maryland School of Medicine

John Luque PhD, MPH, Florida A&M University

Liliana Mulato, Huntsman Cancer Institute

Maritza Nassif MEd, Dana-Farber Cancer Institute

Devon Poznanski MHA, BC Cancer

Michael Preston PhD, MPH, Virginia Commonwealth University

Amanda Stamplis MPH, SWOG Cancer Research Network

Allison Reichel Uzzolino MPH, CHES, Memorial Sloan Kettering Cancer Center

Michelle Williams PhD, MSPH, MPH, MCHES, George Mason University

* Conference Nursing Content Expert and Reviewer

Abstracts Subcommittee

Co-Chair: Angela Adjetey Appiah

Co-Chair: Liliana Mulato

Pooyan Afzali Harsini

Ana Barros

Cherell Cottrell-Daniels

Krista Dawdy

Ana Drummond-Lage

Olakunle Idowu

Carolyn Messner

Arthur Michalek

Guleer Shahab

Jeff Yancey

Gerard Zambetti

Fundraising and Marketing Subcommittee

Co-Chair: Bret Hassel

Co-Chair: Devon Poznanski

Nicole Liscio

Amanda Stamplis

Allison Reichel Uzzolino

Roundtables Subcommittee

Co-Chair: Maritza Nassif

Co-Chair: Angela Adjetey Appiah

Ana Drummond-Lage

Laundette Jones

Susan Kearney

Carolyn Messner

Louise Rambo

Nicole Stout

Jeff Yancey

Poster Judging Subcommittee

Co-Chair: Michelle Williams

Co-Chair: Amanda Stamplis

Susan Kearney

Nicole Liscio

Carolyn Messner

CONFERENCE PROGRAM

As of 29 August 2022; schedule subject to change

CONFERENCE PROGRAM, continued

As of 29 August 2022; schedule subject to change

CONFERENCE PROGRAM, continued

As of 29 August 2022; schedule subject to change

WORKSHOPS AND PLENARY PRESENTATIONS

WORKSHOP 1

Advancing Social & Community Participation in Cancer Education

Ruth Dudding¹, Melissa Thomas²

¹ Athens City County Health Department, Athens, OH, USA, ² Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA

ABSTRACT: If you are responsible for—or engaged or interested in—advancing social/community participation (also termed community engagement) in health (SPH) in your local area, this session provides information on the Making Change Visible resource to help you plan and implement an evaluation of your work and its impact. The Resource was developed by an international team coordinated by Training and Research Support Centre and with support from supported by the Robert Wood Johnson Foundation Global Ideas Fund at CAF America. The session will provide information and visuals of the resource, offer concrete examples of how to utilize the worksheets and tools, will link to in the Sha** Health online community and suggest how to connect for anyone interested in using the Resource. OBJECTIVES: 1. The participant shall be able to list the 5 modules of the Making Change Visible resource. 2. The participant shall be able to describe how to measure the impact of community engagement in cancer education programming. REFERENCES: 1. Loewenson R, Simpson S, Dudding R, Obando F, & Beznec P (2021). Making change visible: Evaluating efforts to advance social participation in health, An implementer's resource. Training and Resource Support Center (TARSC). https://www.tarsc.org/publications/documents/MCV%20Implementers%20Resource%202021%20for%20web.pdf 2. Jiménez J, Ramos A, Ramos-Rivera FE, et al. Community Engagement for Identifying Cancer Education Needs in Puerto Rico. J Cancer Educ. 2018;33(1):12-20. doi:10.1007/s13

WORKSHOP 2

Integrating Patients as Educators in Training and Continuing Professional Development Programs

Ewa Szumacher¹, Maria Bishop², Krista Dawdy¹, Shereen Akilla³

¹ Sunnybrook Health Sciences Centre, Toronto, ON, Canada, ² University of Arizona School of Medicine, Tucson, AZ, USA, ³ University of Waterloo, Waterloo, ON, Canada

ABSTRACT: Purpose: Patient Engagement (PE) in medical education is associated with enhanced empathy from health care providers, increased learner satisfaction, and strengthened technical and interpersonal skills. Through discussion of ethical approaches and application of PE in medical and allied health care professional programs, as well as analyses of existing frameworks and policies surrounding PE, this workshop will equip participants with the necessary information and basic skills to engage patients in medical and CPD education at their own institutions. Rationale: This workshop will be presented by two presenters, one of which specializes in continuing professional development (CPD) programming from the University of Toronto’s Department of Radiation Oncology, and the other one with a specialization in the involvement of patients as teachers to medical students, affiliated with the University of Arizona’s Department of Medicine. As the literature on PE is constantly evolving, this workshop will provide a broad overview, including challenges and frameworks, to PE in allied health professional education programs. Methods: The workshop will incorporate various interactive components, including small-group discussions of past experiences related to PE, discussion of potential solutions to case study challenges, and a Q&A component. The workshop will also present a reel to highlight patients’ experiences and feeling towards being involved in healthcare education. In addition, we will communicate with the workshop participants prior the workshop to tailor the content to address specific questions and interests, as well as to share pre-workshop recommended readings. The workshop presenters will also be available for post-workshop communication with participants to serve as consultants for the application of the workshop content into scholarship initiatives. OBJECTIVES: 1. Participants shall be able to identify various barriers, challenges, potential solutions, and the feasibility of CPD initiatives in cancer education. 2. Participants shall be able to identify the specific duties of their role in training medical and allied healthcare professionals. 3. Participants shall be able to apply a framework to develop CPD activities for medical and allied health care providers and trainees at their institutions. REFERENCES: 1.Björkqvist, J., Giles, R. H., Cornford, P., Makaroff, L. E., Van Hemelrijck, M., Darraugh, J., ... & MacLennan, S. J. (2021). Providing a Framework for Meaningful Patient Involvement in Clinical Practice Guideline Development and Implementation. European urology focus, 7(5), 947-950. 2. McMahon, G. T. (2021). Learning together: engaging patients as partners in CPD. Journal of Continuing Education in the Health Professions, 41(4), 268-272.

WORKSHOP 3

Building Better Learning Experiences in Cancer Education with Advanced Serious Play®

Filipe Santos-Silva

i3S, Porto, Portugal

ABSTRACT: 1. A learning experience in the context of Cancer Education is highly conditioned by the information format and the emotional connection of the participants with the media/materials. The purpose of our workshop is to provide educators with a new methodology (Serious Play®) based upon the iconic LEGO bricks that unconsciously will foster a deeper emotional engagement of learners. This media allows participatory and co-creative practices that will increase cancer literacy while improving knowledge and communication skills. 2. The Serious Play® method combines different techniques in a multidimensional approach that optimizes the active learning of complex problems through a shared process. The methodology is based on many concepts from psychology, and behavioral neurosciences (Piaget, Papert, and Csíkszentmihályi) and offers patients an educational experience (often therapeutic and cathartic) that facilitates cognitive development and emotional engagement. The method provides all patients with a shared “language” regardless of culture, academic degree, or social position. 3. The methodology encompasses communication and problem-solving techniques for groups facilitating the learning dynamic of the sessions. In the workshop participants will learn the basic concepts and advanced techniques of the Serious Play® Method and how to apply them to the cancer education context. Participants will learn about the core process – Question, Construction, Sharing, Reflection – and application techniques – making connections, building systems, playing emergents, and extracting simple guiding principles – while improving their facilitation skills. The “serious” part requires focusing on a theme/problem, while the play aspect emphasizes imagination, creativity, and sharing of information (3D model). Together these components are able to foster a deeper learning engagement. Through the proposed question, model construction, and associated metaphors, the facilitator can discuss with participants the knowledge and perspectives on a given topic/concept. Models are dynamic, serving as the basis for group discussion and sharing of new meanings while building new knowledge. OBJECTIVES: 1. Participants shall be able to identify at least two significant impacts of Serious Play® methodology in the learning dynamics of cancer education sessions. 2. Participants shall be able to create a cancer education initiative with 2 advanced application techniques of the Serious Play® method. 3. Participants shall be able to use the 3D models to review the information and knowledge about addressed cancer topics. REFERENCES: Vusio F et al. A novel application of the Lego® Serious Play® methodology in mental health research: Understanding service users' experiences of the 0-19 mental health model in the United Kingdom. Early Interv Psychiatry. 2021. doi: 0.1111/eip.13223.PMID: 34431622. Garden C. Lego Serious Play: Building engagement with cell biology. Biochem Mol Biol Educ. 2022. 50(2):216-228. doi:10.1002/bmb.21608.PMID: 35099845.

WORKSHOP 4

Art Therapy for Weary Oncology Professionals - An Innovative Tool for Improving Best Practices

Dawn Freeman, Lisa Shea

Cleveland Clinic Foundation, Cleveland, OH, USA

ABSTRACT: This hands-on experiential workshop aims to introduce and promote mindfulness-based art therapy intervention support services for oncology professionals. Since the impact of The Covid Pandemic, protecting healthcare workers' mental health is an urgent global public health priority as called on by the World Health Organization and major healthcare institutions around the globe. Increasing research shows how the arts can improve clinical skills, personal skills, and communication among healthcare professionals. The stress-producing work in the oncology profession demands caring for caregivers compassionately and inclusively. Providing consistent opportunities to decompress, process difficult emotions, experience team building, promote good self-care skills, and build opportunities for resilience is the mark of a highly effective oncology enterprise. A 2019 study at Drexel University found art therapy reduced perceived stress and burnout in professional oncology staff. A qualified art therapist can offer an oncology organization a novel cost-effective tool to use in the ongoing practice of caring for their caregivers. An introduction to the use of art therapy for the professional oncology caregiver will set the stage for this interactive workshop. Two qualified and seasoned art therapists with over 35 years of experience speak to the benefits of using mindfulness-based art therapy interventions for health care professionals. An interactive PowerPoint presentation will be included, highlighting actual professional caregivers experiencing art therapy services. This workshop will equip participants with knowledge and tools to bring an art therapy program to their professional staff. Resources will be provided for easy access to hire qualified art therapists. Protocols will be shared for adapting art therapy rationales. Participants will experience 3 mindfulness-based art therapy interventions designed to center, calm, and provide relaxation while fostering support among the participants. The participants will then have an opportunity to process their experience in the form of written narrative and discussion. No art experience is required. Keywords: Community, General oncology, patient and community education, professionals, psychosocial care. OBJECTIVES: 1. Identify 3 benefits of utilizing an art therapist for professional caregivers in oncology. 2. Demonstrate 3 resources to find a qualified professional art therapist to contract or hire. 3. Describe 3 art therapy interventions professional caregivers can benefit from in the cancer care setting. REFERENCES: Havsteen-Franklin D, Arts-Based Interventions for Professionals in Caring Roles During and After Crisis: A Systematic Review. Front psychol. 2020. Kaimal G, Outcomes of art therapy and coloring for professional and informal caregivers of patients in an oncology unit: A mixed methods pilot study. Eur J Oncol Nurs. 2019. Søvold LE, Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global. Public Health Priority. Front Public Health. 2021.

WORKSHOP 5

NIH’s Support of Early Career Scientists in Global Cancer Research Through the K Funding Mechanisms: Current State and New Opportunities

Sudha Sivaram¹, Sergey Radaev¹, PhuongThao Le², Dianna Ng³, Clement Adebamowo⁴

¹ US National Cancer Institute, Bethesda, MD, USA, ² New York University, New York, NY, USA, ³ Memorial Sloan Kettering Cancer Center, New York, NY, USA, ⁴ University of Maryland School of Medicine, College Park, MD, USA

ABSTRACT: Workshop Purpose: Establishing a career in global cancer research is a multi-step process. While pursuit of a graduate degree may culminate the formal education process, the process of establishing oneself in a research field just begins. Understanding available opportunities for a research career, develo** research ideas, working with mentors, and identifying possible sources of financial support are key components in this process. The purpose of this workshop is to provide information about available career development programs at NIH. In particular, three programs will be highlighted. The first is the International Research Scientist Development Award (K01: PAR-21-104; PAR-21-105). The second is the Pathway to Independence transition awards(K99/R00: PA-20-187; PA-20-188; PA-20-189) and third, the Mentored Clinical Scientist Research Career Development Award (K08: PA=20-201; PA-20-202; PA-20-203). These program support US-based scientists interested in a career in global cancer research. Workshop Rationale: The NCI and NIH have a long-standing commitment to research training and workforce development in cancer research. In recent years, the NCI portfolio to support research and research training in low-and middle-income countries (LMICs) is growing. This is because of the unique scientific opportunities to advance cancer science by including global populations in research, and the rising demand to purse these opportunities from early career investigators in the United States and low- and middle-income countries (LMICs). This workshop will describe the currently active NCI Center for Global Health as well as the NCI Center for Cancer Training (CCT) programs for early career investigators and provide guidance to prospective applicants to help them prepare competitive grant applications. Workshop Methods and Content: We will conduct an overview of the current NIH and NCI portfolio in global cancer research. We will also discuss the K99/R00 and K08 programs and provide examples of foreign component awards in this program. The workshop will discuss best practices in writing these career development grants and hear from successful grantees their mentors/collaborators on their lessons learned and experiences in develo** the grant proposal and implementing the research. OBJECTIVES: 1. The participant shall learn about three different types of NIH career development awards that allow for global cancer research. REFERENCES: 1. NCI Center for Global Health Strategic Plan. CGH Strategic Plan - National Cancer Institute. 2. Sivaram S, Perkins P, He, M, Ginsburg E, Dominguez G, Vedham V, Katz F, Parascandola, M Bogler O, Gopal S. 2021. Building Capacity for Global Cancer Research: Existing Opportunities and Future Directions. Journal of Cancer Education, 36: 5–24

WORKSHOP 6

NCI’s Support of Cancer Research Education Through the R25 Funding Mechanisms: Current State and New Opportunities

Sergey Radaev¹, Belem López¹, Bret Hassel², Shine Chang³, Christopher Sistrunk⁴

¹ National Cancer Institutue, National Institutes of Health, Rockville, MD, USA, ² University of Maryland School of Medicine, Baltimore, MD, USA, ³ MD Anderson Cancer Center, Houston, TX, USA, ⁴ City of Hope, Duarte, CA, USA

ABSTRACT: Workshop Purpose: The purpose of this Workshop is to provide information about R25 programs currently supported by the National Cancer Institute (NCI): Cancer Research Education Grants Program and Youth Enjoy Science Research Education Program. NCI’s R25 funding opportunities support various types of cancer educational activities that complement and/or enhance the training of a workforce to meet the nation’s biomedical, behavioral and clinical research needs as well as encourage individuals from diverse backgrounds, including those from groups underrepresented in the biomedical and behavioral sciences, to pursue further studies or careers in cancer research. Workshop Rationale: The NCI has supported cancer education activities of critical importance to the NCI mission through the R25 funding mechanism continuously for several decades. During these continued years of support a very broad range of participants from various backgrounds have benefited from educational activities provided by the NCI R25 educational programs. This Workshop will describe the currently active NCI Center for Cancer Training (CCT) and NCI Center to Reduce Cancer Health Disparities (CRCHD) R25 programs and provide guidance to prospective applicants to help them prepare competitive grant applications. Workshop Methods and Content: An overview of the current NCI R25 portfolio, which in Fiscal Year 2021 included 68 competing and non-competing awards with a total cost of nearly $18 million will be provided. The three NCI CCT R25 funding opportunity announcements will be described in detail, namely, Curriculum or Methods Development (PAR-21-065), Courses for Skills Development (PAR-21-278), and Research Experiences (PAR-21-279). The workshop will also provide an overview of the recently published the NCI CRCHD R25 Youth Enjoy Science Research Education Program (RFA-CA-21-020) with detailed description of the program’s goals, activities and intended participants. The salient characteristics of the funding opportunity announcements (FOAs) will be summarized and useful tips for prospective R25 applicants to consider when preparing competitive applications will be provided. Examples of ongoing successful R25 programs that have been competitively renewed will be presented by their Principal Investigators. OBJECTIVES: 1. The participants shall be able to understand differences between the different types of the current NCI R25 FOAs and select the most appropriate FOA for their cancer education projects. REFERENCES: Ezelle, H.J., Geiman, T., Schnaper, L.A., Cullen, K.J., Lapidus, R.S., Hassel, B.A. A Translational Approach to Cancer Research, Education and Training. J Cancer Educ. 2020 Jan 6:10. Howell LP, Wahl S, Ryan J, Gandour-Edwards R, Green R. Educational and Career Development Outcomes Among Undergraduate Summer Research Interns: A Pipeline for Pathology, Laboratory Medicine, and Biomedical Science. Acad Pathol. 2019;6:2374289519893105.

WORKSHOP 7 (virtual on 11 November 2022)

Essential Skills In Cancer Education: Leadership - Leading and Influencing Change in Cancer Education

Ewa Szumacher¹, Radoslaw Tarkowski², Maria Bishop³, Filipe Santos-Silva⁴, Kathleen Heneghan⁵, Gilad Amiel⁶, Jamal Khader⁷, Krista Dawdy¹

¹ Odette Sunnybrook Cancer Centre, Toronto, ON, Canada, ² Wroclaw Medical University, Wroclaw, Poland, ³ University of Arizona Cancer Center, Tucson, AZ, USA, ⁴ University of Porto and IPATIMUP, Porto, Portugal, ⁵ American College of Surgeons, Chicago, IL, USA, ⁶ Rambam Health Care Campus, Haifa, Israel, ⁷ King Hussein Cancer Center, Amman, Jordan

ABSTRACT: Workshop Purpose: The purpose of this Workshop is to provide information about R25 programs currently supported by the National Cancer Institute (NCI): Cancer Research Education Grants Program and Youth Enjoy Science Research Education Program. NCI’s R25 funding opportunities support various types of cancer educational activities that complement and/or enhance the training of a workforce to meet the nation’s biomedical, behavioral and clinical research needs as well as encourage individuals from diverse backgrounds, including those from groups underrepresented in the biomedical and behavioral sciences, to pursue further studies or careers in cancer research. Workshop Rationale: The NCI has supported cancer education activities of critical importance to the NCI mission through the R25 funding mechanism continuously for several decades. During these continued years of support a very broad range of participants from various backgrounds have benefited from educational activities provided by the NCI R25 educational programs. This Workshop will describe the currently active NCI Center for Cancer Training (CCT) and NCI Center to Reduce Cancer Health Disparities (CRCHD) R25 programs and provide guidance to prospective applicants to help them prepare competitive grant applications. Workshop Methods and Content: An overview of the current NCI R25 portfolio, which in Fiscal Year 2021 included 68 competing and non-competing awards with a total cost of nearly $18 million will be provided. The three NCI CCT R25 funding opportunity announcements will be described in detail, namely, Curriculum or Methods Development (PAR-21-065), Courses for Skills Development (PAR-21-278), and Research Experiences (PAR-21-279). The workshop will also provide an overview of the recently published the NCI CRCHD R25 Youth Enjoy Science Research Education Program (RFA-CA-21-020) with detailed description of the program’s goals, activities and intended participants. The salient characteristics of the funding opportunity announcements (FOAs) will be summarized and useful tips for prospective R25 applicants to consider when preparing competitive applications will be provided. Examples of ongoing successful R25 programs that have been competitively renewed will be presented by their Principal Investigators. OBJECTIVES: 1. The participants shall be able to understand differences between the different types of the current NCI R25 FOAs and select the most appropriate FOA for their cancer education projects. REFERENCES: Ezelle, H.J., Geiman, T., Schnaper, L.A., Cullen, K.J., Lapidus, R.S., Hassel, B.A. A Translational Approach to Cancer Research, Education and Training. J Cancer Educ. 2020 Jan 6:10. Howell LP, Wahl S, Ryan J, Gandour-Edwards R, Green R. Educational and Career Development Outcomes Among Undergraduate Summer Research Interns: A Pipeline for Pathology, Laboratory Medicine, and Biomedical Science. Acad Pathol. 2019;6:2374289519893105.

PLENARY PRESENTATION (Plenary 1)

Head and Neck Oncology: A Patient Inspired Journey

Rodney Taylor

University of Maryland School of Medicine, Baltimore, MD, USA

ABSTRACT: Head and neck oncology patients have complex care needs as dictated by their disease. Their humanity and resilience manifested through their journey provide important inspiration for those who care for them. This dynamic can provide patient-centered scholarship, clinical practice and service opportunities to advance our specialty. OBJECTIVES: 1. The participant shall be able to describe the current cancer patient-doctor dynamics that provide opportunities and challenges for enhanced connections. 2. The participant shall be able to explain how to consider our cancer patients when conceiving research, scholarship, and service. 3. The participant shall be able to describe how cancer patients can contribute to our humanism and personal evolution. REFERENCES: (1) Gane, EM, et al. Neck and Shoulder Motor Function following Neck Dissection: A Comparison with Healthy Control Subjects. Otolaryngology–Head and Neck Surgery 2019, Vol. 160(6) 1009–1018. DOI: 10.1177/0194599818821885. (2) Gane, EM, et al. The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection. Journal of Cancer Survivorship (2018) 12:619–631. https://doi.org/10.1007/s11764-018-0697-5.

PLENARY PRESENTATION (Plenary 2)

Patient Panel: Creating Co-teaching/Co-learning Opportunities for Scientists and Survivors to Advance Cancer Health Equity

Laundette Jones¹, DBora Schrett²

¹ University of Maryland School of Medicine, Baltimore, MD, USA, ² IPSOS UU Qualitative Research North America, New York, NY USA

ABSTRACT: The co-teaching/co-learning model is defined as a method that shifts from traditional faculty-exclusive teaching to a paradigm of active collaboration, ongoing professional learning, and shared leadership during the teaching process with other stakeholders. In cancer education, this includes the integration of expertise from survivor and caregiver lived experiences. A mixture of survivor testimonials and practical interactive discussions will cover how participants can equitably incorporate community expertise in the development of cancer education and training experiences. OBJECTIVES: 1. The participant shall be able to explain the benefits and challenges of using a co-teaching/co-learning model when engaging with communities in cancer education. 2. The participant shall be able to describe what it means to “design for the margins" and its application to cancer health equity. 3. The participant shall be able to identify two examples for equitably creating opportunities to incorporate community expertise within cancer education. REFERENCES: 1.Riter RN, Weiss RS. Connecting Students with Patients and Survivors to Enhance Cancer Research Training. Cancer Res 2019;79:4011-4. 2.Salamone JM, Lucas W, Brundage SB, Holloway JN, Stahl SM, Carbine NE, et al. Promoting Scientist-Advocate Collaborations in Cancer Research: Why and How. Cancer Res 2018;78:5723-8

PLENARY PRESENTATION (Plenary 3)

More Than an Overcomer: My Experience as a Young African American Breast Cancer Survivor

Kayoll Gyan

Dana-Farber Cancer Institute Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Boston, MA, USA

ABSTRACT: Traditionally, breast cancer has been a disease of the old. However, younger women are increasingly being diagnosed with breast cancer. This lecture will describe the cancer experience of young adult women and the use of spirituality as a co** mechanism during the cancer treatment experience. OBJECTIVES: 1. Describe the experience of being diagnosed with breast cancers as a young adult. 2. List at least 2 areas of emotional suffering experienced by young women diagnosed with breast cancer. 3. Identify at least 2 ways that religious songs and Bible verses can support young women diagnosed with breast cancer. REFERENCES: (1) Hamilton JB, Kweon L, Brock LB, Moore AD. The Use of Prayer During Life-Threatening Illness: A Connectedness to God, Inner-Self, and Others. J Relig Health. 2020 Aug;59(4):1687-1701. doi: 10.1007/s10943-019-00809-7. PMID: 30949822. (2) Hamilton JB. Emotional Suffering and the Use of Spirituality as a Resource among African American Cancer Survivors. J Cancer Educ. 2019 Jun;34(3):409-411. doi: 10.1007/s13187-019-01558-7. PMID: 31148003.

PLENARY PRESENTATION (Plenary 4)

Patient Navigator Panel: Patient Navigation: Multi-Directional Approaches-Same Goals

Jimmie Wells¹, Taylor Hosier^2,3, Eugenia Artice⁴, Michelle Williams⁵

¹ St. Dominic Hospital, Jackson, MS, USA, ² University of Maryland Medical Center, Baltimore, MD, USA, ³ The Ulman Foundation, Baltimore, MD, USA, ⁴ West Virginia University Cancer Institute, Oakland, MD, USA, ⁵ George Mason University, Fairfax, VA, USA

ABSTRACT: Cancer patient navigation programs have become an important component of the cancer care continuum in many cancer centers. Evidence shows that cancer patients navigation programs lead to significantly improved health outcomes due to reduction in delays in care and increased adherence to cancer screening recommendations. However, cancer navigation programs are not all the same and many are under-resourced. The purpose of this session is to provide an overview of the goals of cancer navigation programs, and discuss the common resources used by cancer navigator in different geographical regions of the US. OBJECTIVES: 1. Identify current standards/goals of patient navigation. 2. Discuss cancer patient navigation and it's application within different healthcare settings. 3. Identify common resources needed to achieve positive patient navigation outcomes. REFERENCES: What is a Patient Navigator? | Cancer Navigator (April 19, 2021) https://www.cancer.org/latest-news/patient-navigators-can-help-when-live-disrupts-cancer-care.html?msclkid=1ec66427cf3811ecb3be5c186c32a32d#for_researchers Building a Navigation Program: A Review of the Key Components (June 15, 2018) : https://www.oncologynurseadvisor.com/home/headlines/conference-coverage/ona-navigation-summit-2018/building-a-navigation-program-a-review-of-the-key-components/

PLENARY PRESENTATION (Plenary 5)

Caring for the Caregivers: Supporting Surgical Oncology Teams Dealing with Compassion Fatigue

Gilad Amiel

Rambam Health Care Campus, Haifa, Israel

Abstract was not available at the time of publication.

PLENARY PRESENTATION (Plenary 6)

The Effects of Geopolitical Turmoil on Cancer Care

Abstract was not available at the time of publication.

ORAL ABSTRACT PRESENTATIONS

1A-1: Knowledge of Palestinian Women About Cervical Cancer Warning Signs: A National Cross- Sectional Study

Hanan Abukmail^1,2, Mohamedraed Elshami³, Ibrahim Al-Slaibi⁴, Mohammed Alser¹, Afnan Radaydeh⁵, Alaa Alfuqaha⁶, Mariam Thalji⁵, Salma Khader⁵, Lana Khatib⁶, Nour Fannon⁷, Bisan Ahmad², LinaKassab¹, Hiba Khrishi⁵, Deniz Elhussaini⁷, Nour Abed², Aya Nammari⁵, Tumodir Abdallah⁵, Zaina Alqudwa⁸, Shahd Idais⁵, Ghaid Tanbouz⁵, Ma’alem Hajajreh⁹, Hala Abu Selmiyh², Zakia Abo-Hajouj⁵, Haya Hebi⁵, Manar Zamel⁶, Refqa Skaik⁷, Lama Hammoud⁵, Siba Rjoub⁵, Hadeel Ayesh⁵, Toqa Rjoub⁵, Rawan Zakout², Amany Alser¹⁰, Nasser Abu-El-Noor², Bettina Bottcher²

¹ Ministry of Health, Gaza, Palestine, ² Islamic University of Gaza, Gaza, Palestine, ³ University Hospitals Cleveland Medical Center, Cleveland, OH, USA, ⁴ Al-Makassed Hospital, Jerusalem, Palestine, ⁵ Al-Quds University, Jerusalem, Palestine, ⁶ An-Najah National University, Nablus, Palestine, ⁷ Alazhar University of Gaza, Gaza, Palestine, ⁸ Gaza, Palestine, ⁹ Alia Hospital, Hebron, Palestine, ¹⁰ Al-Shiffa Hospital, Gaza, Palestine

ABSTRACT: Background: Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. Methods: This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women's knowledge of 12 CC warning signs. Results: Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was 'vaginal bleeding after menopause' (n = 5028, 71.2%) followed by 'extreme generalized fatigue' (n = 4601, 65.2%) and 'unexplained weight loss' (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. Conclusion: The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women's awareness of CC warning signs. Keywords: Awareness; Cervical cancer; Early detection; Early presentation; Knowledge; Palestine; Survival; Symptom; Warning sign. OBJECTIVES: 1. The participants shall be able to assess their awareness of cervical cancer warning signs. 2. The participants shall be able to assist in examining if there is a difference in awareness between women from the Gaza Strip vs. the West Bank and Jerusalem. 3. The participants shall be able to help in the identification of the factors associated with good awareness. REFERENCES: 1. World Health Organization. Improving data for decision-making: a toolkit for cervical cancer prevention and control programmes. https://bit.ly/3oJF2om. Accessed 2 Feb 2021. 2. International Agency for Research on Cancer. Cervix Uteri Fact Sheet. https://bit.ly/3cz4lan. Accessed 2 Feb 2021. 3. Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8(2):e191–20

1A-2: Baseline Participant Characteristics from the Test Up Now Education Program (TUNE-UP) Colorectal Cancer Screening Study

Deloria Jackson¹, Gebre Kiros¹, Matthew Vargas¹, Olayemi Matthew¹, Tifini Austin¹, Rima Tawk¹, Askal Ali¹, Cynthia Harris¹, Kristin Wallace², Clement Gwede³, John Luque¹

¹ Florida A&M UniversityTallahassee, FL, USA, ² Medical University of South Carolina, Charleston, SC, USA, ³ Moffitt Cancer Center, Tampa, FL, USA

ABSTRACT: Background: African Americans experience colorectal cancer (CRC) health disparities as compared to whites. Test Up Now Education Program (TUNE-UP) is a behavioral clinical trial to test the effectiveness of a community health advisor (CHA) intervention to boost stool-based screening in African Americans. Baseline characteristics of study participants – ages 45-64 years – from two community health centers (CHC) are reported. Methods: The TUNE-UP study is a two-group pretest/posttest randomized controlled trial. The two study arms are: 1) intervention group which receives adapted NCI Screen to Save (S2S) educational materials, a tailored CRC brochure, and CHA education supplemented by text messages; and 2) control group which receives the brochure only. Study participants are not up-to-date with CRC screening. All participants are referred to receive the stool-based screening from their CHC. The baseline survey collects patient information on demographics, insurance status, communication with health professionals, as well as CRC-related measures on knowledge and behavioral constructs using validated measures. Results: From April 2021 to April 2022, 71 participants (44% male and 56% female) were recruited to the trial using CHC messaging. 35% of participants reported they currently had no type of health insurance. When asked if a doctor had discussed different CRC screening tests, 45% responded “no” or “never.” More than 65% had never done a stool-based screening at home, and 30% did not know how to do it. In addition, 73% had never had a colonoscopy. In response to knowledge questions, 62% answered correctly that the stool-based screening tests for blood. At 3-months post-baseline survey, 45 participants had completed a follow-up survey and 24 participants (53%) reported completing stool-based screening with no statistical difference between study arms. Recommendations: Additional communication with CHC patients might improve completion and return of stool-based screening tests according to this study. The study has established protocols for verifying completion of stool-based tests with the CHCs so the primary outcome will not depend on self-report. Discussion: Given reported gaps in knowledge, lack of provider discussion of screening tests, and low rates of previous CRC screening, this behavioral clinical trial aims to improve accessible stool-based screening in this CHC patient population. OBJECTIVES: 1. Identify patient characteristics of community health center patients regarding colorectal cancer screening adherence among African Americans in north Florida. 2. Understand how survey questions can gather important information about colorectal cancer screening adherence in a cohort of community health center patients. REFERENCES: 1. Augustus GJ, Ellis NA. Colorectal Cancer Disparity in African Americans: Risk Factors and Carcinogenic Mechanisms. Am J Pathol. 2018;188(2):291-303. doi: 10.1016/j.ajpath.2017.07.023. PubMed PMID: 29128568; PMCID: PMC5785537. 2. DeSantis CE, Miller KD, Goding Sauer A, Jemal A, Siegel RL. Cancer statistics for African Americans, 2019. CA: a cancer journal for clinicians. 2019;69(3):211-33. doi: 10.3322/caac.21555. PubMed PMID: 30762872. 3. Huguet N, Hodes T, Holderness H, Bailey SR, DeVoe JE.

1A-3: Belief Factors Associated with Cancer Screening Behaviors Among African American and Sub-Saharan African Immigrant Adults

Adebola Adegboyega, Amanda Wiggins, Mark Dignan

University of Kentucky, Lexington, KY, USA

ABSTRACT: Background: Compared with other racial/ethnic groups in the U.S, Black adults have elevated cancer death rates and shortened survival for most cancers. However, little is known about subgroups of Black Americans such as sub-Saharan African immigrants. Racial/ethnic disparities in cancer are associated with more advanced stage at diagnosis, low rates of screening, and follow up, and health-related beliefs and demographic characteristics have been found to be associated with cancer screening behaviors. The aim of this study was to evaluate the relationships between beliefs about cancer screening, cultural factors (religiosity, fatalism, temporal orientation, and acculturation), and screening behaviors among African Americans and sub-Saharan African immigrants. Methods: We conducted a cross-sectional self-administered survey of 74 African American and 67 English speaking Sub-Saharan immigrant adults recruited from a mid-town southeastern city and its surrounding cities. The outcomes were ever screened for cervical and colorectal cancer. Data included sociodemographic characteristics, cervical and colorectal screening behaviors, religiosity, fatalism, temporal orientation, and acculturation. Results: Participants’ mean age was 43.7 (SD =13.6) years, 77% were females, and 47% were sub-Saharan immigrants. Among age-eligible women, 64% reported having ever had a Pap test. Among age-eligible women and men, 31% had ever completed colorectal screening with a home kit. Overall, screened participants had moderate religiosity, acculturation, and present orientation scores. In adjusted models, education (OR = 2.62, 95% CI =1.43 - 4.80), insurance status (OR = 4.09, 95% CI = 1.10 – 15.18), and cancer fatalism (OR = 0.24, 95% CI =0.07 – 0.88) were associated with receipt of Pap test. Race/ethnicity (OR = 0.14, 95% CI = 0.02 – 0.74), education (OR = 2.34, 95% CI = 1.00 – 2.68), insurance status (OR = 0.08, 95% CI = 0.01 – 0.59), and present orientation (OR = 0.73, 95% CI = 0.57 – 0.92) were associated with home kit completion. Sub-Saharan African immigrants were 86% less likely to use a home-kit (p = 0.021) than African American participants. Conclusion: Health beliefs are likely sources of information for development of cancer control and prevention initiatives for African American and sub-Saharan immigrant adults. Findings suggest the need for culturally appropriate interventions to promote cervical and colorectal cancer screening in these populations. Objective: The participant will be able to identify at least two health beliefs that may influence cancer screening behaviors among African Americans and sub-Saharan African adults. OBJECTIVES: The participant will be able to identify at least two health beliefs that may influence cancer screening behaviors among African Americans and sub-Saharan African adults. REFERENCES: 1. Giaquinto AN, Miller KD, Tossas KY, Winn RA, Jemal A, Siegel RL. Cancer statistics for African American/Black People 2022. CA: A Cancer Journal for Clinicians. 2022. 2. Zhao G, Okoro CA, Li J, Town M. Health insurance status and clinical cancer screenings among US adults. American journal of preventive medicine. 2018;54(1):e11-e19.

1A-4: Increasing Early Detection and Lung Cancer Screening in Rural West Virginia: A Comprehensive Approach

Lauren McCauley-Hixenbaugh, Abby Starkey, Jenny Ostien

WVUCI, Morgantown, WV, USA

ABSTRACT: Background. In West Virginia (WV), lung cancer incidence is 40% higher than the rest of the United States, killing more people than breast, prostate, and colorectal cancers combined. Uptake of national screening guidelines to reduce lung cancer mortality has been slow, especially in WV. This project identified barriers to screening and leveraged these findings strategically to improve early detection and screening rates of lung cancer. Methods. Formative work began in 2015 through several activities: 1. 2016-2019: Statewide survey of primary care providers to access their knowledge, attitudes, beliefs, and practices surrounding lung cancer. 2. 2017: Identified a barrier to screening as only having five sites in the state on the ACR Lung Cancer Screening Registry (LCSR). 3. 2019: Surveyed West Virginians in the counties with the highest incidence rates of lung cancer about their perception of lung cancer screening. Results. The WVU Cancer Institute worked with a variety of partners to implement projects to increase lung cancer screening. 1. Primary care provider education focusing on screening guidelines, approved testing, patient eligibility, and insurance coverage with the development and dissemination of: a.An online CE module. (w/ WV’s comprehensive cancer coalition) b. The Providers Guide to Communicating about Lung Cancer. c. Academic detailing sessions for community partners working with the mobile lung cancer screening unit. 2. Public education materials focusing on psychological concerns including fear of diagnosis, unwillingness to receive treatment, and fatalism. a. Development and dissemination of educational materials. b.Development and distribution of public service announcements. 3. Utilization of resources to increase patient access to lung cancer screening. a. Increased the number of LCSR facilities from five to 27 through technical assistance. b. Development and implementation of a statewide mobile lung cancer screening unit. Discussion. Misinformation about screening costs, lack of awareness among patients and physicians, nihilism, and geographic access are significant barriers to reducing WV’s lung cancer mortality. Statewide collaborations and implementation of mobile screening can help to address multiple barriers to lung cancer screening. OBJECTIVES: 1. Discuss approaches to increasing lung cancer screening among a rural population. 2. Describe barriers to screening a rural and medically underserved population. REFERENCES: 1. US Cancer Statistics: Data Visualization. (2022). CDC. Retrieved April 26, 2022, from https://gis.cdc.gov/Cancer/USCS/#/AtAGlance/. 2. 2019 West Virginia Cancer Burden Report. WV Cancer Registry, WV Department of Health and Human. Resources and West Virginia University Cancer Institute, Morgantown, WV, February 2020.

1A-5: Community Health Worker Support in Accessing Cancer Screening: Barriers and Preferences for American Sign Language Users

Erika Linstaedt¹, Moreland Chris¹, Perrodin-Njoku Emmanuel¹, Ammons Donalda¹, Rupa Valdez², Knight Tracy³, Kushalnagar Poorna¹

¹ Gallaudet University, Washington, DC, USA, ² University of Virginia, Charlottesville, VA, USA, ³ Sam Houston State University, Huntsville, TX, USA

ABSTRACT: Background: Deaf, deafblind, and hard of hearing (DDBHH) people from marginalized subgroups experience disparities in accessing certain cancer screening; for many, these include less effective patient-centered communication when discussing screening recommendations. For other underserved communities, community healthcare workers (CHWs) have been shown to improve cancer screening and care. In a needs assessment study for a CHW clinical trial to promote cancer screenings among DDBHH individuals, our team sought to understand DDBHH health advocates’ and cancer survivors’ perspectives in delineating the barriers to cancer screening, along with training resource to promote DDBHH CHWs' health literacy regarding health systems navigation and to address barriers faced by DDBHH people in understanding and adhering to age-appropriate cancer screening. Methods: DDBHH interviewers conducted focus groups with DDBHH health advocates or survivors in American Sign Language (ASL) from diverse groups with interview questions addressing three domains: 1) barriers to cancer screening; 2) CHW training needs; and 3) accessibility. An ASL-fluent author transcribed all interviews. Two authors coded all transcripts, while a third coded a subset, with discrepancies resolved by consensus. Findings: Barriers to cancer screening as identified by focus group participants included 1) systematic barriers, 2) attitudinal barriers, 3) communication barriers, 4) personal barriers, and 5) lack of access to qualified interpreters. CHW resource needs included: 1) DeafBlind accessibility training, 2) cancer screening guidelines, 3) navigating through the health system, 4) communicating information in an easy-to-understand language, and 5) continuing education. Accessibility features recommended for CHW-ASL toolkit app included 1) high-quality ASL videos with single narrators, 2) high-contrast visuals, 3) modifiable captions, and 4) transcripts for Braille access. Discussion and Conclusion: Focus groups identified DDBHH people’s barriers to cancer screenings, high-yield resources to support CHWs’ work, and accessibility features in the navigator app to be used by CHWs who are DDBHH. These data will directly inform the development of an CHW-ASL toolkit app to be used by CHWs to successfully navigate DDBHH community members through age-appropriate cancer screening. OBJECTIVES: 1. Describe barriers to cancer screening for DDBHH people . 2. Outline training resources for CHWs to enhance cancer screening in DDBHH community. 3. List features important for toolkit app accessibility for use by CHWs who are DDBHH. REFERENCES: 1.Nimmons K, Beaudoin CE, St John JA. The Outcome Evaluation of a CHW Cancer Prevention Intervention: Testing Individual and Multilevel Predictors Among Hispanics Living Along the Texas-Mexico Border. J Cancer Educ. 2017 1. Mar;32(1):183-189. doi: 10.1007/s13187-015-0930-0. PMID: 26462478. 2. Nimmons K, Beaudoin CE, St John JA. The Outcome Evaluation of a CHW Cancer Prevention Intervention: Testing Individual and Multilevel Predictors Among Hispanics Living Along the Texas-Mexico Border. J Cancer Educ.

1B-1: Associations of Health Literacy and Health Outcomes Among Populations with Limited Language Proficiency: A Sco** Review

Mohamed Ugas, Rebecca Mackinnon, Shawn Amadasun, Zaira Escamilla, Bhajan Gill, Meredith Guiliani, Rouhi Fazelzad, Hilary Martin, Diana Samoil, Janet Papadakos

Princess Margaret Cancer Centre, Toronto, ON, Canada

ABSTRACT: Background/Purpose: Populations with limited language proficiency (LLP) experience difficulties understanding health information and accessing care. They are more likely to experience chronic disease and demonstrate poorer treatment adherence. While there has been research into the effect of LLP on healthcare, the role that low health literacy plays in this phenomenon has received little scholarly attention. The aim of this study was to explore what is known about health literacy and LLP, and the barriers and facilitators to healthcare that populations with LLP experience. Methods A sco** review of the published literature was done in the following databases in April of 2020: Medline ALL, Cochrane Database of Systematic Reviews, Embase, Emcare, PsycInfo, Scopus, and Global Index Medicus (GIM). Publications were restricted to adult populations in countries and regions where they have LLP in the locally dominant language. There were no restrictions on publication year. Where it was not explicit, LLP status was inferred by the background, immigration status, and preferred languages of the participants. Included were studies that assess health literacy in the context of health and healthcare broadly. Results/Findings In total, there were 143 articles that met eligibility criteria and from which data was extracted. The majority of the studies were conducted in North America (N = 99, 69.2%), and of those, 95 (96%) were conducted in the United States. The most common health services or health behaviours examined were cancer screening, including for breast, cervical, and colorectal cancers (N = 52, 36.4%). Articles reported health literacy among populations with LLP to be low relative to their language proficient counterparts and a strong association between language proficiency and low health literacy. Age was associated with both LLP and low health literacy. Among the most common reported barriers to accessing and utilizing health care was the challenges that persons with LLP face when communicating with their healthcare providers. Discussion and Conclusion This review demonstrates the importance of the intersection of LLP and health literacy on patient experiences and health outcomes. Independently, both have been identified as important predictors of negative health outcomes, and in conjunction they appear to exacerbate this problem. OBJECTIVES: 1. The participant shall be able to recognize that health literacy appears low among populations with limited language proficiency. 2. They will be able to recognize that age is associated with both and that this creates significant challenges when communicating with healthcare providers. REFERENCES: Alvidrez J, Pérez-Stable EJ. Diabetes Care in Latinos With Limited English Proficiency: What Do Language Concordant Clinicians JAMA Intern Med. 2017;177(3):313-315. doi:10.1001/jamainternmed.2016.8661

1B-2: Results of MyChoiceTM User-Testing: A Mixed-Methods Approach to Enhance and Guide Future Implementation Through Real-Time Patient Feedback

Linda Fleisher¹, Cassidy Kenny¹, Zoe Landau¹, Shayna Yeates², Sarah Bass², Patrick Kelly², Diane Ammerman³, Canan Bilgin³, Esprit Ma³

¹ Fox Chase Cancer Center, Philadelphia, PA, USA, ² Temple University, Philadelphia, PA, USA, ³ Genentech, Inc., San Francisco, CA, USA, ⁸ Genentech, Inc., San Francisco, CA, USA, ⁹ Genentech, San Francisco, CA, USA

ABSTRACT: Background/Purpose: mychoiceTM is a web-enabled, interactive, patient education tool designed to prepare cancer patients (pts) to engage in a conversation with their care team about clinical trials (CTs). Following the mychoiceTM multi-site randomized control efficacy trial, user-testing (UX) is critical to guide when and how mychoiceTM should be implemented in diverse clinical settings. Methods: UX interviews were conducted with a diverse group of cancer pts from two leading cancer centers in Philadelphia. Pts were selected based on CT participation status and eligibility criteria (age≥18 yrs, able to speak and read English, in active or completed treatment ≤ last 6 months) as reported in the EMR. Pts were asked to navigate through mychoiceTM and provide feedback in real-time. They were then asked to provide feedback on mychoiceTM content and when they would want to receive the information through in-depth post interviews, and a supplemental post survey. Each interview was approximately one hour and conducted over Zoom or in-person. Results/Findings: A total of 27 pts participated (52% African American, 52% female, 37% with a high school education or less) with varied CT experience (26% participated in a CT, 37% never participated in a CT but were offered, 37% never participated and were never offered). All pts thought mychoiceTM would have been helpful to receive when newly diagnosed and making treatment decisions. 62% of participants said they would like to receive this tool if their provider mentioned CT as a treatment option, 24% if their cancer progresses, and 15% when changing treatments. 81% reported they would use mychoiceTM on their own, if it was provided to them by their physician. Patients recommended potential content additions including: additional information on side effects, cancer specific resources, and ways to find support. Discussion and Conclusion: While mychoiceTM was generally well-received by pts in this UX testing, valuable suggestions for changes were made, such as the aforementioned additional information. UX testing was essential in planning for the upcoming implementation evaluation to ensure mychoiceTM is accessible to a broader range of cancer pts to increase knowledge, awareness, and participation in CTs specifically in diverse communities. OBJECTIVES: 1. The participant shall be able to identify at least two points on a patients’ cancer journey at which they would like to receive the mychoiceTM tool. 2. The participant shall be able to identify at least two opportunities for improvement of the mychoiceTM tool. REFERENCES: 1. Clark LT, et.al. Increasing Diversity in Clinical Trials: Overcoming Critical Barriers. Curr Probl Cardiol. 2019 May;44(5):148-172. 2. Coronado-Vázquez V, et.al. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review. Medicine (Baltimore). 2020 Aug 7;99(32):e21389.

1B-3: Cancer Literacy and Communication: An Approach for Improving the Interactions Between Healthcare Professionals and Patients

Ana Barros¹, Helena Santos², Filipe Santos-Silva¹

¹ i3S - University of Porto, Porto, Portugal, ² FEP - University of Porto, Porto, Portugal

ABSTRACT: Background/Purpose: Health professionals (HP) interactions with patients has been assumed as the cornerstone for health outcomes improvement, so the aim of this work is to characterize oncology HP communication strategies and patients’ cancer literacy to provide them adequate tools and tailored training solutions to improve interactions with patients. Low cancer literacy could have serious implications to an individual’s quality of life. Adequate communication training for HP involved in cancer care teams and the development of new patient-centered tools, are consensual priorities to improve patients’ cancer literacy and ultimately improve health outcomes. Methods: This action research study collected data through survey from patients: cancer literacy, sociodemographic and diagnosis information; and HP regarding interactions with patients (type of information provided, formats and communication channels), career development and sociodemographic data. Patients’ cancer literacy was assessed using the Portuguese version of the Cancer Health Literacy Test (CHLT30-PT). Results/Findings: Data was collected from 71 patients and 94 HP: 24 physicians, 35 nurses, 4 other allied health professionals and 31 did not indicated their profession. Results show that patients’ cancer literacy score mean is 23.96 (Min.: 0; Max.: 30) distributed by three score categories: low (2; 3%); intermediate (40; 56%) and high range (29; 41%). HP data analysis revealed that 25% (23) never participated in a communication training, 37% (35) have participated once or more in a communication training, and 49% (46) state that they have interest in participate. Moreover, 82% (77) of HP use oral information; 61% (57) use written materials and only 11% (10) use digital materials to provide patients the necessary information. Lack of time with patients and appointments duration as well as difficulty in adapting medical jargon are the three main reasons that HP considered a barrier for the interactions with patients. Discussion and Conclusion: The analysis conducted show that patients’ cancer literacy levels can still be improved. HP results also reveal there is a need for training among HP, especially considering the adaptation of language and the use of adequate materials to inform patients and improve their interactions. Future steps include the design and implementation of a training for HP based on the barriers identified by HP as well as to address low cancer literacy. OBJECTIVES: 1. Identify at least two barriers and needs regarding communication and information for oncology health professionals. 2. Identify the need for improving patients’ cancer literacy. REFERENCES: 1. Bos-van den Hoek DW, Visser LNC, Brown RF, Smets EMA, Henselmans I. Communication skills training for healthcare professionals in oncology over the past decade: a systematic review of reviews. Curr Opin Support Palliat Care. 2019 Mar;13(1):33-45. doi: 10.1097/SPC.0000000000000409. PMID: 30562180. 2. Housten AJ, Gunn CM, Paasche-Orlow MK, Basen-Engquist KM. Health Literacy Interventions in Cancer: a Systematic Review. J Cancer Educ. 2021 Apr;36(2):240-252. doi: 10.1007/s13187-020-01915-x. Ep

1B-4: Comparing the Social Needs and Experiences of Hispanic/Latino Patients: A Call to Action

Corinne McDaniels-Davidson¹, Matthew Banegas², M Elena Martinez², Noe Crespo¹, Jesse Nodora², Neal Doran²

¹ San Diego State University, San Diego, CA, USA, ² UC San Diego, La Jolla, CA, USA

ABSTRACT: Background/Purpose: Cancer health disparities persist between Hispanic/Latinos (H/Ls) and non-Hispanic whites (NHWs) in the United States. Structural and societal inequities exacerbate these disparities. We compared the experiences and life circumstances of H/L and NHW patients undergoing treatment at an NCI-designated cancer center in the southwest US. Methods: We invited 5,901 patients who received cancer care at an NCI-designated cancer center between 2018-2019 to participate in a survey via email (in English and Spanish) in spring 2022. Two reminder emails were sent and a $10 Amazon gift card was offered as an incentive. A total of 855 complete responses were received (14.5% response rate), including 587 NHW and 137 H/L patients. Pearson Chi-Square tests were used to assess bivariate associations by ethnicity. Results: Of the 724 surveys completed by H/L and NHW patients, 38.3% were male, 61.0% were female, 0.3% were transgender, and 0.4% did not identify a gender. H/L patients rated their physical (p=0.01) and mental (p<0.01) health worse on a five-point Likert scale compared to NHW patients. Household income was significantly lower among H/L compared to NHW patients (p<0.001); 48.2% of H/L patients had an annual household income <$50,000 compared to 25.2% of NHW patients. Financial security also differed; 29.6% of H/L patients reported that they were living comfortably on present income compared to 62.3% of NHW patients (p<0.001). Measures of food insecurity validated the income inequities; in the last 30 days, 37% of H/L patients compared to 7.6% of NHW patients reported often or sometimes being worried their food would run out before they got money to buy more (p<0.001). Correspondingly, in the last 30 days, 29.1% of H/L compared to 6.1% of NHW patients reported often or sometimes the food they bought just didn’t last, and they didn’t have the money to get more (p<0.001). Discussion: The experiences and life circumstances of H/L patients undergoing cancer treatment require special attention. Cancer centers must address the social determinants of health and drivers of inequity through linguistically- and culturally-appropriate care and patient navigation, facilitating access to services and removing barriers to care. OBJECTIVES: 1. The participant shall be able to identify differences in the experiences and life circumstances of Hispanic/Latino and non-Hispanic white cancer patients. 2. The participant shall be able to state recommendations to address inequities in cancer care. REFERENCES: 1. Tx challenges and support needs of underserved Hispanic patients dx w/lung and head-and-neck cancerz. J Psychosoc Oncol. Jul-Aug 2020;38(4):449-462. doi: 10.1080/07347332.2019.1705453. 2. Multilevel determinants of financial toxicity in breast cancer care. Support Care Cancer. 2020 Jul;28(7):3179-3188. doi: 10.1007/s00520-019-05119-y. 3. Unmet supportive care needs in Hispanic/Latino cancer survivors. Support Care Cancer. 2019 Apr;27(4):1383-1394. doi: 10.1007/s00520-018-4426

1B-5: The Role of Race and Cancer Care Delivery on Patient Trust in Cancer Providers

Vanessa Sheppard, Arnethea Sutton, Dustin Bastich, Asmaa Namoos, Robert Perera, Robert Winn

VCU, Richmond, VA, USA

ABSTRACT: Background: Patients’ trust in cancer care providers has been shown to influence health outcomes. Relatively little is known about factors associated with trust among breast cancer (BC) patients. The objective of this study was to identify potential targets to facilitate trusting relationships between BC patients and their cancer providers. Methods: A secondary analysis was conducted using data from the Women’s Hormonal Initiation and Persistence (WHIP) project; a prospective study of women with hormone receptor-positive breast cancer. The level of trust in one’s oncologist was captured by adapting a standardized interpersonal trust measure. Covariates included demographic characteristics (age, race, education), psychosocial factors (e.g., medical mistrust, social support), and ratings of 7 domains of cancer care delivery (e.g., technical quality, financial, communication). Linear regression (i.e., univariable and multivariable) models were developed to test for associations with patient trust in cancer providers. Results: Of the 567 BC patients, 72.1% were non-Hispanic White and 27.9% were non-Hispanic Black. Trust scores ranged from 14.3 to 100.0 (M= 78.6; SD=15.1). In univariable models, Black women’s trust scores (M=75.9; SD=15.6) were significantly lower than those of White women (M=79.7; SD=14.8); (β = -3.82; 95% CI: -6.58, -1.05; p=0.007). Patients’ rating of their satisfaction with cancer care (e.g., technical, interpersonal) was positively associated with trust in their medical oncologist across all 7 domains (p<.001). Medical mistrust was inversely associated with patient trust (p<.001). Other psychosocial factors (e.g., social support, distress), did not have a statistically significant association with trust. In the multivariable model, demographic factors and medical mistrust were not statistically significant. Factors associated with higher trust in providers were higher ratings of: overall cancer care (β = 4.15; 95% CI: 2.12, 6.18; p<.001), technical skills (β= 4.65; 95% CI: 2.37, 6.93; p<.001), communication (β = 3.35; 95% CI: 1.36, 5.34; p=0.001) and providers’ interpersonal skills (β = 3.36; 95% CI :1.40, 5.31; p=0.001). Discussion: The effect of race on patient trust in providers was diminished after adjusting for other factors. Aspects of cancer care delivery were robust predictors of patient trust suggesting that efforts focused on increasing trust require a focus on modifiable institutional components. Identifying and ensuring that institutions meet standards of trustworthiness will likely create equitable cancer care and ultimately better outcomes for all. OBJECTIVES: 1. Have a better understanding of breast cancer survivors’ ratings of trust in their providers. 2. Identify factors that may be associated with survivors’ trust in providers. 3. Discuss potential strategies to enhance trust and trust worthiness among breast cancer survivors. REFERENCES: 1-Lange L, Peikert ML, Bleich C, Schulz H. The extent to which cancer patients trust in cancer-related online information: a systematic review. PeerJ. 2019;7:e7634. Published 2019 Sep 30. doi:10.7717/peerj.7634. 2-Hillen, M. A., de Haes, J. C. J. M., & Smets, E. M. A. (2011). Cancer patients' trust in their physician-a review. Psycho-Oncology, 20(3), 227-241. https://doi.org/10.1002/pon.1745General rights. It is not permitted to download or to forward/distribute the text or part of it without consent.

1C-1: Retrospective Analysis of VES-13 Questionnaires in the Senior Women's Breast Cancer Clinic at Sunnybrook Health Sciences, Toronto, Ontario, Canada

Arman Zereshkian, Benazir Mir Khan, **ngshan Cao, Nayanee Henry-Noel, Ines Menjak, Ra** Mehta, Bonnie Bristow, Maureen Trudeau, Matthew Neve, Mireille Norris, Mark Pasetka, Kate Rice, Fiona McCullock, Frances Wright, Ewa Szumacher

Toronto Sunnybrook Cancer Centre, Toronto, ON, Canada

ABSTRACT: Purpose: Vulnerable Elder Survey (VES-13) is a screening tool used in assessing older vulnerable patients at risk of functional decline. We sought to evaluate how the VES-13 would impact oncologist referral patterns to geriatricians as our primary outcome. We also sought to better understand how VES-13 scores impacted referral to additional services (allied healthcare), and modification to oncological treatment. Methods: A retrospective review of VES-13 questionnaires completed by women aged 70 or older with breast cancer referred to the Senior Women's Breast Cancer Clinic (SWBCC) was undertaken. Patients with a VES-13 score of three or greater, who were at significantly higher risk of functional decline, had further retrospective chart review for risk factors that would contribute to functional decline such as Eastern Cooperative Oncology Group (ECOG) score, social supports, and current living situation. The primary and secondary endpoints described above were analyzed through bivariate comparisons and multivariable logistical regression to determine if there was any statistical significance (p < 0.05). Results: 701 patients completed the VES-13, of which 235 (33.5%) had a VES-13 score of three or greater. Less than 5% of oncologists documented VES-13 scores in their notes, with less than 5% of patients being referred for geriatric services. Neither VES-13 (p= 0.900) nor ECOG (p= 0.424) were associated with referral for geriatrics assessment. Referral to allied healthcare services was significantly associated with ECOG score (OR 2.24 [1.49-3.37], p < 0.0001), but not significantly associated with VES-13 score (OR 0.89 [0.78-1.02], p= 0.102). VES-13 (OR 1.23 [1.04-1.45], p=0.014) and ECOG (OR 2.37 [1.29-4.37), p=0.005) were both associated with modification in oncology treatment (chemotherapy or radiation). Conclusion: Approximately one third of our population was at risk of functional decline. VES-13 scores were infrequently mentioned in oncologists clinical assessment notes, with few patients being referred for geriatric assessment. By not collecting and analyzing VES-13 scores, and relying on performance status alone, there is a missed opportunity in assessing for functional decline and reducing potential complications from treatment. OBJECTIVES: 1. The participant shall be able to identify the benefits of the VES-13 in promoting geriatric referrals and preventing treatment-related complications. 2. The participants shall be able to describe the utility of VES-13 for older patients with breast cancer. 3. The participants shall be able to understand the barriers of using VES-13 in the clinical environment for older patients with breast cancer. REFERENCES: 1. O’Donovan A, Leech M. Personalized treatment for older adults with cancer: the role of frailty assessment. Tech Innov Patient Support Radiat Oncol. 2020;16:30–8. 2. Garcia MV, et al. Screening tools for identifying older adults with Cancer who may benefit from a geriatric assessment: a systematic review. JAMA Oncol. 2021;7(4):616–27.

1C-2: Cervical Cancer Prevention Hesitancy Among Muslim Women in the United States and Egypt: Qualitative Study

Asmaa Namoos¹, Vanessa Sheppard¹, Salma Zook², Dina Ramdan¹, NourEldean Abosumak¹, Rana Ramadan¹, Nada Hisham³, Tamas Gal¹

¹ VCU, Richmond, VA, USA, ² Houston Methodist DeBakey Heart & Vascular Center, Austin, TX, USA, ³ Alex Med, Alex, Alexandria, Egypt

ABSTRACT: HPV vaccination and regular cervical cancer screening are crucial in reducing cervical cancer morbidity and mortality. The Muslim population is a growing and understudied minority group in the US presenting with higher rates of a late-stage cervical cancer diagnosis than non-Muslims. Studies showed specific factors impacting Muslim women's beliefs and practices related to cervical cancer prevention. This study explored multi-contextual factors, including religious, behavioral, and sociocultural elements that may influence Muslim women's decisions regarding cervical cancer prevention in Virginia, USA compared to in Egypt. Methods: The project recruited 10 women for in-depth interviews both in Richmond, VA, and in Alexandria, Egypt. The interviews followed a detailed guideline, asking questions about knowledge, attitude and behavior related to HPV vaccination and cervical cancer screening. The qualitative data was analyzed using the Strauss and Corbin variation of the Grounded Theory using an iterative coding process to extract concepts and causal relations between them in the interviews. Results: The US and Egypt cohorts showed similar results. Most participants had limited information about cervical cancer and its prevention methods. None of the single women visited a gynecologist in either cohort, while all married women had at least one gynecologist visit. Female physicians were a preference for all women, though participants in Egypt were more open to male providers. Religious misconceptions about the risk factors of cervical cancers were common in both cohorts (e.g., cancer is a punishment from God). All participants in both cohorts agreed that vaccination generally was useful and effective, but they did not know about the HPV vaccine. None of the participants were vaccinated against HPV. A language barrier was observed in almost all women’s experiences in the US, even though all participants spoke English fluently. Discussion: Both populations need education related to cervical cancer prevention. Next steps in this project include the implementation of community-based education programs. Though the US healthcare system is more advanced than the Egyptian, its complexity and cost created barriers for the American Muslim community. Our results also showed that the US healthcare providers have very little cultural competency related to the needs of Muslim women. OBJECTIVES: 1.Discuss behavioral aspects that affect healthcare-related decisions in the Muslim community. 2. Outline the rationale for cervical cancer screening hesitancy among Muslim women. 3. Identify the aspects related to cancer screening participation among Muslim women in the US and comparing them to Muslim women in Arab countries. REFERENCES: 1. American Cancer Society. (2019a). American Cancer Society. Cancer Facts & Figures for African Americans 2019-2021. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-african-americans/cancer-facts-and-figures-for-african-americans-2019-2021.pdf. 2. Binka, C., Doku, T., & Awusabo-Asare, K. (2017). Experiences of cervical cancer patients in rural Ghana: An exploratory study. PloS One, 12(10), e0185829. 10.1371/journal.pone.018582

1C-3: Addressing the Impact of Covid-19 on Black/African American and Latina Breast Cancer Survivors and Develo** a Culturally Sensitive Website

Dariana Sedeño Delgado¹, Jennifer Argueta-Contreras¹, Jennifer Rodriguez¹, Thelma Jones¹, Claudia Campos¹, Jacqueline Beale¹, Sara Gómez-Trillos¹, Kristi Graves¹, Erin Ihde², Simina Boca¹, Alejandra Hurtado de Mendoza¹

¹ Georgetown University, Washington, DC, USA, ² Hackensack Meridian School of Medicine, Washington, DC, USA

ABSTRACT: Background/Purpose: There is limited research on the impact of COVID-19 in breast cancer survivors (Seven et al., 2021; Kim et al., 2022). Through an academic-community partnership, we evaluated the effect of COVID-19 and resulting closures on Black/African American and Latina breast cancer survivors. After identifying the main concerns and needs of the population, we developed a culturally sensitive website with the primary objective of providing reliable COVID-19 information, specifically for breast cancer survivors. Methods: Using a mixed-methods design, 77 breast cancer survivors (26 Black/African American and 51 Latina) were recruited from two community-based organizations. Between December 2020 and March 2021 participants completed a survey in their preferred language (English or Spanish) that assessed sociodemographic, clinical information, and barriers accessing resources for cancer care. Additionally, a subset of 37 survivors also took part in a semi-structured interview about their overall experience during the COVID-19 pandemic and information needs as breast cancer survivors. Interviews were transcribed and analyzed using the Consensual Qualitative Framework (Hill et al., 1997) Findings: Participants’ average age was 53 years old (SD = 11.43). Approximately 65% of women reported not having access to information about COVID-19 and cancer. Furthermore, almost one third of the sample (29%) reported difficulties scheduling or attending cancer follow-up appointments. In the semi-structured interviews, women expressed challenges going to the doctor/hospital due to fear, not being able to afford the medication, experiencing delays in scheduling routine appointments, not having or losing health insurance, and transitioning to telehealth appointments. Women also expressed the desire to find relevant information in one place (e.g., website, newsletter) and accessing the information in Spanish (for Latina participants). Participants noted the need for more targeted information for cancer patients, including the impact of COVID-19 and vaccine information for breast cancer survivors (e.g., recommendations, effectiveness, side effects and impact on cancer treatment). Conclusion: Academic-community partnerships are needed for develo** culturally sensitive and accessible educational tools that can reach minority populations. Results from this study contribute to the limited understanding of the effect of the COVID-19 pandemic on diverse breast cancer survivors. These findings informed the development of a culturally sensitive COVID-19 website targeted to this population. OBJECTIVES: None. REFERENCES: 1. Hill, Clara E., Barbara J. Thompson, and Elizabeth Nutt Williams. "A guide to conducting consensual qualitative research." The counseling psychologist 25.4 (1997): 517-572. 2. Seven, M., Bagcivan, G., Pasalak, S. I., Oz, G., Aydin, Y., & Selcukbiricik, F. (2021). Experiences of breast cancer survivors during the COVID-19 pandemic: a qualitative study. Supportive Care in Cancer, 29(11), 6481-6493. 3. Kim, S. Y., & Kim, S. (2022). Do COVID-19–related treatment changes influence fear of cancer recurrence.

1C-4: COVID-19 Response: Strategies to Engage African American Women in Breast Cancer Screening

Sheila McKinney¹, Michelle Williams²

¹ Jackson State University, Jackson, MS, USA, ² George Mason University, Fairfax, VA, USA

ABSTRACT: Background: Breast cancer remains a leading cause of death for Black women in the Deep South due to the high proportion of Black women diagnosed with this disease in its later stages. Data show that having Black women engage in timely ongoing screening is key to improving treatment outcomes and reducing breast cancer mortality rates. Educating women on the need to screen and hel** women access screening resources are vital services provided by community health educators (CHEs) throughout southern communities. COVID-19 challenged CHEs to perform their critical services. The COVID-19 pandemic required CHEs to stop an in-person service model and adopt remote, technology-based strategies to access and educate Black women during this period. This qualitative study aimed to identify the various barriers encountered by CHEs and describe the strategies they used to successfully facilitate breast cancer education programs in the Deep South during the COVID-19 pandemic. Methods: We conducted semi-structured interviews and focus groups using Zoom with a purposeful sample of ten individuals who volunteered or were employed as CHEs in Alabama and Mississippi during the COVID-19 pandemic. The researcher-derived instrument collected data from the CHEs on the themes: cultural norms of community members, capacity to transition from face-to-face to virtual settings, needs, educational practices, and programmatic recommendations. A two-member team performed thematic analysis procedures by analyzing transcribed interviews using Atlas.ti. Findings: Barriers faced by CHEs were categorized into three themes: knowledge, infrastructure, and culture. Strategies that facilitated the delivery of breast cancer education programs were categorized into three themes: consistent community engagement, adopting compassion in using digital tools, and proactively training women to use technology. Conclusions: Results illustrated that knowledge, infrastructure, and culture were barriers to completing educational sessions. Strategies need to be adapted to engage Black women in health education interventions effectively. OBJECTIVES: 1. Compare and contrast the characteristics of the in-person service model to the remote, technology-based approach adopted by CHEs during the COVID-19 pandemic. 2. Identify two barriers faced by CHEs to implementing the remote, technology-based approach in the Deep South. 3. Explain why consistent community engagement, adopting compassion in using digital tools, and proactively training women to use technology enabled CHEs to successfully educate Black women in the Deep South. REFERENCES: 1. Cancino, R. S., Su, Z., Mesa, R., Tomlinson, G. E., & Wang, J. (2020). The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities. JMIR cancer, 6(2), e21697. https://doi.org/10.2196/21697. 2. Freer P. E. (2021). The Impact of the COVID-19 Pandemic on Breast Imaging. Radiologic clinics of North America, 59(1), 1–11. https://doi.org/10.1016/j.rcl.2020.09.008

1C-5: A's to Your Q's: Social Media Videos for Education and Engagement of Adolescent and Young Adult Cancer Patients

Karlie Allen, Jeff Yancey

Huntsman Cancer Institute, Salt Lake City, UT, USA

ABSTRACT: Background/Purpose Adolescents and young adults (AYA), aged 15-39, experience a foundational time of life with many important life milestones. A cancer diagnosis presents unique challenges for this group of patients, and their caregivers, and can have life-long implications. Even after treatment, they face long-term physical and psychosocial effects that impact life satisfaction. There are resources and services that exist to provide support, but reaching every patient with this information is difficult. Located in the Intermountain West, our program serves patients in 5 western states, many from or living in rural or frontier communities. We used the TikTok platform to create videos to reach a wider audience in disseminating important information. These videos are popular in this age demographic and provide a platform to relay information in an easily digestible way. Description We created education videos on nutrition, exercise, and other topics/services important to AYAs during treatment and beyond. We chose TikTok as it provides short and concise messages that patients would watch, with many in this age group using social media. The videos featured AYAs or professionals from the discipline that we were highlighting. Evaluation Our evaluation considered both the reach of the TikToks and the costs to produce them. Using metrics of views and likes gathered from Instagram, one platform we used to post these videos, we found that our TikTok educational videos had higher engagement shown by both views and likes, one of which having the most engagement we have ever had on a post We found that TikTok enables us to create effective, low-cost videos without requiring extensive video production skills or equipment, and is sustainable in continuing to create these videos. Impact/Application/Conclusion With more patients viewing this information, they may know more regarding resources and services available to improve quality of life. This helps us reach those in rural areas, those patients not as well connected to services, or those attending satellite clinics. We plan to expand our TikTok program with more disciplines and services. OBJECTIVES: 1. By the end of the presentation, participants will be able to describe an innovative way to disseminate pertinent cancer care information to a wider range of AYA patients. REFERENCES: Geue, K., Mehnert-Theuerkauf, A., Stroske, I., Brock, H., Friedrich, M., & Leuteritz, K. (2021). Psychosocial Long-Term Effects of Young Adult Cancer Survivors: Study Protocol of the Longitudinal AYA-LE Long-Term Effects Study. Frontiers in psychology, 12, 688142. https://doi.org/10.3389/fpsyg.2021.688142.

SYMPOSIUM 1D: Expanding, Diversifying, and Training the Future Cancer Research Workforce

ABSTRACT: Symposium/Panel Overview - This symposium focuses on the current and future cancer research workforce. Presenters will discuss 1.) current funding disparities across research institutions and how this perpetuates low diversity in the biomedical research workforce, 2.) creating a diverse community pursuing cancer research and cancer education through engaging in international research experiences in low- and middle-income countries, 3.) expanding knowledge of the translational process among the cancer research workforce, and 4.) a novel approach to preparing cancer prevention postdoctoral fellows for success in their fellowship program. Collectively, these four presentations will share challenges and opportunities for expanding, diversifying, and training the future cancer research workforce. OBJECTIVES: 1. The participant shall be able to identify strategies for building the cancer research workforce across education and career stages. 2. The participant shall be able to identify multiple approaches to expanding and diversifying the future cancer research workforce. 3. The participant shall be able to identify research, education, and professional development needs of individuals in training positions within the cancer research workforce. REFERENCES: 1. Lauer MS, Roychowdhury D. Inequalities in the distribution of National Institutes of Health research project grant funding. Elife. 2021 Sep 3;10:e71712. doi: 10.7554/eLife.71712. PMID: 34477108; PMCID: PMC8448532. 2. National Academies of Sciences, Engineering, and Medicine 2019. Minority Serving Institutions: America's Underutilized Resource for Strengthening the STEM Workforce. Washington, DC: The National Academies Press. https://doi.org/10.17226/25257.

1D-1: Determinants of Health Science Workforce Diversity: Unintended Structural Bias in NIH Funding?

Shine Chang¹, Kristin Primm¹, Andrea Malabay²

¹ University of Texas MD Anderson Cancer Center, Houston, TX, USA, ² Texas A&M University, College Station, TX, USA

ABSTRACT: Background: Institutions vary in their research capacities and competitiveness for educational and training funds to recruit and prepare diverse pools of trainees for careers in biomedical research, including in cancer. Methods: Using data from the US Department of Education and NIH Exporter, we evaluated correlations between student diversity, NIH R01 funding by research capacity defined by the Carnegie Classification of Institutes of Higher Education. Results: In FY2018, the Carnegie Classification for Doctoral Universities (n=418) included 131 “R1” and 135 “R2” research-intensive universities, and 152 other doctoral and professional universities (DPU). For undergraduate and graduate students, R1 schools compared to R2 and DPUs had the lowest proportion of women, Black/African American, American Indian/Alaskan Native, and Native Hawaiian and Other Pacific Islanders while Asian Americans and “non-resident alien” students comprised larger proportions at R1 than R2 and DPU schools for both student categories. Proportions of Hispanic graduate students at R1 schools were lower than at R2 and DPUs while that of undergraduate Hispanic students was similar regardless of Carnegie Class. Few Carnegie schools were minority-student serving in FY2018. For example, only 5 R1 schools, 7 R2s, and 13 DPUs were Hispanic-serving institutions and no R1 and DPU institutions were HBCUs and only 11 R2 institutions were. Of over 19K NIH R01s active in FY2018, over 90% were awarded to R1 schools, with less than 10% going to R2s, and less than 1% at DPUs. For NIH fellowship and career development awards to individuals, the majority were also at R1s. Institutional training program awards were also mainly at R1 schools, except for T34s, an NIGMS-exclusive mechanism for undergraduate diversity in health science. Discussion: Concentration of research and training resources at R1 universities but low student diversity perpetuates low diversity in the health science workforce when recruitment to research careers does not successfully reach students of color. Understanding how factors like grant evaluation criteria introduce structural bias to powerfully influence competition for such resources by institutions is urgent. Knowing whether such factors influence award of NCI funds specifically, and differently from NIH overall, is critical for broadening diversity among cancer researchers.

1D-2: The Development, Education & Training of a Cancer Prevention Workforce: The Experience of the Cancer Epidemiology Education in Special Populations Program (R25 CA112383)

Amr Soliman, Robert Chamberlain

The City University of New York School of Medicine, New York, NY, USA

ABSTRACT: Background: This presentation will introduce the session participants to the history and progress of the Cancer Epidemiology Education in Special Populations (CEESP) Program since its inception in 2006. CEESP provides 4-months summer research field experiences in global and minority settings in the U.S. Methods: We will discuss the recruitment, selection, and mentoring methods of the public health graduate students affiliated with this program before, during, and after the field research experiences. We will also provide examples of the approaches and methods we have used for career planning and career development and how the program created a diverse community of learners for pursuing and succeeding as a workforce in cancer research and cancer education. Furthermore, we will illustrate the formative and summative methods that we have followed over the past 16 years for short- and long-term outcome evaluation of the students, the mentors, and the field research sites. Results: We will present the achievements in disseminating the program, short- and long-term outcome evaluation results, and the lessons learned over the past 3-five year cycles of the program. Discussion: We will elucidate recommendations for other faculty and institutions running similar programs or aiming at creating or streamlining cancer research education programs for develo** workforces in cancer research.

1D-3: Using a Cancer Drug Discovery Case Study to Teach Principles of Translational Science to a Broad Scientific Audience

Jessica Faupel-Badger, Shadab Hussain, Lameese Akacem, Amanda Vogel

Education Branch, National Center for Advancing Translational Sciences, NIH, Bethesda, MD, USA

ABSTRACT: Background: Cancer researchers are motivated by a shared goal to advance our scientific knowledge to help prevent, treat, and cure cancer. Translational science is a key approach to achieving this goal. The field of translational science seeks to understand the common and pervasive roadblocks hindering the translational research process of turning basic science discoveries into effective interventions that improve human health. Translational science is disease agnostic, and the solutions it produces are relevant across all diseases and conditions. Through identifying common translational challenges and learning how effective solutions developed in one area can be applied to other settings, generalizable scientific and operational principles to advance all translational research can be discerned. The National Center for Advancing Translational Sciences (NCATS) has developed an initial set of translational science principles and is teaching these through short, online courses. The primary learning goal of these courses is that participants understand and can apply translational science principles to their own work. Methods: NCATS offers a 7-week, one-credit online course teaching scientific and operational translational science principles using a cancer drug discovery case study. An initial version of this course was offered over two sessions in 2020 and 112 students participated. Based on student feedback, the course was enhanced and offered again over three sessions in 2021-2022 with an additional 99 students. A pre- and post-course survey assessed student demographics, knowledge gains related to translational science, and how participation influenced future career or research plans. Results: Out of 112 students who took the 2020 courses, 100 completed either the pre- or post-course survey, and 66 completed both. The course enrolled individuals from a wide array of backgrounds, including 60% who were engaged in cancer research, cancer patient care, and/or had prior academic training in cancer biology. There were statistically significant gains in translational science knowledge (p<.001) that were independent of cancer biology background. The data from the 2021-2022 course surveys will be shared in this presentation as well. Discussion: This brief introduction to translational science using a cancer drug discovery case study increased students’ knowledge about translational science approaches to advance their cancer research toward translational outcomes.

1D-4: Learning for early Engagement And Development (LEAD): An Augmented Approach to Orienting New Postdocs

Ann Maxson¹, Lymarie Maldonado-Báez², Lisa Signorello²

¹ Kelly Government Solutions, Silver Spring, Maryland, USA, ² Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

ABSTRACT: Background/Purpose: Orientation activities hosted by postdoctoral offices (PDOs) often facilitate the completion of appointment paperwork, the distribution of trainee handbooks, and an introduction to institutional policies. How can this traditional orientation model be augmented to meet additional needs of newly onboarded postdocs, who are not only tasked with navigating a new institution but who are also entering a new stage of their career trajectory? Description: In 2020, the National Cancer Institute’s Cancer Prevention Fellowship Program designed an enhanced onboarding program, the Learning for early Engagement And Development (LEAD) program, to address the personal and professional needs of trainees as they transition into the role of postdoctoral researcher. The objective of LEAD is to give new trainees dedicated time, funds, resources, and opportunities to assess competencies, reflect on early and long-term goals for their fellowship and career, and grow in those competencies deemed essential to successful integration and momentum in their new professional environment. Postdocs in the LEAD program engage in the synergistic Self-Directed Learning model, a widely accepted learning strategy that encourages adult learners to upskill in an ever-changing world and supports motivation to learn through autonomy and control. The LEAD program consists of six stages: introduction, pre-assessment, discussion, planning, learning, and evaluation. Within the first 3 months of their postdoctoral appointment, participants manage their individual orientation objectives by map** and actively completing development activities necessary for the successful launch of their research agenda. Throughout LEAD, the PDO provides opportunities for assessment, mentoring, structured learning, and networking. Evaluation: The LEAD program is being evaluated using the Kirkpatrick Evaluation Model to assess outcomes at the following levels: reaction, learning, and behavior. The first evaluation activities are underway and include analysis of transcripts from LEAD exit interviews as well as a content analysis of all activities undertaken during LEAD and the methods fellows used to organize their learning, set goals, and track progress. Conclusion: Early results show a number of benefits important to the graduate student’s successful transition to postdoc, in exchange for a relatively limited amount of extra time and resources at the front end of the fellowship.

2A-1: Tobacco Treatment Program (TTP) Optimization and Expansion to Reach at-Risk and Underserved Populations

Linda Fleisher, Cassidy Kenny, Alison Brecher, Donna Edmondson, Allison Zambon

Fox Chase Cancer Center, Philadelphia, PA, USA

ABSTRACT: Background: Smoking is associated with many negative health outcomes and is responsible for nearly 500,000 preventable deaths a year. Additionally, smoking results in poorer treatment outcomes for both smoking and non-smoking-related cancers. Fox Chase Cancer Center (FCCC) optimized their TTP to address smoking behaviors in all patients with the support of a competitive grant funded by the NCI’s Cancer Center Cessation Initiative. The TTP further expanded to the broader Temple University Health System (TUHS) to increase smoking cessation and cancer prevention efforts while serving underrepresented populations who often face higher rates of tobacco use and barriers to quitting. Description: An automated tobacco registry was implemented utilizing a nightly EMR feed to collect data and proactively reach patients which has increased the number of patients in TTP ten-fold. Patients can enter TTP through a survey sent from the tobacco registry, provider referral (newly implemented BPA), or self-referral (AVS, marketing materials in three languages). The TTP utilizes a REDCap case management system to manage programmatic data and Twilio texting capabilities to reach patients throughout their continuum of care. The TTP provides access to evidence-based smoking cessation resources, motivational interviewing with a health educator, and treatment with AP tobacco specialists including expanded access to NRTs. Evaluation: Collected data includes no-show rates, visit types, smoking status/behavior change, and additional notes from all interactions patients have with TTP staff. One- and six-month assessments are sent to all individuals allowing us to monitor and analyze both self-reported and programmatic data. Impact/Application/Conclusion: There are over 1600 identified new patients in the tobacco registry and over 500 patients who have received individualized services from our tobacco specialists. Over 100 TUHS patients have been seen since the broader expansion (65% black, 13% white, 7% Hispanic, and 5% ‘other’ compared to FCCC whose TTP patient population is over 70% white). We expect the diversity of the patient population to expand even further as more TUHS patients are seen. Our TTP bridges an important gap by increasing access to evidence-based tobacco treatment to promote prevention in at risk populations and cancer patients in an underserved area. OBJECTIVES: 1. The participant shall be able to describe an evidence-based tobacco treatment program for cancer patients and its expansion to an underserved community. REFERENCES: 1. Soulakova JN, Crockett LJ. Unassisted Quitting and Smoking Cessation Methods Used in the United States: Analyses of 2010-2011 Tobacco Use Supplement to the Current Population Survey Data. Nicotine Tob Res. Dec 13 2017;20(1):30-39. doi:10.1093/ntr/ntw273. 2. Introduction to the Cancer Center Cessation Initiative Working Groups: Improving Oncology Care and Outcomes by Including Tobacco Treatment. J Natl Compr Canc Netw. Nov 2021;19(Suppl_1):S1-s3. doi:10.6004/jnccn.2021.7095

2A-2: Assessment of an Interdisciplinary Communication Training for Adult Oncology Clinicians

Haley Buller¹, Betty Ferrell¹, Judith Paice², Myra Glajchen³, Trace Haythorn⁴

¹ City of Hope, Duarte, CA, USA, ² Northwestern University Feinberg School of Medicine, Chicago, IL, USA, ³ MJHS Institute of Palliative Care, New York, NY, USA, ⁴ Association of Clinical Pastoral Education, Atlanta, GA, USA

ABSTRACT: Background/Purpose: Health care professionals across disciplines agree that communication skills are necessary to provide quality palliative care to cancer patients and their families. However, clinicians continue to report a lack of education and funding as significant barriers to receiving communication skills training. The purpose of this abstract is to describe the Interprofessional Communication Curriculum (ICC) program, a train-the-trainer course for oncology clinician dyads, and to provide pre-and-post course evaluation data on two cohorts. Description: Organized by the 8 domains of the National Consensus Project (NCP) Guidelines, ICC includes skill-building exercises (e.g. role plays and case studies), interactive and interprofessional small group discussions led by trained faculty, and 30+ vignette demonstrations, to improve participants’ communication skills in order to provide effective care for patients and families. Using a goal-directed method of teaching, dyads develop 3 goals for integrating communication training into their clinical settings and quality improvement measures. Evaluation included a pre-course survey, an immediate post-course evaluation, and a 6-and-12-month evaluation to capture participant training activity and goal progression. Evaluation: 126 clinicians (69 teams), consisting of nurses (52%), social workers (35%), and chaplains (13%), attended one of the two 3-day ICC cohorts: January 2021 (virtual) and August 2021 (Washington, DC). The pre-course survey revealed participants’ least effective area of communication was related to spirituality and when asked how frequently they provided spiritual care, an average of 2.7 on a scale of 1 to 5 (1=never) was reported. Post-course evaluations, on a scale of 1 to 5 (1=lowest), revealed that the course overall met participant’s expectations (4.8) and that the spiritual (4.9) module and small group discussion sessions provided the most value to their practices. At the 6-and-12-month follow-up for cohorts 1 & 2, teams reported training 1,802 clinicians (1,083 nurses, 220 social workers, 87 chaplains, 176 physicians, and 236 others) at their home institutions with over half (54%) of their goals either completed or in-progress. Conclusion: With 3 more years of funding from an R25 NCI training grant, 3 additional ICC courses will be held in the next 3 years nationwide. A 12-month post-course follow-up will occur for cohort 2. OBJECTIVES: 1. The participant shall be able to identify at least two effective quality improvement measures for implementing communication skills training at their institution. REFERENCES: 1. Conley et al (2021). Multiple approaches to enhancing cancer communication in the next decade: translating research into practice and policy. Translational Behavioral Medicine, 11(11), 2018–2032. https://doi.org/10.1093/tbm/ibab089. 2. Kamal et al (2020). Standards, guidelines, and quality measures for successful specialty palliative care integration into oncology: : Current approaches and future directions. Journal of Clinical Oncology, 38(9), 987–994. https://doi.org/10.1200/jco.18.02440

2A-3: Evaluation of a Patient Education/Navigation Binder at a Comprehensive Cancer Center

Allison Elmer, Kerianne Chandler, Courtney Hixson, Jeff Yancey

Huntsman Cancer Institute, Salt Lake City, UT, USA

ABSTRACT: Background/Purpose For over a decade, we have provided a binder to our patients to help inform and educate, as well as provide a tool for patients to organize the materials they receive. The binder has not undergone a formal evaluation and update during this time. This project was intended to assess the need and preferences for how this binder is used in our center. Description The current binder is provided during the initial appointments and is centered on the patient. It includes general patient education separated by a set of standardized tabs used across the institution. Clinic teams can then add content to customize the binder for a specific disease type, or even for individual patients. A clinic team member, usually a nurse, sits with the patient to discuss the binder contents. An online version of the binder contents is also available on the website. Evaluation Our evaluation consisted of three phases. Phase 1 requested feedback from patient education leadership in our center about what to include in the evaluation. Phase 2 was a survey sent to clinical staff and patients/caregivers. Phase 3 included non-cancer patients in the broader healthcare system in a survey and focus group discussion. Practice Changing Updates Findings included differences in patient and provider preferences in binder contents. We also found that patients prefer to have more time going through the binder, in person or remotely, than is currently provided. We also found that overall, patients did not have a strong preference toward a paper or online binder. Findings suggest the need for more intensive efforts in educating on hospital resources, and less on the disease site information. Current efforts include adding a section to the binder tailored to caregivers, creating a service where patient/caregivers can meet with a health educator/patient navigator to go over resources and opportunities available in the center. Impact/Application Our evaluation suggests that efforts to provide education and resources broadly is appreciated and used by patients and families. Patient feedback suggests that personalization and flexibility in these resources can be helpful in navigating them through their care. OBJECTIVES: 1. The participant shall be able to identify three preferences patients have for receiving education at diagnosis. 2. The participant shall be able to identify two strategies for collecting patient feedback on educational materials. REFERENCES: Amina, I., Hind, Z., & Benchakroun, N. (2019). CN18 - Evaluation of an education program for cancer patients receiving chemotherapy. Annals of Oncology, 30, v820–v821. https://doi.org/10.1093/annonc/mdz272.017. Bentley, S., Johnson, C., Exall, E., Lawrance, R., & Brohan, E. (2019). PNS370 Methods and considerations for the development, content validity testing, and evaluation of patient education tools (PETS). Value in Health, 22, S827. https://doi.org/10.1016/j.jval.2019.09.2270

2A-4: Improved Time to Initiation of Treatment and Compliance Among Patients Seen in a Head and Neck Multidisciplinary Clinic in the Safety Net Setting

James Hamilton¹, Cain Joan¹, Forbus Mary², Sheela Hanasoge¹, Hecht Jencie², Ruth Sacks¹

¹ Emory University, Atlanta, GA, USA, ² Grady Memorial Hospital, Atlanta, GA, USA

ABSTRACT: 1. Background/Purpose: The complex coordination of head and neck cancer care often results in delays in the initiation of treatment. This is exacerbated in the safety net setting in which a disproportionate number of uninsured patients with limited resources and low health literacy receive care. A multidisciplinary clinic (MDC) was implemented in 2021 at a safety net hospital to coordinate care for patients with head and neck cancer (HNC). Single appointments were created in which patients were evaluated by a head and neck surgeon, radiation and medical oncologists, and a dietician and speech pathologist in a single visit in place of the traditional format in which patients visited these services separately. We investigated whether MDC decreased the time from diagnosis to treatment initiation (TTI), a metric that has been shown to influence HNC outcomes, as well as increased pre-treatment SLP, nutrition, and dental consultations. Description: A single-institution database of patients with HNC treated at a safety net hospital in a major US city between May 2019 and May 2022 was analyzed. After June 2021, all newly diagnosed patients with HNC were seen at an MDC appointment. The cohort was divided into two groups: patients evaluated prior to the implementation of a head and neck MDC and patients evaluated in the MDC. Patient demographics, TTI, and use of ancillary services were compared. Evaluation: Overall, 66 patients with HNC were evaluated; 44 patients were seen independently at separate appointments prior to initiation of the MDC and 22 completed an MDC visit. On univariate analysis, TTI was 57.3 days prior to MDC and 44.6 days after implementation of MDC (p = 0.048). Establishment of the MDC decreased TTI by almost 13 days. MDC was also associated with increased pre-treatment SLP consultation compared to non-MDC (OR 0.03, 95%CI, 0.002 - 0.465, p=0.013), nutrition consultation (OR 0.07, 95%CI, 0.008 - 0.558, p=0.012), and pre-radiation dental consultation (OR 0.08, 95%CI, 0.009 - 0.615, p=0.016). Impact/Application/Conclusion: Implementing MDC significantly decreased TTI in patients with HNC. Patients seen in MDC completed significantly more pre- treatment speech, nutrition and dental evaluations than the pre-MDC cohort. The MDC-associated improvement of time-to-treatment initiation as well as increased use of ancillary services may translate into improvements in treatment outcomes. OBJECTIVES: 1. The participant shall be able to identify the qualitative benefit of increased access to care that multi-disciplinary clinic provides head and neck cancer patients. 2. The participant shall be able to identify the qualitative benefit of reduced time from diagnosis to the initiation of treatment that multi-disciplinary clinic provides head and neck cancer patients. REFERENCES: Stone CJL, et al. Improving Timeliness of Oncology Assessment and Cancer Treatment Through Implementation of a Multidisciplinary Lung Cancer Clinic. J Oncol Pract. 2019 Feb;15(2):e169-e177. Townsend M, et al. Multidisciplinary Clinic Management of Head and Neck Cancer. JAMA Otolaryngol Head Neck Surg. 2017 Dec 1;143(12):1213-1219.

2A-5: Patient-Reported Reasons for Missed Colonoscopy Appointments in Hispanic Patients Despite a Culturally Tailored Patient Navigation Program

Kirby Walker¹, Carl Winkler¹, Victoria Baggio², Abdul Saied Calvino¹

¹ Roger Williams Medical Center, Providence, RI, USA, ² Boston University, Boston, MA, USA

ABSTRACT: Background and purpose: the reported rate of screening colonoscopy among Hispanic patients ranges between 40% and 55%, which is significantly lower than the rate among non-Hispanic whites. Culturally-tailored patient navigation (CTPN) makes experiences culturally and linguistically sensitive, improving access in specific ethnic groups. However, even in the setting of CTPN, there is still a group of patients that underuse screening. The aim of this study was to identify the reasons for missed colonoscopies in the setting of a CTPNP. Methods: 698 Hispanic patients were enrolled in the CTPNP at our institution a database of patient demographics and appointment information was recorded. The group of patients who missed or canceled their colonoscopy was identified; 104 Hispanic patients were contacted by phone using semi-structured interviews. Findings: Of the 104 patients identified, 43 did not show, and 61 canceled and did not reschedule their appointments. We were able to contact 82% (n=85), and 18% (n=19) could not be reached because of non-working phone numbers and no answer to our mail request to call back. Among the contacted patients, 5% (n=4) patients refused to move forward with the interview. The most common reported reason was financial constraints 31% (n=26), including the copay cost, loss of insurance, and lost wages from taking time out of work. Followed by lack of transportation in 14% (n=12). Acute unexpected personal or familiar health problems were reported by 9% (n=8), 11% (n=9) reported moving back to their home country before the procedure, and 8% (n=7) patients had the procedure done in a different facility. Other reasons included fear of the procedure not expressed to the navigator in 10% (n= 9), lack of motivation for the test in 5% (n=4), and lastly, there were 7% (n=6) of patients that did not express any specific reason. Conclusion: CTPN is an efficient intervention to improve access to colonoscopy in underserved populations. However, barriers remain, such as financial, transportation, fear of the procedure, and lack of an active phone number. CTPN should dedicate more time to addressing these barriers to improve navigation efficacy and, ultimately, health access and equity. OBJECTIVES: 1. Describe the most relevant barriers for colonoscopy reported by Hispanic patients despite a navigation program. 2. Develop strategies to improve patient navigation effectiveness. 3. Implement interventions to improve navigation for cancer prevention in underserved communities. REFERENCES: 1. Cameron KA, Ramirez-Zohfeld V, Ferreira MR, et. al. The Effects of a Multicomponent Colorectal Cancer Screening Intervention on Knowledge, Recommendation, and Screening among Underserved Populations. J Health Care Poor Underserved. 2020;31(4):1612-1633. doi: 10.1353/hpu.2020.0122. PMID: 33416742. 2. Society AC. Cancer Facts & Figures for Hispanics/Latinos 2018-2020. 2020

2B-1: Perceived Helpfulness of Bilingual Patient Navigation in an HPV Self-Sampling Trial

Susan Parker¹, Maria Daheri², Elisa Benavides¹, Marie Kasbaum¹, Elizabeth Chiao³, Kathleen Schmeler³, Matt Anderson⁴, Ashish Deshmukh⁵, Sue Hilsenbeck¹, Maria Jibaja-Weiss¹, Shaun Bulsara¹, Mohammad Zare², Lizette Rangel¹, Michael Scheurer¹, Jane Montealegre¹

¹ Baylor College of Medicine, Houston, TX, USA, ² Harris Health System, Houston, TX, USA, ³ The University of Texas MD Anderson Cancer Center, Houston, TX, USA, ⁴ University of South Florida, Tampa, FL, USA, ⁵ The University of Texas School of Public Health, Houston, TX, USA

ABSTRACT: Background/Purpose: Racial minorities and those with limited English proficiency are significantly less likely to be screened for cervical cancer compared to their non-Hispanic white and English proficient counterparts. At-home self-sample HPV testing kits have been demonstrated to increase cervical cancer screening among underscreened women, but their effectiveness has not been assessed along with bilingual patient navigation in an urban safety-net healthcare system. Methods: We assessed the perceived helpfulness of patient navigators as part of a randomized controlled trial to evaluate the effectiveness of HPV self-test kits with bilingual navigation support. The kits included bilingual instructions (English and Spanish), developed with input from the study’s navigation team. Participants are women, ages 30-65 years in an urban safety net healthcare system who are underscreened for cervical cancer. We conducted a telephone survey in English and Spanish among a subgroup of trial participants who were randomized to receive the at-home HPV self-test kits. Among those, half were randomized to receive a “navigator-plus” intervention with a follow-up educational call from a study navigator. Results/Findings: Of the 178 surveys completed to date, most of which were conducted in Spanish (67.7%), 79 reported receiving a call from a patient navigator. Almost all of those (95.8%) reported that the call from the navigator was helpful. Most women reported that the navigator helped her understand the HPV self-test kit instructions (91.1%), gave her information about HPV and cervical cancer (80%), explained the importance of cervical cancer screening (87.8%), and answered questions about HPV and cervical cancer (73.3%) or the kit itself (85.6%). The bilingual HPV self-test kit instructions were reported as helpful by almost all (95%) respondents. Discussion and Conclusion: Preliminary telephone survey data from the ongoing PRESTIS trial suggests that women in an urban safety net healthcare system found bilingual patient navigation support and kit instructions helpful during their participation in the HPV self-testing trial. OBJECTIVES: 1. The participant should be able to describe perceived helpfullness of patient navigation as part of an HPV self-testing trial conducted in a county safety net health system. REFERENCES: 1. Kobetz E, Seay J, Amofah A, et al. Mailed HPV self-sampling for cervical cancer screening among underserved minority women: study protocol for a randomized controlled trial. Trials. Jan 13 2017;18(1):19. 2. Braz N, Lorenzi NPC, Sorpreso ICE, de Aguiar LM, Baracat EC, Soares JM. The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review. Clinics. 2017;72(3):183-187.

2B-2: Understanding Informational Needs for End-of-Life Care in Pediatric Cancer: Perspectives from Family Members and Providers

Elizabeth Bartholomew, Jennifer Robinette, Heather Chambliss, Daniel Bastardo-Blanco, Lisa Clark, Justin Baker

St. Jude Children's Research Hospital, Memphis, TN, USA

ABSTRACT: Background: Despite advances in pediatric oncology, approximately 1 in 5 children in the United States do not survive their illness. Understanding informational needs of families is critical to providing support throughout the cancer journey, including end of life and bereavement. This effort was part of a Quality Improvement project at St. Jude Children’s Research Hospital to refine existing patient education and plan future resources. The aim of the research was to identify topics and delivery methods that would best support family caregivers during their child’s end-of-life journey. Methods: St. Jude Legacy Voice is a virtual advisory council consisting of bereaved caregivers of St. Jude patients. Members of the council were invited to participate in an online survey administered through Qualtrics XM online survey software. Respondents rated the perceived importance of topics related to facing a difficult diagnosis, palliative care, and bereavement on a 10-point scale. One was the least important, and 10 was the most important. The range and mean ratings for each topic were calculated. Participants were asked to indicate their preferred formats to receive information. They were also asked to respond to open-ended questions. The number of respondents who endorsed each option was calculated and expressed as a percentage of the total sample. St. Jude providers who care for patients at the end of life were asked to participate in a survey that mirrored the Legacy Voice survey. Results: A total of 41 Legacy Voice members and 216 providers from across St. Jude who are involved in end-of-life care completed the surveys. Caregivers and providers rated Making Decisions about Care as the most important information category. Within that category, caregivers rated Adjusting Treatment Goals as the most important topic (8.9 out of 10) whereas providers rated Making Decisions about Where Their Child Will Die as the most important topic (9.0 out of 10). Although there was alignment between bereaved caregivers and providers on many topics, survey results indicated differences in perspectives on the importance of topics including Anticipatory Grief, How to Ask for Help, and Advanced Care Planning. Caregivers and providers preferred print resources (48% and 41%, respectively). Website resources were the second highest rated (19% and 22%, respectively). Discussion and Conclusion: The aim of this research was to identify informational topics and optimal timing and delivery methods that would best support family caregivers during their child’s end-of-life journey. The findings provide valuable insights for improving what, when and how information is provided to patients and families. They will be used to prioritize content updates and inform future delivery of information. Future research will explore the variances in opinions between caregivers and providers to ensure that family information needs are most effectively met during their child’s end-of-life care and bereavement. OBJECTIVES: 1. The participant should be able to identify three gaps in perspective between family members and providers regarding a child's end of life care. 2. The participant should be able to identify one primary area of agreement between family members and providers regarding a child's end of life care. REFERENCES: Brouwer MA, Maeckelberghe ELM, van der Heide A, Hein IM, Verhagen EAAE. Breaking bad news: what parents would like you to know. Arch Dis Child. 2021 Mar;106(3):276-281. doi: 10.1136/archdischild-2019-318398. Epub 2020 Oct 30. PMID: 33127614; PMCID: PMC7907584. Taib F, Beng KT, Chan LC. The Challenges, Co** Mechanisms, and the Needs of the Inhospital Parents Caring for Children with Life-limiting Neurological Disorders: A Qualitative Study. Indian J Palliat Care. 2021 Oct-Dec;27(4):483-489. do

2B-3: Evaluating Cancer Patient-Reported Experience Measures: Implications for Clinical Use

Eleni Giannopoulos, Rebecca MacKinnon, Bhajan Gill, Meredith Giuliani, Lesley Moody, Janet Papadakos

Princess Margaret Cancer Centre, Toronto, ON, Canada

ABSTRACT: Background/Purpose: Improving patient safety and quality of health care services is crucial for patient-centered care. Cancer patient-reported experience measures (PREMs) may be utilized as indicators to measure clinical effectiveness and delivery of healthcare services by capturing patients’ experiences on care processes. Cancer patients experience a number of challenges such as communicating with their healthcare team, navigating the healthcare system and making decisions about their health. Information obtained from PREMs may be used to increase patient engagement and satisfaction with providers, however PREMs may be written at reading grade levels that exceed patients’ comprehension. The purpose of this study was to determine whether cancer PREMs meet health literacy best practices. Clark LT,A search of the grey and published literature was conducted to identify PREMs for cancer populations. PREMs were included if they were available in English and covered more than one dimension of patient experience (e.g. quality of life and empowerment). A panel of experts was consulted to determine whether the list of PREMs was complete. Included PREMs were evaluated for readability and understandability by two independent reviewers. A third reviewer resolved any discrepancies. Three readability tools were utilized, including the Simple Measures of Gobbledygook (SMOG), Flesch Reading Ease (FRE) and FORCAST. The Patient Education Materials Assessment Tool (PEMAT) was used for understandability assessments. Results/Findings: A total of sixty-five PREMs were identified. After review with subject matter experts, forty-four PREMs were included in the evaluation. The mean readability score across PREMs was Grade 9.9, with over half of PREMs scoring at a Grade 8 to 10 level (52.3%), and just under half scoring above the Grade 10 level (48%). The mean understandability score of PREMs was 74.4% (Min=46.2%, Max =100%). Discussion: Findings from this study will be used to make recommendations to improve the quality of cancer PREMs. This will facilitate an increased understanding of cancer patients’ experiences and perceptions about their care. OBJECTIVES: 1. The participant will be able to identify patient-reported experience measures (PREMs) that are commonly used to evaluate the experiences of cancer patients. 2. The participant will be able to describe what tools may be used to evaluate cancer PREMs. 3. The participant will be able to discuss elements of PREMs that may not adhere to plain language best practices. REFERENCES: 1. Bull, C., et al. (2019). A systematic review of the validity and reliability of patient‐reported experience measures. Health Services Research, 54(5), 1023–1035. 2. Male, L., et al. (2017). Measuring patient experience: a systematic review to evaluate psychometric properties of patient reported experience measures (PREMs) for emergency care service provision. International Journal for Quality in Health Care, 29(3), 314–326.

2B-4: Access with Quality in Mind: Transforming a Caregiver Discharge Class for Hematopoietic Stem Cell Transplant

Dhruti Ramchandani¹, Lucia Lemus¹, Jackelene Valdez¹, Marianne Razavi¹, Jose Llanas-Velazquez¹, Nicole D'Souza²

¹ City of Hope National Medical Center, Duarte, CA, USA, ² University of San Diego Health, San Diego, CA, USA

ABSTRACT: Background: Caregivers are critical for Hematopoietic Stem Cell Transplantation (HCT). Caregivers experience burden and stress, lack self-care skills, and have higher rates of depression and anxiety, particularly following hospital discharge. The COVID-19 pandemic significantly disrupted cancer care. Caregivers faced isolation, distress related to hospital visitation restrictions, virus-specific fear, and treatment-related uncertainty. Nonetheless, emergent transplants continued and made it imperative to pivot education practices to meet these needs. Purpose: To increase accessibility and eliminate the formally primary in-person reliance for learning, the transformed model was expanded to five different platforms. The multi-modal approach offers: 1. A two-hour live virtual English and Spanish class offered monthly. 2. One-on-one sessions available in-person or virtually with an interpreter if needed. Methods: Video on-demand via Closed Circuit Television in each hospital room for caregivers to access. 4. Printed class materials 5. Website access with English and Spanish pre-recorded class versions and downloadable materials. Statistical analysis of remotely collected REDCap data (N=52, from 2/2021 to 3/2022) using paired t-test, suggested that the virtual class promoted knowledge gain. Among others, scores for readiness to care for the patient at home were significantly higher in the post-study group than in the pre-study group (Mean difference=0.67, SD=0.88, p< 0.001) as were scores for self-awareness of needs as a caregiver (Mean difference=0.56, SD=0.78, p< 0.001). Both items were measured using 5-point Likert scales. Further, website data demonstrated promising levels of engagement: 72.36% of the people who visited the website clicked through content, downloaded pdfs, and watched videos. Results: Demonstrated that the transition to a virtual platform was both feasible and effective. The desire to act with a sense of urgency led to the development of a sustainable, adaptable, and replicable model, regardless of class content or target population. OBJECTIVES: 1. The participant will be able to describe the caregiver interventions aimed at successful patient transitions from the hospital following Hematopoietic Stem Cell. 2. The participant will be able to identify the components of this “HCT Discharge Class for Caregivers” model that are replicable in their setting and with their population. 3. The participant will be able to differentiate between the varied benefits among five unique ways to deliver education to caregivers of Hematopoietic Stem Cell Transplantation patients. REFERENCES: 1. Bartolomei, S., & Grecco, M. L. (2019). Transplant Discharge Education: Technology Versus People. Biology of Blood and Marrow Transplantation, 25(3), S441. 2. Jamani, K., Onstad, L.E., Bar, M., Carpenter, P.A. Krakow, E.F., Salit, R.B.... & Lee, S.J. (2018). Quality of life of caregivers of hematopoietic cell transplant recipients, Biology of Blood and Marrow Transplantation, 24(11) 2018, 2271-2276, doi.org/10.1016/j.bbmt.2018.06.015.

Abstract 2B-5 had not been identified yet at the time of printing.

2C-1: Engaging Local Collaborators to Increase HPV Vaccination Coverage and Prevent HPV Cancers in Memphis and Shelby County, Tennessee

Carol Minor, Julia Neely, Duha Magzoub, Brooklyn Morgan, Portia Knowlton, Andrea Stubbs, Heather Brandt

St. Jude Children's Research Hospital, Memphis, TN, USA

ABSTRACT: Background/Purpose: Southern states have among the lowest HPV vaccination coverage rates and the highest HPV cancer rates. As of 2020, HPV vaccination rates for 13–17-year-olds in Tennessee were 72% for ≥1 dose and 53% for up to date. Shelby County, Tennessee ranked 94 out of 95 counties in the state of Tennessee for HPV vaccination in 2021. Incidence rates of HPV cancers overall (15.0) and for oropharyngeal (6.1) and cervical cancers (8.7) were higher in Tennessee compared to the U.S. averages. The St. Jude HPV Cancer Prevention Program worked with key allies and partners to convene a Memphis and Shelby County (Tennessee) HPV Cancer Prevention Roundtable with the goal of implementing evidence-based practices that build confidence in HPV vaccination and improve vaccination coverage. Methods: A combination of individual and partner organizations working in clinical, community-based, and policy and advocacy settings related to HPV cancer prevention were identified and engaged. A planning committee organized a kickoff event of the roundtable that included two days of virtual seminars that aimed to improve local HPV vaccination knowledge and capacity, describe evidence-based interventions to improve HPV vaccination coverage, address HPV vaccination hesitancy, identify ways to build confidence in HPV vaccination, and guide participants through action planning to identify opportunities for collaborative action. Evaluation: One hundred and fifteen individuals participated on each day of the virtual kickoff event. Responses to the evaluation indicated high satisfaction with the content and quality of the information presented. On a scale from “not at all likely” (1) to “extremely likely” (10), participant responses to likelihood of applying knowledge and/or skills learned averaged 8.92 and 8.79, respectively. Impact/Application/Conclusion: Collaborative strategies identified through action planning, were compiled into an action plan that now guides the ongoing work and programmatic offerings of the roundtable. The roundtable has since developed bylaws and an operational structure, partnered with the American Cancer Society (ACS) to recruit Memphis and Shelby County providers into the ACS Learning Collaborative, and offered a virtual provider education series offering topics like Improving HPV Vaccination Coverage: Starting at Age 9 and Using Social Media to Create Impact Around HPV Vaccination. OBJECTIVES: 1. The participant shall be able to describe strategies to engage local collaborators to improve HPV vaccination rates and prevent HPV cancers . 2. The participant shall be able to identify key allies and partners as collaborators for strategic action. REFERENCES: 1. Hirth J. Disparities in HPV vaccination rates and HPV prevalence in the United States: a review of the literature. Hum Vaccin Immunother. 2019;15(1):146-155. doi:10.1080/21645515.2018.1512453. 2. **ali C et al. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13-17 Years - United States, 2020. MMWR Morb Mortal Wkly Rep. 2021 Sep 3;70(35):1183-1190. doi: 10.15585/mmwr.mm7035a1. PMID: 34473682; PMCID: PMC8422873.

2C-2: Ideal Cardiovascular Health Is Associated with Lower Rates of Colorectal Cancer Screening in African American Men

Kasey Hornbuckle¹, Amaris Williams¹, Joshua Joseph¹, Aldenise Ewing²

¹ The Ohio State University College of Medicine, Columbus, OH, USA, ² The Ohio State University College of Public Health, Columbus, OH, USA

ABSTRACT: Background: African American men are nearly 30% more likely to die from heart disease and 40% more likely to die from CRC when compared to non-Hispanic white men. The American Heart Association’s Life's Simple 7 (LS7) cardiovascular health (CVH) score provides assessment of cardiovascular disease (CVD)-related risk factors. Unsurprisingly, these risk factors are co-related to CRC (i.e., tobacco use, obesity, hypertension, diabetes, etc.). However, studies have yet to examine the relationship between LS7 scores and CRC screening behavior. Methods: Surveys were voluntarily completed by African American men ages 45-75, who participated in an annual, community-organized event during 2018, 2019, or 2021. Survey items included demographics, six of the LS7 measures (smoking, physical activity, body mass index, blood pressure, total cholesterol, and glucose) and self-report of past CRC screening. Linear regression analyses were conducted using R 4.0.5. Results: The mean age in this sample (n=709) was 57.2 years of age (SD = 7.48) with poor (23.0%), intermediate (55.4%), or ideal (21.6%) LS6 scores. For every 1-point increase in LS6 scores (0-6) in the fully adjusted model, there was a 25.8% lower odds of reported CRC screening (p=0.001). African American men with ideal LS6 scores, in the fully adjusted model, had 59.6% lower odds of CRC screening compared to men with poor LS6 scores (p<0.001). Men who reported CRC screening were also more likely to report the use of blood pressure (45.9% vs. 32.4%; p=0.003) and cholesterol medications (27.4% vs. 13.7%; p<0.001) compared to those who had not been screened for CRC. Discussion/Conclusions: Despite intermediate or ideal levels of CVH, this study highlights a subgroup of men with potentially increased risk for CRC due to lower CRC screening rates. Interventions are needed to reduce disparities in CVD and CRC-related outcomes among African American men with various risk profiles. OBJECTIVES: 1. The participant will be able to identify risk factors for lower colorectal cancer screening among African American men ages 45-75 who report risk for heart disease. REFERENCES: 1. Murphy SL XJ, Kochanek KD, Arias E, Tejada-Vera B. Deaths: Final data for 2018. Vol. 69. 2020. National Vital Statistics Reports. 2. Giaquinto AN, Miller KD, Tossas KY, Winn RA, Jemal A, Siegel RL. Cancer statistics for African American/Black People 2022. CA Cancer J Clin. May 2022;72(3):202-229. doi:10.3322/caac.21718. 3. Guha A, Wang X, Harris RA, et al. Obesity and the Bidirectional Risk of Cancer and Cardiovascular Diseases in African Americans: Disparity vs. Ancestry. Review.

2C-3: A Pilot Project to Increase Colorectal Cancer Screening Rates in an Academic Internal Medicine Resident Clinic

Reed Davis¹, Cynthia Yoshida², Ann Rigdon³, Shari Stanley³, Lindsay Hauser³, Erin Kennedy³, David Callender¹, Ira Helenius¹, Riguey King⁴, Annika Dean⁴, Wendy Cohn³

¹ Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA, ² UVA Health, Charlottesville, VA, USA, ³ University of Virginia Comprehensive Cancer Center, Charlottesville, VA, USA, ⁴ American Cancer Society, Richmond, VA, USA

ABSTRACT: Background/Purpose: Colorectal Cancer (CRC) is the second leading cause of cancer death in the United States. Though it is often preventable through screening, CRC screening rates remain below national goals with disparities along lines of race, socioeconomic status, and rurality. At University Medical Associates (UMA), UVA’s Internal Medicine Resident Clinic, residents see greater than 11, 200 patients from diverse backgrounds, with 30.7% Black, 7% Spanish-speaking, and more 41% are uninsured or on Medicaid. Internal medicine residents are well positioned to increase CRC screening rates especially at academic safety net health systems where under-screened populations are highly represented. Research suggests that residents often have deficient knowledge of CRC screening guidelines and have been unsuccessful in improving screening rates throughout their residency. This pilot project aimed to increase stool-based testing and CRC screening rates at a residency clinic at UVA through the implementation of a quality improvement plan that utilized several evidence-based interventions. Methods: Selection of the evidence-based interventions (EBIs) were based on process map** of CRC workflow at UMA and a pre/post provider assessment that captured residents’ knowledge and practices related to CRC screening. Interventions included peer-led, resident education on screening options and efficacy, barriers and disparities, and shared decision making; provider feedback on individual screening rates; and small media including decision aids and posters in the exam rooms. Results: After the educational sessions, residents reported offering more stool tests (24% vs 45%), had increase confidence in stool test efficacy (FIT (25% vs 63%) and mt-sDNA (6% vs 68%). Additionally, clinic wide CRC screening rates increased from 52% to 60.2% despite the study being performed during the COVID-19 pandemic when screening rates declined Conclusion: EBIs can increase utilization of non-invasive stool based CRC screening tests and improve CRC screening rates in an under-screened population at a safety net health system resident clinic. Future work remains to increase the return rate of stool tests which can increase screening rates further. OBJECTIVES: 1. The participants will be able to understand the importance of residence based education for colorectal cancer screening in safety net hospital systems. REFERENCES: 1. Marcellon, R., Donovan, K., Zhou, H. et al. Develo** a Novel Interactive Colorectal Cancer Educational Session for First-Year Medical Students to Enhance Interest in Public Health. J Canc Educ (2021). 2. Khan Z, Darr U, Khan MA, Nawras M, Khalil B, Abdel-Aziz Y, Alastal Y, Barnett W, Sodeman T, Nawras A. Improving Internal Medicine Residents' Colorectal Cancer Screening Knowledge Using a Smartphone App: Pilot Study. JMIR Med Educ. 2018 Mar 13;4(1):e10.

2C-4: The Acceptability of Social Media Posts for Raising Awareness of Breast Cancer Among Young African American Women

Neriman Ozeren, Precious Ugwu, Raghdad Al-Wazeer, Michelle Williams

George Mason University, Fairfax, VA, USA

ABSTRACT: Background: African American women have excessively high breast cancer mortality rates. The disparity in breast cancer mortality is associated with higher rates of late-stage breast cancer diagnosis, especially among women under the age of 50. There is a need to increase breast cancer awareness that targets young African American women. Social media is an effective channel for delivering breast cancer education messages aimed at increasing knowledge about breast cancer risk factors and encouraging regular screenings. The purpose of this study was to develop social media posts with key messages for breast cancer awareness that targeted young African American women. Methods: Following the CDC’s health communication guidelines, the research team designed a series of social media posts with key messages about breast cancer awareness. The content of the posts was based on information from the Deep South Witness Project breast cancer education program. The posts were published on Instagram and Facebook throughout October. The social media posts were tested with participants to evaluate their effectiveness through online or face-to-face message testing interviews. The participants (n = 24) were African American women between the ages of 18 to 55. The qualitative data were analyzed using a grounded theory approach. Results: Three key themes emerged from the qualitative data. The participants indicated that key preferred messages that contained pictures of African American women who were in their age range; actionable information; and statistical data. The results also suggest that resources (i.e., websites with information about the topic of the post) that are linked to the posts should be culturally relevant and should feature local resources. Conclusion: The use of social media to disseminate culturally relevant breast cancer education messages may be an effective way to increase breast cancer awareness among young African American women. OBJECTIVES: 1. The participant shall be able to identify elements of breast cancer education messages that are appealing to young African American women. 2. The participant shall be able to describe the process of conducting message testing for breast cancer education messages. REFERENCES: 1. Paxton, R. J., Garner, W., Dean, L. T., Logan, G., & Allen-Watts, K. (2019). Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review. Frontiers in oncology, 9, 3. https://doi.org/10.3389/fonc.2019.00003. 2. Plackett, R., Kaushal, A., Kassianos, A. P., Cross, A., Lewins, D., Sheringham, J., Waller, J., & von Wagner, C. (2020). Use of Social Media to Promote Cancer Screening and Early Diagnosis: Sco** Review. Journal of medical Internet research, 22(11), e2

Abstract 2C-5 had not been identified yet at the time of printing.

3A-1: The Community Scientist Program: Utilizing a Multi-Site Rapid Feedback Approach to Facilitate Community Engagement in Research

Larkin Strong¹, Sophia Russell¹, Leonetta Thompson¹, Erica Cantu², Chelsea Carrier¹, Chiamaka Chukwu¹, Jessica Escareno³, Cassandra Harris¹, Luz Macias Melendez², Jessica Pena², Crystal Roberson¹, Blair Zdenek², Belinda Reininger², Lorna McNeill¹

¹ The University of Texas MD Anderson Cancer Center, Houston, TX, USA, ² The University of Texas School of Public Health, Brownsville, TX, USA, ³ The University of Texas Health Science Center at Tyler, Tyler, TX, USA

ABSTRACT: Background: Patient and community stakeholder engagement is increasingly recognized as critical for enhancing the relevance, quality, and benefits of research. Nonetheless, factors related to time, competing priorities, and skills interacting with stakeholders may interfere with researchers’ ability and/or willingness to take part in meaningful engagement. The Community Scientist Program (CSP) aims to facilitate engagement by providing researchers with rapid feedback from trained patients and community members. In this presentation, we provide an overview of the CSP, present program successes, and share findings from recent evaluations. Description: The CSP offers researchers one-hour facilitated in-person or online sessions where researchers present topics for feedback, ranging from conception of a research question to study implementation and dissemination. First established in 2018, the CSP has now trained over 100 CS in principles of human subjects, biomedical research, and community engagement. Our CS are a diverse group of individuals recruited from community, patient, and institutional partnerships. They include 81% women, 37% Black, 44% Latino, 13% White, and 6% other, with 26 cancer survivors, and 24 caregivers to patients with cancer or a chronic disease. The CSP has expanded to include four research institutions across geographic regions of Texas (Houston, Northeast Texas, Rio Grande Valley), encompassing both urban and rural settings. In total, the CSP has hosted 72 feedback sessions with CS across the three regions, including sessions in Spanish with simultaneous translation. Evaluation: Preliminary evaluation results suggest high researcher satisfaction. 71% of researchers felt prepared to engage with community and patient stakeholders following the session compared with 25% beforehand. CS evaluations also rank the program high, and 99% agreed that their feedback was valued. Evaluation is ongoing and includes examination of program impact on research studies following researcher participation. Conclusion: Programs such as the CSP that connect researchers with community and patient stakeholders offer a vital and scalable resource to efficiently incorporate community input and values into the research process. OBJECTIVES: 1. The participant shall be able to describe the implications of evaluation findings for efforts to enhance community engagement in the research process. 2. The participant shall be able to describe how the Community Scientist Program, influences engagement between researchers and patients/community stakeholders. REFERENCES: 1. Joosten YA, Israel TL, Head A, Vaughn Y, Villalta Gil V, Mouton C, Wilkins CH. Enhancing translational researchers’ ability to collaborate with community stakeholders: Lessons from the Community Engagement Studio. Journal of clinical and Translational Science 2018;2:201-207. 2. Sanders Thompson VL, Ackerman N, Bauer KL, Bowen DJ, Goodman MS. Strategies of community engagement in research: Definitions and classifications. Transl Behav Med 2021;11:441-451.

3A-2: Using Theater Outreach to Raise Awareness of Cancer Screening among Racial and Ethnic Medically Underserved Minorities

Lizette Rangel¹, Kimberly Kline², Shaun Bulsara¹, Roshanda Chenier¹, Betsy Escobar¹, Ricky Valdes Velasco¹, Hector Sanchez¹, Jane Montealegre¹, Maria Jibaja-Weiss¹

¹ Baylor College of Medicine, Houston, TX, USA, ² UT San Antonio, San Antonio, TX, USA

ABSTRACT: Background. Despite the potential of early detection screening to reduce morbidity/mortality from breast, cervical, and colorectal cancers, disparities in knowledge and understanding of screening contribute to the increased cancer burden in medically underserved populations. Literature has shown that racial/ethnic groups are responsive to culturally adapted, narrative-based entertainment education health promotion messages. Live theater performances can be particularly engaging and influential with regards to the knowledge, attitudes, and behaviors of audience members. However, little is known about using live theater to disseminate cancer education. Description. We created a theoretically-grounded, cultural-tailored community theater program to promote breast, cervical, and colorectal cancer screening among medically underserved populations in areas where there are high incidences of cancer. We developed nine different monologues to raise awareness about cancer early detection screening for breast, cervical, and colorectal cancers. In collaboration with community organizations, the monologues were presented live during health events targeted for the Hispanic (in Spanish), African American, and Vietnamese (in Vietnamese) communities. Each monologue performance included a Q&A session with a health expert and information on community resources. Attendees completed a post-performance surveys to assess knowledge and intention to screen. Evaluation. Between January 2014 to March 2020, 265 monologues were performed, including 80 for cervical cancer, 75 for colorectal cancer, and 110 for breast cancer with almost 5167 audience members including 352 Asian, 1959 African American, and 3104 Hispanic participants. Of attendees who completed surveys (response rate= 86.30%), 79.4% indicated intent to screen after watching the performance compared to 72.5% prior to the performance (p< 0.001). Most of the attendees had good knowledge that cancer is preventable (90.2% for cervical, 75.4% for breast, 91.5% for colorectal). However, lack of awareness of whether cancer was associated with family history was noted. Impact. This novel program provides an interactive and entertaining way to disseminate cancer education and to promote cancer awareness in medically underserved racial/ethnic populations. Our live monologues showed promising results in improving cancer screening knowledge and intent to screen in Hispanic, African American, and Vietnamese communities. Due to the COVID-19 pandemic and the cease of live performances, we are currently disseminating these monologues virtually. OBJECTIVES: 1. Learn how theater outreach can be use to raise awareness of cancer screening among racial and ethnic medically underserved communities. REFERENCES: 1. Sabatino, S. A., Lawrence, B., Elder, R., Mercer, S. L., Wilson, K. M., DeVinney, B, Glanz, K. (2012). Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med, 43(1), 97-118. doi:10.1016/j.amepre.2012.04.009. 2. Borrayo, E. A., Rosales, M., & Gonzalez, P. (2017). Entertainment-Education Narrative Versus Nonnarrative Interventions to Educate and Motivate Latin.

3A-3: Faith Based Narrative Storytelling to Alleviate Distress with Newly Diagnosed African American Cancer Patients and Their Caregivers

La-Urshalar Brock¹, Autherine Abiri², Keerthi Gogineni³, Charlyne Nicolas², Jill Hamilton²

¹ Emory Healthcare-Winship Cancer Institute, Atlanta, GA, USA, ² Emory University - Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA, ³ Emory University School of Medicine - Winship Cancer Institute, Atlanta, GA, USA

ABSTRACT: Background/Purpose: Cancer patients and family caregivers (FCGs) experience high levels of psychological distress which has been linked to unmet needs for support and information from health care providers. Cancer survivorship stories available to patients and FCGs are often replete with memories of a family member who waited too late and subsequently died from a cancer that spread to the point where treatment would not be effective. Despite high levels of psychological distress, African American patients and FCGs are not likely to seek mental health services or to participate in hospital-based support groups. African American patients and FCGs report being receptive to interventions that incorporate cognitive and spiritually-based strategies, yet these interventions are rarely tailored for this population. In this study, we report the results from a pilot test of the usability and acceptability of an intervention that consists of faith-based narratives designed to alleviate distress among newly diagnosed cancer patients and their family caregivers. Methods: Quantitative and qualitative descriptive methods were used to evaluate usability and evaluation of a series of video recorded vignettes according to Transportation Theory (identification, engagement, and emotional response). A total of 12 newly diagnosed cancer patients and family members were enrolled for this pilot. Results: Patient and family members quantitatively evaluated the intervention as having high (3.5 to 4 of 4 point scale) levels of usability and acceptability according to Transportation Theory. However, participants requested revisions for a greater diversity of survivorship experiences. Participants also reported that vignettes in this pilot were too brief. Discussion and Conclusion: According to participants, these video recorded vignettes were an important source of support and served to qualitatively alleviate distress and depressed moods during treatment for cancer. Ongoing revisions to these video recorded vignettes are needed to include a more diverse cancer survivor population and family members (ie gender, family members, and younger ages). Revisions will also include an expansion of the length of vingettes as requested. OBJECTIVES: 1. The participants shall be able to describe ways in which theory can be used to guide the development of a faith-based storytelling intervention to alleviate distress during treatment for cancer. REFERENCES: Collett LK, Hudson L, Prichard C, Vanderford NL. Using Culturally Focused Storytelling to Empower Appalachian Kentucky Youth to Understand and Address Cancer Disparities in Their Communities. J Cancer Educ 2022. Pérez M, Kreuter MW, Yan Y, et al. Feasibility and Acceptability of an Interactive Cancer-Communication Video Program Using African American Breast Cancer Survivor Stories. J Health Commun 2020;25:566-75.

3A-4: NCI Awardee Skills Development Consortium (NASDC): Evaluation

Claire Verschraegen¹, Lindsay Matthews¹, Abena Anyidoho¹, Iness Jedidi¹, Menglin Xu¹, Rebecca Jackson¹, David Mankoff², Elizabeth Hexner², Andrew Fesnak², Mia Hashibe³, Cauleen Noel², TamrynGray⁴, Joseph Greer⁴, William Pirl⁴, Miryam Yusufov⁴, Ushma Neill⁵, Kolawole Okuyemi³, Tony Tsai³

¹ Ohio State University, Columbus, OH, USA, ² University of Pennsylvania, Philadelphia, PA, USA, ³ University of Utah, Salt Lake City, UT, USA, ⁴ Harvard University, Cambridge, MA, USA, ⁵ Memorial Sloan Kettering Cancer Center, New York, NY, USA

ABSTRACT: Background: NASDC is a multi-institutional & educational project funded by NCI. NASDC goals: Enhance training for early career NCI grantees; deliver specialized courses to refine skills to maintain a successful independent academic cancer research; long-term, to develop the next generation of leaders who meet the nation’s biomedical, behavioral, and clinical cancer research needs. Description: NASDC, presented last year at ICEC, is comprised of a Coordinating Center (U24 mechanism, (RFA-CA-19-011)) to support logistics and evaluations; and research education short courses (UE5 mechanism, (RFA-CA-19-010)). Courses are innovative, unique, state-of-the-art, and deliver evidence-based scientific and educational content. All contained an element of leadership and mentoring. We present the data about course participants and their evaluation of NASDC based on measures of mentorship skills, confidence in research, and confidence in leadership. Statistics utilized one-sided paired-t-tests based on pre-course assessment means compared to 6- and 12-months post-course assessments. Improvement in means and effect sizes (ES) using Cohen’s d values were calculated to assess the educational effectiveness. Results: Demographics: Across three cohorts, 461 junior faculty applied, 343 were eligible, and 243 selected, based on start and end dates of their NCI awards. Characteristics: 52/46% F/M (2% chose not to disclose); 80% White/Asian, 14% non-White, and 6% others; 10% Hispanics; 86/3% Asst/Assoc Professor; 63% tenure-track; 65/16/20% PhD/MD&PhD/MD with 30% active clinicians. Most came from NCI-designated academic centers (74%). Twelve participants took 2+ courses. Prior to enrollment, distribution of individual independent research awards was 51% with K, 10% with R00, 31% with R, and 8% with other. 16% participants had obtained 2+ awards. Evaluation: Pre-course satisfaction was rated good 63/80/60% and poor 37/20/40% for mentorship skills/confidence in research/confidence in leadership, respectively. Post-course, there was significant improvement in confidence in leadership, mentoring skills, and confidence in research at 6 and at 12 months (p < .05). Conclusion: The goal of NASDC is to build a pool of cancer research experts. Among the three cohorts who completed the course, most participants reported immediate benefit to participation. Further longitudinal assessments are necessary to understand the long-term impact of this educational consortium. OBJECTIVES: 1. Evaluate NASDC effectiveness. REFERENCES: 1. Austin, P.C., N. Jembere, and M. Chiu, Propensity score matching and complex surveys. Stat Methods Med Res, 2018. 27(4): p. 1240-1257. 2. Askew, K., M.G. Beverly, and M.L. Jay, Aligning collaborative and culturally responsive evaluation approaches. Eval Program Plann, 2012. 35(4): p. 552-7.

3A-5: Support Group for Women Suffering from Non Muscle Invasive Bladder Cancer

Reut Shashar, Sharon Stanhill, Gilad Amiel

Rambam Medical Center, Haifa, Israel

ABSTRACT: Background: Women with bladder cancer deal with different challenges than men. Bladder cancer, and especially non muscle invasive bladder cancer, is a chronic disease that requires long term and close follow up with multiple treatments. Good compliance is crucial for the success of treatment. Unlike other malignancies, bladder cancer is not common among women, and there is lack of research regarding the specific characteristics of the disease in them. The contribution of support groups for cancer patients in general, and specifically for women suffering from cancer, is well established. However, in bladder cancer and specifically in women, there is a dearth of research regarding the contribution of support groups for the wellbeing of these patients. Methods: We have established a support group for women who suffer from non-muscle invasive bladder cancer. The group was guided by a urologist and a spiritual care provider, both women. Each meeting included a lecture on a relevant topic and a discussion. All the members were women diagnosed with non-muscle invasive bladder cancer and treated in the Department of Urology, Rambam health care hospital in Haifa, Israel. In order to provide a safe and open atmosphere, all faculty involved were women. Results: The group gathered for six meetings every other week for 90 minutes. Lectures were given on topics such as the disease process of bladder cancer, social rights, healthy life style, sexuality and sexual function. All lectures were given by staff of the hospital and planned specifically for these patients. Overall, 12 women attended the meetings. They reported that the group helped them dealing with stress and anxiety regarding the disease, and gave them relevant information. Recommendations: Support groups that are specific for women dealing with non-muscle invasive bladder cancer should be offered as part of the medical treatment, and are part of medical staff responsibility. Discussion and Conclusion: It seems that the group helped the patients dealing with the disease, and provided a safe haven to discuss concerns and frustrations. Further research is required whether this format improves patients' wellbeing in the long term, and improves compliance. OBJECTIVES: 1. Women suffering from non muscle invasive bladder cancer face unique challenges. 2. Support groups which are specific for them can improve the quality of life of women suffering from non muscle invasive bladder cancer. REFERENCES: 1. Zhang Z, Yang L, **e D, Wang Y, Bi L, Zhang T, et al. Illness perceptions are a potential predictor of psychological distress in patients with non-muscle-invasive bladder cancer: a 12-month prospective, longitudinal, observational study. 2. Psychol Heal Med [Internet]. 2020;25(8):969–79. Available from: https://doi.org/10.1080/13548506.2019.1707242. 3. Kim S, Kang TW, Kwon D. Gender Preferences for Urologists: Women Prefer Female Urologists. 2017;(July 2016):3018–22.

3B-1: Genetic Variation(s) in Detoxification Pathway Gene: An Association with Lung and Esophageal Cancer

Saima Saleem¹, Fiza Majeed¹, Ghulam Haider², Madiha Kanwal³, Sitwat Zehra¹

¹ The Karachi Institute of Biotechnology and Genetic Engineering (KIBGE), University of Karachi, Karachi, Sindh, Pakistan, ² **nah Post Graduate Medical Center (JPMC), Karachi, Karachi, Sindh, Pakistan, ³ Bahria University of Health Sciences (BUHS), Karachi, Sindh, Pakistan

ABSTRACT: Background/Purpose: Lung cancer (LC) and esophageal cancer (EC) is common causes of cancer-related deaths in Pakistan. Genetic alterations can be a major factor causing lung and esophageal cancer. The NAD-(P) H quinone oxidoreductase 1 (NQO1) plays an important role in protecting cells from the effects of reactive oxygen species induced by oxidative stress, mutagenicity, and cytotoxicity. The targeted single nucleotide polymorphism (SNP) in the NQO1 gene (rs1800566) has been involved in altering the enzymatic activity. Methods: The current study aimed to investigate the association of genetic variation (rs1800566) in the NQO1 gene with lung and esophageal cancer. Blood samples of 100 EC and 73 LC patients were collected after ethical approval. Patients were compared with age and gender-matched controls after the written informed consent. Genomic DNA was extracted through the salting-out method. The quality and quantity of DNA were analyzed through agarose gel-electrophoresis and a nanodrop spectrophotometer. Genetic variation(s) was identified through Tetra-primer Amplified Refractory Mutation System Polymerase Chain Reaction (T-ARMS PCR). Results/Findings Recommendations/New Findings: Results of the study showed that the Genotypic frequency of rs1800566, the homozygous mutant (TT) genotype was not found both in LC patients and controls, while in EC homozygous mutant (TT) genotype when compared to the controls. Homozygous wild type (CC) was found higher in frequency both in LC and EC patients but in control this genotype was observed in less number. Association analysis was calculated from the Pearson chi-square test. Pearson chi-square value and odds ratio for LC (χ2 = 3.026, p= 0.082) (OR: 0.5407), while Pearson chi-square value and odds ratio for EC (χ2 = 9.839, p = 0.007) (OR: 0.5491). Discussion and Conclusion: Identification of SNP may be used as a genetic biomarker, can be used to check progression in early cancer and may reduce the mortality rate for better treatment. The current study showed the protective effect of the variant in lung and esophageal cancer. The finding of this study has also important because the identification of these protective variants may have significance in drug development and can also be used as natural therapeutics in the future. OBJECTIVES: 1. To identify the genetic variation(s) in gene(s) of detoxification pathway(s). 2. To find the association of the identified genetic variant(s) with lung and esophageal cancer. 3. To identify the diagnostic biomarker in lung and esophageal cancer patients by association of clinical significance with identified genetic variation(s). REFERENCES: 1. www.cancer.org › content › dam › CRC › PDF › Public › 8614.00.phttps://www.lung.org/lung-health-diseases/ lung-disease-lookup/lung/ 2. PMID: 32277685 3. https://doi.org/10.1007/s12029-019-00328-4 4. https://doi.org/10.1080/0284186X.2019.1657588 5. https://gco.iarc.fr/ 6. https://doi.org/10.7150/jca.34320df

3B-2: Perception, Knowledge, Attitudes, Awareness, Intentions, and Behaviors Toward Cervical Cancer Prevention Among Ghanaian Descent Women: New York City

Angela Adjetey Appiah

Pace University, New York, NY, USA

ABSTRACT: Purpose: The study explored perception, knowledge, attitudes, intentions, and behaviors related to cervical cancer prevention and Ghanaian American women's engagement in cervical cancer prevention activities. Background: All African Americans/Blacks are categorized in the USA under one. Research shows that women in Ghana and West Africa have increased mortality from cervical cancer. Ghanaian Americans are at risk for cervical cancer; their perception, knowledge, attitudes, intentions, and behaviors related to cervical cancer prevention are unknown. Understanding and exploring why cervical cancer is a health burden among Ghanaian Americans helps address the population's health needs. Project Description or Research Methods & Evaluation or Analysis of project/research: After the researcher obtained IRB approval, a qualitative descriptive study was conducted with Ghanaian American women (N = 15) from communities in New York City to explore and understand their cervical cancer prevention activities. Purposive sampling was used to recruit participants who completed a demographic assessment, and the data collection approach included semi-structured interviews. The Preventive Health Model was used as a conceptual framework for develo** the open-ended questions for the semi-structured interview guide utilized to collect data. The recorded interviews were transcribed verbatim, and their transcripts were analyzed using the content and thematic analysis approach. Results, Findings, and/or Outcomes: Data analysis resulted in six major themes and four subthemes. 1. Cervical cancer preventive behavior experiences had four subthemes: Subtheme 1a. Barriers-hindrances to preventive behaviors. Subtheme 1b. Seeing a healthcare provider and perception/experiences. Subtheme 1c. Education. Subtheme 1d. Healthy lifestyle. Theme 2: Cultural, family practices, and influences on preventive behaviors. Theme 3: Intentions, actions, and plans when practicing preventive behaviors. Theme 4: Influences of perceptions about cervical cancer. Theme 5: Decision making, healthcare professionals, and follow-up. Theme 6: Lack of knowledge, awareness, and self-motivated learning/knowledge. The study outcome suggested that cervical cancer prevention activities such as screening are composed of multiple factors and behaviors that influence participation in cervical cancer prevention activities. In addition, the findings showed cultural influences play a part in uptake. Therefore, the culturally congruent approach can potentially encourage Ghanaian women to undergo cervical cancer prevention and screening. Based on the study's findings and outcomes, prevention and health promotion activities may benefit from multi-factorial, cultural, and contextually congruency, awareness, and education for at-risk populations using an updated screening guideline to close the gap in the lack of cancer screening knowledge. Discussion and Implications, Impact and/or Usefulness: Cervical cancer prevention activities such as screening involve multiple factors and behaviors influencing the sample participation. Cultural beliefs also influence decision-making and follow-up with preventive initiatives. Prevention and health promotion activities may benefit from multi-factorial, cultural congruency, awareness, and education for at-risk populations using an updated screening guideline to close the gap in the lack of cancer screening knowledge. In addition, this research recommends that the study insight be applied to intervention approaches to addressing prevention and screening activities, education, and community approach. The study outcome suggested that cervical cancer prevention activities such as screening, early detection, and education comprise multiple factors influencing participation in cervical cancer prevention (perception, knowledge, attitudes, awareness, intentions, and behaviors). In addition, the findings showed self-efficacy and health education, the efficacy of screening, cultural influences, and humility; screening adherence, improved education outreach intervention using a community participation approach, and population health initiatives play a part in uptake. Healthcare professionals must use the most updated screening guidelines to increase adherence to recommendations for regular screening. OBJECTIVES: 1. Identify some perceptions, knowledge, attitude, intentions, and behavior related to cervical cancer prevention and Ghanaian American women's engagement in cervical cancer prevention activities. 2. Explore influences that impact cervical cancer prevention, education, and health promotion. REFERENCES: 1. American Cancer Society. (2019a). American Cancer Society. Cancer Facts & Figures for African Americans 2019-2021. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-african-americans/cancer-facts-and-figures-for-african-americans-2019-2021.pdf. 2. Binka, C., Doku, T., & Awusabo-Asare, K. (2017). Experiences of cervical cancer patients in rural Ghana: An exploratory study. PloS One, 12(10), e0185829. 10.1371/journal.pone.018582

3B-3: Smoking Prevention Program in Poland

Lucas Moskal¹, Konrad Reszka¹, Urszula Staszek-Szewczyk², Jagoda Łaba¹, Krzysztof Szewczyk¹, Kathleen Heneghan³, Darren L Starmer⁴, Radosław Tarkowski⁵, Charles E Moore⁶

¹ Wroclaw Medical University, Wroclaw, Lower Silesia, Poland, ² Wroclaw Regional Comprehensive Cancer Center, Wroclaw, Lower Silesia, Poland, ³ American College of Surgeons, Chicago, IL, USA, ⁴ School of Medicine, The University of Notre Dame, Fremantle, WA, Australia, ⁵ Department of Surgical Oncology, Regional Specialist Hospital, Legnica, Lower Silesia, Poland, ⁶ School of Medicine, Emory University, Atlanta, GA, USA

ABSTRACT: Background/Purpose: Nicotine addiction accounts for almost 35% of cancer-caused deaths and is the leading cause of preventable death in polish society. Poland will spend approx. 58.5 billion USD for treatment of smoking-related disorders in the next 20 years. Studies show correlation between starting smoking in elementary school and number of smokers among the adults. Smoking Prevention Program is aimed to discourage students from smoking by introducing skills to refuse experimentation with tobacco and evaluates the effectiveness of a standardized US curriculum within the Polish School System. Methods: The pilot exploratory study funded by the AACE READS Grant was conducted on the basis of Tobacco Prevention Toolkit from Stanford University, translated into Polish and implemented by the members of Student's Oncology Science Club at Wroclaw Medical University. All 7th-8th grade students from the Elementary School in Tyniec Mały were invited. Database and questionnaires were created in REDCap. The IRB was obtained. Results/Findings: After removing incomplete surveys and those with lack of parental consent, the study group consisted of 121 students aged 12-15. All students were non-smokers, however 16.52% smoked at least once in their lifetime. After final session, almost half the students declared no intention to use tobacco products, 66% felt empowered to touch on nicotine addiction with others and 62% to refuse offers to smoke. Seventy-three participants positively evaluated our program and 85 recommended its incorporation within the Polish School System. Recommendations/New Findings (if applicable): Our program will be delivered pro bono to the Health and Social Affairs Department of Wroclaw and shared after training completion with other schools in Lower Silesia. Discussion and Conclusion: Since professional education about nicotine products is still absent in Polish schools, providing adequate courses before initial contact with tobacco products, ideally at the level of elementary school appears to be the best solution. Students equipped with necessary knowledge/skills feel confident to discuss the topic and propagate anti-nicotine lifestyle or say “no” when offered tobacco products. Thus, reduction in the number of deaths caused by tobacco-dependent diseases and second-hand smoke exposure can be accomplished. Smoking Prevention Program was well received and met the stated aims. OBJECTIVES: 1. The participant will be able to identify at least two social determinants of health addressed by our project. 2. The participant will be able to formulate at least two aims of our Smoking Prevention Program. 3. The participant will be able to define at least one effective method of smoking prevention among the elementary school students in Poland. REFERENCES: M. Birge et al. What Proportion of People Who Try One Cigarette Become Daily Smokers? A Meta-Analysis of Representative Surveys. 2018. 15;20(12):1427-1433. D. Kaleta et al. Tobacco use patterns, knowledge, attitudes towards tobacco and availability of tobacco control training among school personnel from a rural area in Poland. 2017. 11;15:3. WHO 2020. Summary results of the global youth tobacco survey in selected countries of the WHO European Region https://apps.who.int/iris/handle/10665/336752.

3B-4: Adapting an In-Person R25 Cancer Education Internship for the Virtual World

Suzanne Gronemeyer, James Marmion, Gerard Zambetti

St. Jude Children's Research Hospital, Memphis, TN, USA

ABSTRACT: Background: The COVID-19 pandemic forced us to cancel our 2020 Pediatric Oncology Education (POE) program in mid-March. The 2021 pandemic situation precluded offering our 2021 program in person. Description: We polled faculty to ascertain who would have projects which could be completed remotely by a POE student. Twenty-seven St. Jude faculty from 15 departments and divisions provided 33 cancer-related POE research projects that could be accomplished remotely. Quantitative projects involved remote computing. Clinical projects involved techniques such as patient records review and assessing survey results. We matched 33 pre-doctoral students with the 27 St. Jude faculty. All participants worked remotely, rather than on the St. Jude campus. Faculty mentors working directly with their POE student communicated with their student on a daily basis. If the student was working on a day-to-day basis with team members, they communicated with the student on a daily basis and reported back to the mentor at least twice a week. The faculty mentor communicated directly with the student at least once per week. All participants completed online RCR, HSP, and HIPPA modules prior to being their research. Our daily Lunch & Learn series was conducted via WebEx. The Lunch & Learns were preceded with a 30-minute networking session. Sessions were recorded for later viewing by anyone unable to attend the live presentation. During their last week in the program, students made PowerPoint presentations about their projects as part of the Lunch & Learn series. All submitted a report about their research project written in the style for submission to a journal in which their mentor publishes. Evaluation: Mentor and student evaluation results were similar to years conducted in person, although everyone lamented the lack of in-person contact and the loss of the opportunity to experience the St. Jude environment firsthand. Practice Changing Updates: 39 POE students were on campus for the summer of 2022 and worked in person with their research teams. To mitigate potential COVID spread, we did the Lunch & Learns via WebEx. Impact: We have learned to function efficiently in the remote environment and will continue to benefit from the skills gained. OBJECTIVES: 1. The participant shall be able to identify essential elements needed for a successful remote summer internship. 2. The participant shall be able to identify benefits gained and lost in switching from an in-person to a remote internship. REFERENCES: 1. Adapting an Undergraduate Summer Internship to a Virtual Format: Implementing a Mentored Cancer Research Experience to Meet Rising Demand for Flexible Learning Environments. Tan, Koppenaal, Lewis, Begg, Du. JCE. 2022 Apr 18. 2. Robust Institutional Support and Collaboration Between Summer Training Programs in Cancer and Biomedicine Drive the Pivot to a Virtual Format in Response to the COVID Pandemic. Carey, Ezelle, Steinle, Cao, Simington, Matson, Singh, Jones, et al. JCE 2022 Jan 31:1-15.

3B-5: Adapting Volunteer and Supportive Resource Programs into a Multi-Model Resource Distribution Model

Victoria Baggio, Maritza Nassif, Jacob Sharpe, Patricia Stahl, Jessica Gagnon

Dana-Farber Cancer Institute, Boston, MA, USA

ABSTRACT: Background/ Purpose: These methods were designed to facilitate resource distribution, patient education, and volunteer management during the Covid-19 pandemic. Approaches bring forth multi-modal distribution and communication efforts to meet the needs of patients and families in virtual and physical spaces. Description: When the Resource Center and onsite volunteer programs closed in March 2020, the ability to get resources to patients/caregivers became challenging. Dana-Farber Cancer Institute Volunteer Services staff developed and adapted 4 methods of resource distribution over the span of a two-year period to meet this need. Methods to increase access to educational resources for patients and caregivers included virtual teach sessions for Bone Marrow Transplant (BMT) patient education, a Virtual Welcome Program, a digital resource center and remote patient programming, and reinvigoration of an onsite volunteer program. Evaluation: From March 2020 to March 2022, over 18,000 patient calls have been conducted, over 5,000 views have been tracked of virtual programs and 40 volunteers have returned onsite. Increases in access to resources have changed the way that resources are distributed and expanded access from one location to seven across the Institute. The hybrid model of resource distribution advanced patient education by increasing access and delivery methods available to meet the needs of patients and ensuring patients can access resources in the way they chose. Practice Changing Updates: Moving forward after the height of the pandemic, an understanding of the need for multi-modal resource distribution methods to support patient education efforts should be considered. Offering resources in digital and physical spaces expands access to resources and the availability of educational and supportive cancer resources. Impact/ Application/ conclusion: By expanding and adapting our methods to meet the needs of an ever-changing hybrid model that is the patient experience during Covid-19, the team was able to expand access to resources in ways they never could prior to the pandemic. Continuing to expand language access and meet the needs of patients who have audio-visual needs continues to be an area of growth. Considering multi-modal methodologies allows for flexibility to meet patient/ caregiver needs as they arise. OBJECTIVES: 1. The participant shall identify at least one way to transition in person programming to a hybrid model to expand access to disease-specific resources and virtual programming. 2. The participant shall describe how a virtual welcome phone call program allows patients to ask questions and provide feedback about their visit. REFERENCES: 1. Giuliani, M., Papadakos, T., & Papadakos, J. (2020). Propelling a New Era of Patient Education into Practice-Cancer Care Post-COVID-19. International journal of radiation oncology, biology, physics, 108(2), 404–406. https://doi.org/10.1016/j.ijrobp.2020.05.036. 2. Rajan, S., Chakrabarti, D., Akhtar, N., Kumar, V., & Verma, M. (2021). Searching for answers: Cancer care during the COVID pandemic. Clinical epidemiology and global health, 10, 100696. https://doi.org/10.1016/j.cegh.2020.100696.

3C-1: Impact of a 2-week Virtual “Taste of Palliative Medicine” Curriculum that Incorporates Bedside-Training for Only Some of the Learners

Sara Graham, Frank Ferris, Brianna Burns

Ohio Health, Columbus, OH, USA

ABSTRACT: Background: With Covid-19, all in-person training for medical students in Ohio stopped. To meet the need for a compulsory credit for > 100 Ohio University medical students, OhioHealth Palliative Medicine faculty developed a 2-week virtual “Taste of Palliative Medicine” Course. Even after bedside training resumed, many learners still need a virtual-only curriculum as bedside-training opportunities remain limited. While in-person medical education may have better outcomes in knowledge, no studies have verified the efficacy of virtual-only curricula (1, 2). Methods: During this 2-week curriculum, learners watch 20 videos that present core concepts. Each morning, faculty reinforce these concepts through 1.5 – 2-hour virtual interactive case discussions, simulated cancer patient encounters, and reflection. While many learners then have bedside-training, several ‘remote’ learners still don’t have clinical placements. For these ‘remote’ learners, we provide additional videos and faculty-facilitated sessions. All learners completed both pre- and post-course online surveys to assess changes in attitudes, concerns, knowledge, self-perception of competence and overall course satisfaction. Results: Overall course evaluations were similar for virtual and blended learners. Statistical significance was reached on all questions involving ethical concerns. For attitudes surrounding palliative care, statistically significant variations in answers were noted in 64.3% of virtual learners vs 85.7% of blended learners. On the post-course knowledge survey, both groups answered 10 more questions correctly (p<.001) without any differences between the groups on independent t-testing. Both groups rated the curriculum as highly effective. Many from both groups described it as one of their best learning experiences during their medical training and advocated for the course to be 4 weeks instead of just 2 weeks. New Findings: Our “Taste of Palliative Medicine” curriculum effectively changes attitudes, concerns, knowledge, and perception of competence for all the medical students and residents who participate, whether they receive bedside training, or not. Discussion: A carefully constructed virtual curriculum can effectively replace much of the in-classroom teaching that has been a part of traditional medical education. While perception of competence was improved, further evaluations are needed to assess the long-term impact on clinician behaviors and cancer patient/family experiences. OBJECTIVES: 1. The participant shall be able to outline components of a virtual-only palliative curriculum to help improve learner outcomes. REFERENCES: 1. Camargo CP, Tempski PZ, Busnardo FF, Martins MA, Gemperli R. Online learning and COVID-19: a meta-synthesis analysis. Clinics (Sao Paulo). 2020 Nov 6;75:e2286. doi: 10.6061/clinics/2020/e2286. PMID: 33174948; PMCID: PMC7605278. 2. Vallée A, Blacher J, Cariou A, Sorbets E. Blended Learning Compared to Traditional Learning in Medical Education: Systematic Review and Meta-Analysis. J Med Internet Res. 2020 Aug 10;22(8):e16504. doi: 10.2196/16504. PMID: 32773378; PMCID: PMC7445617.

3C-2: Social Media Messaging for Indoor Tanning Prevention in Canada: An Evidence- and Theory-Based Content Analysis

Sydney Gosselin, Jennifer McWhirter, Aida Mortazavi, Melissa MacKay, Andrew Papadopoulos

University of Guelph, Guelph, ON, Canada

ABSTRACT: Background: This study explores the content of Facebook posts by Canadian organizations for indoor tanning (IT) prevention. Health education on Facebook, the most commonly-used social media platform in Canada, has the potential to reach a broad audience. However, little is known about how public health organizations communicate about IT on Facebook, including whether this communication is evidence-informed. Methods: Using pre-determined search terms, we searched Facebook pages run by government and non-profit public health and cancer organizations. For each IT-related post, we collected the date posted, engagement, content, and screenshots. To analyze the posts, we created a 62-variable codebook that examined post content, readability, use of health belief model constructs and message design strategies, and audiovisual features. Two authors applied the codebook to a 10% sample of posts to ensure reliability. One author will code the remaining posts; this process is ongoing. We will calculate the frequencies of each codebook variable in SPSS. Results: We collected 282 English and 109 French posts from 29 government-run and 8 non-profit-run Facebook pages. Post dates ranged from 2009 to 2020. Preliminary results suggest that most posts mentioned skin cancer in the text, but few posts depicted skin cancer and other risks of IT visually. The majority of posts contained links to further information. Posts correcting myths or misconceptions about IT and its effects were relatively uncommon. Non-profit organizations often used social media to generate support for stricter IT legislation. Recommendations/new findings: Because evidence suggests that images of the risks of IT are effective at changing IT-related attitudes, beliefs, and behaviours, organizations should visually convey these risks in future social media posts. Given the prevalence of pro-tanning information and misinformation about IT on social media, it may be beneficial to challenge these misconceptions more often on this platform. Discussion : The results of this study will allow for comparisons between current social media messaging for IT prevention and current health communication evidence. This will allow us to make recommendations for improved, evidence-informed social media posts in this area, which, given the large number of Canadian Facebook users, may reach a large portion of the public. OBJECTIVES: 1. Identify two strengths of current Canadian messaging for indoor tanning prevention on social media, based on evidence, theory, and best practices. 2. Identify two areas where current indoor tanning prevention messaging could be improved. REFERENCES: 1. Moreno, M. A., et al. (2021). Tanning Misinformation Posted by Businesses on Social Media and Related Perceptions of Adolescent and Young Adult White Non-Hispanic Women: Mixed Methods Study. JMIR Dermatology, 4(1), e25661. 2. Noar, S. M., et al. (2018). Can a selfie promote public engagement with skin cancer? Prev. Med., 111, 280–283. 3. Nosrati, A., et al. (2018). Skin cancer prevention messages on Facebook: Likes, shares, and comments. J. Am. Acad. Derm., 79(3), 582-585

3C-3: Cancer Classes Online - Lessons Learned from People Touched by Cancer

Hunter Nixon, Andrea Pozo-Barruel, Vincenzo Addario, Matt Turczyn, Janet Papadakos, Eden Klein, Sarah Storer, Meredith Giuliani, Tina Papadakos

Princess Margaret Cancer Centre, Toronto, ON, Canada

ABSTRACT: Purpose: Several years ago, the Cancer Education program at the Princess Margaret Cancer Centre in Toronto, Canada began a project to systematically create online multimedia versions of all in person patient education classes. Now, more than 50+ online multimedia classes are being used by patients and caregivers from over 128 countries from the website PMCancerClasses.ca. Each class has an embedded quality improvement survey in the end, and several have undergone user interface and user experience (UI/UX) testing with targeted patient populations. The purpose of this abstract is to share lessons learned from years of patient and caregiver feedback on multimedia online classes with our colleagues at ICEC as part of our collective effort to bring health literate and accessible learning to all people going through cancer. Rationale: eLearning as a modality has advantages including increased access, convenience, self-paced learning, and standardized, consistent content. However, the quality of patient education is a key determining factor of its impact. Working with patients and caregivers to develop content and continually evaluating it is one way of validating whether it is meeting its objective. Methods: Through embedded quality improvement surveys in over 50 multimedia classes and thorough UI/UX testing, the authors have learned several tips to making online learning more health literate and accessible that will be shared with conference participants. OBJECTIVES: 1. Describe features of online multimedia patient education classes that support patient and caregiver learning and experience. 2. Describe features of online multimedia patient education classes that detract from patient and caregiver learning and experience. 3. Reflect on how the presenter's lessons learned may impact your practice. REFERENCES: 1. Pourrazavi, S., Kouzekanani, K., Bazargan-Hejazi, S. et al. Theory-based E-health literacy interventions in older adults: a systematic review. Arch Public Health 78, 72 (2020). https://doi.org/10.1186/s13690-020-00455-6. 2. Paige SR, Stellefson M, Krieger JL, Anderson-Lewis C, Cheong J, Stopka C. Proposing a Transactional Model of eHealth Literacy: Concept Analysis. J Med Internet Res. 2018 Oct 2;20(10):e10175. doi: 10.2196/10175. PMID: 30279155; PMCID: PMC6231800.

3C-4: MyChoiceTM User Testing Methodology and Lessons Learned in Diverse Virtual and In-person Settings

Linda Fleisher¹, Cassidy Kenny¹, Zoe Landau¹, Shayna Yeates², Sarah Bass², Patrick Kelly², Diane Ammerman³, Canan Bilgin³, Esprit Ma³

¹ Fox Chase Cancer Center, Philadelphia, PA, USA, ² Temple University, Philadelphia, PA, USA, ³ Genentech, Inc., San Francisco, CA, USA

ABSTRACT: Background/Purpose: MychoiceTM is a web-enabled communication tool designed to improve patients (pts) and providers shared decision making about clinical trials (CT) in diverse cancer pts populations. Designing salient digital health interventions requires prototype development and testing, which is often not actualized, but critical when implementing pts education tools into complex workflows. Here we report the challenges, opportunities, and lessons learned when conducting user testing in diverse real-world settings. Methods: We conducted user-testing of mychoiceTM with a diverse group of pts from two leading cancer sites in Philadelphia over Zoom or in-person to better understand how/when patients should receive mychoiceTM, and gathered their feedback on the tool’s content. The team received a list of potentially eligible pts from participating physicians, assessed eligibility through EMR data, and then used excel worksheets to track contact attempts prior to enrollment, color-coding eligible pts who expressed interest, could not be contacted, or enrolled. Three attempts were made to reach identified pts prior to enrollment. All scheduling and contact information of enrolled pts was kept in FCCC REDCap system and monitored closely by the study team. Results/Findings: 174 cancer patients were identified and contacted based on EMR data, 85 pts were reached (49%), 40 pts enrolled in the study (41% of the pts who were reached), and 27 completed user-testing. 16 of the 40 participants enrolled rescheduled at least once (40%), 4 withdrew, 7 were lost-to-follow-up (study team was unable to re-contact after 4 attempts), and 2 were ineligible after screening. Common barriers to virtually conducting user-testing were lack of screen sharing capabilities, internet connectivity, and patient technological acuity and confusion when navigating multiple webpages/applications. In order to participate virtually, access to an iPad or computer was required as there are limitations to using only a smart-phone. Patients with limited access completed user-testing in person at the cancer center utilizing designated devices. All 27 interviews were completed despite these challenges. Discussion and Conclusion: Conducting user-testing both virtually and in-person provided deeper insights of the content and delivery for future implementation. These insights will further guide the development of the upcoming mychoiceTM implementation study. OBJECTIVES: 1. The participant shall be able to identify at least two barriers to conducting virtual user testing. REFERENCES: 1. Clark LT, et.al. Increasing Diversity in Clinical Trials: Overcoming Critical Barriers. Curr Probl Cardiol. 2019 May;44(5):148-172. 2. Coronado-Vázquez V, et.al. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review. Medicine (Baltimore). 2020 Aug 7;99(32):e21389. 

3C-5: Triage Cancer’s Legal & Financial Navigation Program Provides Individualized Education to Mitigate Financial Toxicity and Reduce Stress

Melissa Salamon

Triage Cancer, Cleveland, OH, USA

ABSTRACT: Background/Purpose: Triage Cancer’s (TC) Legal and Financial Navigation Program (LFN) assists individuals co** with cancer, their caregivers, and health care professionals as they navigate the financial and practical issues that arise after a cancer diagnosis. Providers are rarely trained on the cancer-related legal issues impacting their patients, and are thus ill-equipped to answer complex questions on these topics. Researchers at Duke coined the term “financial toxicity” in 2013 to refer to the financial burden of a cancer diagnosis. Financial toxicity is linked with lower quality of life and treatment compliance, and increased symptom burden. Cancer patients must manage treatment, while also trying to decipher health insurance coverage, navigate leave from employment, and handle day-to-day living. LFN provides a unique solution to an otherwise unmet need, improving the financial, mental, and physical health of individuals co** with cancer through individualized education on relevant topics. Description: LFN provides one-on-one navigation regarding cancer-related legal and financial issues. TC has the expertise to provide individuals diagnosed with cancer with systemic solutions to mitigate financial toxicity and access to care issues. Through LFN, patients are educated on relevant issues so that they can continue to advocate for themselves and figure out their best path forward. Evaluation: In 2021, TC provided consultation to 926 callers, including 522 individuals diagnosed with cancer, 158 caregivers, and 158 healthcare professionals. In a follow-up survey, 97.5% of survey responders reported that they felt better prepared with regard to their options and 91.67% agreed or strongly agreed that they had actionable next steps after an LFN call. In 2022, TC is expanding the LFN program to benefit more callers through increased staffing. Practice Changing Updates: N/A Impact/Application/Conclusion: LFN is available cost-free nationwide, to anyone in the cancer community, regardless of demographics or socioeconomic status. Educating people about their rights and options under the law may assist in alleviating some financial challenges and ultimately improve access to quality health care, especially for those in predominantly black and Spanish speaking communities, where there is less access to information and assistance. Additionally, TC has Spanish speakers on staff to provide information directly to Spanish speaking callers. OBJECTIVES: 1. The participant shall be able to identify at least one way in which LFN can help mitigate financial toxicity. 2. The participant shall be able to identify at least one situation in which a call to LFN may be helpful. 3. The participant shall be able to identify how individuals can access individualized consultations from Triage Cancer through the LFN. REFERENCES: 1. Jagsi, R., Ward, K.C., Abrahamse, P.H., Wallner, L.P., Kurian, A.W., Hamilton, A.S., Katz, S.J. and Hawley, S.T. (2018), Unmet need for clinician engagement regarding financial toxicity after diagnosis of breast cancer. Cancer, 124: 3668-3676. doi:10.1002/cncr.31532. 2. Fox, S., & Rainie, L. (2019, December 31). Main Report: The search for online medical help. Retrieved August 07, 2020, from https://www.pewresearch.org/internet/2002/05/22/main-report-the-search-for-online-medical-help/

SYMPOSIUM 3D: Advancing Health Equity by Enhancing Uptake of Genetic Counseling and Testing

ABSTRACT: Develo** culturally targeted interventions to reduce disparities in genetic counseling and testing uptake among underserved ethnically/racially diverse populations at-risk of hereditary breast and ovarian cancer. OBJECTIVES: 1. The participant shall be able to understand the importance of culturally targeted interventions to reduce disparities in genetic counseling and testing uptake among underserved ethnically/racially diverse populations. REFERENCES: Jones T, McCarthy AM, Kim Y, Armstrong K. Predictors of BRCA1/2 genetic testing among Black women with breast cancer: a population-based study. Cancer Med. 2017;6: 1787-1798. 48. Scherr CL, Bomboka L, Nelson A, Pal T, Vadaparampil ST. Tracking the dissemination of a culturally targeted brochure to promote awareness of hereditary breast and ovarian cancer among Black women. Patient Educ Couns. 2017;100: 805-811.

3D-1: For Our Health! Addressing Disparities in Genetic Counseling and Testing Among African American Women

Ginell Ampey, Arnethea Sutton, Fariha Tariq, Robert Perera

Virginia Commonwealth University, Richmond, VA, USA

ABSTRACT: Background/Purpose: Pathogenic variant (PV) in BRCA1/2 genes confer a 50-70% and up to 44% lifetime risk of develo** breast cancer and ovarian cancer respectively. Despite the clinical need, there have been persistent disparities in uptake of genetic counseling and testing (GCT) among African American (Black) women affected and unaffected by breast or ovarian cancer. Unfortunately, few interventions have been developed to address this issue and little is known about potential targets to improve uptake. This mixed method study is focused on identifying culturally and clinically relevant intervention targets and the feasibility of implementation of a culturally tailored video. Methods: Engagement of Diverse Stakeholders for Intervention Development and relevant constructs. Surveys, interviews and focus groups were conducted with genetic counselors, physicians, and affected and unaffected Black women to identify key barriers and facilitators to genetic counseling. Culturally targeted video: Formative data (quantitative and qualitative) were used to develop a script in collaboration with content experts and community stakeholders. The script resulted in a 20-minute culturally tailored video that included trained actors and a licensed genetic counselor and resources at the end. A narrative process was used to illustrate the counseling process and interactions between medical staff and family members. Eligible study participants were identified from appointment logs and clinical practices within a local health system. Results/Findings: Formative Data. Barriers included lack of knowledge, financial accessibility, limited discussions with medical providers and lack of referrals to counseling. Facilitators included family members, confidence in ability to take action (e.g., where to go, what to expect), interest in learning about the counseling process, spiritual beliefs and desire to reduce risks. Culturally targeted video: There was unanimous approval of final video content from stakeholders. Participants will be randomized (1:1) using block randomization with random blocks of size 4 and 6. Forty-eight women were screened, 65 were eligible; 55% of those eligible were randomized to the video intervention arm or the fact sheet and the study completion rate was 65%. Modification in implementation to engage multiple providers and provide the intervention within the context of care to avoid disruptions were needed. Discussion and Conclusion: Data suggest high interest and feasibility of implementing a culturally relevant video to Black women at increased risk of HBOC. Engaging Black women and their families about genetic counseling and testing may enhance awareness and communication about risk and risk reduction. Diverse partnerships are needed.

3D-2: Rosa’s Story: Findings from a Culturally Targeted Narrative Video to Enhance the Use of Genetic Counseling and Testing in At-Risk Latina Women

Alejandra Hurtado de Mendoza¹, Sara Gómez-Trillos¹, Kristi Graves¹, Vanessa Sheppard², Marc Schwartz¹, Beth Peshkin¹, Pilar Carrera³, Claudia Campos⁴, Nathaly Gonzalez¹, Paula Cupertino⁵, Dariana Sedeño¹, Jennifer Argueta¹, Halyn Orellana¹

¹ Georgetown University Medical Center, Washington DC, USA, ² Virginia Commonwealth University, Richmond, VA, USA, ³ Universidad Autónoma de Madrid, Madrid, Spain, ⁴ Nueva Vida, Alexandria, VA, USA, ⁵ Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA

ABSTRACT: Background/Purpose: Advances in precision medicine have not been benefited all populations equally. Compared to non-Hispanic Whites, Latina women at-risk of Hereditary Breast and Ovarian Cancer (HBOC) have lower awareness and are less likely to use genetic counseling and testing services (GCT). Culturally targeted education materials are scarce. Cancer narrative education has shown promising findings in increasing knowledge and uptake of cancer screening. Our academic-community team developed a culturally targeted narrative video in Spanish about HBOC. This project assesses the preliminary efficacy of our culturally targeted video in enhancing GCT uptake. Methods: The video was informed by extensive formative work, health behavior change theories, and risk communication best practices. The 18-minute video tells the story of Rosa, a breast cancer survivor who was diagnosed before 50, how she learns about HBOC and overcomes barriers to attend genetic counseling. At-risk Latinas were recruited in partnership with four community-based organizations (CBOs). Women completed a baseline survey and were randomized to the video vs. fact sheet arm. Participants were referred to free telephone genetic counseling (TGC) at the two-week follow-up survey and to free/low cost genetic testing (GT) if appropriate. GCT uptake was assessed at a three-month follow-up survey. At this time, women were referred to TGC if they had not yet completed TGC. Fisher’s exact test assessed differences in GCT uptake between study arms. Results/Findings: Twenty-six women were randomized to the video (n=12) vs. fact sheet (n=14). Participants had a mean age of 47.2 years (SD=9.2), 26.9% were born in El Salvador, and 80.8% were uninsured. Participants in the video arm were significantly more likely to participate in TGC (91.7% vs. 50%; p=.036). Among those who completed TGC and received test recommendation, 9 completed genetic testing (40% video; 71.4% fact sheet arm; p=.33). Discussion and Conclusion: Findings suggest that our culturally targeted video is a promising education intervention to increase TGC use. Conducting a larger RCT is warranted. Develo** strategies to integrate patient-facing culturally targeted education materials in CBOs is a key next step.

3D-3: A Culturally-adapted Telephone Genetic Counseling for Spanish-speaking Latina Breast Cancer Survivors: Findings and Lessons Learned

Sara Gómez-Trillos¹, Kristi Graves¹, Marc Schwartz¹, Beth Peshkin¹, Katie Fiallos², Susan Vadaparampil³, Heidi Hamilton¹, Filipa Lynce⁴, Claudia Campos⁵, Nathaly Gonzalez¹, Vanessa Sheppard⁶, Paula Cupertino⁷, Alejandra Hurtado de Mendoza¹

¹ Georgetown University, Washington, DC, USA, ² Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA, ³ Moffitt Cancer Center, Tampa, FL, USA, ⁴ Dana-Farber Cancer Institute, Boston, MA, USA, ⁵ Nueva Vida, Alexandria, VA, USA, ⁶ Virginia Commonwealth University, Richmond, VA, USA, ⁷ Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA

ABSTRACT: Background: Telehealth modalities of genetic counseling are increasingly used in clinical practice for hereditary cancer risk assessment. Yet, little is known about Latinx patient’s preferences and outcomes when they receive telephone counseling vs. in-person counseling. Evidence suggest that telehealth may increase disparities, rather than decrease them. But, cultural adaptations to health interventions have been shown to promote positive reception and health outcomes in underserved populations. We sought to culturally adapt an evidence-based telephone genetic counseling (TGC) protocol and visual aid booklet for Spanish-speaking Latina breast cancer survivors at increased risk for hereditary breast and ovarian cancers and test its efficacy compared to enhanced-usual care (EUC) in a randomized controlled trial (RCT). Methods: The adaptation process involved a literature review, multidisciplinary expert feedback, and a testing phase with the target population following the Learner Verification and Revision Framework. After a final adapted version was achieved, participants were recruited through community-based organizations and randomized to receive either TGC or EUC. Participants completed a baseline assessment before randomization, one-month and a three-month follow-up surveys, including a 5-10 minutes interview. Results: The culturally-adapted TGC was delivered in Spanish. Pre-test counseling was split in two sessions. Participants who completed a genetic test also received post-test TGC. We developed a Spanish-language video with instructions on how to collect a saliva sample. The booklet included illustrations representative of the community, visualized metaphors that the counselor used in the session, and used pictographs and gist sentences to communicate risk information. In the RCT, 81.82% of participants randomized to TGC (N=11) received GC compared to 33.33% of those randomized to EUC (N=12) (p<0.05). The interviews revealed high acceptability from participants in the TGC arm. Participants especially liked the flexibility to schedule appointments and support from the counselor in understanding hereditary cancer risk in their own language. Participants in the EUC who did not receive GC explained that they had many competing priorities and due to the Covid-19 lockdowns they had been unable to receive it. Conclusions: Adapting telehealth practices to fit the needs of diverse racial/ethnic populations is essential to reduce disparities in cancer care and utilization of GCT.

3D-4: Integrating Hereditary Cancer Screening in Community Based Organizations

Claudia Campos¹, Alexandra Bowen², Sara Gómez-Trillos³, Geoffrey Curran⁴, Vanessa Sheppard⁵, Kristi Graves³, Surekha Cohen⁶, Nathaly Gonzalez³, Antonio Villa Payares⁵, Luisa Aburto⁶, Kennya Alvarado⁶, Nancy Valencia-Rojas⁵, Gina Hernandez⁷, Alejandra Hurtado de Mendoza³

¹ Nueva Vida, Inc., Washington, DC, USA, ² University of Maryland School of Medicine, Baltimore, MD, USA, ³ Georgetown University, Washington, DC, USA, ⁴ University of Arkansas for Medical Sciences, Little Rock, AR, USA, ⁵ Virginia Commonwealth University, Richmond, VA, USA, ⁶ Arlington Free Clinic, Arlington, VA, USA, ⁷ La Casa de la Salud, Midlothian, VA, USA

ABSTRACT: Background/Purpose: There are stark disparities in the use of genetic counseling and testing (GCT) for hereditary breast and ovarian cancer (HBOC). Patients receiving services at community clinics/settings (CBOs) are less likely to be screened and referred to GCT. Patient navigators can be a bridge between the community and genetic services. Integrating hereditary cancer screening in CBOs is key. This study aimed to examine barriers and facilitators for implementing a short HBOC screener at CBOs providing services to the Hispanic/Latino community. Methods: We collaborated with four CBOs that provide healthcare services and patient navigation to the Hispanic community. We conducted four focus groups to examine barriers and facilitators for implementing a short HBOC screener and to select one short validated screener to implement at the CBO. The Consolidated Framework of Implementation Research (CFIR) informed the focus group guide and the analysis. Two researchers coded the focus groups with a qualitative analysis software using CFIR domains. Results/Findings: Participants (n=34) had an average age 50.6 years, 83% were female and 49% self-identified as Hispanic or Latino. Participants had diverse roles including nurses, patient navigators, physicians, directors, and administrators. All the sites selected to implement the Family History Screen. CBOs perceived that systematically implementing a short screener with clear referral guidelines was an enhancement of prior clinical practices. They also praised the adaptability of the screener to explain medical jargon and to adapt to changing National Comprehensive Cancer Network guidelines. However, they envisioned important barriers including the complexity of the GCT referral process, providers’ limited knowledge about HBOC, and the limited resources to refer uninsured and underinsured women for GCT and risk management. The CBOs highlighted the importance of establishing partnerships, including academic-community partnerships, to overcome aforementioned barriers. Discussion and Conclusion: The implementation of a short HBOC screener at CBOs was feasible and acceptable. Additional implementation strategies are needed to sustain the implementation of hereditary cancer screening at CBOs including the implementation of HBOC training for providers, fostering partnerships with multiple stakeholders, policy chances to enhance equitable access to GCT and risk management services, and strategies to integrate patient-facing culturally targeted education materials.

4A-1: Awareness of Lung Cancer Risk Factors in Palestine: Current Situation and Future Directions

Mohamedraed Elshami¹, Ahmad Mansour², Mohammed Alser³, Ibrahim Al-Slaibi⁴, Hanan Abu Kmail⁵, Hanan Shurrab⁶, Shahd Qassem², Faten Usrof⁵, Malik Alruzaygat², Wafa Aqel², Roba Nairoukh², Rahaf Kittaneh⁷, Nawras Sawafta², Yousef Habes⁸, Obaida Ghanim², Wesam Almajd Aabed⁶, Ola Omar⁷, Motaz Daraghmeh⁷, Jomana Aljbour⁵, Razan Elian⁵, Areen Ahor⁷, Haneen Habes², Mohammed Al-Dadah⁵, Nasser Abu-El-Noor⁵

¹ University Hospitals Cleveland Medical Center, Cleveland, OH, USA, ² Al-Quds University, Jerusalem, Palestine, ³ UNRWA Gaza, Gaza, Palestine, ⁴ Al-Makassed Hospital, Jerusalem, Palestine, ⁵ Islamic University of Gaza, Gaza, Palestine, ⁶ Alazhar University, Gaza, Palestine, ⁷ An-Najah National University, Nablus, Palestine, ⁸ Hebron Governmental Hospital, Hebron, Palestine

ABSTRACT: Background: Poor awareness of lung cancer (LC) risk factors may contribute to late presentation, which leads to poor survival outcomes. This study aimed to evaluate the awareness of LC risk factors among Palestinians and identify the factors associated with good awareness. Methods: This was a national cross-sectional study conducted in Palestine from July 2019 to March 2020. Participants were recruited using convenience sampling from hospitals, primary healthcare centers, and public spaces located in 11 governorates. A translated-into-Arabic version of the validated LC awareness measure was used to assess recognition of 10 LC risk factors. One point was given for each correctly recognized risk factor. The awareness level was determined by the number of LC risk factors recognized: poor (0 to 3), fair (4 to 7), and good awareness (8 to 10). Results: Of 5174 approached, 4817 participants completed the questionnaire (response rate= 93.1%). A total of 4762 questionnaires were included in the analysis, 2742 from the West Bank and Jerusalem (WBJ) and 2020 from the Gaza Strip. Participants from the WBJ were more likely to be older, have higher monthly income but lower education, and suffer from more chronic diseases. Smoking-related risk factors were more often recognized than other LC risk factors. The most recognized risk factors were ‘smoking cigarettes’ (n=4466, 93.8%) and ‘smoking shisha [waterpipes]’ (n=4337, 91.1%). The least recognized risk factors were ‘having a close relative with LC’ (n=2084, 43.8%) and ‘having had treatment for any cancer in the past’ (n=2368, 49.7%). A total of 2381 participants (50.0%) displayed good awareness of LC risk factors. Participants from the WBJ and the Gaza Strip had a similar likelihood to display good awareness (50.6% vs. 49.1%). Being ≥45 years old, having higher education and monthly income, knowing someone with cancer, and visiting hospitals and primary healthcare centers were all associated with an increase in the likelihood of displaying good awareness. Discussion and Conclusion: Half of study participants displayed good awareness of LC risk factors. Effective implementation of tobacco control policies is essential, along with educational initiatives to increase public awareness of the risk of smoking and other LC risk factors. OBJECTIVES: 1. The participant shall be able to identify factors associated with good awareness. 2. The participant shall be able to identify lung cancer risk factors. 3. The participant shall be able to identify lung cancer risk factors. REFERENCES: Al-Azri M, Al-Saadi WI, Al-Harrasi A, et al. Knowledge of Cancer Risk Factors, Symptoms, and Barriers to Seeking Medical Help among Omani Adolescents. Asian Pacific journal of cancer prevention : APJCP 2019;20(12):3655-66. H, Zhang Y, Liu J, et al. Education and lung cancer: a Mendelian randomization study. Int J Epidemiol 2019;48(3):743-50.

Abstracts 4A-2, 4A-3, 4A-4, and 4A-5 had not been identified yet at the time of printing.

4B-1: Preliminary Patient and Provider Insights of Cancer Advocacy and Patient Education (CAPE)

Linda Fleisher¹, Cassidy Kenny¹, Zoe Landau¹, Emily Gentry²

¹ Fox Chase Cancer Center, Philadelphia, PA, USA, ² Academy of Oncology Nurse & Patient Navigators, Cranbury, NJ, USA

ABSTRACT: Background/Purpose: CAPE is a web-based patient education tool that functions as an online repository of best-practice information and education materials designed by the Academy of Oncology Nurse and Patient Navigators (AONN) to improve individualized cancer education and care in patients. CAPE allows navigators and other providers to send patients e-prescriptions anytime throughout their cancer journey and cultivate personalized education for cancer patients. A pilot study evaluating both patient feedback and the implementation of CAPE in diverse oncology settings was conducted at four cancer centers (two urban and two rural) utilizing the CAPE Lung platform. Methods: 53 English-speaking NSCLC patients were enrolled within 12 weeks of their diagnosis. Participants completed a baseline survey, received personalized e-prescriptions (printed or via email), and completed a one-month follow-up survey over the phone with the Fox Chase research team about their experience with CAPE. CAPE implementation strategies were site-specific and were tailored to meet the needs of each site and their workflows. We conducted a preliminary analysis of the perceived usefulness and educational value of CAPE as well as debriefs with staff at each site utilizing the Consolidated Framework for Implementation Research. Results: Of the patients enrolled, 16 patients reported viewing the CAPE materials, and the majority of those patients felt that CAPE helped them understand their diagnosis and treatment options and felt that it made them feel more prepared to talk with their doctor. Patients were more likely to remember receiving the materials when enrollment was in-person with their navigator. Common challenges to implementation were overwhelmed patients, short-staffing, low technology literacy, and provider handoffs. Overall, providers felt that CAPE is a great resource for patients, fit within their workflow and educational needs, and that they would use it in the future if available. Discussion and Conclusion: CAPE was positively received by most patients that utilized the tool; however, some patients felt overwhelmed by their diagnosis or other external factors. There is an opportunity to introduce CAPE at various touchpoints within the treatment trajectory and to adapt it to fit diverse navigation models. The insights from these preliminary findings will guide future implementation and dissemination of CAPE. OBJECTIVES: 1. The participant shall be able to identify at least two benefits of CAPE identified by patients. 2. The participant shall be able to identify at least two benefits of CAPE identified by patients. REFERENCES: 1. Bellomo, C. et.al. (2019). Filling an Educational Void: AONN+ Announces Cancer Advocacy & Patient Education (CAPE) Lung Cancer Initiative. Journal of Oncology Navigation and Survivorship. 2019 Dec 10(12) 2. Check DK, et.al. Improvement Science and Implementation Science in Cancer Care: Identifying Areas of Synergy and Opportunities for Further Integration. J Gen Intern Med. 2021 Jan;36(1):186-195. doi: 10.1007/s11606-020-06138-w.

4B-2: Inuusinni Aqqusaaqtara | Using E-Learning Modules to Engage Inuit Patients and Non-Inuit Healthcare Providers

Tracy Torchetti¹, Reyna Uriarte², Chelsea Giesel²

¹ Canadian Cancer Society, Toronto, ON, Canada, ² Paukuuiti Unuit Women of Canada, Ottawa, ON, Canada

ABSTRACT: Summary/Purpose: Cancer is the second leading cause of death among Inuit living in Canada. The rate is nearly twice as high as the rest of the country. Inuit face many cultural, linguistic, geographic and systemic barriers while trying to navigate the cancer system. The Canadian Cancer Society (CCS) and Pauktuutit Inuit Women of Canada partnered to create culturally and linguistically appropriate cancer resources called Inuusinni Aqqusaaqtara - My Journey to increase knowledge about cancer, improve communication between Inuit cancer patients and non-Inuit healthcare providers, enhance culturally appropriate care and improve overall quality of care for Inuit. E-learning modules were created to increase awareness of the resources and to support the overall goals of improving communication and enhancing quality of care for Inuit and their families. Description: Two e-modules were launched in July 2021. One e-learning module engages Inuit patients and caregivers and the other engages healthcare providers who serve Inuit. Both modules were reviewed by target audiences and by experts and regional representatives through an advisory committee. The healthcare e-module is accredited by Canadian Nurses Association. Pauktuutit is working with the University of Ottawa on a pilot implementation strategy funded by the Canadian Institutes for Health Research to determine the most effective methods of disseminating the cancer resources where Inuit access cancer services although this work has been delayed due to COVID. It is also working with secondary education institutions to include the e-learning module in nursing curricula. Evaluation: The module for healthcare providers has been tested with positive results with the University of Ottawa undergraduate nursing program. Other pilots have delayed starts due to COVID. Evaluation is underway to assess the overall effectiveness of the e-modules using pre and post surveys administered with the healthcare module. Impact/Conclusion: To date, 36 people have completed the post-healthcare provider survey to obtain professional development credits, of which 97% found the module enhanced their knowledge of Inuit cancer care needs and resources to support the Inuit cancer journey. 92% agreed or strongly agreed they would be able to use the module learning and resources within their practice. OBJECTIVES: 1. The participant shall be able to identify at least two barriers Inuit patients and families face while trying to navigate the cancer system. 2. The participant shall be able to identify at least two barriers to the dissemination of cancer education to Inuit with cancer. REFERENCES: Carrière, Gisèle M., Michael Tjepkema, Jennifer Pennock, and Neil Goedhuis. "Cancer Patterns in Inuit Nunangat: 1998–2007." International Journal of Circumpolar Health. Co-Action Publishing, 15 May 2012. Web. 25 July 2016. Young, T. Kue, Janet J. Kelly, Jeppe Friborg, Leena Soininen, and Kai O. Wong. "Cancer among Circumpolar Populations: An Emerging Public Health Concern." International Journal of Circumpolar Health. Co-Action Publishing, 12 Jan. 2016. Web. 25 July 2016.

4B-3: Achieving Health Equity in Cancer Care through Patient Navigation

Richa Srivastava, Alyssa Macedo, Janet Papadakos, Mike Lovas, Lesley Moody, Erin Watson, Gary Rodin, Taymaa May, Monika Krzyzanowska

Princess Margaret Cancer Centre, University Hospital Network, Toronto, ON, Canada

ABSTRACT: Background: Navigating the complexities of cancer care can be challenging for patients and lead to poor treatment compliance and outcomes. Patients affected by the social determinants of health and/or advanced disease are disproportionately impacted by these complexities. Although cancer centers have developed specialized navigation programs to reduce healthcare disparities, gaps in patient care persist. A large comprehensive cancer center in Canada conducted a navigation program review to identify gaps and created conceptual recommendations and implementation considerations for the optimal development of a Comprehensive Navigation Program. Methods: A literature review of navigation best practices and an environmental scan were performed on existing navigation programs. Key informant interviews identified existing gaps regarding navigation in the cancer center. Qualitative themes from patient experience data were examined. A panel of researchers, physicians, and experts convened to develop recommendations for a Comprehensive Navigation Program. Results/Recommendations: Overall, 50 articles were reviewed, 19 stakeholder interviews were conducted, and over 1000 qualitative findings were analyzed. Four conceptual recommendations developed for a Comprehensive Navigation Program were to 1) Create an Organizational Governance Framework, 2) Complete a Health Equity and Medical Needs Assessment, 3) Select A Tailored Navigation Model, and 4) Develop an Intake and Distribution Algorithm to ensure patients are best aligned to a specific navigation model. Three navigation models of lay, professional, and specialized navigators were identified based on the patients’ needs; the effect of the social determinants of health, medical complexities, and stages of cancer were all considered when develo** these models. While some of these models exist, others must be expanded. Key implementation success factors required for integration of any program are cohesiveness within the healthcare team, cultural safety and communication training, digital infrastructure, and a comprehensive evaluation plan with measurable patient and provider outcomes. Conclusion: The implementation of a Comprehensive Navigation Program can improve health equity by supporting patients unable to navigate the cancer system. A navigation model catered to patients’ needs has the potential to optimize quality of care, advance cancer education research, and reduce burdens on healthcare systems. In addition, healthcare administrators should enhance system-based navigation to reduce complexities in the cancer system. OBJECTIVES: 1. The participant will be able to identify three key considerations that impact cancer care delivery in underserved populations. 2. The participant will be able to describe three unique navigator models that can be tailored to patients based on their specific needs. REFERENCES: 1) Navigation delivery models and roles of navigators in primary care: A sco** literature review. BMC Health Services Research, 18(1). 2) What are patient navigators doing, for whom, and where? A national survey evaluating the types of services provided by patient navigators. Patient Education and Counseling, 101(2), 285–294.

Abstracts 4B-4 and 4B-5 had not been identified yet at the time of printing.

4C-1: Summer Clinical Oncology Research Experience (SCORE) Program: Engaging Undergraduates from Diverse Backgrounds in Cancer Research

Laura Liberman¹, Priya Singh¹, Kay See Tan¹, Ruth Gotian²

¹ Memorial Sloan Kettering Cancer Center, New York, NY, USA, ² Weill Cornell Medicine, New York, NY, USA

ABSTRACT: Background/Purpose: We need an inclusive oncology workforce to reflect the population we serve. Summer Clinical Oncology Research Experience (SCORE) was created in 2010 at Memorial Sloan Kettering Cancer Center to engage undergraduate (U) and post-baccalaureate (PB) students from diverse backgrounds in cancer research. Description: SCORE is an 8-week summer program pairing an U or PB student with faculty mentors to conduct cancer research. Students participate in scientific presentation training, seminars, and clinical observation, and most present at Annual Biomedical Research Conference for Minority Students (ABRCMS). After SCORE, students maintain relationships with Program Director/mentors and SCORE alumni community of practice. We retrospectively reviewed demographics and career outcomes (via survey) for 2010-19 SCORE participants. Evaluation: Of 116 students, 112 (97%) attended public universities; 49 (42%) were freshmen. Race/ethnicity was Black/African American, 20 (17%); Hispanic/Latinx, 15 (13%); multiracial, five (4%); Asian, 40 (34%); White/Caucasian, 36 (31%). 112 (97%) identified as female; 47 (41%) were first-generation college students; 85 (73%) were from immigrant families. As of 2021, 93 (80%) progressed in health/science (H/S) careers: 44 (38%) accepted/enrolled medical school (MS) students, 14 (12%) residents, two (2%) practicing physicians, 12 (10%) pursuing non-MD H/S advanced degrees, and 21 (18%) working in non-MD H/S fields. Seventeen (15%) were applying to MS. Cancer research participation increased from pre- to post-SCORE (5% vs. 84%, p<0.001). Of 116 students, 63 (54%) subsequently co-authored 152 peer-reviewed publications, 105 (69%) in oncology. Long-term follow-up is needed to assess students’ enduring engagement in cancer research. Practice Changing Updates: Novel SCORE features include high proportion of students who are freshmen, first-generation college students, from immigrant families, identifying as female, and from underrepresented racial/ethnic groups; subsequent progress in H/S careers, further cancer research, and peer-reviewed publications, most in oncology. Impact/Application/Conclusion: SCORE successfully engaged underrepresented U and PB students in cancer research, H/S careers, and publications. Factors contributing to success may include scientific presentation training, ABRCMS presentation, and post-SCORE mentorship and community of practice. SCORE can serve as a model for other centers seeking to engage diverse individuals in oncology, with the potential to improve health equity by reflecting the population we serve. OBJECTIVES: 1. Describe demographic features of participants in the Summer Clinical Oncology Research Experience (SCORE) program. 2. Assess career trajectories of the first decade of SCORE participants, including progression in health/science (H/S) careers, further cancer research, and publications in health, science, & oncology. 3. Identify SCORE program features that may enhance engagement in cancer research of diverse undergraduates & apply these findings to create new undergraduate oncology research programs. REFERENCES: Carpten JD, Fashoyin-Aje L, Garraway LA, Winn R (2021) Making cancer research more inclusive. Nat Rev Cancer 21:613–618. https://doi.org/10.1038/s41568-021-00369-7. Gaida E, Barrios AJ, Wolkowicz R, et al (2021) Educating the Next Generation of Undergraduate URM Cancer Scientists: Results and Lessons Learned from a Cancer Research Partnership Scholar Program. J Cancer Educ 36:406–413. https://doi.org/10.1007/s13187-019-01645-9

4C-2: Assessing the Comprehensive Training Needs of Informal Caregivers of Cancer Patients: A Qualitative Study

Mohamed Ugas, Meredith Giuliani, Tina Papadakos, Naa Kwarley Quartey, Janet Papadakos

Princess Margaret Cancer Centre, Toronto, ON, Canada

ABSTRACT: Background/Purpose: The increasing demand on cancer services is projected to overwhelm the cancer care system due to a significant shortfall in human resource capacity. Multiple studies demonstrate that the diverse supportive care needs of cancer patients and caregivers are not being met. The aim of this study was to analyze the needs of cancer caregivers by speaking with both caregivers and cancer patients, and assessing the utility of a comprehensive caregiver training program. Methods The study consisted of recruiting patients and caregivers from a large academic cancer centre to participate in semi-structured interviews using grounded theory methodology. Participants were asked about their experiences and the needs of caregivers, as well as to comment on a draft education curriculum. Demographic information, in addition to health literacy and computer literacy scores, were obtained through an online pre-interview questionnaire. Results/Findings Seven caregivers and six patients were interviewed. Patients averaged 53.8 years in age, with participants ranging from 43-70 years. Caregivers averaged 53.1 years, with a range of 29-71. Health and computer literacy scores were high among both groups. Most participants explained that caregivers were ill-equipped at diagnosis. The study found that caregivers have difficulty adjusting emotionally to their new role. The extent to which they are burdened by their duties depended on the patient’s autonomy. Many expressed the desire for more information, although this varied depending on information-seeking behaviours. All expressed the desire for a comprehensive training program but differed on how best to deliver educational materials to caregivers. Discussion and Conclusion The results of this study provide a snapshot of the challenges facing cancer caregivers. It indicates that caregivers face considerable strain, primarily emotional, and desire the support and mentorship of other, more experienced caregivers. Our study confirms that the information needs of caregivers are not being met and that they would benefit from a comprehensive education program. OBJECTIVES: 1. The participant shall be able to identify the main causes of strain on cancer caregivers. 2. Participants will also be able to recognize the desire for a comprehensive caregiver training program. REFERENCES: Maqbool, T., et al., Informational and Supportive Care Needs of Brain Metastases Patients and Caregivers: a Systematic Review. J Cancer Educ, 2017. 32(4): p. 914-923. Berry, L.L., S.M. Dalwadi, and J.O. Jacobson, Supporting the Supporters: What Family Caregivers Need to Care for a Loved One With Cancer. J Oncol Pract, 2017. 13(1): p. 35-41. Wang, T., et al., Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review. BMC Palliat Care, 2018. 17(1): p. 96.

4C-3: R25 Cancer Education Experience Influences Interest in Clinical or Translational Cancer Research using Social Mentoring

LaCreis Kidd

University of Louisville, Louisville, KY, USA

ABSTRACT: The 10-week University of Louisville R25 Cancer Education program provides both cancer research training and professional development activities using faculty and social mentoring. The objective of this study is to determine the impact of the R25 cancer education experience on cancer research interest, subsequent cancer research training, career path, publication likelihood and research-self efficacy using one-on-one and social mentoring. OBJECTIVES: 1. assess whether the University of Louisville R25 Cancer Education Experience will improve student's interest in cancer research using a pre-post study design. 2. to evaluate the likelihood of students co-authoring their cancer research projects after the R25 Cancer Education Experience 3. To explore whether the R25 experience can influence student's self-efficacy, subsequtent cancer research training and career path using social mentoring. REFERENCES: None.

Abstracts 4C-4 and 4C-5 had not been identified yet at the time of printing.

POSTER PRESENTATIONS

P1-A: Continued Surgeon Education in Addition to Guidelines is Needed to Reduce the Risk of Long-term Opioid use by Cancer Patients.

Kathleen Heneghan, Tarra Barot

American College of Surgeons, Chicago, IL, USA

ABSTRACT: Background/Purpose: Opioids have been the first choice for providing analgesia postoperatively. Cancer patients undergoing curative intent surgery, receive a significantly higher rate of opioids than patients without cancer. Opioid -naïve patients developed persistent opioid use at a rate of 10.4%, which increases to 15-21% for those also receiving chemotherapy. Professional education and guidelines, offered by their professional association have been shown to increase opioid sparing pain alternatives. Methods: Specialty specific education was offered through collaboration with 2 professional associations via a live webinar on Safely Minimizing Opioid Use After Abdominal Cancer Surgery. A quasi-experimental one- group pre and post-test design was used to identify guideline availability and multimodal pain control methods for opioid-naïve and dependent patients. Descriptive statistics were used to identify practice patterns and changes in prescribing following the education and 5 months after the program. Results/Findings: One hundred and seven general surgeons participated in the pre-webinar survey. National or institutional guidelines were used by 62% when prescribing postoperative opioid medications.2 The majority of attendees used multimodal pain control after surgery (94%) including regional anesthesia (76%). In contrast to best practice, 30% of surgeons routinely used long-acting opioids following surgery including 14% of surgeons using guidelines. Only 21% of surgeons had guidelines when treating patients who were using opioids at the time of surgery. Education resulted in surgeons correctly identifying that post-discharge opioid prescribing could be based on the amount of opioids taken by the patient in the 24 hours prior to discharge (85%) and the effectiveness of opioid alternatives such as ibuprofen and acetaminophen (85%). Data from a 5-month post webinar survey identified that 30% of patients requested opioid-free pain control after surgery. Discussion: Up to 21% of patients use opioids at the time of surgery3 and only 23% of surgeons have guidelines for managing pain in opioid-dependent patients. Even with guidelines, a third of surgeons prescribed long-term opioids, which are not recommended for opioid-naïve patients. Guidelines, professional and patient education are helpful strategies in optimizing postoperative pain control, with patients serving as their own advocates for safe surgical outcomes. OBJECTIVES: 1 Identify best practice for minimizing post-operative opioid consumption for the abdominal cancer patient. 2. Determine methods for improving best practice for pain control for opioid naïve and opioid dependent patients needing surgery for abdominal cancer. REFERENCES: 1. Lee J S-J, Hu HM, Edelman AL, Brummett CM, Englesbe MJ, et al. New persistent opioid use among patients with cancer after curative-intent surgery. J Clin Oncology. 2017;35(36):4042-4049. 2. Michigan OPEN. Opioid prescribing recommendations. Available at https://michigan-open.org/prescribing-recommendations/ Accessed May 23, 2022. 3. Heneghan KC, Zimmerman LP, Barot TG, Strand N, Sachdeva AK. Internal data and descriptive statistics, Provider opioid survey. 2019. American College of Surgeons.

P2-B: Evaluation of the Sexual and Gender Minority Cancer Curricular Advances for Research and Education (SGM Cancer CARE) Workshop: Research Training to Advance SGM Cancer Equity

Miria Kano¹, Irene Tamí-Maury², Mandi Pratt-Chapman³, Shine Chang⁴, Mikaela Kosich¹, Gwendolyn Quinn⁵, Tonia Poteat⁶, Peter Kanetsky⁷, Ronit Elk⁸, Ulrike Boehmer⁹, Julian Sanchez⁷, CharlesKamen¹⁰, Nelson Sanchez¹¹

¹ University of New Mexico Health Sciences Center, Albuquerque, NM, USA, ² University of Texas Health Science Center, Houston, TX, USA, ³ George Washington University, Washington, DC, USA, ⁴ The University of Texas MD Anderson Cancer Center, Houston, TX, USA, ⁵ New York University, New York, NY, USA, ⁶ University of North Carolina at Chapel Hill, Chapel Hill, NC, USA, ⁷ Moffitt Cancer Center, Tampa, FL, USA, ⁸ University of Alabama at Birmingham, Birmingham, AL, USA, ⁹ Boston University, Boston, MA, USA, ¹⁰ University of Rochester, Rochester, NY, USA, ¹¹ Memorial Sloan Kettering Cancer Center, New York, NY, USA

ABSTRACT: Background: To address national conversations on workforce development and diversity, and research strategies to better understand the wide-ranging needs of sexual and gender minority (SGM) individuals who receive disparate and suboptimal care across the cancer continuum, we developed and piloted the “Sexual and Gender Minority Cancer Curricular Advances for Research and Education” (SGM Cancer CARE) workshop. Here, we describe the workshop and evaluation, which was held after the Building the Next Generation of Academic Physicians’ 2021 LGBT Health Workforce Virtual Conference, and suggest next steps to expand this fundamental curriculum through alternative learning modalities. Methods: We evaluated workshop recruitment and delivery of SGM-focused modules in a virtual workshop attended by early-career clinicians, scientists and researchers. We electronically delivered pre/post workshop surveys asking about the participant’s confidence level in their module-related knowledge ranked from 1 (“Not at all confident”) to 5 (“Extremely Confident”) as well as open ended responses via REDCap, and conducted two post-workshop focus group interviews to identify opportunities for curriculum and workshop improvements. Results: Nineteen individuals in fields of medicine, epidemiology, psychology, and nursing participated in Epidemiology, Clinical Care Research, Behavioral Science/Interventions, and Community-Based Participatory Approaches to SGM cancer care modules delivered over three days. In pre-module surveys, participants reported feeling “Not at all confident” in 21.6% of skills, ”Somewhat” or “Moderately Confident” in 56.9%, and “Very” or “Extremely Confident” in 21.4%. After the modules, percentages shifted to 1.6%, 36.5% and 61.9%, respectively, indicating a shift toward greater self-reported content area knowledge. Focus group data corroborated survey findings, highlighting curricular strengths (i.e., multi-disciplinary approach, in-depth content, instruction) and need for the workshop, as well as delivery limitations (i.e., time constraints of virtual format) predominantly from workshop adaptations from in-person to virtual format resulting from the COVID-19 Pandemic. Recommendations: The evaluation suggests benefit to expanding the SGM Cancer CARE curriculum and moving to in-person/virtual hybrid format. In February 2022, we submitted a 5-year “Courses for Skills Development” R25 application to expand the initial workshop and received a fundable score. Because the SGM Cancer CARE workshop pilot was well-received and impactful, its continued development furthers needed progress in preparing researchers to conduct SGM cancer research. OBJECTIVES: 1. The participant shall be able to identify multidisciplinary approaches to sexual and gender minority cancer education and training for early career researchers and clinicians. REFERENCES: Matthews AK, Breen E, Kittiteerasack P. Social Determinants of LGBT Cancer Health Inequities. Seminars in Oncology Nursing. 2018. 24(1). 2018. Kamen C. Lesbian, Gay, Bisexual, and Transgender (LGBT) Survivorship. Vol. 34, Seminars in Oncology Nursing. W.B. Saunders; 2018. p. 52–9. Alpert AB, Gampa V, Lytle MC, et. al. I’m not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer. Patient Education and Counseling. 104(10) 2021.

P3-A: Practical Approaches to Recruiting Underrepresented or Disadvantaged Students for Hands-On Education in Quantitative Cancer Research

Richard Koppenaal, Kay See Tan, Mengmeng Du, Shireen Lewis

Memorial Sloan Kettering Cancer Center, New York, NY, USA

ABSTRACT: Background/Purpose: QSURE is an NCI funded, R25 summer research internship for undergraduate students at Memorial Sloan Kettering Cancer Center (MSK). The program provides hands-on experience with real-world data applications, with the goal of hel** students pursue graduate studies or a career in quantitative sciences. Inclusion of underrepresented or disadvantaged students strengthens the QSURE experience. Below we describe our approaches to recruit a well-rounded applicant pool in an effort to bolster diversity in the next generation of quantitative scientists. Methods: QSURE employed several short- and long-term strategies to increase underrepresented or disadvantaged candidates. Short-term, we attend virtual conferences and onsite career fairs; we also advertise with professional and academic associations that cater to diverse candidates. Long-term, we are creating a pipeline with MSK’s Summer Exposure Program for underrepresented high school students and establishing connections with faculty at historically Black colleges and universities. QSURE also seeks additional housing and financial support to help students absorb the cost of living. We track recruitment statistics throughout our program and collect qualitative feedback from candidates. Results/Findings: We have recruited a small cohort of URM students using our current approaches. In 2022, for instance, 15% of applicants to the program self-identified as an URM; however, this figure has remained consistent over the course of several years (2019, 15%; 2020, 16%; 2021, 18%). Underrepresented or disadvantaged candidates consistently emphasized the high cost of living in New York City as a barrier to participation. Discussion/Conclusion: Our current approaches have recruited a small cadre of underrepresented or disadvantaged students; however, the relatively constant numbers over time suggest novel strategies are needed to further increase diversity. Networking with NYC area colleges and organizations enriched by underrepresented or disadvantaged students will demonstrate QSURE’s commitment to greater inclusion and likely yield a more diverse intern group. Beyond outreach, it will be critical to continue to address sociocultural barriers to participating in STEM training programs, such as the high financial investment. OBJECTIVES: 1. Recognize effective strategies to recruit diverse cancer research cohorts. REFERENCES: 1. Schell et al. (2020). Recreating Wakanda by promoting Black excellence in ecology and evolution. Nature Ecology & Evolution pp. 1-3. 2. Chapman (2019). Rendering the invisible visible: student success in exclusive excellence in STEM environments Ch. 2 in Diversifying STEM: Multidisciplinary Perspectives on Race and Gender pp. 36-52.

P4-B: Cognitive Impairment and Cancer Screening Use Among Colombian Older Adults

Carlos Reyes-Ortiz, Torhonda Lee, Ericka Horne, John Luque

Institute of Public Health, Florida A&M University, Tallahasssee, FL, USA

ABSTRACT: Background: Cognitive status may influence cancer screening behaviors. However, there are limited data from Latin American countries. The study objective is to assess the relationship between cognitive impairment and cancer screening use among older adults. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional face-to-face national survey conducted in 2015 [released at the end of 2016] involving 13,582 women and 10,112 men aged 60 years and older living in both urban and rural areas. According to a Colombian guideline, cognitive impairment was assessed based on the MMSE (<18, <21, or <24) and level of education. The outcomes are mammogram and Pap test use in women and prostate examination use in men within the last two years. Logistic regression analyses assessed the association between cognitive impairment and cancer screening use, adjusting for potential confounders such as sociodemographic characteristics, comorbidity, and functional status. Results: Thirty-four percent of women had a mammogram and 48% a Pap test. Forty-five percent of men had a prostate examination. Twenty-one percent of participants had cognitive impairment. In bivariate analyses, all screening methods' prevalence was lower for cognitively impaired individuals (p<.001). In multivariate analysis, cognitive impairment was independently associated with lower odds of having a mammogram (p=0.002) or a Pap test (p=0.011) in women but not with a prostate examination in men. Discussion: Colombian women with cognitive impairment might be at greater risk for underutilizing screening methods and, therefore, to experience a late-stage cancer diagnoses. However, we do not know whether a person with cognitive impairment fully understands the potential consequences if the test is positive or has the decision-making capacity to participate in a conversation regarding the risks/benefits of cancer screening. Thus, the patient’s health care proxy or surrogate should be included in these discussions. OBJECTIVES: 1 The participant shall be able to identify the possible association between cognitive impairment and adherence to cancer screening. 2. The participant shall be able to assess the importance of a health care proxy for cancer screening decision making in cognitive-impaired adults. 3. The participant shall be able to address the health equity issue of those who experience mental health challenges with obtaining cancer prevention services. REFERENCES: Yang, S., Bian, J., George, T. J., Daily, K., Zhang, D., Braithwaite, D., & Guo, Y. (2021). The association between cognitive impairment and breast and colorectal cancer screening utilization. BMC cancer, 21(1), 539. https://doi.org/10.1186/s12885-021-08321-6. Kuwata, C., Goldhirsch, S. L., & Rodríguez, V. (2021). Navigating the Cancer Screening Decision for Patients with Dementia. Current oncology reports, 23(8), 90. https://doi.org/10.1007/s11912-021-01083-1

P5-A-S: Assessment of Nutrition Services Available in New Mexico Outpatient Cancer Facilities

Cristian Soto¹, Dolores Guest²

¹ Utah State University, Logan, UT, USA, ² UNM, Albuquerque, NM, USA

ABSTRACT: Introduction: Despite the positive correlation between favorable nutrition status and ideal clinical outcomes for many oncology patients, there is inadequate nutrition care for oncology patients treated in the outpatient setting nationally. Although data demonstrate oncology centers greatly benefit from the availability of malnutrition screening, diet intervention, and counseling, these services are significantly limited across New Mexico (NM). Additionally, many patients are not aware of available services if they do not receive direct referrals. The goal of this sub-analysis is to characterize, from a patient’s perspective, the availability of nutrition services offered by outpatient cancer facilities (OCF) throughout NM. Methods: We conducted a descriptive analysis utilizing data collected by searching specific terms on publicly available OCF websites to understand what nutrition services are discoverable by a typical patient. We utilized a list of 20 facilities where cancer patients are diagnosed and treated in NM ranked by patient volume, as well as the 2021 NM Cancer Council Directory. Additionally, we categorized the locations of these OCF facilities by NM’s public health regions, depicting them on a regional map made available by the NM-IBIS website. These data, as well as on-going surveys of OCF nutrition departments, will assist us in characterizing the status of OCF nutrition services in NM. Results/Findings: Preliminarily, we found that 13 of 19 (68.4%) sites do not offer or advertise nutrition services. Of the six OCF’s (31.6%) that did publicize available nutrition services, half are in the Metro health region. Several clinic websites were specific in their nutrition services, while others were vague or difficult to navigate. Conclusions: To the best of our knowledge, this is the first study done to analyze nutritional services at OCF’s from a patient’s perspective. The findings from this sub-project support the growing body of scientific literature that there is a gap in oncology nutrition awareness and overall utilization. The data collected from this experiment suggests that whether or not these nutritional services are available, patients may not be aware of them, and they are likely not sufficient to meet patients’ needs. OBJECTIVES: 1. Participant shall be able to visualize the current successes and gaps in nutrition oncology in relation to created map depicting New Mexico's public health regions. 2. Participant shall be able to identify at least two barriers for oncology patients obtaining adequate nutrition care in the state of New Mexico. REFERENCES: 1. Richards J, Arensberg MB, Thomas S, Kerr KW, Hegazi R, Bastasch M. Impact of Early Incorporation of Nutrition Interventions as a Component of Cancer Therapy in Adults: A Review. Nutrients. 2020;12(11). doi:10.3390/nu12113403 2. Thompson KL, Elliott L, Fuchs-Tarlovsky V, Levin RM, Voss AC, Piemonte T. Oncology Evidence-Based Nutrition Practice Guideline for Adults. J Acad Nutr Diet. 2017;117(2):297-310.e47. doi:10.1016/j.jand.2016.05.010

P6-B: Surgical Breast Cancer Toolkit Supports Accredited Centers in Meeting Breast Cancer Education Standards

Nancy Strand, Kathleen Heneghan

American College of Surgeons, Chicago, IL, USA

ABSTRACT: Backround/Purpose: The purpose of this study was to evaluate current surgical Breast cancer education on accredited breast cancer websites. Breast cancer is the second most common cancer in American women, and the greatest cause of cancer death in Hispanic and Latino women. Surgery is the first line of treatment for early-stage breast cancer, yet in a large systematic review, only 47% of lumpectomy and 67% of mastectomy patients felt fully informed about their surgical treatment. Methods: All NAPBC websites were reviewed to determine the depth of patient education available and the ease of finding the resources. The search included: any availability of breast cancer education, surgical breast cancer, reconstruction, radiation treatment, mammography, biopsy, medication therapy, clinical trials, and survivorship. Delivery options included print, or video and the overall ease of use of the site. Results: Of 577 accredited sites (80%) offered some patient education on breast health. Less than 50% of sites had education on surgery; mammography (89%) biopsy (53%) reconstruction (47%) mastectomy (43%) lumpectomy (40%) breast exam (16%) pre- and post-operative instruction (3%) breast anatomy (2%) survivorship information (64%) and information about clinical trials (77%). Twenty-nine percent of sites were considered helpful or easy to use with resources in one location. The 2018 NAPBC education standards require centers to provide patients with educational information covering evaluation and management of breast diseases. 97% of accredited centers had no pre and post op surgical patient education. Centers with culturally diverse populations must provide educational resources in languages commonly spoken in the community. Discussion: There is currently limited education available on NAPBC sites for surgical management of breast cancer. The utilization of the ACS Your Breast Cancer Surgery toolkit, could support the entire surgical community with reviewed engaging content that meets all current standards. OBJECTIVES: 1. The participant shall be able to identify the educational standards for accredited (NAPBC) standards for cancer education. 2. The participant shall be able to determine the availability of cancer education on NAPBC websites. 3. The participant shall be able to describe innovative multimedia solutions that reduce health disparities and support breast cancer education and evaluation. REFERENCES: None.

P7-A-S: C-STEPS- A Cancer Research Education Program for Undergraduates

Monica Asencio Pimentel, Joseph Rodman, Judith Scheche, Miria Kano, Shiraz Misha

The University of New Mexico, Albuquerque, NM, USA

ABSTRACT: As a nation, we have made impressive advances in cancer prevention and control, reflected in improvements in incidence, mortality, stage of disease diagnosis, and survival. These gains are attributed, in part, to significant advances in cancer control and population sciences (CCPS) research in genomic science, behavioral interventions, cancer care delivery, and survivorship. However, minority status, rurality, literacy, and socio-economics continue to predict cancer health disparities. Continued progress, new scientific discoveries, and interventions that lead to health equity require a well-trained cancer and health focused workforce. The goal of the Cancer Research—Scholarship and Training Experiences in Population Sciences (C-STEPS) is to increase the biomedical and behavioral research workforce by providing specialized and experiential cancer research curricula and a mentored research experience to undergraduate students, held over 10-weeks during the summer on the University of New Mexico campus. C-STEPS is designed to facilitate and support undergraduates in their completion of a degree in a Science, Technology, Engineering, Mathematics, and Health (STEM-H) field and to facilitate their selection of, and application to, graduate or professional schools, while encouraging their interests in cancer research careers. Participants of the 2021 and 2022 C-STEPS program were undergraduate students (N=20): ten students in each year; majority were female (75%); and ages 19 to 24. The students represented 16 institutions across the United States. A pre-/post-program assessment measured the overall program impact on students including research training and graduate education. A pre-/post-seminar assessment measured students’ development of skills and content mastery. A post-program survey and brief semi-structured interviews were conducted with C-STEPS mentors to gauge their mentee’s overall performance and their own experience and satisfaction with the program. Descriptive statistics were performed for the pre-/post surveys; open-ended questions and mentor interviews were reviewed for salient themes. Results were compiled, summarized, and interpreted in a report. Overall satisfaction with the C-STEPS program is high. The majority of student mentees felt the program curriculum and instructions were clear, their mentors were of high caliber, and that they learned new research-related concepts and techniques. The mentors felt that mentees obtained new skills relevant to a career in research and gained experience necessary to attain future training and educational opportunities. Our analyses characterize the impact of the C-STEPS program and adds to the knowledge base of evaluation of STEM-H research education programs. OBJECTIVES: 1. At the end of the session, participants will be able to identify structures to implement cancer research-based training and education across undergraduate students from diverse backgrounds. REFERENCES: Carpi A, Ronan DM, Falconer HM, Lents NH. Cultivating minority scientists: Undergraduate research increases self-efficacy and career ambitions for underrepresented students in STEM. J Res Sci Teach. 2017;54(2):169-194. Raman DR, Geisinger BN, Kemis MR, de la Mora A. Key actions of successful summer research mentors. High Educ. 2016;72(3):363-379.

P8-B: Talking about Cachexia: Foundational Research for a Patient-Centric Cachexia Lexicon for Patients, Caregivers, and Healthcare Professionals

Rachel Saks, Nick Power, Anissa Williams, G. Thomas Wilson

Cancer Support Community, Washington, DC, USA

ABSTRACT: Cachexia, a metabolic comorbidity associated with unintentional loss of muscle mass, is often marked by fear and confusion from patients and caregivers. Associated with poorer psychosocial outcomes, lack of understanding about cachexia can impact the lives of patients and their caregivers struggling to understand and discuss their symptoms with their health care team. Cachexia-induced pain and fatigue can disrupt daily life, leading to depression and anxiety. Consistent and patient-centric language standards could counteract the barriers of medical terminology and ease the fear of the unknown for patients and caregivers. CSC contacted stakeholders, completed a literature review, and developed a working group of key opinion leaders (KOLs), advocacy groups, and professional associations to reach a consensus on guidelines for a patient-centric cachexia lexicon. Results from cachexia-specific patient preference research, research from CSC’s Research and Training Institute, language used in online communities, and insights from the working group will be used to develop discussion guides and draft language for a cachexia lexicon. Alongside the research partners, CSC will conduct interviews and focus groups with KOLs, stakeholders, patients, and caregivers to co-create prototype resources. Discussion boards with the working group and quantitative surveying with patients and caregivers across a diverse sample of populations will evaluate resources for comprehension, resonance, preference, and desirability. This research will inform CSC and the cancer patient community on patient preferences regarding cachexia terminology to provide background for patients, caregivers, health care providers, health advocacy organizations, professional societies, and industry stakeholders implementing consistent language that overcomes some of the barriers to cachexia identification and intervention. This language could go beyond just the cancer community by maintaining applicability to patients with other diseases that may be affected by cachexia. OBJECTIVES: 1 Identify manners in which patient and caregivers talk about cachexia. 2. Develop plain-language terms for cachexia. 3. Gather qualitative and quantitative data on use of cachexia terms and definitions. REFERENCES: Buonaccorso L, Bertocchi E, Autelitano C, et al. Psychoeducational and rehabilitative intervention to manage cancer cachexia (PRICC) for patients and their caregivers: protocol for a single-arm feasibility trial. BMJ Open. 2021;11(3):e042883. doi:10.1136/bmjopen-2020-042883

Abstract P9-A was withdrawn before publication and replaced by a late-breaking abstract.

P10-B-S: Support for Patient Navigators to Address Racial Disparities in Information Seeking Behaviors in Prostate Cancer Survivors

Jala Lockhart¹, Levi Ross², James Leeper¹

¹ The University of Alabama, Tuscaloosa, AL, USA, ² Southeastern Louisiana University, Hammond, LA, USA

ABSTRACT: Background: Due to a growing number of information outlets and individual health information seeking preferences, many prostate cancer (PCa) survivors are not receiving the comprehensive information related to treatment. We hypothesize that there is a relationship between a survivors’ plan to look for treatment information and levels of perceived information importance. Further, we hypothesize that this difference exists within White and Black PCa survivors. Methods: A purposive sample of 63 men (white = 58.7%, Black = 41.3%) who were treated for or actively monitoring localized PCa completed a 119-item self-administered questionnaire. The survey collected patient demographics and different aspects of treatment care planning. 20 questions assessed the importance of different information to treatment decision-making; and a corresponding 20 questions inquired about survivors’ plans to look for that information. Descriptive and multivariate analyses (McNemar test) were conducted using SPSS 28. Results: Feelings of importance significantly impacted survivors’ plans to look for the following information: (a) different treatment options (p= .019), (b) how treatment options work (p= .004), (c) if treatment would cure (p= .007), (d) time required to complete treatment (p=. 035), (e) knowing where to get information on other treatment (p= .003), (f) knowing if cancer would return (p= .039), (g) how quickly treatment would work (p= .013), and (h) where family can go for help (p= .049). Black men reported significance (p = .05) for 5 out of the 20 questions, whereas White men reported no significance. The most important information Black men (96.2%) planned to look for was how quickly treatment would work. Descriptively, 62.2% of the White men reported that knowing "what other treatment men selected” was not important, while 69.2% of the Black male sample indicated importance. Conclusion: Racial differences were noted in importance of PCa treatment details and plans to seek information. Findings suggest expanded opportunities for those who assist survivors, such as navigators, in the treatment care planning process. Particularly, for survivors who reported that information is important, but did not have a plan to look. These questions can be used as a needs assessment strategy to increase patient access to comprehensive treatment information. OBJECTIVES: 1. To identify individual and group-level factors that influence prostate cancer treatment information seeking and avoidance behaviors. 2. To describe the current evidence-base that is recommended for patients to use to arrive at informed prostate cancer treatment decisions. REFERENCES: Chhatre, S., Wittink, M. N., Gallo, J. J., & Jayadevappa, R. (2020). Sources of Information for Learning and Decision-Making in Men With Localized Prostate Cancer. American Journal of Men’s Health. https://doi.org/10.1177/1557988320945461. Dixit, N., Rugo, H., & Burke, N. J. (2021). Navigating a path to equity in cancer care: the role of patient navigation. American Society of Clinical Oncology Educational Book, 41, 3-10. https://ascopubs.org/doi/full/10.1200/EDBK_100026

Abstract P11-A-S was withdrawn and replaced by a late-breaking abstract.

P12-B-S: Knowledge of Ovarian Cancer Symptoms Among Women in Palestine: A Cross-Sectional Study

Mohamedraed Elshami¹, Areej Yaseen², Mohammed Alser³, Ibrahim Al-Slaibi⁴, Hadeel Jabr⁵, Sara Ubaiat², Aya Tuffaha⁶, Salma Khader², Reem Khraishi⁶, Inas Jaber², Zeina Abu Arafeh², Sondos Al-Madhoun⁷, Aya Alqattaa⁵, Asmaa Abd El Hadi⁵, Ola Barhoush², Maysun Hijazy⁵, Tamara Eleyan², Amany Alser⁸, Amal Abu Haziema⁵, Amany Shatat⁵, Falasteen Almakhtoob⁹, Balgees Mohamad¹⁰, Walaa Farhat², Yasmeen Abuamra⁷, Hanaa Mousa⁵, Reem Adawi², Alaa Musallam², Nasser Abu-El-Noor⁵, Bettina Bottcher⁵

¹ Harvard Medical School, Boston, MA, USA, ² Al-Quds University, Jerusalem, Palestine, ³ Ministry of Health, Gaza, Palestine, Palestine, ⁴ Al-Makassed Hospital, Jerusalem, Palestine, ⁵ Islamic University of Gaza, Gaza, Palestine, ⁶ An-Najah National University, Nablus, Palestine, ⁷ Alazhar University-Gaza, Gaza, Palestine, ⁸ Al-Shiffa Hospital, Gaza, Palestine, ⁹ Palestine Polytechnic University, Hebron, Palestine, ¹⁰ Beit Jala Governmental Hospital, Bethlehem, Palestine

ABSTRACT: Introduction: Ovarian cancer (OC) is often diagnosed at advanced stages. This study aimed to assess the Palestinian women’s knowledge about OC symptoms and determine the factors associated with having good knowledge. Methods: A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem as well as the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure (OCAM) was utilized for data collection. Stratified convenience sampling was used to recruit adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates. The knowledge level was categorized into three categories based on the number of symptoms recognized: poor (0 to 4), fair (5 to 8), and good (9 to 11). Results: Of 6095 approached, 5618 participants completed the Arabic OCAM (response rate=92.1%). A total of 5411 questionnaires were included in the analysis: 2278 from the Gaza Strip and 3133 from the West Bank and Jerusalem. Participants living in the West Bank and Jerusalem were older, of higher monthly income, and with more chronic diseases than those living in the Gaza Strip. The most frequently identified symptoms were ‘extreme generalized fatigue’ (n=3821, 70.6%), ‘unexplained weight loss’ (n=3607, 66.7%), and ‘increased abdominal size on most days’ (n=3252, 60.1%). On the other hand, the least recognized symptoms were ‘feeling full persistently’ (n=1553, 28.7%) and ‘difficulty eating on most days’ (n=1971, 36.4%). Only 943 participants (17.4%) displayed good knowledge of OC symptoms. Participants from the Gaza Strip had a higher likelihood than participants from the West Bank and Jerusalem to have a good level of knowledge (21.0% vs. 14.8%). Being married, knowing someone with cancer, and visiting hospitals were all associated with a higher likelihood of having good knowledge level. However, living in the West Bank and Jerusalem was associated with a lower likelihood of having good knowledge. Conclusion: The overall knowledge of OC symptoms in this study was low. Educational interventions are needed to improve Palestinian women’s knowledge about OC symptoms. OBJECTIVES: 1. The participant shall be able to identify ovarian cancer symptoms leading to early detection thus increase the survival rate. 2. Identify factors associated with having good knowledge level of ovarian cancer symptoms. REFERENCES: 1. Okunowo AA, Adaramoye VO. Women's Knowledge on Ovarian Cancer Symptoms and Risk Factors in Nigeria: An Institutional-based Study. 2. Puckett MC, Townsend JS, Gelb CA, Hager P, Conlon A, Stewart SL. Ovarian Cancer Knowledge in Women and Providers Following Education with Inside Knowledge Campaign Materials. 3. Freij M, Al Qadire M, Khadra M. M AL, Tuqan W, Al Faqih M, et al. Awareness and Knowledge of Ovarian Cancer Symptoms and Risk Factors: A Survey of Jordanian Women.

P13-A: “Hel** the Helpers”: The Impact of COVID-19 on Work and Home Stress for Oncology Professionals

Kara Downey, Susan Ash Lee

The Cancer Support Community, Washington, DC, USA

ABSTRACT: Background: The Cancer Support Community (CSC) is a leader in providing psychosocial care and has recognized the importance of understanding the effects of COVID-19 on healthcare professionals and addressing gaps in identified supports. Recent national U.S surveys have found a 45% burnout prevalence rate among oncologists, while other global studies have suggested burnout rates in oncologists ranging from 20-70%. In October 2020, a survey was disseminated to a wide range of oncology professionals to understand the impact of the coronavirus pandemic on work and home life including stressors related to burnout and other challenges such as compassion fatigue. Objective: Currently no research exists regarding the impact of COVID-19 on work and home stress among oncology hel** professionals. Understanding the stressors related to burnout and other challenge such as compassion fatigue is highly relevant as it affects personal well-being and quality of life of the healthcare professional. Methods: CSC disseminated an anonymous survey throughout its Affiliate Network, Healthcare Partners, and larger oncology community. The target audience of oncology hel** professionals included physicians, social workers, nurses, physician’s assistants, psychologists, and other mental health professionals. There were three parts to this survey: (1) demographic questions, (2) the Professional Quality of Life Scale (ProQol), and (3) an open-ended response to stressors experienced at work and at home due to COVID-19, respectively. Results: Eighty-six individuals participated in the survey. Results from this study indicate moderate levels of compassion satisfaction (M = 40.4; SD = 5.9), burnout (M = 24; SD = 6.7), and secondary traumatic stress (M = 22.9; SD = 6.4) among respondents. Bivariate analyses indicated nonwhite oncology professionals reported lower compassion satisfaction compared to whites and hospital workers reported higher levels of burnout compared to staff in non-hospital settings. The most common stressors that oncology professionals reported experiencing at work due to COVID-19 included the primary themes of workplace issues (e.g., less in-person contact), patient care (e.g., increased patient needs/distress), and health (e.g., concern for personal or family health/fear of COVID-19). The most common stressors that respondents reported experiencing at home due to COVID-19 also included three primary themes: health (e.g., isolation/loneliness), family and children (e.g., online school/homeschooling), and financial (e.g., job insecurity). Conclusion: Survey results underscore the stress of COVID-19 on oncology professionals and the unique impact the pandemic as had on work and home-life stressors among this population. Survey results can be used as an important tool to identify support gaps and created target resources, as well as serve as a base for future research. OBJECTIVES: 1. The participant shall be able to identify at the top stressors at work among oncology professionals surveyed. 2. The participant shall be able to identify the top stressors at home among oncology professionals surveyed. 3. The participant shall be able to reflect on the specific needs of oncology professionals in different work settings. REFERENCES: Murali, K., Makker, V., Lynch, J., & Banerjee, S. (2018). From burnout TO Resilience: An update for Oncologists. American Society of Clinical Oncology Educational Book, (38), 862–872. https://doi.org/10.1200/edbk_201023. Fantus, S., Greenberg, R. A., Muskat, B., & Katz, D. (2017). Exploring moral distress for hospital social workers. The British Journal of Social Work, 47(8), 2273-2290. doi:10.1093/bjsw/bcw113.

P14-B-S: Gynaecological Malignancy - Patients Journey in the Time of Covid-19 Pandemic at the Cancer Diseases Hospital - UTH: A case series

Norah Ndambo

University of Zambia, Lusaka, Zambia

ABSTRACT: BACKGROUND: The COVID-19 pandemic has had a critical impact on the management of cancer patients around the globe. In most countries, cancer patients are classified a vulnerable population with specific requirements that include regular hospital visits that breach non-pharmacological interventions against Sars-Cov-2 such as stay at home orders. In Zambia, despite the policy for continued oncology services at the sole tertiary institution during the pandemic, the patient pathway is still negatively impacted with risk of increased waiting times and withholding chemotherapy due to immune competence concerns. Patients with malignancies tend to have psychological problems such as depression, anxiety, panic, and sleep disorders. Cancer patients have faced a unique mental health burden during the pandemic that could lead to a psychiatric sequelae and could im**e their well-being. DESCRIPTION: Two case series, one of a 43yr old female who presented to Cancer Diseases Hospital (CDH) with a confirmed diagnosis of Cervical Cancer stage III C1, and the other of a 45-year-old HIV sero-positive female, who presented to CDH with Vulva Cancer. They both exhibited anxiety, fear, feelings of hopelessness and helplessness during their hospital stay. EVALUATION: Edinburgh Depression Scale was used to evaluate the psychological stress on cancer patients during the COVID-19 pandemic at the CDH. To assess the challenges of cancer care in the COVID-19 pandemic from a patient’s perspective, the Perceived Stress Scale was used in two case studies. PRACTICE CHANGING UPDATES: The two cases in the series evaluated the aspects of patients’ major fears, management pitfalls and silver linings of cancer treatment and COVID-19. Conversations around mental health have been pulled into the spotlight as a result of COVID-19, and the added strain and impact on cancer patients’ psychological well-being needs to be addressed. Using the Perceived Stress Scale, it was determined that patients were afraid of their treatment being delayed and more worried about cancer progression than COVID-19 infection. Based on these findings, there is need for enhancement of psychosocial counselling services, as well as sensitizing the patients on the need to get COVID-19 vaccines. CONCLUSION: Findings in these two cases show the mental health burden that exists in cancer patients during treatment in the COVID-19 pandemic era. Therefore, there is need for relevant stakeholders to come on board to address mental health issues and psychological stress in these cancer patients for a better outcome. OBJECTIVES: 1. To demonstrate the impact of COVID-19 during cancer treatment. 2. To enhance cancer patients treatment pathway during the COVID-19 pandemic and to promote COVID-19 vaccinations. 3. To indicate the need for designated mental health care providers within the cancer team to provide a useful point of contact for individuals struggling with mental health symptoms. REFERENCES: 1. Ghosh J, Ganguly S, Mondal D, Pandey P, Dabkara D, Biswas B. Perspective of Oncology Patients During COVID-19 Pandemic: A Prospective Observational Study From India. JCO Glob Oncol. 2020;(6):844–51. 2. Jazieh A-R, Al Hadab A, Al Olayan A, AlHejazi A, Al Safi F, Al Qarni A, et al. Managing Oncology Services During a Major Coronavirus Outbreak: Lessons From the Saudi Arabia Experience. JCO Glob Oncol. 2020 Mar;6:518–24.

P15-A: Improving Knowledge in Medical Learners: Impact of a 2-week Virtual “Taste of Palliative Medicine” Curriculum

Sara Graham, Frank Ferris, Brianna Burns

Ohio Health, Columbus, OH, USA

ABSTRACT: Background: Hospice and Palliative Medicine is not a required course during first and second year medical school, and it typically is not a required rotation during 3rd and 4th year of school. Medical knowledge in hospice and palliative care is poor not only in medical learners, but also in practicing physicians. When assessing knowledge in palliative care, medical students and physicians typically score less than 50%. Poor medical knowledge in palliative care likely equates to greater suffering at end of life due to uncontrolled symptoms and poorly defined goals. Curriculums have been developed to improve knowledge in hospice and palliative care, without significant effect. Flipped classroom teaching has been known to lead to increased retention and improved academic performance. Methods: During this 2-week curriculum, learners watch 20 videos that present core concepts. Each morning, faculty reinforce these concepts through 1.5 – 2-hour virtual interactive case discussions, simulated cancer patient encounters, and reflection. There were 89 learners who also had in-person experience who completed the survey, and 39 fully virtual learners. All leaners completed both pre- and post-course online surveys to assess changes in knowledge. All questions were marked as correct/incorrect, and change from pre- to post-course results were compared using a paired t-test. Results: Out of 35 questions, the median number of questions correct increased from 17 to 27 after completion of the course, with the paired t-test being p=<0.001 for in-person learners, and p=<0.0001 for virtual learners. New Findings: Our “Taste of Palliative Medicine” curriculum effectively changes knowledge for medical students and residents who participate, whether they receive in-person training, or their learning is completely virtual. Discussion: A carefully constructed 2-week curriculum in hospice and palliative medicine can effectively improve knowledge. Virtual teaching may well be a very effective and efficient way to deliver core knowledge. While change in knowledge was significantly improved directly after the course, further follow up needs to be done to see if changes in knowledge are sustained. OBJECTIVES: 1. The participant shall be able to list key concepts to improve knowledge in medical learners. 2. The participant shall be able to identify components of a virtual learning curriculum to help promote knowledge and retention. REFERENCES: Pieters J, Dolmans DHJM, Verstegen DML, et al. Palliative care education in the undergraduate medical curricula: students' views on the importance of, their confidence in, and knowledge of palliative care. BMC Palliat Care. 2019 Aug 28;18(1):72. Tsao L, Slater SE, Doyle KP, et al. Palliative Care-Related Knowledge, Attitudes, and Self-Assessment Among Physicians in Vietnam. J Pain Symptom Manage. 2019 Dec;58(6):1015-1022.e10. doi

P16-A: Improving Attitudes: Impact of a 2-week Virtual “Taste of Palliative Medicine” Curriculum,

Sara Graham

Ohio Health, Columbus, OH, USA

ABSTRACT: Background: Significant misperceptions of hospice and palliative exist. Studies have shown that physicians’ death anxiety make physicians end of life communication difficult (2). Physician discomfort/fear affects dose escalation at end of life, and some physicians are uncomfortable prescribing opiates at all (3). No studies suggest an education program may impact learner attitudes in palliative medicine. To meet the need for Ohio University students, OhioHealth Palliative Medicine faculty developed a 2-week virtual “Taste of Palliative Medicine” Course. Methods: During this curriculum, learners watch 20 videos on core concepts. Each morning, faculty reinforce these concepts through 1.5 – 2-hour virtual interactive case discussions, simulated cancer patient encounters, and reflection. Throughout the course, there is focus on concerns for addiction, safety/comfort with symptom management, suffering, and last hours of living. All leaners completed both pre- and post-course online surveys to assess changes in attitudes, using a 6-point Likert scale. Responses were reviewed for significance using a Paired t-test. Results: 134 learners completed the survey. While three questions did not have significant change, the following questions showed significant changes in attitudes: Being with and / or caring for dying people is very stressful for me. P=0.0023 I worry that patients who receive morphine die faster P=0.0003 I worry that patients become addicted when morphine is used to control pain P=<0.0001 I believe most people want to know when they are dying. P=0.032 I believe that all patients should have their pain and other symptoms managed quickly and effectively, even before the diagnosis is known P=0.0003 I believe that moderate to severe pain is acceptable P=<0.0001 I believe there are many therapies that can benefit dying patients. P=<0.0001. When a person who I am caring for dies, I worry that I have failed them P=<0.0001 Discussion/Conclusion: A carefully constructed 2-week curriculum can effectively improve attitudes when caring for patients with advanced illness. With feedback, many learners site personal reflection was an important strategy to change attitudes. While change in attitudes was found directly after the course, further follow up needs to be done to see if changes in attitudes are sustained. OBJECTIVES: 1. The partipant shall be able to identify components of a curriculum to improve attitudes towards hospice and palliative medicine. REFERENCES: (1) Grant MS, Back AL, Dettmar NS. Public Perceptions of Advance Care Planning, Palliative Care, and Hospice: A Sco** Review. J Palliat Med. 2021 Jan;24(1):46-52. doi: 10.1089/jpm.2020.0111. Epub 2020 Jul 2. PMID: 32614634. (2) Draper EJ, Hillen MA, Moors M, Ket JCF, van Laarhoven HWM, Henselmans I. Relationship between physicians' death anxiety and medical communication and decision-making: A systematic review. Patient Educ Couns. 2019 Feb;102(2):266-274. doi: 10.1016/j.pec.2018.09.019.

P17-B-S: Assessment of HPV Awareness Among Male College Students

Ishika Ahme, Aamna Sohai, Adriana Venega, Hanson Addo

George Mason Univeristy, Fairfax, VA, USA

ABSTRACT: Background: Human Papillomavirus (HPV) is the most common STI in the United States. In males, HPV is associated with several health problems including, genital warts, head and neck cancer, penile cancer, and anal cancer. The HPV vaccine is effective at preventing HPV related cancers. However, uptake of the HPV vaccine among males between the ages of 18 and 26 remains very low. Purpose: The purpose of this study was to identify factors associated with the HPV vaccine uptake among male college students. Methods: A convergent parallel mixed methods study design was used to conduct this project. The research team members administered a quantitative survey based on the Theory of Planned Behavior. Students were eligible to participate if they were age 18 or older and were currently enrolled in college. Results/Findings: The average age of the 134 participants was 21 years old. Chi-square analyses revealed that there were statistically significant differences in the HPV vaccine knowledge, perceived benefits of the HPV vaccine, perceived severity of HPV infection, and normative beliefs about HPV of participants who were vaccinated (n = 43), unvaccinated (n=53) and those did not know their HPV vaccine status (n = 37). Conclusion: The results of our study indicate that there is a lack of awareness about the health effects of HPV among students who have not had the HPV vaccine. The results of this study can be used to tailor interventions that are aimed at increasing male college students’ knowledge about HPV and the HPV vaccine. Abstract Highlights: HPV vaccine uptake among college-age males is low. We found that HPV vaccine knowledge, perceived benefits of the HPV vaccine, perceived severity of HPV infection, and normative beliefs about HPV are associated with HPV vaccine status among male college students. This information can be used to inform the development of targeted cancer education messages. OBJECTIVES: 1. The participant will be able to identify factors associated with HPV vaccine uptake among male college students. REFERENCES: 1. Dunne, E., Markowitz, L., Chesson, H., Curtis, R., Saraiya, M., & Gee,J. (2011, 2011). Recommendations on the Use of Quadrivalent Human Papillomavirus Vaccine in Males - Advisory Committee on Immunization Practices (ACIP), 2011. Morbidity and Mortality Weekly Report, 60, 1705-1708. 2. McQuillan, G., Kruszon-Moran, D., Markowitz, L. E., Unger, E. R., Paulose-Ram, R. (2017, Apr). Prevalence of HPV in Adults Aged 18-69: United States, 2011-2014. NCHS data brief(280), 1-8.

P18-B-S: Evaluating Effective Health Communication Preferences Among Male College Students for HPV Vaccine Uptake

Ishika Ahmed, Aamna Sohail, Adriana Venegas, Hanson Addo

George Mason Univeristy, Fairfax, VA, USA

ABSTRACT: Background: The prevalence of oral HPV infections in the US is significantly higher among males than females (11.5% vs 3% respectively). Males also have higher rates of genital HPV infections than female (45.2% and 39.9%, respectively). However, uptake of the HPV among college age males is relatively low. Purpose: The purpose of this project was to gather information that can be used to inform the development of HPV education interventions that are targeted towards male college students. Methods: Message testing interviews were conducted with male college students to gain insight about their health communication preferences. During the interview, participants were asked to provide feedback on a handout, 3 flyers and 2 videos that contained information about the health effects of HPV infection. They were also asked to provide feedback about the format of 3 short health promotion video public service announcements. Results: Message testing interviews were conducted with 18 male college students. The mean age of the participants was 22.6 years (±4.9). The results of the study indicate that the majority of the participants preferred flyers that contain brief health promotion messages and images of males that they can relate to. The results also indicated that the participants preferred shorter, graphic videos that had an upbeat tone. Conclusion: The results of this study will be used to inform the development of a multicomponent health education intervention aimed at increasing male college student’s knowledge about HPV and intentions to get the HPV vaccine. OBJECTIVES: 1. The participant will be able to identify the health communication preferences among male college students regarding the HPV vaccine uptake. REFERENCES: Siegel RL, Miler KD, Fuchs HE, Jemal A Cancer statistics, 2022. CA Cancer JClin.2022,72(1).7-33.

P19-A-S: Awareness of Human Papillomavirus and Acceptability of the Vaccine among Women in Palestine: Is It Time for Policy Adjustment?

Hanan Abukmail¹, Mohamedraed Elshami², Ibrahim Al-Slaibi³, Mohammed Alser⁴, Afnan Radaydeh⁵, Alaa Alfuqaha⁶, Mariam Thalji⁵, Salma Khader⁵, Lana Khatib⁶, Nour Fannon⁷, Bisan Ahmad¹, Lina Kassab⁴, Hiba Khrishi⁵, Deniz Elhussaini⁷, Nour Abed¹, Aya Nammari⁵, Tumodir Abdallah⁵, Zaina Alqudwa⁷, Shahd Idais⁵, Ghaid Tanbouz⁵, Ma’alem Hajajreh⁸, Hala Abu Selmiyh¹, Zakia Abo-Hajouj⁵, Haya Hebi⁵, Manar Zamel⁶, Refqa Skaik⁷, Lama Hammoud⁵, Siba Rjoub⁵, Hadeel Ayesh⁵, Toqa Rjoub⁵, Rawan Zakout¹, Amany Alser⁹, Nasser Abu-El-Noor¹, Bettina Bottcher¹

¹ Islamic University of Gaza, Gaza, Palestine, ² University Hospitals Cleveland Medical Center, Cleveland, OH, USA, ³ Al-Makassed Hospital, Gaza, Palestine, ⁴ Ministry of Health, Gaza, Palestine, ⁵ Al-Quds University, Jerusalem, Palestine, ⁶ An-Najah National University, Nablus, Palestine, ⁷ Alazhar University of Gaza, Gaza, Palestine, ⁸ Alia Hospital, Hebron, Palestine, ⁹ Al-Shiffa hospital, Gaza, Palestine

ABSTRACT: Background: Progress has been made in reduction of morbidity and mortality of cervical cancer by implementation of HPV vaccination programs. This study aimed to assess awareness of Palestinian women about HPV as well as their knowledge and acceptability of the HPV vaccine and to examine the factors associated with good awareness. Methods: This was a national cross-sectional study. Adult women were recruited from hospitals, primary healthcare centers and public spaces in 11 Palestinian governorates using convenience sampling. A structured questionnaire was used for data collection. For each correctly answered question, one point was given. The total score was calculated and categorized into poor (0 to 10) and good awareness (11 to 21). Results: The questionnaire was completed by 7223 women out of 8086 who were approached (response rate=89.3%). A total of 7058 questionnaires were included in the final analysis; 4403 from the West Bank and Jerusalem (WBJ) and 2655 from the Gaza Strip. Women recruited from the Gaza Strip were younger, getting lower monthly incomes and with less chronic diseases than women recruited from the WBJ. Only 33 women (0.5%) displayed good awareness of HPV and its vaccine with 0.7% of women from WBJ and only 0.2% of women from the Gaza Strip. Completing post-secondary education, being employed or a student and having a higher monthly income were associated with an increase in the likelihood of having good awareness. Among women who had heard of HPV, only 46 women (8.9%) reported their familiarity with its vaccine. Women from the WBJ were more likely than women from the Gaza Strip to have heard about the HPV vaccine (0.9% vs. 0.2%). Most women agreed to receiving the HPV vaccine themselves or for their daughters if it was given without cost or with a co-payment. No differences were found in the likelihood of agreeing to receive the HPV vaccine among women in the WBJ vs. the Gaza Strip. Conclusion: The overall awareness of HPV and its vaccine was extremely low. Inclusion of the HPV vaccine in the national immunization program could change this, especially as the HPV vaccine appeared to be acceptable. OBJECTIVES: 1. The participants shall be able to assess their awareness of HPV and its vaccine. 2. The participants shall be able to assist in examining if there is a difference in awareness between women from the Gaza Strip vs. the West Bank and Jerusalem. 3. The participants shall be able to help in the identification of the factors associated with good awareness. REFERENCES: M, Castañon A, Ndlela B, Checchi M, Soldan K, Lopez-Bernal J, et al. The effects of the national HPV vaccination programme in England, UK, on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence: a register-based observational study. Lancet. 2021. Halahleh K, Gale RP. Cancer care in the Palestinian territories. Lancet Oncol. 2018;19(7):e359-e64. Arbyn M, Xu L, Simoens C, Martin-Hirsch PP. Prophylactic vaccination against human papillomaviruses to prevent cervical cancer.

Abstract P20-B was withdrawn.

P21-A: Engaging Hispanics in Liver Cancer Education

Evelyn Gonzalez¹, Rosa Ortiz¹, Yin Tan², Min-chin Yeh³, Marilyn Frazier⁴, Lin Zhu², Wenyue Lu², Grace Ma²

¹ Fox Chase Cancer Center, Philadelphia, PA, USA, ² Temple University, Philadelphia, PA, USA, ³ Hunter College, New York, NY, USA, ⁴ Arthur Ashe Institute for Urban Health, Brooklyn, NY, USA

ABSTRACT: Background/Purpose: Liver cancer rates in the USA have tripled since 1980, with Hispanics and Asians having the highest rates and Black populations rapidly following. Contributing factors include diabetes, obesity, infections with hepatitis B (HBV) and C (HBC) and alcohol-related disorders. Efforts to address liver cancer disparities are underway in PA, NJ and NY via an NCI-funded U54 research project with Temple University, Fox Chase Cancer Center and Hunter College. Using culturally tailored educational approaches, the Community Outreach Core (COC) identified and established a network of community-based organization to support our project. Methods: The Philadelphia-based COC team identified Latino-based organizations to assist with program implementation. Content for the program was collaboratively developed and reviewed for accuracy and readability prior to securing IRB approval. The theoretical framework utilized is the Health Belief Model. Participants were consented and educated in their preferred language (Spanish or English). The session addressed liver cancer disparities, risk factors, screening guidelines and strategies to reduce the risk of liver cancer. A 12-question, pre-posttest was administered before and after each session with a six-month follow-up to assess changes in behavior. Results/Findings: In total, 101 Hispanics participated in PA and NJ, 63% were female. Fifty percent of participants were born outside the US mainland, 30% had less than a high school education, 81% reported an income of less than $19K/year and 75% had health insurance. Upon completion of the educational intervention, we saw a statistically significant increase in knowledge of risk factors and prevention strategies from 6.46 at baseline to 10.13 post workshop (p<.001). At baseline assessment, 84% and 88% of participants stated never being tested for HBV or HBC. Six-month follow-up surveys indicate that less than 1% of participants pursued testing, a suboptimal outcome that could be partially due to the start of the COVID-19 pandemic. Discussion/Conclusion: We conclude that using a culturally-tailored educational approach and working with community partners and community health workers are successful methods to educate Hispanics about liver cancer however, it is unclear how self-efficacy (getting tested) would have been in a non-Covid environment. OBJECTIVES: 1. To increase knowledge of risk factors of liver cancer. 2. To increase knowledge of preventive strategies to reduce risk factors. 3. To increase self-efficacy to obtain testing for HBV and HBC amongst participants. REFERENCES: 1. Efficacy of a Community-Based Participatory and Multilevel Intervention to Enhance Hepatitis B Virus Screening and Vaccination in Underserved Korean Americans, Grace X. Ma, PhD; et.al., Cancer, (2018), 973-982. 2. Racial/ethnic disparities in the prevalence and awareness of Hepatitis B virus infection and immunity in the US, H.S.Kim, et.al, J Viral Hepat. 2017;24:1052–1066

P22-B: Perspectives of Jordanian Patient’s on Complementary Medicine’s Role in Cancer Care,

Suha Omran, Husam Barakat

Jordan University of Science and Technology, Amman, Jordan

ABSTRACT: Perspectives of Jordanian patient’s on complementary medicine’s role in cancer care. Background: Cancer is considered one of the most significant health issues in Jordan. Patients faced with a cancer diagnosis use complementary medicine concomitantly with cancer treatment, in a pursue to improve their quality of life, and to boost their co** with disability and/or death Jordanians have a positive attitude towards complementary medicine (CM); the request for this type of treatments is growing, however, those undergoing this treatment often have limited awareness. The use of CM among patients with cancer in Jordan is highly prevailing, nonetheless, even with this high prevalence of use, inadequate research has been published on integration of CM in cancer care. Purpose: the purpose of this study was to explore perspectives of Jordanian patients receiving cancer care as to the use of CM and its integration in hospitals. The study sought to answer the following questions: (1) What are the perspectives of Jordanian patients receiving cancer care on the use of CM, (2) What are the perspectives of Jordanian patients receiving cancer care on models of CM integration into cancer care. Methods: in this descriptive study, 250 cancer patients from two largest regional hospitals from two geographic areas of Jordan: Northern region and Central region selected by convenient sampling were recruited. Participants meeting the inclusion criteria completed demographic characteristics questionnaire and the Questionnaire on Integrating Complementary Medicine in Oncology Treatment. The data will be analyzed, using SPSS software version 24. Expected Results: Understanding patients perceived integrative oncology models based, and what patients expect from conventional HCP’s (e.g. oncologists, nurses) role in the process of integration will help to develop specified integrative oncology training to HCPs committed to supportive and palliative cancer care. Future HCP training in integrative oncology, based on the present study finding. OBJECTIVES: 1. The participant will be able to identify barriers to navigating a path to equity in cancer care. REFERENCES: Afifi FU, Wazaify M, Jabr M, Treish E. The use of herbal preparations as complementary and alternative medicine (CAM) in a sample of patients with cancer in Jordan. Complement Therapy. Clinical Practice. 2010;16(4):208–212. Ben-Arye E, Massalha E, Bar-Sela G, et al. Step** from traditional to integrative medicine: perspectives of Israeli-Arab patients on complementary medicine's role in cancer care. Ann Oncol. 2014;25(2):476–480. doi:10.1093/annonc/mdt554

P23-A: Assessment of Knowledge About Sarcomas Among Brazilian Medical Students: Descriptive Analysis of the First 100 Participants

Pedro Alcântara Botelho Machado, Gabriella Freitas Pereira Bartolomeu, Alycia Madureira Handeri, Ana Paula Drummond-Lage

FCM-MG, BH, MG, Brazil

ABSTRACT: Background/Purpose: Cancer is a relevant cause of mortality in Brazil and worldwide. This data is associated with the deficiency of current Brazilian medical academic education in including oncology as a mandatory topic in its curriculum. Sarcomas fall into both the group of malignant neoplasms and rare diseases and doubly suffer the impact of misinformation. This study aimed to assess the level of knowledge of Brazilian medical students about basic concepts of sarcomas of the extremities and nuances of the general panorama of cancer education. Methods: A web-based questionnaire, with 20 multiple choice questions, was designed by the researchers using GoogleForms and was sent out to students in the last two years of medical school. Results/Findings: A total of 100 students participated, 89% of them responded that there was not a mandatory undergraduate oncology course at their universities, 75% reported not having an elective course or extracurricular activity in cancerology, 77% had never had contact with sarcoma patients during their academic life, and 52% reported having a didactic approach to sarcomas during graduation in fragmented disciplines: 18% orthopedics, internal medicine, and pediatrics 12% each. Regarding knowledge about epidemiology, anamnesis and physical examination, pathology, staging, systemic treatment, radiotherapy, and surgery, students considered it insufficient for bone sarcomas (79% to 100% according to the variable) and 84% to 100% for soft-tissue sarcomas. When asked about the concepts and indications of neoadjuvant, adjuvant, and palliative chemotherapy, 59% to 92% considered it insufficient. Regarding the knowledge about the signs and symptoms of bone sarcomas, the response success rate was 30%, and for soft-tissue sarcomas, 42%. Concerning the degree of satisfaction with the knowledge about sarcomas acquired during medical school, 91% of the students would like to have more information, including mandatory or optional subjects. Discussion/Conclusion: Sarcomas are cancers with low incidence, but high mortality. Physicians with insufficient training in basic oncology concepts contribute to late diagnosis. Based on these results, we can draw teaching implications and discuss which factors should be included in the medical curriculum. OBJECTIVES: 1. Identify the gaps in the medical curriculum related to extremities sarcomas. REFERENCES: Kawai A, Higashi T, Shibata T, Yoshida A, Katoh Y, Fujiwara Y, et al. Rare cancers in Japan: definition, clinical features and future perspectives. Jpn J Clin Oncol. 2020;50(9):970–5. Spencer RMSSB, de Camargo VP, Silva MLG, Pinto FFE, Costa FDA, Cequeira WS, et al. Brazilian consensus on the diagnosis and treatment of extremities soft tissue sarcomas. J Surg Oncol. 2020;121(5):743–58. Balmant NV, Reis R de S, Santos M de O, Maschietto M, de Camargo B. Incidence and mortality of bone.

P24-A: Assessment of medical students' knowledge about cancer patient care policies within the Brazilian Unified Health System

Pedro Alcântara Botelho Machado, Gabriella Freitas Pereira Bartolomeu, Alycia Madureira Handeri, Ana Paula Drummond-Lage

FCM-MG, BH, MG, Brazil

ABSTRACT: Background/Purpose: In Brazil, patients diagnosed with cancer have access to the public Unified Health System (SUS) services, including diagnosis and treatment. The first level of assistance is the Basic Health Unit, where the patient is directed to a general practitioner for a diagnosis. If cancer is suspected the patient is referred to an Oncologic Tertiary Reference Unit, where high complexity exams can be requested for diagnosis, cancer staging, and treatment definition. It is known that 75% of Brazilians, meaning, 150 MM people, have SUS as the primary and unique health system. This study aims to assess undergraduate medical students' knowledge of i) cancer patient flow at SUS, and ii) the patients' rights related to cancer diagnosis and treatment. Methods: A web-based questionnaire, with 12 multiple choice questions, was designed by the researchers using GoogleForms and sent out to students in the last two years of medical school. Results: Of 500 questionnaires sent, 100 students(56 female, 44 male, median age of 23.5 years) responded to the survey. About 78% of students reported they did not know the flow of referring suspected cancer patients to specialized care; 71% related that they did not know about the municipal oncology commission existence, responsible for monitoring the time between the diagnosis of malignant neoplasia and the beginning of the patient´s first treatment in the SUS system. Additionally, 81% did not know how to inform about the specific social rights of cancer patients, 85% did not know how to advise patients about their guarantees of early diagnosis and maximum time to start treatment (federal laws). When evaluating the referral to be made after the suspicion of the disease in primary health care, the most frequently cited specialties were: clinical oncologist (57%), oncological surgeon (38%), and general surgeon (26%). Discussion/Conclusion: Our results suggested that it is necessary to include in the regular medical curriculum a discussion about cancer policy's at SUS to expedite patient care and initiation of treatment, favoring the outcome. One possibility is to cover this theme in the Public Health discipline. OBJECTIVES: 1. Identify barriers to sarcoma knowledge among Brazilian medical students. REFERENCES: Wainstein AJA, Azevedo SJ, Marta GN, Canary PC, Nogueira- A, Sternberg C, et al. Oncology teaching in undergraduate medical school - Proposed discipline. 2020;16(December):1–7. Spencer RMSSB, de Camargo VP, Silva MLG, Pinto FFE, Costa FDA, Cequeira WS, et al. Brazilian consensus on the diagnosis and treatment of extremities soft tissue sarcomas. J Surg Oncol. 2020;121(5):743–58.

P25-A: Knowledge of Brazilian Medical Students About Imaging Methods Related to Bone and Soft Tissue Sarcomas of the Extremities

Pedro Alcântara Botelho Machado, Gabriella Freitas Pereira Bartolomeu, Alycia Madureira Handeri, Ana Paula Drummond-Lage

FCM-MG, BH, MG, Brazil

ABSTRACT: Background/Purpose: Sarcoma is a rare and heterogeneous cancer type with various subtypes having different prognoses. In bone and soft-tissue sarcomas diagnosis, the continuous advancement of various imaging modalities has improved the detection of small lesions, surgical planning, evaluation of the effects of neoadjuvant chemotherapy, and, importantly, guidance for surgery or biopsy. This study aimed to assess undergraduate Brazilian medical students' knowledge of imaging modalities used for bone and soft-tissue sarcomas. Methods: A web-based questionnaire, with 15 multiple choice questions, developed by the researchers was designed using GoogleForms and was sent out to students in the last two years of medical school. Results/Findings: A total of 100 students answered the questionnaire. Around 85% of students considered the curriculum approach on imaging methods insufficient concerning bone sarcomas and 90% regarding soft-tissue sarcomas. When asked about the imaging methods used in the diagnosis of bone and soft tissue sarcomas, the students selected respectively: radiography (97% and 26%), computed tomography (80% and 80%), nuclear magnetic resonance (65% and 92 %), Pet-CT (77% and 15%), bone scintigraphy (91% and 27%), and ultrasound (14% and 71%). Regarding the ability to identify radiographs findings, the students responded that they can identify lytic bone lesions (57%), atypical pathological fracture (52%), periosteal reaction (45%), blast bone lesion (40%), cortical reaction (25%), cortical insufflation (19%) and endosteal sclerosis (14%). Only 4% knew the four Enneking questions for interpreting radiological examinations. When confronted with two radiographs, the success rate in identifying alterations was low, 11% for a benign tumor and 15% for a metastatic bone lesion. Discussion/Conclusion: The study results indicated that medical students are not prepared to define and interpret imaging methods related to sarcoma. This finding might be related to the medical curriculum, but also to the possibility the student could have never seen a sarcoma patient, as it is a rare disease, during academic life. OBJECTIVES: 1. Identify the deficiencies in the medical curriculum related to sarcoma methods of imagining. REFERENCES: Crompton JG, Ogura K, Bernthal NM, Kawai A, Eilber FC. Local Control of Soft Tissue and Bone Sarcomas. J Clin Oncol. 2018;36(2):111–7. Spencer RMSSB, de Camargo VP, Silva MLG, Pinto FFE, Costa FDA, Cequeira WS, et al. Brazilian consensus on the diagnosis and treatment of extremities soft tissue sarcomas. J Surg Oncol. 2020;121(5):743–58.

P26-B: Feasibility of an Online Cancer Awareness Approach Among High School Students in a Brazilian Private School: A Pilot Study

David Wainstein¹, Rafael Fagundes dos Anjos Araújo², Caio Squarcio Poças¹, Bruna Lorena Barboza Silva², Lorena Araújo Miranda², Ana Paula Drummond-Lage²

¹ Colégio Santo Agostinho, BH, MG, Brazil, ² FCM-MG, BH, MG, Brazil

ABSTRACT: Background/Purpose: All knowledge and awareness about cancer and its prevention for high school students are provided in biology classes. This study assessed the feasibility of a brief educational intervention regarding knowledge, risk factors, prevention, and attitudes (cognitive and behavioral components), related to cancer with high school students in a Brazilian private school. Methods: The study methodology was based on pre and post-surveys. Participants attended a 1-hour live-virtual program with interactive components regarding different aspects of cancer. A self-reported questionnaire about the main topics addressed in the session was filled out before and after the educational intervention, and the results were compared by McNemar´s chi-square test. Results/Findings: From 900 parents invited, only 44 (4.9%) responded to the invitation and agreed with their children's participation, and 24 students attended the activity. The questionnaire was easy to fill by the students and allows them to understand the educational intervention effects on all the aspects assessed. In the post-test, 95,8% of the students stated that knowing more about cancer motivates them to have a healthier life and to change their lifestyle (91.7%). Regarding the identification of risk factors for cancer, there was no significant difference between pre-and post-test responses. Risk factors such as excessive sun exposure, smoking, overweight, unprotected sex, consumption of ultra-processed foods, and alcoholic beverages were mentioned by all students in the post-test. The topics with the highest satisfaction percentages (83.3%) were myths about cancer, risk factors, and protection. And more than half of the students prefer the face-to-face educational approach (58.3%). No student faced difficulties filling out the questionnaire. Discussion/Conclusions: The project was feasible and showed easy application and better knowledge after the educational intervention. The main challenge is related to the access to parents to authorize their children´s participation as it is a two-step procedure and also the student´s interest to learn more about cancer. OBJECTIVES: 1. To identify the feasibility of a brief educational intervention about cancer among high school students. REFERENCES: Poudel, Kritika; SUMI, Naomi; YANO, Rika. Impact of Peer-Led Cancer Education Program on Knowledge, Health Beliefs, Practice, and Self-Esteem Among Pairs of Nepalese High-School Students and Their Knowledge-Sharing Partners. In: Healthcare. Multidisciplinary Digital Publishing Institute, 2021. p. 64. Hudson, Lauren et al. Evidence for Cancer Literacy Knowledge Retention among Kentucky Middle and High School Students after a Brief Educational Intervention. Southern medical journal, v. 113, n. 11,

P27-A-S: Bilharzial-associated Squamous Cell Carcinoma of the Bladder in Pregnancy: A Case Report from the Women and Newborn Hospital in Lusaka, Zambia.

Suwilanji Simwanza¹, Mwansa Ketty Lubeya², Patricia Chipalabwe², Jane Chanda Kabwe³, Aaron Nyirenda⁴, Dorothy Lombe⁵, Lackson Kasonka⁶

¹ The University of Zambia, Lusaka, Zambia, ² Women and Newborn Hospital, University Teaching Hospitals, Lusaka, Zambia, ³ Department of Anaesthesia and Critical Care, MIE University,Japan, ⁴ Department of Pathology, University Teaching Hospitals, Lusaka, Zambia, ⁵ Cancer Diseases Hospital, Lusaka, Zambia, ⁶ Ministry of Health, Lusaka, Zambia

ABSTRACT: Background: Two-hundred-million people in the tropics, especially in Sub-Saharan Africa and the Middle East, are infected with schistosomiasis and 600million are at risk of infection. Squamous cell carcinomas of the urinary bladder are strongly associated with Schistosoma haematobium, owing to chronic granulomatous inflammation that morphs into neoplasms that are often caught in their late stages. These cancers are hardly described in pregnancy and have been shown to present with symptoms that are common in pregnancy. They therefore could potentially be missed if they occur simultaneously with pregnancy. This report discusses mass administration of antiparasitics in endemic areas to control the infections and, consequently, the cancers, and to discuss effective bladder cancer diagnostic techniques, especially among pregnant women in schistosomiasis endemic areas. Methods: Consent was obtained from the patient. A conglomeration of primary and secondary data was used to formulate the report. History: A 21-year-old Gravida 2 Para 1 at 28 weeks gestation presented with worsening symptoms of dysuria, increased frequency of micturition, backache, a painful suprapubic mass and haematuria over a 3-week period. On examination, vital signs were normal, and the height of fundus was 26cm, with a tender suprapubic mass. A laparotomy revealed multiple signs of a bladder malignancy confirmed by histopathology as Schistosoma haematobium ova and invasive keratinising SCC of the bladder, grade 1. Intraoperatively, T4 carcinoma staging was confirmed. The patient was delivered prematurely by caesarean section at 32 weeks. Palliative care was instituted because of her functional status. The child died a week after delivery due to prematurity-related complications. Discussion: This case exemplifies the need for non-invasive, effective diagnostic tools for bladder cancers and it brings to light the need for effective control of schistosomiasis in endemic areas in order to reduce the bladder cancer burden. Cystoscopy and biopsy have been useful in the diagnosis of bladder cancers and they should be equitably implemented concomitantly with a rise in the index of suspicion of bladder cancers in pregnant women of schistosomiasis endemic areas which are usually resource-limited. Mass administration of praziquantel should also continue to be implemented in schistosomiasis endemic areas with close monitoring for resistance. OBJECTIVES: 1. The participant shall be able to describe the need for a raised index of suspicion for bladder cancer in pregnant women in schistosomiasis-endemic areas. 2. The participant shall be able to describe the need for continued monitored mass praziquantel administration in schistosomiasis-endemic areas. 3. The participant shall be able to delineate the need for equitable distribution of cystoscopy tools for bladder cancer diagnosis in schistosomiasis-endemic areas of limited resources. REFERENCES: Rojas, P.A., González, C., Mendez, G.P. et al. Bladder squamous cell carcinoma in a pregnant woman: case report and review of the literature. BMC Urol 21, 4 (2021). https://doi.org/10.1186/s12894-020-00772-6. Manley, K. et al. (2017) ‘Risk factors for development of primary bladder squamous cell carcinoma’, The Annals of The Royal College of Surgeons of England, 99(2), pp. 155–160. doi:10.1308/rcsann.2016.0343.

P28-B-S: Social Determinants of Breast Cancer Screening in South Asia: A Detailed Literature Review

Fariha Tariq, Vanessa Sheppard

Virginia Commonwealth University, Richmond, VA, USA

ABSTRACT: Background: Breast cancer (BC) is increasing at an alarming rate in South Asia (SA) (Pakistan, India, Nepal, Bangladesh, Sri Lanka, and Myanmar). Furthermore, there is a lack of breast cancer awareness and screening services in the region. This is in turn linked to a wide range of social determinants of health (SDOH) which include personal, social, economic, and environmental factors that contribute to disparities in breast cancer screening. Methods: A detailed literature review was conducted to examine how the social and behavioral determinants of health are associated with a general lack of awareness about BC and thereby contribute to deficits in BC screening and prevention practices in SA. PubMed and Google Scholar were used to identify English-language articles published from 2000 to 2022. Research studies were included in the analysis. Abstracts were reviewed for behavioral, cultural, environmental, and economic factors associated with breast cancer in SA. Major findings were synthesized, and comparisons were made within and across countries. Results: Our review indicates that social determinants such as economic disadvantage, strict cultural and religious norms, and lack of proper healthcare infrastructure are important barriers to optimal BC screening practices. High levels of poverty in the region contributes to an inability to afford healthcare services. Barriers related to culture and religion include shame and modesty associated with a woman’s breasts, which discourage any dialogue pertaining to the disease, and stringent gender roles prevent women from taking decisions about their own health. The lack of adequate healthcare facilities means that trained personnel and medical machinery are scant in the region. Conclusions: Our findings suggest that there is a pressing need to focus on the social and behavioral barriers that contribute to breast cancer disparities in the South Asian region. Similarly, future work must focus on identifying ways to engage global organizations in breast cancer research and intervention/policy development for SA. OBJECTIVES: 1. The participant shall be able to identify the how social determinants of breast cancer (BC) screening contribute to BC screening deficits and disparities in South Asia. REFERENCES: Naqvi AA, Zehra F, Ahmad R, et al. Awareness, knowledge and attitude towards breast cancer, breast screening and early detection techniques among women in Pakistan. JPMA. The Journal of the Pakistan Medical Association. 2018 Apr;68(4):576-586. PMID: 29808048

P29-A: Enhancing School Culture for Children with Catastrophic Diseases

Robyn Pennella, Kate Ayers

St. Jude Children's Research Hospital, Memphis, TN, USA

ABSTRACT: Background/Purpose: School environments, both physical and social, contribute to a child’s overall health. St. Jude values healthy school environments, especially for our patients transitioning back into their home schools after completing treatment. In collaboration with the Tennessee Department of Education, St. Jude Children’s Research Hospital conducted a school culture assessment in Tennessee PreK-12 schools. Description: An anonymous, fourteen question survey was electronically administered to 80,000 Tennessee educators. Emails were sent to educators via Qualtrics software. Educator emails were purchased from MDR Education. The survey employed quantitative and qualitative questions assessing school culture in the school that teachers are currently employed. For this poster we will be presenting findings from the survey data. Evaluation: Data was analyzed at the state level and then subsequently broken down by region to understand not only the landscape of Tennessee schools as a whole but also to explore how school culture compares at the regional level across the state. Data analysis is still in progress at this time. Impact/Application/Conclusion: Results from this survey will help frame questions for future focus groups with educators to better understand the nuances of school culture, specifically as it relates to students undergoing and completing treatment for catastrophic diseases. The overall goal of these focus-groups is to gain a deeper understanding of the ways we can address gaps in school culture that inhibit healthy school environments from forming and/or persisting. The overall goal of this program is to form partnerships with schools, districts, and state government to enhance school environments to be more inclusive and supportive of not only all students but especially of students integrating back into school after undergoing treatment for catastrophic diseases. OBJECTIVES: None. REFERENCES: Troy, D., Anderson, J., Jessiman, P.E. et al. What is the impact of structural and cultural factors and interventions within educational settings on promoting positive mental health and preventing poor mental health: a systematic review. BMC Public Health 22, 524 (2022). https://doi.org/10.1186/s12889-022-12894-7. DeMatthews, D., Billingsley, B., McLeskey, J. and Sharma, U. (2020), "Principal leadership for students with disabilities in effective inclusive schools", Journal of Educational Administration.