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A Network Information-Based Behavior Change Wheel for Populations at High Risk of Developing Gastric Cancer.

Wen-Lei Huang1, Shi-Guang Ren2, Le-Jian He3

  • 1Department of Gastroenterology, The 2nd Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|April 24, 2025
PubMed
Summary

A behavior change wheel (BCW) model significantly improved gastric cancer screening rates and health awareness in high-risk Chinese populations. The intervention enhanced knowledge, reduced smoking, and promoted healthier eating habits for early detection.

Keywords:
Behavior change wheel (BCW)Gastric cancerHealth education management modelHigh-risk populationsNetwork information–based intervention

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Area of Science:

  • Oncology
  • Public Health
  • Behavioral Science

Background:

  • Gastric cancer is a significant health issue in China, causing numerous annual deaths.
  • Low awareness and screening compliance in high-risk groups hinder early detection efforts.

Purpose of the Study:

  • To evaluate a network-based health education model using the Behavior Change Wheel (BCW) theory.
  • To assess the model's effectiveness in improving gastric cancer screening and health behaviors among high-risk individuals.

Main Methods:

  • A 1-year intervention study involving 260 high-risk individuals in China.
  • Comparison between a BCW-based intervention group and a standard care control group.
  • Assessment of gastroscopy rates, knowledge, smoking, and eating behaviors pre- and post-intervention.

Main Results:

  • The BCW intervention group demonstrated significantly higher gastroscopy rates compared to the control group.
  • Improved awareness of gastric cancer risk factors and screening knowledge was observed in the intervention group.
  • The intervention group showed reduced smoking rates and increased adoption of healthy eating behaviors.

Conclusions:

  • The BCW-based health education model is effective in promoting gastric cancer screening behaviors.
  • This approach enhances health awareness and encourages healthier lifestyle choices in high-risk populations.
  • The BCW model offers a promising strategy for early gastric cancer detection and prevention.