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From declared interest to non-participation: a feasibility study of a multi-stage testicular cancer prevention
Małgorzata Pasek1, Katarzyna Widła1, Monika Łabuzek1
1Department of Nursing, Faculty of Medicine and Health Sciences, University of Applied Sciences in Tarnów, Tarnów, Poland.
Background:
Testicular cancer primarily affects young men, yet engagement in preventive behaviors, including testicular self-examination (TSE), remains limited. From a public health perspective, it is important not only to assess knowledge and attitudes, but also to examine whether preventive interventions can be implemented successfully under real-world conditions. This study aimed to evaluate the feasibility and implementation of a multi-stage testicular cancer prevention project conducted in an academic setting.
Methods:
The study was designed as a diagnostic-educational project consisting of three stages: a baseline survey, an educational component (online materials and workshops on TSE), and a follow-up survey. Approximately 600 men affiliated with the academic community were invited to participate. Process indicators included recruitment reach, participation in the educational component, and retention across study stages.
Results:
The baseline survey was completed by 76 participants (12.6%). No participants attended the educational workshops, and 8 individuals completed the follow-up survey (10.5% of the baseline sample). Findings from the diagnostic stage indicated low engagement in preventive behaviors and limited knowledge of correct TSE technique. Although respondents expressed interest in health-related topics, this interest did not translate into sustained participation in subsequent stages of the project.
Conclusions:
Limited engagement in the educational component should be interpreted not only as a study limitation, but also as an observation suggesting the presence of barriers to participation in preventive interventions delivered under real-world conditions.The results suggest a need for interventions that are better aligned with the preferences of young men, particularly with respect to anonymity, low-threshold access, and psychologically less demanding formats.
Insights
Testicular cancer prevention efforts show low engagement among young men. Interventions need to better suit preferences for anonymity and accessibility to improve participation in testicular self-examination (TSE) education.
Area of Science:
- Public Health
- Cancer Prevention
- Health Behavior
Background:
- Testicular cancer predominantly affects young men, with limited engagement in preventive behaviors like testicular self-examination (TSE).
- Assessing knowledge, attitudes, and real-world feasibility of preventive interventions is crucial for public health.
- This study evaluated a multi-stage testicular cancer prevention project in an academic setting.
Purpose of the Study:
- To assess the feasibility and implementation of a testicular cancer prevention project.
- To evaluate participant engagement and retention in a multi-stage intervention.
- To identify barriers to participation in TSE education for young men.
Main Methods:
- A diagnostic-educational project with three stages: baseline survey, educational component (online materials, workshops), and follow-up survey.
- Approximately 600 men from an academic community were invited.
- Process indicators included recruitment, participation, and retention rates.
Main Results:
- Low baseline survey completion (12.6%) and minimal participation in the educational component (zero workshop attendees).
- Follow-up survey completion was low (10.5% of baseline sample).
- Findings revealed low engagement in preventive behaviors and limited knowledge of correct TSE technique.
Conclusions:
- Low engagement highlights barriers to real-world preventive intervention participation.
- Future interventions require formats aligning with young men's preferences for anonymity, accessibility, and reduced psychological demand.
- There is a need for improved strategies to promote testicular cancer prevention behaviors in young men.
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