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.

Abstract

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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