Prospective Study Of Factors Which Determine The Extent And Pace Of Implementing And Disseminating The European Code Against Cancer

Carolina ESPINA, International Agency for Research on Cancer, France
MURILLO R. 2 , SCHÜZ J. 1

1 Section of Environment and Radiation, International Agency for Research on Cancer, Lyon, France
2 Section of Early Detection and Prevention, International Agency for Research on Cancer, Lyon, France

Background: The European Code Against Cancer (ECAC), a series of recommendations of primary and secondary prevention, is a key instrument for translating the available information and knowledge into 12 ways to reduce cancer incidence and mortality aimed at the general public. The 4th edition of the ECAC aims to enhance its effectiveness by facilitating implementation of healthy lifestyle habits and risk-reducing behaviours. This study aims at deciphering the factors that determine the effective implementation and dissemination of the ECAC, and identifying gaps or barriers that impede a successful translation of the scientific knowledge into cancer prevention attitudes and practice. The potential combined impact of a set of recommendations for cancer prevention such as offered by ECAC has been never systematically evaluated.
 
Aims and objectives: To identify and study the individual and structural factors that would influence the successful implementation and adoption of the ECAC as a cancer prevention tool: (1) at individual level, the adoption and impact of effective adherence to the ECAC, by measuring changes in citizens’ knowledge and attitudes towards cancer prevention and risk-reducing behaviours; (2a) at structural level, the ECAC dissemination in the media (e.g. mass and social media); and (2b) the adoption and maintenance of the ECAC implementation by stakeholders (e.g. use of knowledge in practice decision-making, incorporation into policy decisions and cancer control programs, allocation of resources).
 
Methods: Cross-sectional survey at several times in different EU countries, to investigate decision-making processes, and to test receptivity and usefulness of dissemination strategies directed towards the general public.
 
Conclusions: The update of the ECAC presents an excellent opportunity to study the appropriate and effective methods to implement and disseminate cancer prevention strategies and tools. Advantage can be taken of the fact that EU countries have requested the 4th edition and are therefore eager to make use of it.