{"id":"https://openalex.org/W7162575196","doi":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016","title":"Turning silence into rhythm: Outcomes of a school-based Cancer Olympiad in India.","display_name":"Turning silence into rhythm: Outcomes of a school-based Cancer Olympiad in India.","publication_year":2026,"publication_date":"2026-05-28","ids":{"openalex":"https://openalex.org/W7162575196","doi":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2026.44.16_suppl.9016","doi":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117707625","display_name":"Vangipuram Harshil Sai","orcid":"https://orcid.org/0009-0007-5456-2921","observed_orcids":["https://orcid.org/0009-0007-5456-2921"]},"institutions":[{"id":"https://openalex.org/I63739035","display_name":"All India Institute of Medical Sciences","ror":"https://ror.org/02dwcqs71","country_code":"IN","type":"education","lineage":["https://openalex.org/I2799351866","https://openalex.org/I4210148677","https://openalex.org/I63739035"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vangipuram Harshil Sai","raw_affiliation_strings":["Department of Undergraduate Education, All India Institute of Medical Sciences (AIIMS), Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Undergraduate Education, All India Institute of Medical Sciences (AIIMS), Delhi, India","institution_ids":["https://openalex.org/I63739035"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110513592","display_name":"Chiramana Haritha","orcid":"https://orcid.org/0009-0009-0309-9994","observed_orcids":["https://orcid.org/0009-0009-0309-9994"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chiramana Haritha","raw_affiliation_strings":["Department of Medical Oncology, C R Reddy Superspeciality Hospital, Nellore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Oncology, C R Reddy Superspeciality Hospital, Nellore, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126789479","display_name":"Vangipuram Sai Shreya","orcid":"https://orcid.org/0009-0001-1010-5143","observed_orcids":["https://orcid.org/0009-0001-1010-5143"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vangipuram Sai Shreya","raw_affiliation_strings":["Department of Medical Oncology, C R Reddy Superspeciality Hospital, Nellore, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Oncology, C R Reddy Superspeciality Hospital, Nellore, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103389098","display_name":"Vangipuram Shankar","orcid":"https://orcid.org/0000-0002-9707-6786","observed_orcids":["https://orcid.org/0000-0002-9707-6786"]},"institutions":[{"id":"https://openalex.org/I4210154769","display_name":"Apollo Proton Cancer Centre","ror":"https://ror.org/04sve9e90","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210154769"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vangipuram Shankar","raw_affiliation_strings":["Department of Radiation Oncology, Apollo Proton Cancer Center, Chennai, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology, Apollo Proton Cancer Center, Chennai, India","institution_ids":["https://openalex.org/I4210154769"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"44","issue":"16_suppl","first_page":"9016","last_page":"9016"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12831","display_name":"School Health and Nursing Education","score":0.7490000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12831","display_name":"School Health and Nursing Education","score":0.7490000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.09799999743700027,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12214","display_name":"Media Influence and Health","score":0.033399999141693115,"subfield":{"id":"https://openalex.org/subfields/3315","display_name":"Communication"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cancer-awareness","display_name":"cancer awareness","score":0.8450000286102295},{"id":"https://openalex.org/keywords/school-based-intervention","display_name":"school-based intervention","score":0.7450000047683716},{"id":"https://openalex.org/keywords/cancer-stigma","display_name":"cancer stigma","score":0.6380000114440918},{"id":"https://openalex.org/keywords/early-cancer-detection","display_name":"early cancer detection","score":0.7129999995231628},{"id":"https://openalex.org/keywords/cancer-screening-uptake","display_name":"cancer screening uptake","score":0.6740000247955322},{"id":"https://openalex.org/keywords/cancer-vaccination","display_name":"cancer vaccination","score":0.6420000195503235},{"id":"https://openalex.org/keywords/tobacco-cessation","display_name":"tobacco cessation","score":0.9679999947547913},{"id":"https://openalex.org/keywords/knowledge-attitude-and-behavior","display_name":"knowledge, attitude and behavior","score":0.6809999942779541},{"id":"https://openalex.org/keywords/peer-learning","display_name":"peer learning","score":0.6190000176429749},{"id":"https://openalex.org/keywords/health-communication","display_name":"health communication","score":0.3869999945163727},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.7329999804496765},{"id":"https://openalex.org/keywords/udaipur-district","display_name":"Udaipur district","score":0.6129999756813049},{"id":"https://openalex.org/keywords/emotional-education","display_name":"emotional education","score":0.7269999980926514}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7279000282287598},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5726000070571899},{"id":"https://openalex.org/C2781115785","wikidata":"https://www.wikidata.org/wiki/Q502261","display_name":"Silence","level":2,"score":0.4577000141143799},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.4496000111103058},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.44029998779296875},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4375999867916107},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.430400013923645},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4259999990463257},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4189999997615814},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.39250001311302185},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.38589999079704285},{"id":"https://openalex.org/C2780234812","wikidata":"https://www.wikidata.org/wiki/Q1787013","display_name":"Cancer prevention","level":3,"score":0.37599998712539673},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.33009999990463257},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.31130000948905945},{"id":"https://openalex.org/C2776510742","wikidata":"https://www.wikidata.org/wiki/Q6806456","display_name":"Medical advice","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2937000095844269},{"id":"https://openalex.org/C2779978724","wikidata":"https://www.wikidata.org/wiki/Q1436482","display_name":"Worry","level":3,"score":0.28760001063346863},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.27239999175071716},{"id":"https://openalex.org/C169536714","wikidata":"https://www.wikidata.org/wiki/Q1666159","display_name":"Cultural competence","level":2,"score":0.26820001006126404},{"id":"https://openalex.org/C2781265381","wikidata":"https://www.wikidata.org/wiki/Q5710255","display_name":"Helpfulness","level":2,"score":0.2671999931335449},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.26179999113082886},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.2590999901294708},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.2563999891281128},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.2547999918460846},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.25220000743865967},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.250900000333786}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2026.44.16_suppl.9016","doi":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2026.44.16_suppl.9016","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Quality education","id":"https://metadata.un.org/sdg/4","score":0.4156000018119812}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4415942511","https://openalex.org/W4415939976","https://openalex.org/W4313678547","https://openalex.org/W2535462234","https://openalex.org/W7160713137","https://openalex.org/W2129108131","https://openalex.org/W2995854716","https://openalex.org/W2132018167","https://openalex.org/W3048961528","https://openalex.org/W7166195573"],"abstract_inverted_index":{"9016":[0],"Background:":[1],"Late-stage":[2],"presentation":[3],"continues":[4],"to":[5,59,73,218],"account":[6],"for":[7,152],"nearly":[8],"70%":[9],"of":[10,41,191,196,213,228,269,273,362],"cancer":[11,197,335],"diagnoses":[12],"in":[13,32,105,124,261],"low-":[14],"and":[15,24,39,56,77,83,96,102,121,132,136,144,162,167,175,181,189,200,226,257,279,292,329,337,343,357],"middle-income":[16],"countries,":[17],"exposing":[18],"the":[19,75,296,299],"gap":[20],"between":[21,80],"medical":[22,242],"progress":[23],"public":[25],"participation.":[26],"Traditional":[27],"awareness":[28,323],"drives":[29],"often":[30],"falter":[31],"communities":[33],"shaped":[34],"by":[35,129,204,223,250],"stigma,":[36],"low":[37],"literacy,":[38],"fear":[40],"cost.":[42],"The":[43,307],"Cancer":[44,308],"Olympiad":[45,300,309],"was":[46],"conceived":[47],"as":[48,68,171,271,276,301],"an":[49,125,302],"arts-based,":[50],"school-centered":[51],"intervention":[52],"harnessing":[53],"creativity,":[54],"performance,":[55],"peer":[57],"learning":[58],"transform":[60],"knowledge":[61,336],"into":[62,324,355,359],"shared":[63],"action.":[64,340],"By":[65],"positioning":[66],"children":[67],"credible":[69],"messengers,":[70],"it":[71],"aimed":[72],"bridge":[74],"emotional":[76,187,277],"educational":[78],"distance":[79],"health":[81,117,173],"information":[82],"household":[84],"practice.":[85],"Methods:":[86],"A":[87],"quasi-experimental,":[88],"mixed-methods":[89],"study":[90],"engaged":[91],"25,000":[92],"students":[93],"(grades":[94],"1\u201312)":[95],"2,500":[97],"families":[98,230],"across":[99],"125":[100],"urban":[101],"rural":[103],"schools":[104,297],"Udaipur":[106],"District,":[107],"North":[108],"India.":[109],"Schools":[110],"implemented":[111],"structured":[112],"creative":[113],"modules\u2014drawings,":[114],"performances,":[115],"debates,":[116],"exhibitions,":[118],"reflective":[119],"writing,":[120],"parent\u2013child":[122],"tasks\u2014culminating":[123],"interschool":[126],"finale":[127],"attended":[128],"educators,":[130],"clinicians,":[131],"policymakers.":[133],"Knowledge,":[134],"attitude,":[135],"behavior":[137],"(KAB)":[138],"outcomes":[139],"were":[140],"measured":[141],"at":[142,232],"baseline":[143],"three":[145],"months":[146],"post-intervention":[147],"using":[148],"validated":[149],"questionnaires":[150],"adapted":[151],"regional":[153],"literacy":[154],"levels.":[155],"Secondary":[156],"endpoints":[157],"included":[158],"stigma":[159],"reduction,":[160],"screening":[161,247],"vaccination":[163],"uptake,":[164],"tobacco-cessation":[165],"behavior,":[166],"community-engagement":[168],"indices":[169],"such":[170],"school-initiated":[172],"clubs":[174],"family":[176],"advocacy":[177],"actions.":[178],"Qualitative":[179,264],"interviews":[180],"focus":[182],"groups":[183],"explored":[184],"cultural":[185,320],"receptivity,":[186],"learning,":[188],"pathways":[190],"sustained":[192],"engagement.":[193],"Results:":[194],"Knowledge":[195],"risk":[198],"factors":[199],"early-warning":[201],"signs":[202],"improved":[203],"23":[205],"percentage":[206],"points":[207],"(p":[208],"<":[209],"0.001),":[210],"while":[211],"recognition":[212],"curability":[214],"rose":[215],"from":[216],"58%":[217],"83%.":[219],"Stigma":[220],"scores":[221],"fell":[222],"0.35":[224],"SD,":[225],"19%":[227],"participating":[229],"undertook":[231],"least":[233],"one":[234],"preventive":[235],"action\u2014screening,":[236],"vaccination,":[237],"quitting":[238],"tobacco,":[239],"or":[240],"seeking":[241],"evaluation\u2014within":[243],"six":[244],"months.":[245],"Primary-health-center":[246],"visits":[248],"increased":[249],"17%":[251],"compared":[252],"with":[253,319],"matched":[254],"control":[255],"blocks,":[256],"teacher-reported":[258],"health-dialogue":[259],"frequency":[260],"classrooms":[262],"quadrupled.":[263],"analysis":[265],"revealed":[266],"recurring":[267],"themes":[268],"\u201cchildren":[270],"catalysts":[272],"credibility,\u201d":[274],"\u201cart":[275],"pedagogy,\u201d":[278],"\u201ccommunity":[280],"pride":[281],"replacing":[282],"fear.\u201d":[283],"Implementation":[284],"fidelity":[285],"exceeded":[286],"90%,":[287],"school-level":[288],"engagement":[289],"remained":[290],"high,":[291],"more":[293],"than":[294],"half":[295],"adopted":[298],"annual,":[303],"self-sustained":[304],"event.":[305],"Conclusions:":[306],"demonstrates":[310],"that":[311],"child-led,":[312],"arts-integrated":[313],"education":[314],"can":[315],"align":[316],"biomedical":[317],"understanding":[318],"identity,":[321],"shifting":[322],"collective":[325],"prevention.":[326],"When":[327],"stories":[328],"performances":[330],"enter":[331],"homes,":[332],"they":[333],"humanize":[334],"normalize":[338],"early":[339],"Embedding":[341],"narrative":[342],"creativity":[344],"within":[345],"oncology":[346],"outreach":[347],"may":[348],"extend":[349],"medicine\u2019s":[350],"reach":[351],"beyond":[352],"clinics\u2014turning":[353],"silence":[354],"rhythm,":[356],"rhythm":[358],"a":[360],"movement":[361],"lasting":[363],"change.":[364]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-05-28T00:00:00"}
