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  1. O'Brien E, Nishimata N, Obama K, Okamura M, Shimazu T, Kobayashi N, et al.
    Asian Pac J Cancer Prev, 2026 Oct 01;27(10):3599-3609.
    PMID: 42935050 DOI: 10.31557/APJCP.2026.27.10.3599
    OBJECTIVES: Effective communication between cancer patients and healthcare providers is essential for patient-centered care and often depends on patients asking questions during consultations. The Question Prompt List (QPL) is a structured communication tool designed to encourage patients to ask questions and support informed decision-making. Most studies on QPL implementation have been conducted in Western countries, where communication practices differ from those in Asia. This study aimed to assess awareness of and willingness to use QPLs among cancer care providers affiliated with the Asian National Cancer Centers Alliance (ANCCA).

    STUDY DESIGN: Cross-sectional, semi-structured online survey.

    METHODS: An anonymized, self-administered, semi-structured online survey was conducted via Google Forms between July and October 2024. Survey invitations were distributed via email, professional networks, and social media where appropriate. The survey assessed respondents' demographics, respondents' prior use of QPLs (Yes/No), prior awareness of the existence of QPLs (Yes/No), preferred communication style (single-response, multiple-choice), and perceived barriers and facilitators to implementation (open-ended response). All questions excluding the two open-ended questions were required for submission. Descriptive statistics were used to analyze quantitative data, and thematic analysis following Braun and Clarke's framework was used for open-ended responses.

    RESULTS: Among 85 respondents, 84.7% reported being unaware of QPLs, and 22.4% reported having implemented QPLs in their clinical practice. Among respondents who had not implemented QPLs, 68.2% indicated that they were "Somewhat" or "Very" willing to implement them.  Most respondents favored communication styles that emphasize sharing information (16.4%), open and inclusive communication (15.6%), and supportive counseling (15.6%). QPLs are aligned with current attitudes toward patient-provider communication in ANCCA countries.

    CONCLUSION: There is substantial opportunity to introduce QPLs across ANCCA countries. This study provides foundational evidence to guide their effective implementation, promoting patient-centered care in Asia.

  2. Ong SK, Abe SK, Gek Phua GL, Jayasekara H, Togawa K, Gatellier L, et al.
    PMID: 38756166 DOI: 10.1016/j.lansea.2023.100316
    This paper outlines the process undertaken by Asian National Cancer Centers Alliance (ANCCA) members in working towards an Asian Code Against Cancer (ACAC). The process involves: (i) identification of the criteria for selecting the existing set of national recommendations for ACAC (ii) compilation of existing national codes or recommendations on cancer prevention (iii) reviewing the scientific evidence on cancer risk factors in Asia and (iv) establishment of one or more ACAC under the World Code Against Cancer Framework. A matrix of national codes or key recommendations against cancer in ANCCA member countries is presented. These include taking actions to prevent or control tobacco consumption, obesity, unhealthy diet, physical inactivity, alcohol consumption, exposure to occupational and environmental toxins; and to promote breastfeeding, vaccination against infectious agents and cancer screening. ANCCA will continue to serve as a supportive platform for collaboration, development, and advocacy of an ACAC jointly with the International Agency for Research on Cancer/World Health Organization (IARC/WHO).
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