{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:00:41Z","timestamp":1781244041957,"version":"3.54.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                    <jats:p>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.<\/jats:p>\n                  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