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Evidence-based dissemination of recommendations is a core approach to lessen the cancer burden in the European Union. Using systems thinking, three substudies involving stakeholders identified dissemination actions for the European Code Against Cancer (ECAC5), mapping barriers and facilitators to support widespread awareness, uptake, and feasible, high-impact implementation through accessible, visually engaging channels.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/using-systems-thinking-to-guide-the-dissemination-of-the-european-code-against-cancer-5th-edition/352262/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/using-systems-thinking-to-guide-the-dissemination-of-the-european-code-against-cancer-5th-edition/352262.png","ImageObject",300,407,{"name":92,"@type":93},"Patrick","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is knowledge mobilisation in the context of cancer prevention?","Question",{"text":113,"@type":114},"Knowledge mobilisation is the generation and movement of useful, robust knowledge to where it can have the greatest impact. 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Espina, Environmental and Lifestyle Epidemiology Branch, International Agency for Research on Cancer  \n25 avenue Tony Garnier CS 90627 69366 LYON CEDEX 07 France  \nTel: +33 (0)4 72 73 84 85  \nE-mail: [espinac@iarc.who.int](espinac@iarc.who.int)  \n(Received 25 July 2025, revised 1  \nDecember 2025, accepted 16 December 2025)  \ndoi:10 . 1002/1878-0261 .70195  \nKnowledge mobilisation is essential in cancer prevention to equip individuals with the knowledge to reduce their risk and improve their health. Hence, dissemination of evidence-based recommendations is a key tenet in the fight to reduce the burden of cancer in the European Union (EU) . Systems thinking was used to guide the methods of three substudies involving stakeholders in identifying dissemination actions to enhance the awareness and uptake of the European Code Against Cancer, 5th edition (ECAC5), including mapping barriers and facilitators to achieve impactful dissemination. The proposed actions aimed to foster collaboration and partnership across diverse sectors, utilising diverse and accessible channels to deliver visually engaging content to maximise the delivery and impact of the ECAC5 to the general public in the EU. Many of these actions were evaluated by participants as highly feasible and impactful, thereby supporting their implementation.  \n1. Introduction  \nKnowledge mobilisation is an integral part of public health, and in turn cancer prevention, supporting global efforts to reduce population cancer burden. It is defined as the generation and movement of useful and robust knowledge where it can be most impactful [1] . In this vein, the European Code Against Cancer (ECAC) aims to inform the general public in the European Union (EU) about evidence-based actions to reduce their cancer risk [2] . It is an initiative of the European Commission, which has been disseminated by stakeholders since its inception in the 1980s. Europe’s Beating Cancer Plan supports actions to raise the visibility of the ECAC and has set an ambitious goal to make at least 80% of the population aware of it by 2025 [3] . Therefore, novel ways to maximise and  \nexpand the reach of the ECAC for its 5th edition (ECAC5) are required [4](Fig. 1 and Annex S1) .  \nCurrently, a number of civil society organisations are contributing to the promotion of the ECAC, albeit with differing levels of involvement. Some examples include dedicating a month of a two-year calendar to promote one ECAC recommendation, organising campaigns, and using its messages in advocacy. Typically, promotion of the ECAC to the general public is undertaken by these organisations [5] . However, despite sustained promotional efforts, overall public awareness of the ECAC remains low [6–8] . Across 8171 adults from eight EU Member States, awareness ranged from just 2% in the United Kingdom to 21% in Hungary and Poland [6] . Similarly, among 1520  \nAbbreviations  \nECAC, European Code Against Cancer; ECAC4, European Code Against Cancer, 4th edition; ECAC5, European Code Against Cancer, 5th edition; ECL, Association of European Cancer Leagues; EU, European Union; NCDs, Noncommunicable diseases.  \n170 Molecular Oncology 20 (2026) 170–187 ª 2026 The Author(s) . Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies.  \nThis is an open access article under the ","cbCaibY9sFYVh9az","https://ap.wps.com/l/cbCaibY9sFYVh9az","pdf",1427196,18,"English","# Introduction\n## Knowledge mobilisation and ECAC aims\n## Stakeholder promotion and awareness gaps\n## Dissemination channels and digital challenges\n## Health literacy and individual factors","[{\"question\":\"What is knowledge mobilisation in the context of cancer prevention?\",\"answer\":\"Knowledge mobilisation is the generation and movement of useful, robust knowledge to where it can have the greatest impact. It supports public health efforts to reduce the population cancer burden.\"},{\"question\":\"What was the purpose of using systems thinking in the study?\",\"answer\":\"Systems thinking guided methods across three substudies with stakeholders to identify dissemination actions. The approach mapped barriers and facilitators to enhance awareness and uptake of ECAC5.\"},{\"question\":\"Why is dissemination of ECAC5 challenging in the EU?\",\"answer\":\"Public awareness remains low despite promotional efforts. The study links low uptake to factors such as inconsistent dissemination, limited measurement of reach, infodemics driven by digital misinformation, and barriers related to health and digital literacy.\"}]","Using systems thinking to guide the dissemination of the European code against cancer - 5th edition | PDF",1790098617,45]