Breast Neoplasm Female, Fertility Preservation
Conditions
Keywords
breast cancer, fertility preservation, social support, Ottawa Decision Support Framework, website
Brief summary
The aim of this study was to develop electronic systems (e-systems) for oncofertility support, and to examine the comprehensibility, feasibility, usability, and effects on social support and preparation for decision-making.
Detailed description
Background: When reproductive-aged women with breast cancer lack support in making decisions about fertility, this results in conflicts in decision-making with negative effects on their mental health. Objective: The aim of this study was to develop electronic systems (e-systems) for oncofertility support, and to examine the comprehensibility, feasibility, usability, and effects on social support and preparation for decision-making. Methods: The study steps were guided, tested, and utilized to (a) identify the requirements of a patient, (b) guide the development of support interventions, and (c) evaluate the quality of web-based oncofertility support. Both qualitative and quantitative data were collected to explore supportive requirements related to oncofertility care, and an initial website concerning oncofertility was developed based on the resulting requirements and system review regarding social support. Alpha testing and beta testing were used to ensure the quality of the web-based oncofertility support tool. The effectiveness was evaluated using the Preparation for Decision-Making Scale and Social Support Questionnaire.
Interventions
DEVICEWeb-based oncofertility support tool
The website structure was developed to satisfy the needs of reproductive-age women was investigated based on four domains of social support, as developed by Cohen and Syme (1985). The important needs of patients can be classified as emotional, informational, appraisal, and instrumental support.
Sponsors
Taipei Veterans General Hospital, Taiwan
Mackay Medical College
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Health provider who ever cared the patients with breast cancer. * Patients with breast cancer aged between 20 and 45.
Exclusion criteria
* Patients of severe psychiatric disorders. * Patients under 20 years old.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of social support rated before and after using the web-based tool by patients | 4 months | Social support was measured using a 16-item Likert-type questionnaire rating (from 0-3). Women of reproductive age were instructed to complete the social support questionnaire, assessing four dimensions of social support: emotional, informational, appraisal, and instrumental, before and after using the web-based tool. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preparation for Decision Making (PrepDM) evaluated by patients and healthcare providers | 4 months | Both patients and healthcare providers were instructed to evaluate the Preparation for Decision Making Scale by the Joint Commission of Taiwan. All participants were instructed to respond to 10 questions based on a five-point Likert scale rating (from 1-5). A higher score indicates a greater agreement with the effect. |
Countries
Taiwan
Outcome results
None listed