Cancer, Contraception, Fertility Issues
Conditions
Keywords
Reproductive health, Oncofertility
Brief summary
The purpose of this pilot study is to evaluate the feasibility of a multi-component intervention to improve young female cancer survivors' engagement in goal-concordant reproductive health care. The investigators hypothesize that implementation of the intervention will result in increased young cancer survivors' engagement in goal-concordant reproductive health care.
Interventions
BEHAVIORALMulti-component reproductive health care intervention
The multi-component reproductive health care intervention includes: 1. Young cancer patients presenting to oncology visits will complete a clinic-based reproductive health needs screen with a member of the clinical team. This needs screen assesses i) desire to have a child in the future and ii) need for contraception. 2. Reproductive health patient navigation consists of one telehealth or in-person session with a social worker to: i) assess the patient's reproductive health needs, ii) provide individualized patient education and counseling on a) infertility risk related to cancer type and treatment and b) screening and management strategies for reproductive health needs, iii) provide support with the goal of engaging in goal-concordant reproductive health care. 3. Telehealth reproductive health consultation will occur between the patient and reproductive specialist. Each consultation is estimated to be 1 hour.
Sponsors
University of California, San Diego
San Diego State University
Cancer Resource Center of the Desert
El Centro Regional Medical Center
National Cancer Institute (NCI)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
single arm pilot hybrid type I trial
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Cancer (Stages 0-IV) diagnosis * Primary language English or Spanish * Receiving oncology care at rural oncology clinical participating site * Living in Imperial County, California
Exclusion criteria
\- Women who are pregnant at recruitment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patient's engagement in goal-concordant reproductive health care | 12 weeks after oncology visit | Study staff will be trained to abstract the primary outcome from the patient's medical records using standardized case report forms. Engagement in goal-concordant reproductive health care will be assigned to patients who undergo: 1) reproductive health needs screen and have no needs, OR 2) reproductive health needs screen, complete a navigation session and receive reproductive health counseling and management strategies, and have no further needs; OR 3) reproductive health needs screen, complete a navigation session and receive reproductive health counseling and management strategies, have a need, undergo a telehealth reproductive health consultation, and have no reproductive health service needs; OR 4) reproductive health needs screen, complete a navigation session and receive reproductive health counseling and management strategies, have a need, undergo a telehealth reproductive health consultation, have a reproductive health service needs, and uptake appropriate services. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORH. Irene Su, MD, MSCE
University of California, San Diego
Outcome results
None listed