The purpose of this study is to evaluate the effectiveness of a multi-component intervention to improve young cancer survivors' engagement in goal-concordant oncofertility care, concurrently with observing and gathering information on how the intervention is implemented. The investigators hypothesize that implementation of the intervention will result in increased young cancer survivors' engagement in goal-concordant oncofertility care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
2,800
The multi-component oncofertility care intervention includes: (1) an adaptive and smart default electronic health record-based oncofertility needs screen and referral pathway, (2) telehealth oncofertility counseling as indicated, and (3) telehealth oncofertility financial navigation as indicated.
City of Hope
Duarte, California, United States
RECRUITINGCancer Resource Center of the Desert
El Centro, California, United States
ACTIVE_NOT_RECRUITINGUniversity of California San Diego
La Jolla, California, United States
RECRUITINGRady Children's Hospital San Diego
San Diego, California, United States
RECRUITINGNumber of reproductive-aged female and male patients (aged 12 to 39 years) who engage in goal-concordant oncofertility care
The proportion of eligible reproductive-aged male and female patients (aged 12 to 39 years) who engage in oncofertility services (1\| an oncofertility needs screen, 2\| referral to oncofertility consult, 3\| oncofertility consult, and/or 4\| fertility preservation services) that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
Time frame: 12 weeks after oncology visit
Decisional Conflict
The 16-item Decisional Conflict Scale (DCS) will be used to measure patients' decisional conflict for engaging in fertility preservation services. The DCS consists of 16 statements with 5 response options (ranging from strongly agree to strongly disagree) that measures the patient's perceptions of uncertainty in choosing options, feeling informed, values clarity, support in decision making, and effective decision making. The DCS total score will be dichotomized at 37.5 (scale 0-100; \> 37.5 indicates high decisional conflict).
Time frame: 12 weeks after oncology visit
Number of female (aged 0 to 42 years) and male (aged 0 to 50 years) patients who engage in goal-concordant oncofertility care
The proportion of eligible female and male patients (aged 0 to 42 years for females; 0 to 50 years for males) who engage in oncofertility services \[1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services\] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
Time frame: 12 weeks after oncology visit
Number of female patients (aged 0 to 42 years) who engage in goal-concordant oncofertility care
The proportion of eligible female patients (aged 0 to 42 years) who engage in oncofertility services \[1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services\] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
Time frame: 12 weeks after oncology visit
Number of male patients (aged 0 to 50 years) who engage in goal-concordant oncofertility care
The proportion of eligible male patients (aged 0 to 50 years) who engage in oncofertility services \[1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services\] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
Time frame: 12 weeks after oncology visit
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