Cancer Clinical Trial
Official title:
Evaluation of a Telehealth Oncofertility Care Intervention in Adolescent and Young Adult Cancer Patients: a Stepped Wedge Cluster Randomized Controlled Trial
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.
Status | Recruiting |
Enrollment | 2800 |
Est. completion date | August 31, 2027 |
Est. primary completion date | August 31, 2027 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Years to 50 Years |
Eligibility | Inclusion Criteria: - Newly diagnosed cancer or cancer relapse - Primary language English or Spanish - Receiving oncology care at participating clinical sites - Ages 0 to 42 years if female - Ages 0 to 50 years if male Exclusion Criteria: - Non-melanoma skin cancer, because primary treatment is excision with no infertility risk - Metastatic/Stage IV non-thyroid solid tumors, because of poor prognosis |
Country | Name | City | State |
---|---|---|---|
United States | City of Hope | Duarte | California |
United States | Cancer Resource Center of the Desert | El Centro | California |
United States | University of California San Diego | La Jolla | California |
United States | Rady Children's Hospital San Diego | San Diego | California |
Lead Sponsor | Collaborator |
---|---|
University of California, San Diego | City of Hope Medical Center, Rady Children's Hospital, San Diego |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number 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. | 12 weeks after oncology visit | |
Primary | 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). | 12 weeks after oncology visit | |
Secondary | 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. | 12 weeks after oncology visit | |
Secondary | 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. | 12 weeks after oncology visit | |
Secondary | 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. | 12 weeks after oncology visit |
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