Abstract
Adolescent and young adult (AYA) cancer patients under 40 should be made aware of their fertility risks and preservation options throughout their care. However, discussions on fertility preservation (FP) do not routinely occur. With a dearth of FP resources, oncology providers may lack knowledge around FP. Thus, informational needs can be unmet, leading to anxiety and distress in patients. Provision of pertinent and timely information can help patients cope better with their diagnosis. FP pamphlets were developed for men and women with cancer. A cross-sectional in-house survey, using convenience sampling, evaluated the pamphlets’ effectiveness and measured ease of understanding, acceptability, and perceived utility. Patients and partners were also asked to provide recommendations and complete the Short Test of Functional Health Literacy in Adults (S-TOFHLA) measuring health literacy level. This helps determine if health literacy influences perception of pamphlet effectiveness. All participants (n = 56) reviewed both pamphlets. Fifty-four participants (96 %) found the pamphlet for men useful, while 29 participants (52 %) improved their male fertility knowledge. The pamphlet for women was useful for 52 participants (93 %) and improved knowledge in 35 (63 %) of them. Although the majority of participants had adequate health literacy (98 %), there was insufficient sample diversity to determine if health literacy influenced the pamphlet’s effectiveness. Participants indicated preference in receiving verbal (73 %) and written (66 %) information over watching videos or in-class education. They recommended including fertility clinics, financial resources, and statistics in the brochures. These FP pamphlets were concluded as effective in supporting patients in making FP decisions.
Similar content being viewed by others
References
Canadian Cancer Society’s Advisory Committee on Cancer Statistics (2015) Canadian cancer statistics 2015. Canadian Cancer Society, Toronto, ON
Benedict C, Shuk E, Ford JS (2015) Fertility issues in adolescent and young adult cancer survivors. J Adolesc Young Adult Oncol. doi:10.1089/jayao.2015.0024
Rodriguez-Wallberg KA, Oktay K (2014) Fertility preservation during cancer treatment: clinical guidelines. Cancer Manag Res 6:105–117
Loren et al. (2013) Fertility preservation for patients with cancer: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol 31(19):2500–2510
Quinn G et al. (2009) National survey of physicians practice patterns: fertility preservation and cancer patients. J Clin Oncol 27:CRA9508
Johnson MD, Cooper AR, Jungheim ES, Lanzendorf SR, Odem RR, Ratts VS Sperm banking for fertility preservation: a 20-year experience. Eur J Obstet Gynecol Reprod Biol 170(1):177–182
Rodriguez-Wallberg KA (2012) Principles of cancer treatment: impact on reproduction. Adv Exp Med Biol 732:1–8
Rosen A, Rodriquez-Wallberg KA, Rosenweig L (2009) Psychosocial distress in young cancer survivors. Semin Oncol Nurse 25(4):268–277
Halliday LE, Boughton MA (2011) Exploring the concept of uncertain fertility, reproduction, and motherhood after cancer in young adult women. Nurs Inq 18(2):135–142
Crawshaw MA, Sloper P (2010) ‘Swimming against the tide’—the influence of fertility matters on the transition to adulthood or survivorship following adolescent cancer. Eur J Cancer Care (Engl) 19(5):610–620
Saito K, Suzuki K, Iwasaki A, et al. (2005) Sperm cryopreservation before cancer chemotherapy helps in the emotional battle against cancer. Cancer 104(3):521–524
Gorman, JR, Su HI, Roberts SC et al. 2014. Experiencing reproductive concerns as a female cancer survivor is associated with depression. Cancer
Carpentier MY, Fortenberry JD (2010) Romantic and sexual relationships, body image, and fertility in adolescent and young adult testicular cancer survivors: a review of the literature. J Adolesc Health 47(2):115–125
Tschudin S, Bitzer J (2009) Psychological aspects of fertility preservation in men and women affected by cancer and other life-threatening diseases. Hum Reprod Update 15(5):587–597
Medicine, A. S. f. R (2013a) Fertility preservation and reproduction in patients facing gonadotoxic therapies: a committee opinion. Fertil Steril 100(5):1224–1231
Crawshaw M (2013) Psychosocial oncofertility issues faced by adolescents and young adults over their lifetime: a review of the research. Hum Fertil (Camb) 16(1):59–63
Wright CI, Coad J, Morgan S, et al. (2013) ‘Just in case’: the fertility information needs of teenagers and young adults with cancer. Eur J Cancer Care (Engl) 23(2):189–198
Kessels R (2003) Patients’ memory for medical information. J R Soc Med 96:217–222
Nagel K, Wizowski L, Duckworth J, Cassano J, Hahn SA, Neal M (2008) Using plain language skills to create an educational pamphlet about sperm banking for adolescent and young adult males with cancer. J Pediatr Oncol Nurs 25(4):220–226
Manganello JA (2008) Health literacy and adolescents: a framework and agenda for future research. Health Educ Res 23:840–847
Zarcadoolas C, Pleasant A, Greer DS (2003) Elaborating a definition of health literacy: a commentary. J Health Commun 8(Suppl 1):119–120
Davis T et al. (2002) Health literacy and cancer communication. CA Cancer J Clin 52(3):134–149
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K (2011) Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 155:97–107
Parker RM, Baker DW, Williams MV, Nurss JR (1995) The test of functional health literacy in adults: a new instrument for measuring patients’ literacy levels. J Gen Intern Med 10:537–541
Jewitt N, Hope AJ, Milne R, Le LW, Papadakos J, Abdelmutti N, Catton P, Giuliani ME (2015) Development and evaluation of patient education materials for elderly lung cancer patients. J Canc Educ. doi:10.1007/s13187-014-0780-1
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This study was conducted with approval from the University Health Network Research Ethics Board (REB).
Rights and permissions
About this article
Cite this article
Tam, S., Puri, N., Stephens, D. et al. Improving Access to Standardized Fertility Preservation Information for Older Adolescents and Young Adults with Cancer: Using a User-Centered Approach with Young Adult Patients, Survivors, and Partners to Refine Fertility Knowledge Transfer. J Canc Educ 33, 528–535 (2018). https://doi.org/10.1007/s13187-016-1108-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-016-1108-0