Theory-Guided Development of Fertility Care Implementation Strategies for Adolescent and Young Adult Cancer Survivors.
Purpose: Oncofertility care at cancer diagnosis remains underimplemented across oncology and fertility care settings, with limited tools to scale up effective implementation strategies. Using implementation science theory, we systematically assessed factors that influence oncofertility care implemen...
| Publicado en: | Journal of Adolescent & Young Adult Oncology Vol. 10; no. 5; pp. 512 - 521 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153190435&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153190435 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21565333 EGZ7 jtl: Journal of Adolescent & Young Adult Oncology issn: 21565333 maglogo: N pubinfo: dt: Oct2021 vid: 10 iid: 5 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 153190435 153190435 153190435 10.1089/jayao.2020.0156 153190435 ppf: 512 ppct: 9 formats: tig: atl: Theory-Guided Development of Fertility Care Implementation Strategies for Adolescent and Young Adult Cancer Survivors. aug: au: Dornisch, Anna Yang, Emily H. Gruspe, Jamie Roesch, Erin R. Aristizabal, Paula Aarons, Greg A. Helsten, Teresa Takemoto, Michelle B. Romero, Sally A.D. Kaiser, Bonnie N. Su, Hui-Chun Irene affil: Moores Cancer Center, University of California San Diego, La Jolla, California, USA. sug: subj: Cancer Survivors In Adulthood Fertility Fertility Preservation Methods Oncologic Care Cancer Survivors In Adolescence Adult Adolescence Female Purposive Sample Cancer Care Facilities Hospitals, Pediatric Semi-Structured Interview Focus Groups Thematic Analysis Health Services Accessibility Electronic Health Records Implementation Science Descriptive Statistics Confidence Intervals Odds Ratio Human Adult: 19-44 years Adolescent: 13-18 years Female ab: Purpose: Oncofertility care at cancer diagnosis remains underimplemented across oncology and fertility care settings, with limited tools to scale up effective implementation strategies. Using implementation science theory, we systematically assessed factors that influence oncofertility care implementation and mapped scalable strategies, particularly electronic health record (EHR)-enabled ones, that fit adult and pediatric oncology care contexts. Methods: Using purposeful sampling, we recruited health care providers and female, reproductive-aged survivors of adolescent and young adult (AYA) cancers (AYA survivors) from a comprehensive cancer center and a freestanding children's hospital to semistructured interviews and focus groups. Using thematic analysis combining inductive codes with deductive codes using the Consolidated Framework for Implementation Research (CFIR), we characterized barriers and facilitators to care and designed responsive strategies. Two coders independently coded each transcript. Results: We recruited 19 oncology and fertility providers and 9 cancer survivors. We identified barriers and facilitators to oncofertility care in the CFIR domains of individual, inner setting, outer setting, and process, allowing us to conceptualize oncofertility care to encompass three core components (screening, referral, and fertility preservation counseling) and map five strategies to these components that fit an adult and a children's context and bridge oncology and fertility practices. The strategies were screening using a best practice advisory, referral order, telehealth fertility counseling, provider audit and feedback, and provider education. All but provider education were EHR tools with embedded efficiencies. Conclusion: An implementation science approach systematically assessed oncofertility care and mapped strategies to provide a theory-based approach and scalable EHR tools to support wider dissemination. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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