دورية أكاديمية
A Multicomponent Telehealth Intervention to Improve Oncofertility Care Delivery Among Young Cancer Patients: A Pilot Study.
| العنوان: | A Multicomponent Telehealth Intervention to Improve Oncofertility Care Delivery Among Young Cancer Patients: A Pilot Study. |
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| المؤلفون: | Yang E; School of Medicine, University of California San Diego, La Jolla, California, USA., Dornisch A; School of Medicine, University of California San Diego, La Jolla, California, USA., Nerb L; School of Medicine, University of California San Diego, La Jolla, California, USA., Helsten T; Moores Cancer Center, and University of California San Diego, La Jolla, California, USA., Kaiser BN; Department of Anthropology and Global Health Program, University of California San Diego, La Jolla, California, USA., Aristizabal P; Rady Children's Hospital, San Diego, California, USA., Armenian S; City of Hope Comprehensive Cancer Center, Duarte, California, USA., Torno LL; Hyundai Cancer Institute, Children's Health of Orange County, Orange, California, USA., Baca NM; Cedars-Sinai Samuel Oschin Comprehensive Cancer Institute, Los Angeles, California, USA., Genensen MC; Eisenhower Lucy Curci Cancer Center, Rancho Mirage, California, USA., Su HI; Moores Cancer Center, and University of California San Diego, La Jolla, California, USA.; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, La Jolla, California, USA., Romero SAD; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, La Jolla, California, USA. |
| المصدر: | Journal of adolescent and young adult oncology [J Adolesc Young Adult Oncol] 2023 Apr; Vol. 12 (2), pp. 241-249. Date of Electronic Publication: 2022 May 27. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101543508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2156-535X (Electronic) Linking ISSN: 21565333 NLM ISO Abbreviation: J Adolesc Young Adult Oncol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc. |
| مواضيع طبية MeSH: | Fertility Preservation* , Neoplasms*/complications , Telemedicine*, Adolescent ; Young Adult ; Humans ; Child ; Adult ; Pilot Projects ; Fertility |
| مستخلص: | Purpose: Oncofertility care for pediatric, adolescent, and young adult cancer patients remains under-implemented across adult and pediatric oncology settings. We pilot tested an electronic health record (EHR)-enabled multicomponent oncofertility intervention (including screening, referral, and fertility consult) in an adult academic oncology program and systematically assessed intervention fit to pediatric and community oncology programs. Methods: Using surveys ( n = 33), audits ( n = 143), and interviews ( n = 21) guided by implementation science frameworks, we pilot tested the EHR-enabled intervention for oncofertility care in young cancer patients at an adult oncology program and evaluated implementation outcomes. We interviewed health care providers from seven regional oncology and fertility programs about intervention fit to their clinical contexts. Results: We recruited 33 health care providers from an adult oncology setting and 15 health care providers from seven additional oncology and fertility settings. At the adult oncology setting, the intervention was found to be appropriate, acceptable, and feasible and improved the screening of fertility needs (from 30% pre- to 51% post-intervention); yet, some patients did not receive appropriate referrals to fertility consults. Providers across all settings suggested content and context modifications, such as adding options to the intervention or allowing the screening component to pop up at a second visit, to improve and adapt the intervention to better fit their clinical care contexts. Conclusions: We found that the EHR-enabled intervention increased the rate of goal-concordant oncofertility care delivery at an adult oncology program. We also identified facilitators, barriers, and needed adaptations to the intervention required for implementation and scaling-up across diverse oncology settings. |
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| معلومات مُعتمدة: | UL1 TR001442 United States TR NCATS NIH HHS; TL1 TR001443 United States TR NCATS NIH HHS |
| فهرسة مساهمة: | Keywords: EHR; fertility preservation; intervention; oncofertility |
| تواريخ الأحداث: | Date Created: 20220531 Date Completed: 20230420 Latest Revision: 20240402 |
| رمز التحديث: | 20240402 |
| مُعرف محوري في PubMed: | PMC10124175 |
| DOI: | 10.1089/jayao.2021.0224 |
| PMID: | 35639102 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2156-535X |
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| DOI: | 10.1089/jayao.2021.0224 |