Reproductive Health in the Adolescent and Young Adult Cancer Patient: an Innovative Training Program for Oncology Nurses

Overview

Journal J Cancer Educ

Publisher Springer

Specialties Medical Education
Oncology

Date 2012 Dec 11

PMID 23225072

Citations 26

Authors

Susan T Vadaparampil

Nicole M Hutchins

Gwendolyn P Quinn

Affiliations

Soon will be listed here.

Abstract

In 2008, approximately 69,200 adolescents and young adults (AYAs) were diagnosed with cancer, second only to heart disease for males in this age group. Despite recent guidelines from professional organizations and clinical research that AYA oncology patients want information about reproductive health topics and physician support for nurses to address these issues with patients, existing research finds few oncology nurses discuss this topic with patients due to barriers such as lack of training. This article describes an innovative eLearning training program, entitled Educating Nurses about Reproductive Issues in Cancer Healthcare. The threefold purpose of this article is to: (1) highlight major reproductive health concerns relevant to cancer patients, (2) describe the current status of reproductive health and oncology communication and the target audience for the training, and (3) present a systematic approach to curriculum development, including the content analysis and design stages as well as the utilization of feedback from a panel of experts. The resulting 10-week curriculum contains a broad-based approach to reproductive health communication aimed at creating individual- and practice-level change.

Citing Articles

Impact of a Nurse Navigator Program on Referral Rates and Use of Fertility Preservation Among Female Cancer Patients: A 14-Year Retrospective Cohort Study.

Naert M, Sorouri K, Lanes A, Kempf A, Chen L, Goldman R Cancer Med. 2025; 14(3):e70529.

PMID: 39887838 PMC: 11782191. DOI: 10.1002/cam4.70529.

"Management of andrological disorders from childhood and adolescence to transition age: guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS) in collaboration with the Italian Society for Pediatric Endocrinology and....

Bonomi M, Cangiano B, Cianfarani S, Garolla A, Gianfrilli D, Lanfranco F J Endocrinol Invest. 2024; 48(1):1-22.

PMID: 39126560 PMC: 11729124. DOI: 10.1007/s40618-024-02435-x.

"Queer Insights": Considerations and Challenges for Assessing Sex, Gender Identity, and Sexual Orientation in Oncofertility Research.

Levin N, Zhang A, Kattari S, Moravek M, Zebrack B Ann LGBTQ Public Popul Health. 2023; 3(2):111-128.

PMID: 38078047 PMC: 10704859. DOI: 10.1891/lgbtq-2021-0015.

Clinicians' perspectives on barriers and facilitators to sperm banking in adolescent males with cancer: a mixed-methods study.

Nahata L, Liles S, Gerhardt C, Housten A, Jalili D, OBrien S J Assist Reprod Genet. 2023; 40(12):2809-2817.

PMID: 37730946 PMC: 10656382. DOI: 10.1007/s10815-023-02944-3.

For the LOvE of Reproductive Health Communication: Assessment of the LGBT Oncofertility Education (LOvE) Module.

Pecoriello J, Sampson A, Block R, Sutter M, Vadaparampil S, Quinn G J Adolesc Young Adult Oncol. 2022; 12(4):555-560.

PMID: 36459104 PMC: 10457611. DOI: 10.1089/jayao.2022.0118.

References

Abernethy K . Dealing with the devastating effects of early menopause. Community Nurse. 1997; 3(2):48-9. View

Quinn G, Vadaparampil S, Gwede C, Miree C, King L, Clayton H . Discussion of fertility preservation with newly diagnosed patients: oncologists' views. J Cancer Surviv. 2008; 1(2):146-55. DOI: 10.1007/s11764-007-0019-9. View

Lamar C, DeCherney A . Fertility preservation: state of the science and future research directions. Fertil Steril. 2008; 91(2):316-9. DOI: 10.1016/j.fertnstert.2008.08.133. View

Helmes A . Application of the protection motivation theory to genetic testing for breast cancer risk. Prev Med. 2002; 35(5):453-62. DOI: 10.1006/pmed.2002.1110. View

Schover L . Patient attitudes toward fertility preservation. Pediatr Blood Cancer. 2009; 53(2):281-4. DOI: 10.1002/pbc.22001. View

Stead M, Brown J, Fallowfield L, Selby P . Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer. 2003; 88(5):666-71. PMC: 2376341. DOI: 10.1038/sj.bjc.6600799. View

Matsumoto A . Andropause: clinical implications of the decline in serum testosterone levels with aging in men. J Gerontol A Biol Sci Med Sci. 2002; 57(2):M76-99. DOI: 10.1093/gerona/57.2.m76. View

Woodruff T . The Oncofertility Consortium--addressing fertility in young people with cancer. Nat Rev Clin Oncol. 2010; 7(8):466-75. PMC: 3124936. DOI: 10.1038/nrclinonc.2010.81. View

Vaartio-Rajalin H, Leino-Kilpi H . Nurses as patient advocates in oncology care: activities based on literature. Clin J Oncol Nurs. 2011; 15(5):526-32. DOI: 10.1188/11.CJON.526-532. View

10.

Bleyer A, Barr R, Hayes-Lattin B, Thomas D, Ellis C, Anderson B . The distinctive biology of cancer in adolescents and young adults. Nat Rev Cancer. 2008; 8(4):288-98. DOI: 10.1038/nrc2349. View

11.

Clayton H, Quinn G, Lee J, King L, Miree C, Nieder M . Trends in clinical practice and nurses' attitudes about fertility preservation for pediatric patients with cancer. Oncol Nurs Forum. 2008; 35(2):249-55. DOI: 10.1188/08.ONF.249-255. View

12.

Lass A, Akagbosu F, Brinsden P . Sperm banking and assisted reproduction treatment for couples following cancer treatment of the male partner. Hum Reprod Update. 2001; 7(4):370-7. DOI: 10.1093/humupd/7.4.370. View

13.

King L, Quinn G, Vadaparampil S, Gwede C, Miree C, Wilson C . Oncology nurses' perceptions of barriers to discussion of fertility preservation with patients with cancer. Clin J Oncol Nurs. 2008; 12(3):467-76. DOI: 10.1188/08.CJON.467-476. View

14.

Weel A, Uitterlinden A, Westendorp I, Burger H, Schuit S, Hofman A . Estrogen receptor polymorphism predicts the onset of natural and surgical menopause. J Clin Endocrinol Metab. 1999; 84(9):3146-50. DOI: 10.1210/jcem.84.9.5981. View

15.

Madrigrano A, Westphal L, Wapnir I . Egg retrieval with cryopreservation does not delay breast cancer treatment. Am J Surg. 2007; 194(4):477-81. DOI: 10.1016/j.amjsurg.2007.06.008. View

16.

Partridge A, Gelber S, Gelber R, Castiglione-Gertsch M, Goldhirsch A, Winer E . Age of menopause among women who remain premenopausal following treatment for early breast cancer: long-term results from International Breast Cancer Study Group Trials V and VI. Eur J Cancer. 2007; 43(11):1646-53. DOI: 10.1016/j.ejca.2007.04.006. View

17.

Chua A, Soriano-Estrella A . Successful pregnancy after treatment of a cervical gestational trophoblastic neoplasia: a case report. J Reprod Med. 2012; 57(1-2):85-8. View

18.

AMIAS A . Sexual life after gynaecological operations-I. Br Med J. 1975; 2(5971):608-9. PMC: 1673518. DOI: 10.1136/bmj.2.5971.608. View

19.

Barton D, Wender D, Sloan J, Dalton R, Balcueva E, Atherton P . Randomized controlled trial to evaluate transdermal testosterone in female cancer survivors with decreased libido; North Central Cancer Treatment Group protocol N02C3. J Natl Cancer Inst. 2007; 99(9):672-9. DOI: 10.1093/jnci/djk149. View

20.

Ganz P, Greendale G, Petersen L, Kahn B, Bower J . Breast cancer in younger women: reproductive and late health effects of treatment. J Clin Oncol. 2003; 21(22):4184-93. DOI: 10.1200/JCO.2003.04.196. View