Enriching Communication skills for Health professionals in Oncofertility and Trainers in Oncofertility Reproductive Communication and Health

患有癌症的青少年和年轻人(Aya)和幸存者有不同于 老年人，生殖健康是主要关切。阿雅族癌症患者的生殖健康 幸存者包括潜在的不孕不育和对生育咨询的需求以及其他 相互关联的因素，如浪漫的伙伴关系、身体形象、性取向、性身份和取向， 避孕和性心理调整，这些都是根据Aya是否在 接受治疗或求生。虽然肿瘤科医生主要治疗这种疾病，但联合的卫生专业人员 (AHP)参与护理Aya，包括但不限于护士、社会工作者、心理学家和 医生助理通常提供心理社会护理、健康教育和与生殖有关的信息。 能够影响AYA患者和幸存者的决策和生活质量的健康。AHPS需要 在这些问题上的沟通技巧和资源，以确定和促进额外服务的转介。 此外，我们还确定了受训人员遇到的新的道德问题，例如讨论 与预后不佳的患者生育，未成年人和儿童之间在保留生育能力方面缺乏一致性 父母之间或成年伴侣之间，以及越来越多的人使用死后辅助生殖。 我们以前的R25项目丰富了(在癌症健康中教育护士生殖健康问题) Echo(丰富肿瘤生殖健康专业人员的沟通技能)已被证明在 到目前为止已有712名学员参加了AHPS的培训和技能建设。Echo是一个经过验证的、基于证据的计划 展示对知识、感知信心和沟通的短期和中期影响 技能。在建议的续期申请中，我们寻求在主要课程领域扩大和延伸ECHO 在一个新的计划中，从我们以前的丰富和模仿受训人员中发展出一个新的“培训培训者”队列 题为TORCH(肿瘤生育、生殖传播和健康培训人员)。Echo将继续 提供生殖健康沟通技能培训，在两个领域扩大课程：性健康和 性别少数与生命伦理学。Torch将培训先前的学习者在实践环境中教育他人 回声原理。我们的方法利用了我们已经拥有的先进的基于网络的学习技术 开发的目的是促进互动学习和技能培养。(回声火炬)计划的目标是 TO：在ECHO培训计划的5年期间内培训AHP；完善和实施ECHO计划 促进对Aya肿瘤科患者生殖健康需求的了解和技能 基于网络的学习社区；评估ECHO和TORCH计划在参与者和 工作场所一级(例如，政策、推荐、培训人数)；建立AHPS培训员网络，传播 回声内容

Adolescent and young adults (AYA) with cancer and survivors have psychosocial needs that are distinct from older adults, with reproductive health being a chief concern. Reproductive health for AYA patients with cancer and survivors includes potential infertility and need for fertility preservation counseling as well as other interrelated components such as romantic partnering, body image, sexuality, sexual identity and orientation, contraception, and psychosexual adjustment that vary in intensity of concern based on whether the AYA is in treatment or in survivorship. While oncologist physicians primarily treat the disease, allied health professionals (AHPs) involved in the care of AYA including, but not limited to, nurses, social workers, psychologists, and physician assistants often provide psychosocial care, health education, and information related to reproductive health that can impact AYA patients' and survivors decision-making and quality of life. AHPs need communication skills on these issues and resources to identify and facilitate referrals for additional services. Further, we have identified new ethical issues that our trainees encounter such as the challenges of discussing fertility with patients with a poor prognosis, lack of concordance on fertility preservation between minors and parents or between adult partners, and the growing use of posthumous assisted reproduction. Our previous R25 programs ENRICH (Educating Nurses in Reproductive Health Issues in Cancer Health) and ECHO (Enriching Communication skills for Health professionals in Oncofertility) has proven successful in training and skill building for AHPS with 712 learners to date. ECHO is a proven, evidenced-based program demonstrating short and intermediate term impacts on knowledge, perceived confidence, and communication skills. In the proposed renewal application, we seek to expand and extend ECHO in key curricula areas and develop a new cohort of “train the trainers” from our previous ENRICH and ECHO trainees in a new program entitled TORCH (Trainers in Oncofertility Reproductive Communication and Health). ECHO will continue to provide reproductive health communication skills training with expanded curricula in two areas: Sexual and Gender Minorities and Bioethics. TORCH will train prior learners to educate others in the practice setting on the principles of ECHO. Our approaches capitalize on advanced web-based learning technologies we have already developed to facilitate increased interactive learning and skill building. The (ECHO-TORCH) program aims are to: Train AHPs over the 5 year period of the ECHO training Program; Refine and implement the ECHO program to facilitate knowledge about and skills to address reproductive health needs of AYA oncology patients via a web-based learning community; Evaluate the impact of the ECHO and TORCH program at the participant and workplace level (e.g., policies, referrals, numbers trained);. Develop a network of AHPs trainers who disseminate ECHO content