INTERACTIVE MEDIA ON BANKING SPERM BEFORE CANCER THERAPY

描述：本R25/R44提案旨在开发一个基于浏览器的交互式产品，以教育医生和患者在癌症治疗前储存精子。该产品将由三个部分组成：1)教学部分，向肿瘤医生介绍向所有育龄男性提供精子库的基本原理；2)技能培训部分，教授医生如何就精子库向患者和家属提供咨询；3)直接的患者教育部分，包括对男性及其家庭成员的说教和情感聚焦材料。我们打算在项目的三个阶段证明，即使在最高质量的病人护理中心，精子库目前也未得到充分利用；肿瘤医生和患者都缺乏对精子库做出充分知情决定的知识；我们的教育产品可以增加病人和医生的知识，提高他们对精子储存的积极态度，并实际影响两个大型癌症中心的精子储存率。在该项目的R25阶段，我们将通过邮政调查收集来自德州大学M.D.安德森癌症中心（MDACC）和克利夫兰诊所基金会（CCF）的230名肿瘤科医生和研究员的关于精子库的医生知识、态度和实践的基线数据。我们计划评估医生知识和实践方面的缺陷，这些缺陷会导致患者无法成功储存精子。我们还将向1000名年龄在14至40岁之间的男性发送问卷，这些男性在MDACC和CCF的肿瘤登记处的过去两年内被诊断和治疗过癌症。我们将评估精子库的使用率、进入精子库的障碍、对不孕症和癌症的了解，以及癌症后对为人父母的焦虑和态度，为我们后来的干预中收集的数据提供基准数据进行比较。我们还将开展8个焦点小组，收集有关精子库的家庭、文化和精神问题的定性数据。来自调查和焦点小组的信息将用于完成交互式媒体产品内容的书面脚本。它将由一个专家小组审查其准确性和适当性。

DESCRIPTION: This R25/R44 proposal aims to develop a browser-based interactive product to educate both physicians and patients about banking sperm before cancer treatment. The product will have three components: 1) a didactic portion to update oncology physicians on the rationale to offer sperm-banking to all men of reproductive age; 2) a skills-training portion teaching physicians how to counsel patients and families about sperm banking; and 3) a direct patient education portion including both didactic and emotion-focused material for men and their family members. We intend to demonstrate, over the three phases of the project that sperm banking is currently underutilized, even in the highest quality patient care centers; that both oncology physicians and patients lack the knowledge to make fully informed decisions about sperm banking; and that our educational product can increase knowledge in patients and physicians, increase their positive attitudes towards banking sperm, and actually affect the rates of sperm banking in two large cancer centers. In the R25 Phase of the project, we will collect baseline data on physician knowledge, attitudes, and practices regarding sperm banking by a postal survey of 230 oncology faculty physicians and fellows from the U.T. M.D. Anderson Cancer Center (MDACC) and the Cleveland Clinic Foundation (CCF). We plan to assess deficits in physician knowledge and practice that contribute to patients= failures to successfully bank sperm. We will also send questionnaires to 1,000 men aged 14 to 40 who were diagnosed and treated for cancer within the last two years of the tumor registries at MDACC and CCF. We will assess rates of sperm banking, barriers to sperm banking, knowledge about infertility and cancer, and anxieties and attitudes about parenthood after cancer, providing benchmark data for comparison to that gathered in our later interventions. We will also conduct 8 focus groups to gather qualitative data on familial, cultural, and spiritual issues regarding sperm banking. Information from the survey and focus groups will be used to complete a written script of the content for the interactive media product. It will be reviewed by a panel of experts for accuracy and appropriateness.