INTERACTIVE MEDIA ON BANKING SPERM BEFORE CANCER THERAPY

描述：这份R25/R44提案旨在开发一种基于浏览器的互动产品，在癌症治疗前教育医生和患者有关精子银行的知识。该产品将包括三个部分：1)讲授部分，向肿瘤医生介绍向所有育龄男性提供精子库的最新理由；2)技能培训部分，教导医生如何就精子库向患者及其家人提供咨询；3)直接患者教育部分，包括面向男性及其家人的说教和情感材料。我们打算在该项目的三个阶段证明，精子库目前没有得到充分利用，即使在最高质量的患者护理中心也是如此；肿瘤医生和患者都缺乏做出关于精子库的完全知情决定的知识；我们的教育产品可以增加患者和医生的知识，增加他们对精子库的积极态度，并实际上影响两个大型癌症中心的精子库比率。在项目的R25阶段，我们将通过对来自德克萨斯大学安德森癌症中心(MDACC)和克利夫兰临床基金会(CCF)的230名肿瘤学教职医生和研究员进行邮寄调查，收集关于医生关于精子库的知识、态度和实践的基线数据。我们计划评估导致患者的医生知识和实践方面的缺陷=未能成功储存精子。我们还将向年龄在14岁至40岁之间的1000名男性发送问卷，他们在MDACC和CCF肿瘤登记的最后两年内被诊断和治疗癌症。我们将评估精子库的比率、精子库的障碍、不孕不育和癌症的知识，以及癌症后对为人父母的焦虑和态度，提供基准数据，以便与我们后来的干预措施中收集的数据进行比较。我们还将组织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互动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.