LOvE (LGBT Oncofertility Education) ECHO

项目摘要/摘要 美国临床肿瘤学会（ASCO）发布了更新的临床实践指南， 负责讨论不孕症和转诊，以保持生育能力，而不是医学肿瘤学家， 明确将其他专科医生和专职医疗保健人员（AHPs）纳入肿瘤护理 设置.然而，至关重要的是要考虑到，AYA癌症患者的生殖健康不仅限于 不孕症和生育力保存包括其他几个相关的相互关联的组成部分， 社会功能AHPs可能特别适合与AYA讨论生殖健康的作用 考虑到他们训练的某些方面（例如，社会心理咨询、服务协调、健康教育） 促进与患者的讨论。重要的是，AHPs需要对潜在的 癌症诊断和/或治疗对AYA患者生殖健康的影响， 功能（生殖能力、生育力保持选择、避孕需求）和社会功能 (body形象、性、友谊和浪漫的伴侣关系）。他们还必须具备沟通的技能 了解这些问题，并确定和促进其他服务的转介。然而，很少有证据证明， 基于培训的方法已经证明了AHPs的知识、技能和行为的改善 特别是对AYA患者的生殖健康。该团队先前在教育护士方面的工作， 肿瘤科护士的癌症健康生殖问题（ENRICH）计划是一个有效的课程， 对知识、感知信心和行为有短期和中期影响。但 到目前为止，内容和培训的重点主要是不孕症和生育能力的保持。拟议 更新申请旨在扩大和延长原来的ENRICH计划。当前提出的 增强肿瘤生育保健专业人员的沟通技能（ECHO）计划的目的是：（1）培训 360 AHP（护士，社会工作者，心理学家和医生助理）在5年内（2）完善和 * 执行欧共体人道处方案，以促进了解和掌握满足妇女生殖健康需要的技能， AYA肿瘤患者通过基于网络的学习社区;（3）评估该计划在 参与者（例如，知识，实践行为）和工作场所水平（例如，政策、转介系统）;以及（4） 建立一个受过培训的高级专业人员网络，以分享经验、资源和传播方案， 内容

Project Abstract/Summary The American Society of Clinical Oncology (ASCO) published updated clinical practice guidelines extending the responsibility for discussion of infertility and referral for fertility preservation beyond the medical oncologist, to explicitly include other physician specialties and Allied Healthcare Professionals (AHPs) in the oncology care setting. However, it is critical to consider that reproductive health for AYA cancer patients extends beyond infertility and fertility preservation to include several other related interrelated components of physical and social functioning. AHPs may be particularly well suited to the role of discussing reproductive health with AYA given some aspects of their training (e.g., psychosocial counseling, coordination of services, health education) facilitate these discussions with patients. Importantly, AHPs need a general understanding of the potential impact of cancer diagnosis and/or treatment on AYA patients' reproductive health including physical functioning (reproductive capacity, fertility preservation options, contraception needs) and social functioning (body image, sexuality, friendships and romantic partnering). They must also have the skills to communicate about these issues and identify and facilitate referrals for additional services. Yet, few proven, evidenced based training approaches have demonstrated improvements in AHPs' knowledge, skills, and behaviors specific to reproductive health for AYA patients. This team's prior work in the Educating Nurses about Reproductive Issues in Cancer Health (ENRICH) program for oncology nurses is an effective curriculum that has short and intermediate term impacts on knowledge, perceived confidence, and behaviors. However, the focus of content and training to date has been primarily on infertility and fertility preservation. The proposed renewal application seeks to expand and extend the original ENRICH program. The currently proposed Enriching Communication skills for Health professionals in Oncofertility (ECHO) Program aims are to: (1) train 360 AHP (nurses, social workers, psychologists, and physician assistants) over a 5 year period (2) 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; (3) evaluate the impact of the program at the participant (e.g., knowledge, practice behavior) and workplace level (e.g., policies, referral systems); and (4) develop a network of trained AHPs to share experiences, resources, and dissemination of the program and content.