Enriching Communication Skills for Health Professionals in Oncofertility (ECHO)

回应项目摘要/摘要 美国临床肿瘤学会(ASCO)发布了最新的临床实践指南，延长了 讨论不孕不育和转介以保持生育能力的责任超出了内科肿瘤学家的范畴， 明确将其他内科专业和专职医疗人员(AHP)纳入肿瘤学护理 布景。然而，重要的是要考虑到Aya癌症患者的生殖健康不仅仅是 不孕不育和保持生育能力包括其他几个相互关联的生理和社会因素 社交功能。AHPS可能特别适合与Aya讨论生殖健康的角色 给予他们培训的某些方面(例如，心理社会咨询、服务协调、健康教育) 促进与患者的这些讨论。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、生育选择、避孕需求)和社会功能 (身体形象、性取向、友谊和浪漫的伙伴关系)。他们还必须有沟通的技能 关于这些问题，并确定和促进更多服务的转介。然而，几乎没有得到证实和证据的 基于培训的方法证明了AHP在知识、技能和行为方面的改进 针对Aya患者的生殖健康。这支队伍在教育护士方面的前期工作 针对肿瘤科护士的生殖健康问题(ENRICH)课程是一门有效的课程， 对知识、感知的信心和行为有短期和中期的影响。然而， 到目前为止，内容和培训的重点主要是不孕不育和保持生育能力。建议数 续签申请旨在扩大和延长原丰富计划。目前建议的 在肿瘤生育(ECHO)计划中丰富卫生专业人员的沟通技能旨在：(1)培训 360 AHP(护士、社会工作者、心理学家和医生助理)，为期5年(2)细化和 实施ECHO计划，促进有关知识和技能，以满足妇女的生殖健康需求 Aya肿瘤学患者通过基于网络的学习社区；(3)在 参与者(例如，知识、实践行为)和工作场所层面(例如，政策、推荐系统)；以及(4) 建立一个训练有素的AHP网络，以分享该计划的经验、资源和传播 内容。

ECHO 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.