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Impact of a novel family-centered values clarification tool on adolescent sperm banking attempts at the time of a new cancer diagnosis |
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| Authors: | Nahata Leena Dattilo Taylor M Olsavsky Anna L Lipak Keagan G Whiteside Stacy Yeager Nicholas D Audino Anthony Klosky James L Rausch Joseph Saraf Amanda O’Brien Sarah H Quinn Gwendolyn P Gerhardt Cynthia A |
| Institution: | 1.The Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA ;2.Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA ;3.Department of Pediatrics, The Ohio State University College of Medicine, 370 W. 9th Avenue, Columbus, OH, 43210, USA ;4.Department of Pediatrics & Aflac Cancer and Blood Disorder Center, Emory University School of Medicine, Children’s Healthcare of Atlanta, 2015 Uppergate Drive, Atlanta, GA, 30322, USA ;5.Riley Children’s Hospital, 700 Riley Hospital Drive, Indianapolis, IN, 46202, USA ;6.Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA ; |
| Abstract: | Purpose Over half of males experience fertility impairment after childhood cancer therapy, which often causes psychosocial distress. Yet, fertility preservation (FP) remains underutilized. The goals of this study were to determine the feasibility and impact of implementing a family-centered FP values clarification tool on sperm banking attempts among adolescent males newly diagnosed with cancer, and identify key determinants of banking attempts. MethodsA prospective pilot study was conducted among families of males (12–25 years old), prior to cancer therapy. Thirty-nine of 41 families agreed to participate (95%); 98 participants (32 adolescents, 37 mothers, 29 fathers) completed the Family-centered Adolescent Sperm banking values clarification Tool (FAST). Analyses assessed the impact of the FAST on banking attempts and examined associations between demographic/medical characteristics, FAST subscales (perceived threat, benefits, barriers), and banking attempts. ResultsTwenty-three (59%) adolescents attempted to bank, compared to 8 adolescents (33%) during baseline assessment (p=.04). Significant associations were identified between banking attempts and adolescents’ report of perceived threat (rpb=.45, p=.01) and benefits (rpb=.57, p=.01). Only mothers’ proxy reports of adolescent perceived threat (rpb=.42, p=.01) and benefits (rpb=.47, p=.003) were associated with banking attempts, while fathers’ self-reported perceived benefits (rpb=.43, p=.03), self-reported barriers (rpb=.49, p=.01), and proxy reports of adolescent perceived threat (rpb=.38, p=.04) and benefits (rpb=.59, p=.02) were associated with banking attempts. ConclusionAdolescent sperm banking attempt rates significantly increased after implementation of a family-centered FP values clarification tool prior to cancer treatment. Findings underscore the importance of targeting both adolescents and their parents, particularly fathers, in FP efforts. |
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