Exploring the facilitators and barriers to using an online infertility risk prediction tool (FoRECAsT) for young women with breast cancer: a qualitative study protocol.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
10 02 2020
Historique:
entrez: 13 2 2020
pubmed: 13 2 2020
medline: 20 2 2021
Statut: epublish

Résumé

As cancer treatments may impact on fertility, a high priority for young patients with breast cancer is access to evidence-based, personalised information for them and their healthcare providers to guide treatment and fertility-related decisions prior to cancer treatment. Current tools to predict fertility outcomes after breast cancer treatments are imprecise and do not offer individualised prediction. To address the gap, we are developing a novel personalised infertility risk prediction tool (FoRECAsT) for premenopausal patients with breast cancer that considers current reproductive status, planned chemotherapy and adjuvant endocrine therapy to determine likely post-treatment infertility. The aim of this study is to explore the feasibility of implementing this FoRECAsT tool into clinical practice by exploring the barriers and facilitators of its use among patients and healthcare providers. A cross-sectional exploratory study is being conducted using semistructured in-depth telephone interviews with 15-20 participants each from the following groups: (1) premenopausal patients with breast cancer younger than 40, diagnosed within last 5 years, (2) breast surgeons, (3) breast medical oncologists, (4) breast care nurses (5) fertility specialists and (6) fertility preservation nurses. Patients with breast cancer are being recruited from the joint Breast Service of three affiliated institutions of Victorian Comprehensive Cancer Centre in Melbourne, Australia-Peter MacCallum Cancer Centre, Royal Melbourne Hospital and Royal Women's Hospital, and clinicians are being recruited from across Australia. Interviews are being audio recorded, transcribed verbatim and imported into qualitative data analysis software to facilitate data management and analyses. The study protocol has been approved by Melbourne Health Human Research Ethics Committee, Australia (HREC number: 2017.163). Confidentiality and privacy are maintained at every stage of the study. Findings will be disseminated through peer-reviewed scholarly and scientific journals, national and international conference presentations, social media, broadcast media, print media, internet and various community/stakeholder engagement activities.

Identifiants

pubmed: 32047016
pii: bmjopen-2019-033669
doi: 10.1136/bmjopen-2019-033669
pmc: PMC7044829
doi:

Types de publication

Evaluation Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e033669

Subventions

Organisme : Medical Research Council
ID : G1100357
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N022556/1
Pays : United Kingdom

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Zobaida Edib (Z)

Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia zedib@student.unimelb.edu.au.
Obstetrics & Gynaecology, The Royal Women's Hospital, Parkville, Victoria, Australia.

Yasmin Jayasinghe (Y)

Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
Obstetrics & Gynaecology, The Royal Women's Hospital, Parkville, Victoria, Australia.
Department of Paediatric and Adolescent Gynaecology, The Royal Children's Hospital, Parkville, Victoria, Australia.

Martha Hickey (M)

Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
Obstetrics & Gynaecology, The Royal Women's Hospital, Parkville, Victoria, Australia.

Lesley Stafford (L)

Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Centre for Women's Mental Health, The Royal Women's Hospital, Parkville, Victoria, Australia.

Richard A Anderson (RA)

MRC Centre for Reproductive Health, The University of Edinburgh, Edinburgh, Edinburgh, UK.

H Irene Su (HI)

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, San Diego, California, USA.

Kate Stern (K)

Melbourne IVF, East Melbourne, Victoria, Australia.
Reproductive Services, The Royal Women's Hospital, Parkville, Victoria, Australia.

Christobel Saunders (C)

School of Surgery, The University of Western Australia, Perth, Western Australia, Australia.

Antoinette Anazodo (A)

Sydney Children's Hospital, School of Women's and Children's Health, UNSW, Sydney, New South Wales, Australia.
Nelune Comprehensive Cancer Centre, Prince of Wales Children's Hospital, Randwick, New South Wales, Australia.

Mary Macheras-Magias (M)

Breast Cancer Network Australia, Camberwell, Victoria, Australia.

Shanton Chang (S)

School of Computing and Information Systems, The University of Melbourne, Melbourne, Victoria, Australia.

Patrick Pang (P)

School of Computing and Information Systems, The University of Melbourne, Melbourne, Victoria, Australia.

Franca Agresta (F)

Melbourne IVF, East Melbourne, Victoria, Australia.
Reproductive Services, The Royal Women's Hospital, Parkville, Victoria, Australia.

Laura Chin-Lenn (L)

Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Wanyuan Cui (W)

Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

Sarah Pratt (S)

Breast Service, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

Alex Gorelik (A)

Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, Australia.
School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia.

Michelle Peate (M)

Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
Obstetrics & Gynaecology, The Royal Women's Hospital, Parkville, Victoria, Australia.

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Classifications MeSH