Evaluation of a Telehealth Oncofertility Care Intervention in Adolescent and Young Adult Cancer Patients
Evaluation of a Telehealth Oncofertility Care Intervention in Adolescent and Young Adult Cancer Patients: a Stepped Wedge Cluster Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: H. Irene Su, MD, MSCE
- Phone Number: 858-822-5986
- Email: hisu@health.ucsd.edu
Study Contact Backup
- Name: Sally AD Romero, PhD, MPH
- Phone Number: 858-822-1371
- Email: saromero@health.ucsd.edu
Study Locations
-
-
California
-
Duarte, California, United States, 91010-3000
- Recruiting
- City Of Hope
-
Contact:
- Saro Armenian, DO, MPH
- Phone Number: 626-471-7320
- Email: sarmenian@coh.org
-
Principal Investigator:
- Saro Armenian, DO, MPH
-
El Centro, California, United States, 92243
- Active, not recruiting
- Cancer Resource Center of the Desert
-
La Jolla, California, United States, 92093
- Recruiting
- University of California San Diego
-
Contact:
- H. Irene Su, MD, MSCE
- Phone Number: 858-822-5986
- Email: hisu@health.ucsd.edu
-
San Diego, California, United States, 92123
- Recruiting
- Rady Children's Hospital San Diego
-
Contact:
- Paula Aristizabal, MD, MAS
- Phone Number: 858-966-5811
- Email: paristizabal@rchsd.org
-
Principal Investigator:
- Paula Aristizabal, MD, MAS
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Newly diagnosed cancer or cancer relapse
- Primary language English or Spanish
- Receiving oncology care at participating clinical sites
- Ages 0 to 42 years if female
- Ages 0 to 50 years if male
Exclusion Criteria:
- Non-melanoma skin cancer, because primary treatment is excision with no infertility risk
- Metastatic/Stage IV non-thyroid solid tumors, because of poor prognosis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Multi-component oncofertility care intervention
Eligible cancer patients presenting to oncology clinical visits will receive care through the multi-component oncofertility care intervention.
|
The multi-component oncofertility care intervention includes: (1) an adaptive and smart default electronic health record-based oncofertility needs screen and referral pathway, (2) telehealth oncofertility counseling as indicated, and (3) telehealth oncofertility financial navigation as indicated.
|
|
No Intervention: Usual Care
Eligible cancer patients presenting to oncology clinical visits will receive usual care.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of reproductive-aged female and male patients (aged 12 to 39 years) who engage in goal-concordant oncofertility care
Time Frame: 12 weeks after oncology visit
|
The proportion of eligible reproductive-aged male and female patients (aged 12 to 39 years) who engage in oncofertility services (1| an oncofertility needs screen, 2| referral to oncofertility consult, 3| oncofertility consult, and/or 4| fertility preservation services) that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
|
12 weeks after oncology visit
|
|
Decisional Conflict
Time Frame: 12 weeks after oncology visit
|
The 16-item Decisional Conflict Scale (DCS) will be used to measure patients' decisional conflict for engaging in fertility preservation services.
The DCS consists of 16 statements with 5 response options (ranging from strongly agree to strongly disagree) that measures the patient's perceptions of uncertainty in choosing options, feeling informed, values clarity, support in decision making, and effective decision making.
The DCS total score will be dichotomized at 37.5 (scale 0-100; > 37.5 indicates high decisional conflict).
|
12 weeks after oncology visit
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of female (aged 0 to 42 years) and male (aged 0 to 50 years) patients who engage in goal-concordant oncofertility care
Time Frame: 12 weeks after oncology visit
|
The proportion of eligible female and male patients (aged 0 to 42 years for females; 0 to 50 years for males) who engage in oncofertility services [1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
|
12 weeks after oncology visit
|
|
Number of female patients (aged 0 to 42 years) who engage in goal-concordant oncofertility care
Time Frame: 12 weeks after oncology visit
|
The proportion of eligible female patients (aged 0 to 42 years) who engage in oncofertility services [1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
|
12 weeks after oncology visit
|
|
Number of male patients (aged 0 to 50 years) who engage in goal-concordant oncofertility care
Time Frame: 12 weeks after oncology visit
|
The proportion of eligible male patients (aged 0 to 50 years) who engage in oncofertility services [1) an oncofertility needs screen, 2) referral to oncofertility consult, 3) oncofertility consult, and/or 4) fertility preservation services] that meet the patient's individual needs will be abstracted from medical records using standardized case report forms.
|
12 weeks after oncology visit
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: H. Irene Su, MD, MSCE, University of California, San Diego
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 800780
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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