Roadmap to Parenthood: Testing the Efficacy of a Decision Aid and Planning Tool for Family Building After Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Catherine Benedict, PhD
- Phone Number: 650-498-5566
- Email: cbenedict@stanford.edu
Study Locations
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California
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Palo Alto, California, United States, 94305
- Stanford Universtiy
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Assigned female at birth
- Aged 18 to 45 years old
- Understands verbal and written English
- History of a cancer diagnosis.
- Completed cancer treatment(s) with known or uncertain gonadotoxic effects (e.g., systemic chemotherapy, surgery or radiation affecting reproductive organs or hormone regulation, stem cell or bone marrow transplant, and/or immunotherapy)
- Interested in having a future child (or more children) or uncertain about family building plans
- Access to the Internet and use of a computer, tablet, or smartphone
- Ability to understand and the willingness to personally sign the written IRB-approved informed consent document
Exclusion Criteria:
- Currently undergoing cancer treatment excluding long term adjuvant or maintenance therapies, such as tamoxifen
- Significant physical or mental disability that prevents completion of study activities
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Web-based decision support (Roadmap to Parenthood)
Patients will receive access to the Roadmap to Parenthood tool (website).
The goal of the Roadmap tool is to encourage young adult females (YA-Fs) to be informed about family-building options, set realistic expectations about potential difficulties, and plan ahead to avoid or mitigate barriers, while also inspiring hope and confidence that parenthood may be achieved, despite their cancer histories.
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web-based decision support
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Active Comparator: Informational booklet
Patients will receive the web-based Livestrong 'Planning for Life After Cancer: A Guide to Survivorship for Teens and Young Adults' informational booklet, covering many topics (e.g., physical symptoms, emotional concerns, day-to-day needs).
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web-based informational booklet about young adult cancer survivorship
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Decision Conflict Scale
Time Frame: 12 months
|
Decisional Conflict Scale is a validated survey that assesses personal uncertainty in making healthcare decisions; modifiable factors contributing to uncertainty; and the quality of the decision made.
The survey has 16 questions, with responses on a 5 point scale ranging from "strongly agree" (1) to "strongly disagree" (5).
Total scores range from 16 to 80, with higher scores indicating greater uncertainty (worse outcome)
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12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Planning Behaviors for Future Family Building
Time Frame: 12 months
|
Yes and No (Y/N) question of whether participants completed "next step" planning behaviors aligned with their family-building goals
|
12 months
|
|
Patient-Reported Outcomes Measure-29 (PROMIS-29) Quality of Life
Time Frame: 12 months
|
PROMIS-29 assesses seven domains of health-related quality of life including physical function, anxiety, depression, ability to participate in social roles and activities (social participation), fatigue, pain interference, and pain intensity.
Items are scored on a 5-point scale (range 1-5).
From the sum of the answers to each question in the domain, the total raw score for each domain is calculated, resulting in seven domain scores, each between 4 and 20
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12 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Unmet Fertility Information Needs
Time Frame: 12 months
|
The survey has 5 questions, each answered by a Yes / No response.
Yes is scored as 1, and no is scored as 0. Total scores range from 0 to 5, with higher scores indicating greater perceived knowledge.
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12 months
|
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Reproductive Concerns After Cancer (RCAC) Scale
Time Frame: 12 months
|
The survey has 18 questions, answered on a 5 point scale ranging from "strongly disagree" (1) to "strongly agree" (5).
Total scores range from 18 to 90, with higher scores indicating greater distress (worse outcome).
|
12 months
|
|
COMRADE subscale
Time Frame: 12 months
|
Items are answered on a 5-point scale from "Strongly Disagree" to "Strongly Agree," with high scores indicating better outcomes
|
12 months
|
|
Patient-Reported Outcomes Measure (PROMIS) General Self Efficacy
Time Frame: 12 months
|
Questions measures the degree to which people feel confident in managing various situations, problems, and events and confidence in managing negative emotions.
Items are scored on a 5-point scale (range 1-5).From the sum of the answers to each question in the domain, the total raw score for each domain is calculated, resulting in seven domain scores, each between 4 and 20
|
12 months
|
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Patient-Reported Outcomes Measure (PROMIS) General Self-Efficacy and Self-Efficacy for Managing Emotions
Time Frame: 12 months
|
The PROMIS General Self-Efficacy and Self-Efficacy for Managing Emotions subscales measure the degree to which people feel confident in managing various situations, problems, and events and confidence in managing negative emotions.
21 Questions will assess general self-efficacy in these domains and self-efficacy in managing fertility and family-building issues and emotions.
The outcome will be reported as the mean difference from baseline to 1, 6, and 12 months, with standard deviation.
Items are answered on a 5-point scale from "Strongly Disagree" to "Strongly Agree," with high scores indicating better outcomes
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Catherine Benedict, PhD, Stanford University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- IRB-71534
- 1R37CA282148-01 (U.S. NIH Grant/Contract)
- NCI-2024-06041 (Registry Identifier: National Cancer Institute Clinical Trials Reporting Program)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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