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Brief Title: Sperm Banking Among Adolescents Newly Diagnosed With Cancer: Development of a Profiling and Referral Tool
Official Title: Predictors of Adolescent Sperm Banking: Development of a Profiling and Referral Tool
Study ID: NCT01152268
Brief Summary: Despite the known adverse effects of specific cancer treatments on fertility, only 18-26% of at-risk adolescents and young men cryopreserve sperm prior to cancer treatment in the US: These already less than optimal rates of sperm banking are even lower among adolescents who have increased anxiety at cancer diagnosis, are lower in age and socioeconomic status, of Evangelical religious orientation, or are diagnosed with leukemia/lymphoma: It is not clear why sperm banking is underutilized, particularly in light of the high priority that survivors of childhood cancer place on fertility and the high psychological distress associated with fertility loss. Studies addressing sperm banking among adults with cancer suggest that factors such as poor physician communication and the resulting lack of fertility-risk knowledge by patients contributes to the low frequency of sperm cryopreservation. No well-designed studies have examined risk factors associated with failure to bank sperm among adolescents with cancer, a developmentally distinct population ripe for intervention. This study plans to enroll 206 adolescent males and 412 parents/guardians.
Detailed Description: This study will identify factors predictive of sperm banking/not sperm banking in order to design interventions for increasing fertility preservation among adolescent males newly diagnosed with cancer. Specifically, this study aims to investigate psychological, demographic, developmental, parent/guardian, provider, and medical factors predictive of sperm banking outcomes among at-risk adolescents with cancer. Once these factors have been identified, the study will develop a novel Profiling and Referral Tool. This instrument will ultimately serve as an intervention for both healthcare providers and families through the facilitation of appropriate referrals, and tailored interventions for decreasing barriers to sperm banking. Finally, the feasibility of the Profiling and Referral tool will be evaluated based on provider and family report.
Minimum Age: 13 Years
Eligible Ages: CHILD, ADULT
Sex: MALE
Healthy Volunteers: No
City of Hope, Duarte, California, United States
Mattel Children's Hospital, Los Angeles, California, United States
Children's Healthcare of Atlanta, Atlanta, Georgia, United States
Dana-Farber Cancer Institute/Children's Hospital Boston, Boston, Massachusetts, United States
The University of Michigan, Ann Arbor, Michigan, United States
St. Jude Children's Research Hospital, Memphis, Tennessee, United States
Cook Children's Medical Center, Fort Worth, Texas, United States
Primary Children's Medical Center, Salt Lake City, Utah, United States
The Hospital for Sick Children, Toronto, Ontario, Canada
Name: James Klosky, Ph.D
Affiliation: St. Jude Children's Research Hospital
Role: PRINCIPAL_INVESTIGATOR