School of Social and Behavioral Health Sciences, Oregon State University College of Public Health and Human Sciences, Corvallis, OR, 97331, USA.
Moores Cancer Center, University of California San Diego, La Jolla, CA, 92093, USA.
Support Care Cancer. 2018 Feb;26(2):589-595. doi: 10.1007/s00520-017-3871-9. Epub 2017 Sep 14.
Reproductive-aged breast cancer survivors (BCS) who have completed initial cancer treatment frequently want to know about their future fertility potential. The purpose of this qualitative study was to assess if the fertility-related content presented in the survivorship care plan prototype met the informational needs of post-treatment BCS and to provide an opportunity for the target audience to review and react to the proposed content and design.
We conducted and analyzed transcripts from seven focus groups with BCS to evaluate their reactions to the survivorship care plan prototype. We independently coded transcripts for consistent themes and sub-themes and used a consensus-building approach to agree on interpretation of results.
We identified five themes that describe the post-treatment BCS' responses to the prototype survivorship care plan in the context of their informational needs and experiences: (1) the prototype's fertility-related information is relevant; (2) desire for clinical parameters to help survivors understand their infertility risk; (3) fertility-related information is important throughout survivorship; (4) evidence-based content from a neutral source is trustworthy; and (5) the recommendation to see a fertility specialist is helpful, but cost is a barrier.
BCS have concerns and needs related to their fertility potential after initial breast cancer treatment. The evidence-based information offered in our prototype survivorship care plan was acceptable to BCS and has significant potential to address these needs. Additional primary data that identify post-cancer treatment indicators of fertility would advance this effort.
完成初始癌症治疗的育龄期乳腺癌幸存者（BCS）经常想了解其未来的生育潜力。本研究旨在评估原型生存护理计划中提出的与生育相关的内容是否满足治疗后 BCS 的信息需求，并为目标受众提供审查和对提议内容和设计做出反应的机会。
我们对 7 个 BCS 焦点小组的转录本进行了分析，以评估他们对生存护理计划原型的反应。我们对转录本进行了独立编码，以寻找一致的主题和子主题，并采用共识建立方法对结果的解释达成一致。
我们确定了五个主题，描述了治疗后 BCS 在信息需求和经验背景下对原型生存护理计划的反应：（1）原型的生育相关信息是相关的；（2）渴望临床参数来帮助幸存者了解其不孕风险；（3）生育相关信息在整个生存过程中都很重要；（4）来自中立来源的循证内容是值得信赖的；（5）推荐看生育专家是有帮助的，但成本是一个障碍。
BCS 在初始乳腺癌治疗后对其生育潜力存在担忧和需求。我们原型生存护理计划中提供的循证信息为 BCS 所接受，具有解决这些需求的巨大潜力。确定癌症治疗后生育指标的额外原始数据将推动这一努力。
