Pilot Study of a Nurse Navigator Program to Support Family Planning Decisions for Female Young Adult Cancer Survivors After Treatment

What this Trial Is About

Researchers are evaluating a behavioral program designed to support female adolescent and young adult cancer survivors in making informed family-building decisions after completing cancer treatment. These survivors often face challenges such as fertility impairments, uncertain reproductive potential, increased pregnancy risks, and emotional distress related to parenthood planning. The study aims to pilot-test the programs feasibility and acceptability and to observe preliminary impacts on knowledge, decision-making confidence, and reproductive health distress. The intervention includes four approximately 60-minute videoconference sessions over 4 to 6 weeks, led by a nurse navigator. The sessions cover personalized, risk-based reproductive health education tailored to the participants cancer type and treatment exposures, coping strategies based on Acceptance and Commitment Therapy, and patient activation techniques to encourage engagement in reproductive health care. Participants receive between-session practice exercises. The control group receives survivorship educational materials, including an NCI booklet and supportive service referrals as needed. Participants will complete surveys and assessments at baseline, post-treatment 4 to 6 weeks, and follow-up 8 to 10 weeks. Researchers will measure feasibility by enrollment numbers, session completion rates, and use of program skills. Acceptability will be assessed through satisfaction questionnaires. Secondary outcomes include decisional conflict, self-efficacy, distress related to reproductive concerns, and family-building knowledge. The total participation period extends up to 10 weeks, with ongoing monitoring of participant experiences.

Family Building Decision Support for Female Adolescent and Young Adult Cancer Survivors