Emi Takeuchi1,2, Masashi Kato3,4, Kayoko Miyata4, Nao Suzuki5, Chikako Shimizu6, Hiroshi Okada7, Naoko Matsunaga4, Mariko Shimizu4, Natsuko Moroi4, Daisuke Fujisawa8, Masaru Mimura8, Yoko Miyoshi9. 1. Center for Cancer Control and Information Services, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. etakeuch@ncc.go.jp. 2. Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. etakeuch@ncc.go.jp. 3. Center for Cancer Control and Information Services, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. 4. Consultation, Counseling and Support Service Center, National Cancer Center Hospital, Tokyo, Japan. 5. Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kanagawa, Japan. 6. Department of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan. 7. Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan. 8. Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. 9. Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Abstract
PURPOSE: The American Society of Clinical Oncology (ASCO) Clinical Practice guidelines recommend that physicians, nurses, social workers, and other health care providers should be prepared to discuss the risk of infertility with patients. We conducted an educational program for non-physician health care providers regarding fertility preservation and evaluated the effects of the educational program. METHODS: The 4-h educational program consisted of lectures about infertility as a potential risk of cancer treatment, fertility preservation, and psychosocial support. Knowledge, confidence, institutional change, and self-practice were assessed pre-program, immediately post-program, and 6 months post-program. RESULTS: Of 124 participants who joined the program, 74 completed and returned the follow-up survey 6 months after the program. Sixty-one percent of the participants were nurses, 27% were social workers, and 4% were psychologists. The scores for confidence and knowledge increased between pre- and immediate post-program periods (p < 0.01), and between pre- and 6-month post-program periods (p < 0.01). The knowledge score was 52, 76, and 71% at the 3 points respectively. The participants became more likely to disseminate fertility preservation counseling at their institutions (p < 0.01) and use informational resources (p < 0.01). Overall, self-practice and institutional support did not change. CONCLUSIONS: The study revealed that this educational program is applicable for non-physicians to learn about fertility preservation. The participants improved significantly in confidence and knowledge, but not in counseling skills.
PURPOSE: The American Society of Clinical Oncology (ASCO) Clinical Practice guidelines recommend that physicians, nurses, social workers, and other health care providers should be prepared to discuss the risk of infertility with patients. We conducted an educational program for non-physician health care providers regarding fertility preservation and evaluated the effects of the educational program. METHODS: The 4-h educational program consisted of lectures about infertility as a potential risk of cancer treatment, fertility preservation, and psychosocial support. Knowledge, confidence, institutional change, and self-practice were assessed pre-program, immediately post-program, and 6 months post-program. RESULTS: Of 124 participants who joined the program, 74 completed and returned the follow-up survey 6 months after the program. Sixty-one percent of the participants were nurses, 27% were social workers, and 4% were psychologists. The scores for confidence and knowledge increased between pre- and immediate post-program periods (p < 0.01), and between pre- and 6-month post-program periods (p < 0.01). The knowledge score was 52, 76, and 71% at the 3 points respectively. The participants became more likely to disseminate fertility preservation counseling at their institutions (p < 0.01) and use informational resources (p < 0.01). Overall, self-practice and institutional support did not change. CONCLUSIONS: The study revealed that this educational program is applicable for non-physicians to learn about fertility preservation. The participants improved significantly in confidence and knowledge, but not in counseling skills.
Entities:
Keywords:
Confidence; Counseling; Fertility preservation; Health care provider; Knowledge
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