Article

Development of the Fertility and Cancer Project: An Internet Approach to Help Young Cancer Survivors

Karen Meneses

Patrick McNees

Andres Azuero

Angela Jukkala

young adult cancer survivors, breast cancer, breast neoplasms, fertility, Internet
ONF 2010, 37(2), 191-197. DOI: 10.1188/10.ONF.191-197

Purpose/Objectives: To describe the development of the Fertility and Cancer Project (FCP), an Internet approach to supplement information about fertility; describe FCP study participants' characteristics, fertility, cancer knowledge, and Internet use; and assess perceived information and support from the oncology team.

Design: Descriptive.

Setting: Internet, international.

Sample: 106 young survivors of breast cancer from eight countries.

Methods: FCP content was developed from the literature and interviews with breast cancer survivors, oncology professionals, and young women without cancer who were having fertility problems. Participants learned about the FCP through advocacy groups, cancer care providers, and Web searches. After enrollment, they completed five surveys: sociodemographic, breast cancer and health status, knowledge of fertility, Internet use, and the Medical Outcomes Study-Social Support Survey.

Main Research Variables: Sociodemographics, breast cancer, health status, fertility knowledge, Internet use, and social support.

Findings: Prior to diagnosis, most survivors had no fertility concerns, but more than 14% reported fertility problems. Following breast cancer diagnosis and treatment, 23 reported fertility problems. About half reported receiving little information about fertility options from the oncology team and were referred to a reproductive endocrinologist. Internet use to obtain support and health information was common. Most reported frequent computer use and Internet access in their homes. Participants were most knowledgeable of the general and treatment-related factors that could affect fertility; they were least knowledgeable of infertility treatment.

Conclusions: Results provide preliminary evidence about the demographic, cancer treatment, and support characteristics of young survivors of breast cancer who seek online information about fertility.

Implications for Nursing: The Internet is a promising format for engaging young cancer survivors who seek information about fertility and cancer. Future studies can evaluate FCP effectiveness in delivering education and support interventions.

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    References

    American Society for Reproductive Medicine. (2006). Frequently asked questions about infertility. Retrieved from http://www.asrm.org/Patients/faqs.html
    Bowen, D. (2003). Predictors of women's Internet access and Internet health seeking. Health Care for Women International, 24, 940-951. doi: 10.1080/07399330390244130
    Canada, A. L., & Schover, L. R. (2005). Research promoting better patient education on reproductive health after cancer. Journal of the National Cancer Institute. Monographs, 34, 98-100. doi: 10.1093/jncimonographs/lgi013
    Dow, K. H. (1994). Having children after breast cancer. Cancer Practice, 2, 407-413.
    Dow, K. H., & Kuhn, D. (2004). Fertility options in young breast cancer survivors: A review of the literature [Online exclusive]. Oncology Nursing Forum, 31, E46-E53. doi: 10.1188/04.ONF.E46-E53
    Dow Meneses, K., & McNees, P. (2007). Transdisciplinary integration of electronic communication technology and nursing research. Nursing Outlook, 55, 242-249. doi: 10.1016/j.outlook.2007.04.004
    Duffy, C. M., Allen, S. M., & Clark, M. A. (2005). Discussions regarding reproductive health for young women with breast cancer undergoing chemotherapy. Journal of Clinical Oncology, 23, 766-773. doi: 10.1200/JCO.2005.01.134
    Jeruss, J. S., & Woodruff, T. K. (2009). Preservation of fertility in patients with cancer. New England Journal of Medicine, 360, 902-911. doi: 10.1056/NEJMra0801454
    Mayer, D. K., Terrin, N. C., Kreps, G. L., Menon, U., McCance, K., Parsons, S. K., & Mooney, K. H. (2007). Cancer survivors' information seeking behaviors: A comparison of survivors who do and do not seek information about cancer. Patient Education and Counseling, 65, 342-350. doi: 10.1016/j.pec.2006.08.015
    Murray, R. S. (2005). Fertility sparing options for breast cancer patients. Breast Disease, 23, 73-80.
    National Cancer Institute. (2005). SEER cancer statistics review, 1975-2005. Retrieved from http://seer.cancer.gov/csr/1975_2005
    Oktay, K., Buyuk, E., Libertella, N., Akar, M., & Rosenwaks, Z. (2005). Fertility preservation in breast cancer patients: A prospective controlled comparison of ovarian stimulation with tamoxifen and letrozole for embryo cryopreservation. Journal of Clinical Oncology, 23, 4347-4353. doi: 10.1200/JCO.2005.05.037
    Owen, J. E., Klapow, J. C., Roth, D. L., Shuster, J. L., Jr., Bellis, J., Meredith, R., & Tucker, D. C. (2005). Randomized pilot of a self-guided Internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30, 54-64. doi: 10.1207/s15324796abm3001_7
    Partridge, A. H. (2008). Fertility preservation: A vital survivorship issue for young women with breast cancer. Journal of Clinical Oncology, 26, 2612-2613. doi: 10.1200/JCO.2008.16.1976
    Raines, C. (2004). Infertility. In D. L. Lowdermilk & S. E. Perry (Eds.), Maternity and women's health care (pp. 246-266.). St. Louis, MO: Mosby.
    Sherbourne, C. D., & Stewart, A. L. (1991). The MOS Social Support Survey. Social Science and Medicine, 32, 705-714.
    van de Poll-Franse, L. V., & van Eenbergen, M. C. (2008). Internet use by cancer survivors: Current use and future wishes. Supportive Care in Cancer, 16, 1189-1195. doi: 10.1007/s00520-008-0419-z