Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.

Introduction Many cancer treatments can result in reduced fertility, impacting survivors’ opportunities for biological parenthood. Fertility preservation (FP) methods for boys and young men, such as cryopreservation of testicular tissue or sperm, offer hope but are currently underused among young ma...

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Main Authors: Bob Phillips, Richard Anderson, Anne-Mairead Folan, Georgina Louise Jones, Sheila Lane, Allan Pacey, Rod Thomas Mitchell, Brendan Gough, Danielle Sarah Musson, Nicola O’Donnell, Abigail Lewis, Maximilian Williamson, Dan Yeomanson, Carol Porteous
Format: Article
Language:English
Published: BMJ Publishing Group 2025-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/8/e104475.full
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author Bob Phillips
Richard Anderson
Anne-Mairead Folan
Georgina Louise Jones
Sheila Lane
Allan Pacey
Rod Thomas Mitchell
Brendan Gough
Danielle Sarah Musson
Nicola O’Donnell
Abigail Lewis
Maximilian Williamson
Dan Yeomanson
Carol Porteous
author_facet Bob Phillips
Richard Anderson
Anne-Mairead Folan
Georgina Louise Jones
Sheila Lane
Allan Pacey
Rod Thomas Mitchell
Brendan Gough
Danielle Sarah Musson
Nicola O’Donnell
Abigail Lewis
Maximilian Williamson
Dan Yeomanson
Carol Porteous
author_sort Bob Phillips
collection DOAJ
description Introduction Many cancer treatments can result in reduced fertility, impacting survivors’ opportunities for biological parenthood. Fertility preservation (FP) methods for boys and young men, such as cryopreservation of testicular tissue or sperm, offer hope but are currently underused among young male patients with cancer. Despite guidelines recommending early discussion of fertility implications, many newly diagnosed males do not receive FP counselling or referral to fertility services. Male cancer survivors face a higher likelihood of infertility than their peers, yet focused FP decision-making support is lacking. This study aims to address this gap by developing and evaluating the first dedicated patient decision aid (PtDA) for boys and young male patients with cancer aged 11–25 years old, to help them make informed FP decisions before receiving cancer treatment.Methods and analysis The current study follows a multistage process: developing the PtDA, alpha testing for acceptability with former patients, parents and healthcare professionals, and beta testing in clinical settings to ensure effective integration into routine care. Using a combination of interviews and questionnaire data, this research will assess the PtDA’s acceptability and impact on decision-making.Ethics and dissemination This study has been prospectively registered on the Research Registry (10273). Ethics approval has been obtained from Leeds Beckett University and the National Health Service/Health Research Authority before undertaking data collection. The final resource will be disseminated widely and made freely available online via our dedicated Cancer, Fertility and Me website, for use in clinical and research practice.
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spelling doaj-art-9d3e574b55f145a098789d8d0e9c37b82025-08-26T04:05:19ZengBMJ Publishing GroupBMJ Open2044-60552025-08-0115810.1136/bmjopen-2025-104475Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.Bob Phillips0Richard Anderson1Anne-Mairead Folan2Georgina Louise Jones3Sheila Lane4Allan Pacey5Rod Thomas Mitchell6Brendan Gough7Danielle Sarah Musson8Nicola O’Donnell9Abigail Lewis10Maximilian Williamson11Dan Yeomanson12Carol Porteous137 Centre for Reviews and Dissemination, University of York, York, UK2 Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK1 Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK1 Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK6 Oxford University Hospitals NHS Trust, Oxford, UK5 School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK2 Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK1 Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK1 Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK1 Psychology, School of Humanities and Social Sciences, Leeds Beckett University, Leeds, UK2 Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK3 Queen Elizabeth University Hospital, Glasgow, UK4 Sheffield Children’s NHS Foundation, Sheffield, UK9 Edinburgh Clinical Research Facility, University of Edinburgh, Edinburgh, UKIntroduction Many cancer treatments can result in reduced fertility, impacting survivors’ opportunities for biological parenthood. Fertility preservation (FP) methods for boys and young men, such as cryopreservation of testicular tissue or sperm, offer hope but are currently underused among young male patients with cancer. Despite guidelines recommending early discussion of fertility implications, many newly diagnosed males do not receive FP counselling or referral to fertility services. Male cancer survivors face a higher likelihood of infertility than their peers, yet focused FP decision-making support is lacking. This study aims to address this gap by developing and evaluating the first dedicated patient decision aid (PtDA) for boys and young male patients with cancer aged 11–25 years old, to help them make informed FP decisions before receiving cancer treatment.Methods and analysis The current study follows a multistage process: developing the PtDA, alpha testing for acceptability with former patients, parents and healthcare professionals, and beta testing in clinical settings to ensure effective integration into routine care. Using a combination of interviews and questionnaire data, this research will assess the PtDA’s acceptability and impact on decision-making.Ethics and dissemination This study has been prospectively registered on the Research Registry (10273). Ethics approval has been obtained from Leeds Beckett University and the National Health Service/Health Research Authority before undertaking data collection. The final resource will be disseminated widely and made freely available online via our dedicated Cancer, Fertility and Me website, for use in clinical and research practice.https://bmjopen.bmj.com/content/15/8/e104475.full
spellingShingle Bob Phillips
Richard Anderson
Anne-Mairead Folan
Georgina Louise Jones
Sheila Lane
Allan Pacey
Rod Thomas Mitchell
Brendan Gough
Danielle Sarah Musson
Nicola O’Donnell
Abigail Lewis
Maximilian Williamson
Dan Yeomanson
Carol Porteous
Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
BMJ Open
title Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
title_full Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
title_fullStr Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
title_full_unstemmed Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
title_short Development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer: The Cancer, Fertility and Me for Boys and Young Men research protocol.
title_sort development and evaluation of the first fertility preservation patient decision aid to support boys and young men with cancer the cancer fertility and me for boys and young men research protocol
url https://bmjopen.bmj.com/content/15/8/e104475.full
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