Parent-Adolescent Concordance Regarding Fertility Perspectives and Sperm Banking Attempts in Adolescent Males With Cancer.

Autor:	Nahata L; The Abigail Wexner Research Institute.; Nationwide Children's Hospital.; The Ohio State University College of Medicine., Olsavsky A; The Abigail Wexner Research Institute., Dattilo TM; The Abigail Wexner Research Institute., Lipak KG; The Abigail Wexner Research Institute., Whiteside S; Nationwide Children's Hospital., Yeager ND; Nationwide Children's Hospital.; The Ohio State University College of Medicine., Audino A; Nationwide Children's Hospital.; The Ohio State University College of Medicine., Rausch J; The Abigail Wexner Research Institute.; The Ohio State University College of Medicine., Klosky JL; Department of Pediatrics, Emory University School of Medicine & The Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta., O'Brien SH; The Abigail Wexner Research Institute.; Nationwide Children's Hospital.; The Ohio State University College of Medicine., Quinn GP; New York University Grossman School of Medicine., Gerhardt CA; The Abigail Wexner Research Institute.; The Ohio State University College of Medicine.
Jazyk:	angličtina
Zdroj:	Journal of pediatric psychology [J Pediatr Psychol] 2021 Oct 18; Vol. 46 (10), pp. 1149-1158.
DOI:	10.1093/jpepsy/jsab069
Abstrakt:	Objective: Approximately half of male childhood cancer survivors experience impaired fertility, yet fertility preservation (FP) remains underutilized. Although parent recommendation influences adolescents' decision-making, parents may be uncertain and/or underrate their sons' parenthood goals. This study assessed parent-adolescent and family-level concordance regarding adolescent fertility perspectives (i.e., values, goals) and associations with FP attempts. Methods: A prospective pilot study examined the impact of a family-centered values clarification tool (FAST) on banking attempts among adolescent males newly diagnosed with cancer at risk for infertility. The FAST assessed adolescent and parent perceptions of adolescents' fertility values and goals (i.e., perceived threat of infertility, perceived benefits/barriers to banking). Parent-adolescent concordance and family-level concordance on fertility perspectives were examined, along with associations with banking attempts and salient demographic factors. Results: Ninety-eight participants (32 adolescents aged 12-20, 37 mothers, 29 fathers) from 32 families completed the FAST before treatment initiation. Parent-adolescent dyads were concordant on approximately one-half of responses. Banking attempts were associated with higher family-level concordance regarding perceived benefits, r(32) = .40, p = .02. Older adolescent age was associated with higher family-level concordance regarding perceived threat, r(31) = .37, p = .04, and benefits, r(32) = .40, p = .03. Fathers' education was associated with higher family-level concordance regarding barriers, r(21) = .53, p = .01. Conclusions: When parents were concordant with their son's fertility values and goals, particularly perceived benefits, adolescents were more likely to attempt FP. Clinicians should facilitate sharing of fertility perspectives within families before cancer treatment, especially with younger adolescents. Psychosocial support for families facing FP decisions is recommended at diagnosis and across the care continuum. (© The Author(s) 2021. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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