This study aims to develop and pilot-test a nurse navigator-delivered behavioral program to support female adolescent and young adult (AYA) cancer survivors in making informed, values-driven family-building decisions after completion of cancer treatment. Female AYA survivors often face fertility impairments, uncertainty about reproductive potential, elevated obstetric risks during pregnancy, and significant emotional distress related to parenthood planning. Currently, few interventions address these post-treatment decision-making needs. The intervention consists of four videoconference sessions that combine personalized, risk-based reproductive health education with coping strategies derived from Acceptance and Commitment Therapy and Patient Activation Theory. A pilot randomized controlled trial will evaluate feasibility, acceptability, and preliminary changes in knowledge, decisional conflict, self-efficacy, and reproductive-health-related distress among 48 participants randomized to the intervention or a survivorship-education control condition. Findings will inform future testing of the intervention's efficacy in a larger clinical trial.
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Feasibility as measured by number of adolescents and young adults (AYAs) enrolled
Timeframe: up to 10 months
Feasibility as measured by the number of participants who complete all four sessions
Timeframe: Post-treatment (4-6 weeks)
Feasibility as measured by frequency of program skills use
Timeframe: Post-treatment (4-6 weeks), follow-up (8-10 weeks)
Feasibility as measured by frequency of specific program skills use
Timeframe: Post-treatment (4-6 weeks), follow-up (8-10 weeks)
Acceptability as measured by the Client Satisfaction Questionnaire
Timeframe: Post-treatment (4-6 weeks)
Acceptability as measured by the Treatment Acceptability Questionnaire
Timeframe: Post-treatment (4-6 weeks)
Acceptability as measured by the Satisfaction with Therapy and Therapist Scale-Revised (STTS-R)
Timeframe: Post-treatment (4-6 weeks)