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Implementation and evaluation of a fertility preservation telehealth counseling intervention for males with cystic fibrosis

•Males with CF desire provider-initiated SRH education early in life and on a regular basis.•The counseling intervention was developed with input from males with CF, CF providers, & CF researchers.•Telehealth counseling is acceptable, appropriate, & feasible for males with CF.•SRH counseling...

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Published in:Journal of cystic fibrosis 2024-07, Vol.23 (4), p.658-663
Main Authors: Woods, Brittany M., Bray, Leigh A., Campbell, Sukhkamal B., Li, Peng, Kazmerski, Traci M., Hovater, Cade, Pitts, Leslie N., Ladores, Sigrid
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container_title Journal of cystic fibrosis
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creator Woods, Brittany M.
Bray, Leigh A.
Campbell, Sukhkamal B.
Li, Peng
Kazmerski, Traci M.
Hovater, Cade
Pitts, Leslie N.
Ladores, Sigrid
description •Males with CF desire provider-initiated SRH education early in life and on a regular basis.•The counseling intervention was developed with input from males with CF, CF providers, & CF researchers.•Telehealth counseling is acceptable, appropriate, & feasible for males with CF.•SRH counseling may improve fertility knowledge, self-efficacy, & care satisfaction.•Telehealth counseling by a fertility specialist may reduce the CF team's burden. Most males with cystic fibrosis (MwCF) have congenital bilateral absence of the vas deferens and require assisted reproductive technology to conceive, yet many have limited knowledge about how CF affects sexual and reproductive health (SRH). This study evaluates the feasibility, acceptability, and potential effectiveness of telehealth fertility preservation (FP) counseling for MwCF. Pre-lung transplant MwCF ≥18 years, recruited from U.S. CF centers, social media, and via snowball sampling, received individualized telehealth counseling. Participants completed intervention feasibility/acceptability one week post-counseling and FP knowledge, care satisfaction, and self-efficacy assessments at baseline and two months post-counseling. We completed acceptability interviews one-week post-counseling and audio-recorded, transcribed, and thematically analyzed results. We descriptively analyzed survey results and conducted pre/post comparisons using paired t-tests. Thirty MwCF (ages 22–49 years) completed counseling. Most were in a relationship (70 %) and White (86.7 %). Telehealth FP counseling was acceptable (M = 4.38/5 ± 0.60), appropriate (M = 4.37/5 ± 0.60), and feasible (M = 4.60/5 ± 0.45) to MwCF. FP knowledge (9.53 vs. 10.40/12; p = .010), care satisfaction (20.23 vs 26.67/32; p
doi_str_mv 10.1016/j.jcf.2024.06.011
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Most males with cystic fibrosis (MwCF) have congenital bilateral absence of the vas deferens and require assisted reproductive technology to conceive, yet many have limited knowledge about how CF affects sexual and reproductive health (SRH). This study evaluates the feasibility, acceptability, and potential effectiveness of telehealth fertility preservation (FP) counseling for MwCF. Pre-lung transplant MwCF ≥18 years, recruited from U.S. CF centers, social media, and via snowball sampling, received individualized telehealth counseling. Participants completed intervention feasibility/acceptability one week post-counseling and FP knowledge, care satisfaction, and self-efficacy assessments at baseline and two months post-counseling. We completed acceptability interviews one-week post-counseling and audio-recorded, transcribed, and thematically analyzed results. We descriptively analyzed survey results and conducted pre/post comparisons using paired t-tests. Thirty MwCF (ages 22–49 years) completed counseling. Most were in a relationship (70 %) and White (86.7 %). Telehealth FP counseling was acceptable (M = 4.38/5 ± 0.60), appropriate (M = 4.37/5 ± 0.60), and feasible (M = 4.60/5 ± 0.45) to MwCF. FP knowledge (9.53 vs. 10.40/12; p = .010), care satisfaction (20.23 vs 26.67/32; p&lt;.001), and self-efficacy (22.87 vs 25.20/30; p = .016) improved at two months post-counseling. Despite desiring provider-initiated SRH, wanting children (81 %), and perceiving the CF team as their primary care provider (97 %), 44 % report not receiving information about infertility by the CF team. Integrating FP counseling into CF care is feasible and acceptable to MwCF and can improve FP knowledge, self-efficacy, and care satisfaction. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c235t-bd673a68dc50241f1e19a666ac024e1841219b30885a21f51cc069f49998ab53</cites><orcidid>0000-0001-9023-2312 ; 0000-0002-9026-9999 ; 0000-0002-3720-1514 ; 0000-0002-4894-3855 ; 0000-0003-2867-5619</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38942720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woods, Brittany M.</creatorcontrib><creatorcontrib>Bray, Leigh A.</creatorcontrib><creatorcontrib>Campbell, Sukhkamal B.</creatorcontrib><creatorcontrib>Li, Peng</creatorcontrib><creatorcontrib>Kazmerski, Traci M.</creatorcontrib><creatorcontrib>Hovater, Cade</creatorcontrib><creatorcontrib>Pitts, Leslie N.</creatorcontrib><creatorcontrib>Ladores, Sigrid</creatorcontrib><title>Implementation and evaluation of a fertility preservation telehealth counseling intervention for males with cystic fibrosis</title><title>Journal of cystic fibrosis</title><addtitle>J Cyst Fibros</addtitle><description>•Males with CF desire provider-initiated SRH education early in life and on a regular basis.•The counseling intervention was developed with input from males with CF, CF providers, &amp; CF researchers.•Telehealth counseling is acceptable, appropriate, &amp; feasible for males with CF.•SRH counseling may improve fertility knowledge, self-efficacy, &amp; care satisfaction.•Telehealth counseling by a fertility specialist may reduce the CF team's burden. Most males with cystic fibrosis (MwCF) have congenital bilateral absence of the vas deferens and require assisted reproductive technology to conceive, yet many have limited knowledge about how CF affects sexual and reproductive health (SRH). This study evaluates the feasibility, acceptability, and potential effectiveness of telehealth fertility preservation (FP) counseling for MwCF. Pre-lung transplant MwCF ≥18 years, recruited from U.S. CF centers, social media, and via snowball sampling, received individualized telehealth counseling. Participants completed intervention feasibility/acceptability one week post-counseling and FP knowledge, care satisfaction, and self-efficacy assessments at baseline and two months post-counseling. We completed acceptability interviews one-week post-counseling and audio-recorded, transcribed, and thematically analyzed results. We descriptively analyzed survey results and conducted pre/post comparisons using paired t-tests. Thirty MwCF (ages 22–49 years) completed counseling. Most were in a relationship (70 %) and White (86.7 %). Telehealth FP counseling was acceptable (M = 4.38/5 ± 0.60), appropriate (M = 4.37/5 ± 0.60), and feasible (M = 4.60/5 ± 0.45) to MwCF. FP knowledge (9.53 vs. 10.40/12; p = .010), care satisfaction (20.23 vs 26.67/32; p&lt;.001), and self-efficacy (22.87 vs 25.20/30; p = .016) improved at two months post-counseling. Despite desiring provider-initiated SRH, wanting children (81 %), and perceiving the CF team as their primary care provider (97 %), 44 % report not receiving information about infertility by the CF team. Integrating FP counseling into CF care is feasible and acceptable to MwCF and can improve FP knowledge, self-efficacy, and care satisfaction. 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CF researchers.•Telehealth counseling is acceptable, appropriate, &amp; feasible for males with CF.•SRH counseling may improve fertility knowledge, self-efficacy, &amp; care satisfaction.•Telehealth counseling by a fertility specialist may reduce the CF team's burden. Most males with cystic fibrosis (MwCF) have congenital bilateral absence of the vas deferens and require assisted reproductive technology to conceive, yet many have limited knowledge about how CF affects sexual and reproductive health (SRH). This study evaluates the feasibility, acceptability, and potential effectiveness of telehealth fertility preservation (FP) counseling for MwCF. Pre-lung transplant MwCF ≥18 years, recruited from U.S. CF centers, social media, and via snowball sampling, received individualized telehealth counseling. Participants completed intervention feasibility/acceptability one week post-counseling and FP knowledge, care satisfaction, and self-efficacy assessments at baseline and two months post-counseling. We completed acceptability interviews one-week post-counseling and audio-recorded, transcribed, and thematically analyzed results. We descriptively analyzed survey results and conducted pre/post comparisons using paired t-tests. Thirty MwCF (ages 22–49 years) completed counseling. Most were in a relationship (70 %) and White (86.7 %). Telehealth FP counseling was acceptable (M = 4.38/5 ± 0.60), appropriate (M = 4.37/5 ± 0.60), and feasible (M = 4.60/5 ± 0.45) to MwCF. FP knowledge (9.53 vs. 10.40/12; p = .010), care satisfaction (20.23 vs 26.67/32; p&lt;.001), and self-efficacy (22.87 vs 25.20/30; p = .016) improved at two months post-counseling. Despite desiring provider-initiated SRH, wanting children (81 %), and perceiving the CF team as their primary care provider (97 %), 44 % report not receiving information about infertility by the CF team. Integrating FP counseling into CF care is feasible and acceptable to MwCF and can improve FP knowledge, self-efficacy, and care satisfaction. 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identifier ISSN: 1569-1993
ispartof Journal of cystic fibrosis, 2024-07, Vol.23 (4), p.658-663
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source ScienceDirect Freedom Collection
subjects Adult
Counseling - methods
Cystic fibrosis
Cystic Fibrosis - psychology
Cystic Fibrosis - therapy
Feasibility Studies
Fertility preservation
Fertility Preservation - methods
Humans
Infertility, Male - etiology
Infertility, Male - prevention & control
Infertility, Male - psychology
Infertility, Male - therapy
Male
Middle Aged
Patient Acceptance of Health Care - psychology
Patient Acceptance of Health Care - statistics & numerical data
Patient education
Telehealth
Telemedicine
United States
title Implementation and evaluation of a fertility preservation telehealth counseling intervention for males with cystic fibrosis
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