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Implementing a User-Centered Design to Develop a Web-Based Sperm Banking Decision Tool for Adolescent Males with

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A new tool, the Family-centered Adolescent Sperm banking values clarification Tool (FAST), was developed for adolescent males with cancer to aid fertility decisions. This user-centered tool was found to be easy to navigate and useful for families.

Keywords:
adolescent cancerdigital healthsperm bankingusability testinguser-centered design

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Area of Science:

  • Oncology
  • Reproductive Medicine
  • Adolescent Health

Background:

  • Male childhood cancer survivors frequently face fertility impairment due to cancer treatments.
  • Regret over missed sperm banking opportunities is common among survivors.
  • A lack of decision-making tools for adolescent males with cancer exacerbates this issue.

Purpose of the Study:

  • To develop, test, and adapt the Family-centered Adolescent Sperm banking values clarification Tool (FAST).
  • To utilize an iterative, user-centered design involving male adolescents with cancer and their caregivers.
  • To gather feedback from clinicians and community partners for tool refinement.

Main Methods:

  • Ten families (9 adolescents, 16 caregivers) participated.
  • Participants completed the FAST, a semi-structured interview, and the System Usability Scale (SUS).
  • Feedback was used for adaptations, documented using the Framework for Reporting Adaptations and Modifications-Expanded.

Main Results:

  • Forty-three adaptations were made to the FAST based on user feedback.
  • The median completion time for the FAST was 5 minutes and 37 seconds.
  • The FAST achieved a high mean SUS score of 84.60, indicating excellent usability.

Conclusions:

  • The FAST was successfully developed, usability-tested, and adapted into a web-based format.
  • Adolescents and caregivers found the FAST easy to navigate and useful.
  • Web-based tools like the FAST can enhance sperm banking decision-making and improve satisfaction with fertility counseling outcomes for young males with cancer.