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Implementing a User-Centered Design to Develop a Web-Based Sperm Banking Decision Tool for Adolescent Males with
Megan M Griffith1, Emre Sezgin1,2, Tanvi Karkare1
1The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Journal of Adolescent and Young Adult Oncology
|November 20, 2025
Summary
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.
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.
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