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Effects of naturalistic decision-making model-based oncofertility care education for nurses and patients with breast cancer: a cluster randomized controlled trial

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Abstract

Purpose

This study examined the effects of an oncofertility education program on decisional conflict in nurses and patients with breast cancer.

Methods

A cluster randomized controlled trial was conducted with 84 nurses of five breast care units. Three units were randomly selected from the five as the nurse experimental group. Nurses at the experimental group accepted the oncofertility education based on the naturalistic decision-making (NDM) model, while those at the control group accepted the other non-oncofertility education. We also collected data from female patients before and after the nurses’ educational training, respectively. The decisional conflict was measured using the Chinese version of the decisional conflict scale.

Results

Nurses in the experimental group had less decisional conflict after the oncofertility educational intervention than those in the control group. After the intervention, nurses with higher infertility knowledge scores had significantly lower decisional conflict. Single nurses had significantly higher decisional conflict than married nurses. A higher perceived barrier score was significantly associated with a higher decisional conflict score. Among patients with the same fertility intention scores, those in the experimental group had lower decisional conflict scores than those in the control group.

Conclusions

Our work demonstrates that NDM-based oncofertility care education is feasible and acceptable to improve nurse and patient decisional conflict. Educational training based on the NDM model decreased the decisional conflict regarding oncofertility care.

Trial registration.

ClinicalTrials.gov Identifier: NCT04600869.

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Availability of data and material

The data that support the findings of this study are available from the corresponding author, Sheng-Miauh Huang, upon reasonable request.

Code availability

Not applicable.

Abbreviations

FIS:

Fertility intention scale

GnRHa:

Gonadotropin-releasing hormone agonist

IKQ:

Infertility knowledge questionnaire

LMM:

Linear mixed model

NDM:

Naturalistic decision-making

OBS:

Oncofertility barrier scale

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Funding

This study was supported by grants from the Ministry of Science and Technology, Taiwan (fund no. MOST 106–2314-B-715 -004 -MY2) and MacKay Medical College, Taiwan (grant no. MMC-RD-111-1B-P001). The funding source did not influence the study design, procedure, data analysis, or interpretations of the findings. We sincerely thank all the participants in the study.

Author information

Authors and Affiliations

  1. Department of Nursing, MacKay Medical College, New Taipei, Taiwan

    Sheng-Miauh Huang

  2. Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan

    Ling-Ming Tseng & Pei-Ju Lien

  3. School of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan

    Ling-Ming Tseng

Authors
  1. Sheng-Miauh Huang
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  2. Ling-Ming Tseng
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  3. Pei-Ju Lien
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Contributions

Sheng-Miauh Huang contributed to the study concept, design writing—review and editing. Ling-Ming Tseng and Pei-Ju Lien were responsible for the acquisition of the data. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sheng-Miauh Huang.

Ethics declarations

Ethics approval

This study was approved by the Institutional Review Board of Taipei Veterans General Hospital in Taiwan (No. 2017–01-011AC).

Consent to participate

Informed consent was obtained from all participants included in the study.

Consent for publication

A signed informed consent was obtained from each participant. The informed consent is available upon request.

Competing interests

The authors declare no competing interests.

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Huang, SM., Tseng, LM. & Lien, PJ. Effects of naturalistic decision-making model-based oncofertility care education for nurses and patients with breast cancer: a cluster randomized controlled trial. Support Care Cancer 30, 8313–8322 (2022). https://doi.org/10.1007/s00520-022-07279-w

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  • DOI: https://doi.org/10.1007/s00520-022-07279-w

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