Development and evaluation of gonadal dysfunction self-acceptance program for female AYA hematopoietic tumor survivors

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19167
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Kanazawa University
• Principal Investigator: Ota Yoshiko 金沢大学, 保健学系, 助教 (60832186)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: がん / AYA世代 / 妊孕性 / TTM / プレコンセプション

Outline of Final Research Achievements

In this study, we explored the foundational theory and examined the content for developing a program aimed at helping female cancer survivors in the AYA generation (ages 15-39) address fertility (ease of getting pregnant) affected by cancer treatment. The foundational theory adopted was the Transtheoretical Model (TTM), which stages behavioral change during the preparation phase. Based on TTM, we considered a program that could potentially promote facing fertility issues by raising awareness through knowledge acquisition and self-reflection via psychotherapy. At the same time, through meetings with stakeholders and experts, it became clear that defense mechanisms stemming from existential distress could be a challenge in implementing the program.

Free Research Field

女性学

Academic Significance and Societal Importance of the Research Achievements

がんに罹患しても子どもをもつ可能性を残すために、妊孕性（妊娠しやすさ）を温存する技術が進んでいるが、支援体制は十分ではない。本研究により、女性がんサバイバーの妊孕性への関心を高め、将来のウェルネスを高めることに繋がるプログラムで取り組むべき、重要な行動特性が明らかとなった。これにより、次の段階であるプログラム開発により、がんサバイバーシップに貢献する示唆が得られた。また、同時に女性がんサバイバーの妊孕性への懸念は、実存に関わる心理的苦痛に関わっており、その様相が明らかになることで、将来のウェルネスを高めることに繋がる支援の示唆を得ることが期待できる。