{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T02:49:19Z","timestamp":1774579759241,"version":"3.50.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Clinical and Translational Intramural Funding Program"},{"name":"The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital","award":["NCHAWD00011903"],"award-info":[{"award-number":["NCHAWD00011903"]}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K08 CA237338-02"],"award-info":[{"award-number":["K08 CA237338-02"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Approximately half of male childhood cancer survivors experience impaired fertility, yet fertility preservation (FP) remains underutilized. Although parent recommendation influences adolescents\u2019 decision-making, parents may be uncertain and\/or underrate their sons\u2019 parenthood goals. This study assessed parent\u2013adolescent and family-level concordance regarding adolescent fertility perspectives (i.e., values, goals) and associations with FP attempts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective pilot study examined the impact of a family-centered values clarification tool (FAST) on banking attempts among adolescent males newly diagnosed with cancer at risk for infertility. The FAST assessed adolescent and parent perceptions of adolescents\u2019 fertility values and goals (i.e., perceived threat of infertility, perceived benefits\/barriers to banking). Parent\u2013adolescent concordance and family-level concordance on fertility perspectives were examined, along with associations with banking attempts and salient demographic factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Ninety-eight participants (32 adolescents aged 12\u201320, 37 mothers, 29 fathers) from 32 families completed the FAST before treatment initiation. Parent\u2013adolescent dyads were concordant on approximately one-half of responses. Banking attempts were associated with higher family-level concordance regarding perceived benefits, r(32)\u2009=\u2009.40, p\u2009=\u2009.02. Older adolescent age was associated with higher family-level concordance regarding perceived threat, r(31)\u2009=\u2009.37, p\u2009=\u2009.04, and benefits, r(32)\u2009=\u2009.40, p\u2009=\u2009.03. Fathers\u2019 education was associated with higher family-level concordance regarding barriers, r(21)\u2009=\u2009.53, p\u2009=\u2009.01.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>When parents were concordant with their son\u2019s fertility values and goals, particularly perceived benefits, adolescents were more likely to attempt FP. Clinicians should facilitate sharing of fertility perspectives within families before cancer treatment, especially with younger adolescents. Psychosocial support for families facing FP decisions is recommended at diagnosis and across the care continuum.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsab069","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T19:32:02Z","timestamp":1623180722000},"page":"1149-1158","source":"Crossref","is-referenced-by-count":15,"title":["Parent\u2013Adolescent Concordance Regarding Fertility Perspectives and Sperm Banking Attempts in Adolescent Males With Cancer"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-2642","authenticated-orcid":false,"given":"Leena","family":"Nahata","sequence":"first","affiliation":[{"name":"The Abigail Wexner Research Institute"},{"name":"Nationwide Children\u2019s Hospital"},{"name":"The Ohio State University College of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Olsavsky","sequence":"additional","affiliation":[{"name":"The 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