{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:43:45Z","timestamp":1760035425495,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Canadian Cancer Society Challenge","award":["#708251"],"award-info":[{"award-number":["#708251"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Sexual dysfunction is a prevalent and often under-addressed concern among prostate cancer survivors, significantly affecting quality of life for patients and their partners. The True North Sexual Health and Rehabilitation eClinic (SHAReClinic) is a virtual, biopsychosocial intervention developed to improve access to sexual health support for prostate cancer survivors and their partners. This study used a qualitative descriptive design to examine barriers and facilitators influencing the integration of SHAReClinic into oncology care across nine Canadian health care centres. Semi-structured interviews were conducted with 17 knowledge users, including health care providers and institutional leaders. Data were analyzed using a hybrid deductive\u2013inductive thematic approach guided by the Consolidated Framework for Implementation Research (CFIR) 2.0. Participants described SHAReClinic as a much-needed resource, particularly in the absence of standardized sexual health pathways in oncology care. The virtual format was seen as accessible and well suited to addressing sensitive topics. However, limited funding, lack of institutional support, and workflow integration challenges emerged as primary barriers to implementation. Findings offer practical, theory-informed guidance for integrating SHAReClinic into oncology care and highlight key considerations for developing sustainable and scalable survivorship care models.<\/jats:p>","DOI":"10.3390\/curroncol32070395","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:26:53Z","timestamp":1752229613000},"page":"395","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pre-Implementation Assessment of a Sexual Health eClinic in Canadian Oncology Care"],"prefix":"10.3390","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-8578","authenticated-orcid":false,"given":"Taylor","family":"Incze","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, McMaster University, Hamilton, ON L8S L8S 4L8, Canada"},{"name":"Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2018-7928","authenticated-orcid":false,"given":"Dalia","family":"Peres","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3992-5583","authenticated-orcid":false,"given":"Steven","family":"Guirguis","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9600-3403","authenticated-orcid":false,"given":"Sarah E.","family":"Neil-Sztramko","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, McMaster University, Hamilton, ON L8S L8S 4L8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1501-335X","authenticated-orcid":false,"given":"Jackie","family":"Bender","sequence":"additional","affiliation":[{"name":"Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Elterman","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, ON M5T 2SB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-6046","authenticated-orcid":false,"given":"Shabbir M. H.","family":"Alibhai","sequence":"additional","affiliation":[{"name":"Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Finelli","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"},{"name":"Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, ON M5T 2SB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil Vu","family":"Bach","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Alberta, Edmonton, AB T6G 2R3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4107-5354","authenticated-orcid":false,"given":"Emily","family":"Belita","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, McMaster University, Hamilton, ON L8S L8S 4L8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Brock","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Brown","sequence":"additional","affiliation":[{"name":"Royal Victoria Regional Health Centre, Barrie, ON L4M 6M2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Campbell","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Western University, London, ON N6A 3K7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trustin","family":"Domes","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Saskatchewan, Saskatoon, SK S7N 5A5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Feifer","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Trillium Health Partners, Toronto, ON M9C 1A5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Flannigan","sequence":"additional","affiliation":[{"name":"Prostate Cancer Supportive Care Program, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celestia","family":"Higano","sequence":"additional","affiliation":[{"name":"Prostate Cancer Supportive Care Program, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Ory","sequence":"additional","affiliation":[{"name":"Department of Urology, Dalhousie University, Halifax, NS B3H 4R2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Premal","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Manitoba, Winnipeg, MB R3T 2N2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4706-9661","authenticated-orcid":false,"given":"Monita","family":"Sundar","sequence":"additional","affiliation":[{"name":"Prostate Cancer Supportive Care Program, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2174-264X","authenticated-orcid":false,"given":"Luke","family":"Witherspoon","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Matthew","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.2164\/jandrol.112.016790","article-title":"Sexual Dysfunction Following Radical Prostatectomy","volume":"33","author":"Benson","year":"2012","journal-title":"J. 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Nurs."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"103801","DOI":"10.1016\/j.clon.2025.103801","article-title":"Sexual Dysfunction in Prostate Cancer Patients According to Disease Stage and Treatment Modality","volume":"41","author":"Kinnaird","year":"2025","journal-title":"Clin. Oncol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/SPC.0000000000000187","article-title":"Emotional and sexual health in cancer: Partner and relationship issues","volume":"10","author":"Wittmann","year":"2016","journal-title":"Curr. Opin. Support. Palliat. Care."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1200\/EDBK_100032","article-title":"Sexuality After Cancer as an Unmet Need: Addressing Disparities, Achieving Equality","volume":"42","author":"Katz","year":"2022","journal-title":"Am. Soc. Clin. Oncol. Educ. Book"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s13187-019-01641-z","article-title":"The Oncology and Sexuality, Intimacy, and Survivorship Program Model: An Integrated, Multi-disciplinary Model of Sexual Health Care within Oncology","volume":"36","author":"Walker","year":"2021","journal-title":"J. Cancer Educ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"913","DOI":"10.21037\/tau-2024-682","article-title":"Sexual wellbeing support for men with prostate cancer: A qualitative study with patients","volume":"14","author":"Charlick","year":"2025","journal-title":"Transl. Androl. Urol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3712","DOI":"10.1200\/JCO.2012.41.7915","article-title":"Sexuality in adult cancer survivors: Challenges and intervention","volume":"30","author":"Bober","year":"2012","journal-title":"J. Clin. Oncol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Charlick, M., Tiruye, T., Ettridge, K., O\u2019Callaghan, M., Jay, A., and Beckmann, K. (2025). Use of erectile dysfunction treatments after prostate cancer treatment and their perceived impact on men\u2019s sex life: An analysis of patient reported outcome survey data. BMC Urol., 25.","DOI":"10.1186\/s12894-025-01702-0"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1200\/JCO.2017.75.8995","article-title":"Interventions to Address Sexual Problems in People With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Adaptation of Cancer Care Ontario Guideline","volume":"36","author":"Carter","year":"2018","journal-title":"J. Clin. Oncol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1007\/s00520-021-06510-4","article-title":"An online Sexual Health and Rehabilitation eClinic (TrueNTH SHAReClinic) for prostate cancer patients: A feasibility study","volume":"30","author":"Matthew","year":"2022","journal-title":"Support. Care Cancer"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"qfae033","DOI":"10.1093\/sexmed\/qfae033","article-title":"Enhancing care: Evaluating the impact of True North Sexual Health and Rehabilitation eTraining for healthcare providers working with prostate cancer patients and partners","volume":"12","author":"Matthew","year":"2024","journal-title":"Sex. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13012-021-01181-5","article-title":"Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): The CFIR Outcomes Addendum","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1002\/nur.20362","article-title":"What\u2019s in a name? Qualitative description revisited","volume":"33","author":"Sandelowski","year":"2010","journal-title":"Res. Nurs. Health"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Neergaard, M.A., Olesen, F., Andersen, R.S., and Sondergaard, J. (2009). Qualitative description\u2014The poor cousin of health research?. BMC Med. Res. Methodol., 9.","DOI":"10.1186\/1471-2288-9-52"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Guest, G., MacQueen, K., and Namey, E. (2012). Applied Thematic Analysis, SAGE Publications, Inc.","DOI":"10.4135\/9781483384436"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1080\/17439760.2016.1262613","article-title":"Thematic analysis","volume":"12","author":"Clarke","year":"2017","journal-title":"J. Posit. Psychol."},{"key":"ref_21","unstructured":"Dedoose (2025). Dedoose, SocioCultural Research Consultants, LLC."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.3332\/ecancer.2024.1765","article-title":"Addressing sexual health in oncology: Perspectives and challenges for better care at a national level","volume":"18","author":"Camejo","year":"2024","journal-title":"Ecancermedicalscience"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1200\/JCO.2011.39.5509","article-title":"Screening for distress and unmet needs in patients with cancer: Review and recommendations","volume":"30","author":"Carlson","year":"2012","journal-title":"J. Clin. Oncol."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Bessa, A., Martin, R., H\u00e4ggstr\u00f6m, C., Enting, D., Amery, S., Khan, M.S., Cahill, F., Wylie, H., Broadhead, S., and Chatterton, K. (2020). Unmet needs in sexual health in bladder cancer patients: A systematic review of the evidence. BMC Urol., 20.","DOI":"10.1186\/s12894-020-00634-1"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1007\/s13187-019-01559-6","article-title":"Discussing Sexual Health in the Medical Oncologist\u2019s Practice: Exploring Current Practice and Challenges","volume":"35","author":"Krouwel","year":"2020","journal-title":"J. Cancer Educ."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Bogaert, E., and Roels, R. (2025). Sexual health in patient care: Shortcomings in medical training and experienced barriers in sexual history taking. BMC Med. Educ., 25.","DOI":"10.1186\/s12909-025-06850-3"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Verrastro, V., Saladino, V., Petruccelli, F., and Eleuteri, S. (2020). Medical and Health Care Professionals\u2019 Sexuality Education: State of the Art and Recommendations. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17072186"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3390\/curroncol32060337","article-title":"Oncology Nurses\u2019 Attitudes, Knowledge, and Practices in Providing Sexuality Care to Cancer Patients: A Scoping Review","volume":"32","author":"Alqaisi","year":"2025","journal-title":"Curr. Oncol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e70200","DOI":"10.1002\/pon.70200","article-title":"Breast and Pelvic Cancer Survivors\u2019 Preferences for Psychosexual Interventions to Address Sexual Health Concerns: A Qualitative Study","volume":"34","author":"Carney","year":"2025","journal-title":"Psychooncology"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Fitzpatrick, K.M., Ody, M., Goveas, D., Montesanti, S., Campbell, P., MacDonald, K., Crowshoe, L., Campbell, S., and Roach, P. (2023). Understanding virtual primary healthcare with Indigenous populations: A rapid evidence review. BMC Health Serv. Res., 23.","DOI":"10.1186\/s12913-023-09299-6"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1007\/s11912-024-01612-8","article-title":"Telemedicine and Virtual Interventions in Cancer Rehabilitation: Practical Application, Complications and Future Potentials","volume":"26","author":"Chang","year":"2024","journal-title":"Curr. Oncol. Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/OLQ.0000000000001618","article-title":"Remote Health: Optimizing the Delivery of Sexual Health Care","volume":"49","author":"Habel","year":"2022","journal-title":"Sex. Transm. Dis."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1995","DOI":"10.1002\/pon.5488","article-title":"Institutional capacity to provide psychosocial care in cancer programs: Addressing barriers to delivering quality cancer care","volume":"29","author":"Kayser","year":"2020","journal-title":"Psychooncology"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1002\/pon.3474","article-title":"Patient and health professional\u2019s perceived barriers to the delivery of psychosocial care to adults with cancer: A systematic review","volume":"23","author":"Dilworth","year":"2014","journal-title":"Psychooncology"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13012-015-0209-1","article-title":"A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project","volume":"10","author":"Powell","year":"2015","journal-title":"Implement. Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s13012-015-0295-0","article-title":"Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: Results from the Expert Recommendations for Implementing Change (ERIC) study","volume":"10","author":"Waltz","year":"2015","journal-title":"Implement. Sci."}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/32\/7\/395\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:07:42Z","timestamp":1760033262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/32\/7\/395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,10]]},"references-count":36,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["curroncol32070395"],"URL":"https:\/\/doi.org\/10.3390\/curroncol32070395","relation":{},"ISSN":["1718-7729"],"issn-type":[{"type":"electronic","value":"1718-7729"}],"subject":[],"published":{"date-parts":[[2025,7,10]]}}}