Trial Outcomes & Findings for Fertility Decision-Making in Youth and Young Adults (NCT NCT05175170)

NCT ID: NCT05175170

Last Updated: 2023-04-07

Results Overview

The primary study outcome is change in fertility-related knowledge from same-day pre-AFFRMED to post-AFFRMED exposure. Participants will complete a fertility-related knowledge test instrument immediately prior to AFFRMED exposure. Participants will be given 1 hour to freely navigate the web-based AFFRMED prototype. Thereafter, participants will get a 5-minute break before completing a post-AFFRMED fertility knowledge test. The knowledge test consists of 41 items, and reflects a percentage correct score ranging from 0-100% correct. The Mean Difference results reflect the difference in fertility knowledge test mean scores between pre-AFFRMED and post-AFFRMED exposure.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

Pre-treatment and immediately post-treatment (same day)

Results posted on

2023-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Transgender Youth and Young Adults
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fertility Decision-Making in Youth and Young Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
15.5 years
STANDARD_DEVIATION 3.779 • n=99 Participants
45.00 years
STANDARD_DEVIATION 4.83 • n=107 Participants
30.25 years
STANDARD_DEVIATION 15.711 • n=206 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=99 Participants
10 Participants
n=107 Participants
18 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
8 Participants
n=107 Participants
14 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Pre-treatment and immediately post-treatment (same day)

The primary study outcome is change in fertility-related knowledge from same-day pre-AFFRMED to post-AFFRMED exposure. Participants will complete a fertility-related knowledge test instrument immediately prior to AFFRMED exposure. Participants will be given 1 hour to freely navigate the web-based AFFRMED prototype. Thereafter, participants will get a 5-minute break before completing a post-AFFRMED fertility knowledge test. The knowledge test consists of 41 items, and reflects a percentage correct score ranging from 0-100% correct. The Mean Difference results reflect the difference in fertility knowledge test mean scores between pre-AFFRMED and post-AFFRMED exposure.

Outcome measures

Outcome measures
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Change in Fertility-related Knowledge
Pre-test Score
51.463 score on a scale
Standard Deviation 21.585
67.073 score on a scale
Standard Deviation 6.729
Change in Fertility-related Knowledge
Post-test Score
85.366 score on a scale
Standard Deviation 14.858
93.171 score on a scale
Standard Deviation 2.998

SECONDARY outcome

Timeframe: Pre-treatment and immediately post-treatment (same day)

The secondary study outcome is change in decisional self-efficacy for fertility-related decision-making from same-day pre-AFFRMED to post-AFFRMED exposure using the Decision Self Efficacy Scale. Decision Self Efficacy Scale scores range from 0 \[not at all confident\] to 100 \[very confident\]. A score of 0 indicates 'extremely low self-efficacy' and a score of 100 indicates 'extremely high self-efficacy'. The Mean Difference results reflect the difference in decisional self-efficacy mean scores between pre-AFFRMED and post-AFFRMED exposure.

Outcome measures

Outcome measures
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Change in Decisional Self-Efficacy
Pre-test Score
61.364 score on a scale
Standard Deviation 17.309
83.864 score on a scale
Standard Deviation 15.653
Change in Decisional Self-Efficacy
Post-test Score
80.303 score on a scale
Standard Deviation 14.903
92.929 score on a scale
Standard Deviation 9.739

OTHER_PRE_SPECIFIED outcome

Timeframe: Immediately post-treatment (same day)

The other study outcomes are related to participant-reported feasibility of the AFFRMED. Participants will also be asked to rate the feasibility of the AFFRMED using the validated Feasibility of Intervention Measure (FIM). Scale scores range from 4 to 20, with higher scores indicating greater feasibility.

Outcome measures

Outcome measures
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Participant-Reported Feasibility of AFFRMED
17.50 score on a scale
Standard Deviation 3.308
18.60 score on a scale
Standard Deviation 2.366

OTHER_PRE_SPECIFIED outcome

Timeframe: Immediately post-treatment (same day)

The other study outcomes are related to participant-reported acceptability of the AFFRMED. Participants will also be asked to rate the acceptability of the AFFRMED using the validated Acceptability of Intervention Measure (AIM). Scale scores range from 4 to 20, with higher scores indicating greater acceptability.

Outcome measures

Outcome measures
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Participant-Reported Acceptability of AFFRMED
16.70 score on a scale
Standard Deviation 4.244
18.90 score on a scale
Standard Deviation 1.853

OTHER_PRE_SPECIFIED outcome

Timeframe: Immediately post-treatment (same day)

The other study outcomes are related to participant-reported appropriateness of the AFFRMED. Participants will also be asked to rate the appropriateness of the AFFRMED using the validated Intervention Appropriateness Measure (IAM). Scale scores range from 4 to 20, with higher scores indicating greater appropriateness.

Outcome measures

Outcome measures
Measure
Transgender Youth and Young Adults
n=10 Participants
Transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Parents of Transgender Youth and Young Adults
n=10 Participants
Parents of transgender youth and young adults will navigate the decision-aid consisting of domains related to human reproduction, fertility, and fertility preservation. The domains address priority learning objectives in each domain to increase knowledge on the impact of gender-affirming medical interventions on fertility and fertility preservation options.
Participant-Reported Appropriateness of AFFRMED
17.30 score on a scale
Standard Deviation 3.917
18.20 score on a scale
Standard Deviation 3.011

Adverse Events

Transgender Youth and Young Adults

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Parents of Transgender Youth and Young Adults

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Diane Chen

Ann & Robert H. Lurie Children's Hospital of Chicago

Phone: 312-227-2939

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place