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Table 3 Description of sections in the BEFORE (Begin Exploring Fertility Options, Risks, and Expectations) decision aid

From: The "Begin Exploring Fertility Options, Risks and Expectations" (BEFORE) decision aid: development and alpha testing of a fertility tool for premenopausal breast cancer patients

Sections

Section Details

About the decision aid

− Information on who the decision aid is for, what it includes, proper use, and that it does not replace medical information from health care providers

Background information

− Concise information on breast cancer treatments/age-related fertility decline

− Potential fertility outcomes after treatment

− Frequently asked questions on fertility before cancer treatment

Fertility options before treatment

− Information on the most common fertility options including an option grid comparing the different options

− Pregnancy success rates after treatment with the most common fertility options depicted using pictographs

− Frequently asked questions on the fertility options before treatment

Parenthood options after treatment

− Information on parenthood options after treatment

− Frequently asked questions on the parenthood options

Timeline of your fertility options

− Timeline of fertility options available during the care journey

Summary

− One-page summary of key information in the decision aid

Fertility options exercise

− Likert-scale explicit values clarification method with pre-listed values and blank spaces to add additional values

Questions

− Explanation of the different health care providers’ roles

− List of 10 common questions for health care providers

What’s next

− List of national resources for more information and support (e.g., financial support and peer to peer support)

Fertility after breast cancer

− Information on life and fertility after breast cancer

− List of national resources for more information and support

List of terms

− Definitions for medical terms used in the decision aid

Sources and recognition

− Brief description of development team, conflicts of interest statement, funding information, and date of last update and future updates

− Reference list

Additional sections in online decision aid

PDF download

− Downloadable paper decision aid (English or French)

Less common and experimental fertility options

− Information on the less common and experimental fertility options including an option grid comparing the different options

Cost of fertility preservation by province

− Drop-down list showing the funding and cost of fertility preservation by province/territory in Canada based on fertility clinic publically posted fees

Province/territory specific resources

− Drop-down list of resources for more information by province/territory in Canada

Quiz myself section

− Five questions for individuals to quiz themselves on the decision aid content and three summary questions to facilitate understanding of next steps

Interactive fertility options exercise and summary page

− Explicit values clarification method that patients can complete and receive a printable summary page of their responses with the 10 common questions for health care providers to print and bring to appointments

Personal quotes

− Quotes from breast cancer patients who experienced fertility decision-making before treatment

Full team member list

− Full list of team members who developed the decision aid

Contact page

− Individuals can ask questions or provide feedback to the development team