JMIR Publications

ABSTRACT

Background:

Cancer and its treatment can adversely affect male fertility. Although sperm banking is an effective fertility preservation method, there is an unmet need for information and support surrounding these issues.

Objective:

This study evaluates a mobile health application (mHealth app) providing male cancer patients with credible information about the impact of cancer and its treatment on fertility and fertility preservation.

Methods:

Participants were recruited by a market research firm. Eligibility criteria were: 18-45 years old; identified as male; diagnosed with new or recurring cancer within one year; not in fertility treatment; able to read and write in English or French; and had Internet access. App usage was tracked for two weeks. After app use, participants reported on their sperm banking decisions and perceived change in fertility knowledge, evaluated the app’s information and quality, and commented on their experiences using the app.

Results:

The sample included 40 men aged 27 to 45 years old. 67.5% indicated that no one had previously spoken to them about the impact of cancer on fertility, and 85.0% had not received information on fertility preservation. 82.5% found the app’s information relevant, and 85.0% said that it increased their fertility knowledge. 22.5% made a decision about sperm banking after using the app. Participants rated the app’s quality highly, with mean scores (out of 5) of 4.14 for information, 4.06 for functionality, 3.84 for aesthetics, and 3.63 for engagement.

Conclusions:

The app proved to be useful for male cancer patients, suggesting that mHealth resources could be beneficial to incorporate into clinical care to enable shared decision-making about fertility.