Development and Evaluation of a Screening Approach for Sexual Dysfunction in AYA Patients With and Surviving Childhood Cancer

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• Patients who did not receive cancer-directed therapy

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• An individual who meets any of the following criteria will be excluded from participation in this study:
• Unable to read and speak English
• Insufficient cognitive functioning to complete study measures, as determined by patient's
• Participation in intervention development
• Patient is at end of life or on hospice, as determined by primary oncologist
• Patients who did not undergo sexual function screening within 1 month of being due will be excluded from implementation outcomes measurement
• Patient is at end of life or on hospice, as determined by primary oncologist

• In order to be eligible to participate in this study, an individual must meet all of the following criteria:
• Provision to sign and date the consent form.
• Stated willingness to comply with all study procedures and be available for the duration of the study.
• Be aged 15-24 years old at the time of enrollment
• Patients with or surviving of cancer (must be found in the International Classification of Diseases for Oncology (ICD-O) and have a behavior code ≥2)
• Must have received cancer-directed therapy with at least one of the following:
  • Chemotherapy: any anticancer drug to treat the cancer diagnosis including immunotherapy
  • Radiotherapy: any radiotherapy to treat the cancer diagnosis
  • Surgery: any surgery to remove cancer including partial or total resections. Biopsies are not considered surgery.
• Cancer must have been diagnosed before the age of 18 years
• Patient must have an appointment at one of four clinical sites: CHCO HOPE Survivorship Program, CHCO Oncology Clinic, CHCO Neuro-Oncology Clinic, Seattle Children's Hospital Survivorship Program