Supplementary file 3_Factors influencing fertility preservation communication and decision support for cancer patients: a qualitative evidence synthesis of healthcare professionals’ perspectives.docx

Although fertility preservation (FP) is an effective option, its communication and decision support remain inconsistently implemented in clinical practice.</p>Objective<p>To identify factors influencing FP communication and decision support from the perspective of healthcare professionals (HCPs).</p>Methods<p>A qualitative evidence synthesis of qualitative and mixed-methods studies from six databases was conducted.

Influencing factors were mapped using the Consolidated Framework for Implementation Research (CFIR). Study quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal checklist for qualitative research and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting standards, and the confidence in the evidence was graded using the Confidence in the Qualitative Evidence (ConQual) scale.</p>Results<p>Factors influencing FP communication and decision support were identified across three CFIR domains.