Sexual dysfunction is a prevalent and often under-addressed concern among prostate cancer survivors, significantly affecting quality of life for patients and their partners. The True North Sexual Health and Rehabilitation eClinic (SHAReClinic) is a virtual, biopsychosocial intervention developed to improve access to sexual health support for prostate cancer survivors and their partners. This study used a qualitative descriptive design to examine barriers and facilitators influencing the integration of SHAReClinic into oncology care across nine Canadian health care centres. Semi-structured interviews were conducted with 17 knowledge users, including health care providers and institutional leaders. Data were analyzed using a hybrid deductive-inductive thematic approach guided by the Consolidated Framework for Implementation Research (CFIR) 2.0. Participants described SHAReClinic as a much-needed resource, particularly in the absence of standardized sexual health pathways in oncology care. The virtual format was seen as accessible and well suited to addressing sensitive topics. However, limited funding, lack of institutional support, and workflow integration challenges emerged as primary barriers to implementation. Findings offer practical, theory-informed guidance for integrating SHAReClinic into oncology care and highlight key considerations for developing sustainable and scalable survivorship care models.
Current oncology (Toronto, Ont.). 2025 Jul 10*** epublish ***
Taylor Incze, Dalia Peres, Steven Guirguis, Sarah E Neil-Sztramko, Jackie Bender, Dean Elterman, Shabbir M H Alibhai, Antonio Finelli, Phil Vu Bach, Emily Belita, Gerald Brock, Julia Brown, Jeffrey Campbell, Trustin Domes, Andrew Feifer, Ryan Flannigan, Celestia Higano, Jesse Ory, Premal Patel, Monita Sundar, Luke Witherspoon, Andrew Matthew
Faculty of Health Sciences, McMaster University, Hamilton, ON L8S L8S 4L8, Canada., Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada., Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada., Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, ON M5T 2SB, Canada., Division of Urology, Department of Surgery, University of Alberta, Edmonton, AB T6G 2R3, Canada., Division of Urology, Department of Surgery, Western University, London, ON N6A 3K7, Canada., Royal Victoria Regional Health Centre, Barrie, ON L4M 6M2, Canada., Division of Urology, Department of Surgery, University of Saskatchewan, Saskatoon, SK S7N 5A5, Canada., Division of Urology, Department of Surgery, Trillium Health Partners, Toronto, ON M9C 1A5, Canada., Prostate Cancer Supportive Care Program, Vancouver, BC V6T 1Z4, Canada., Department of Urology, Dalhousie University, Halifax, NS B3H 4R2, Canada., Department of Surgery, University of Manitoba, Winnipeg, MB R3T 2N2, Canada., Ottawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada.