Online psychoeducational support for infertile women: a randomized controlled trial
Open Access
- 18 December 2007
- journal article
- research article
- Published by Oxford University Press (OUP) in Human Reproduction
- Vol. 23 (3), 554-566
- https://doi.org/10.1093/humrep/dem306
Abstract
The study goal was to develop and test the effectiveness of a brief online education and support program for female infertility patients. A randomized-controlled trial was conducted. Using a Solomon-four group design, 190 female patients were recruited from three US fertility centers and were randomized into two experimental and two no-treatment control groups. The psychological outcomes assessed included infertility distress, infertility self-efficacy, decisional conflict, marital cohesion and coping style. Program dosage and satisfaction were also assessed at four weeks follow-up. Women exposed to the online program significantly improved in the area of social concerns (P = 0.038) related to infertility distress, and felt more informed about a medical decision with which they were contending (P = 0.037). Trends were observed for decreased global stress(P = 0.10), sexual concerns (P = 0.059), distress related to child-free living (P = 0.063), increased infertility self-efficacy (P = 0.067) and decision making clarity (P = 0.079). A dosage response was observed in the experimental groups for women who spent >60 min online for decreased global stress (P = 0.028) and increased self efficacy (P = 0.024). This evidence-based eHealth program for women experiencing infertility suggests that a web-based patient education intervention can have beneficial effects in several psychological domains and may be a cost effective resource for fertility practices.Keywords
This publication has 27 references indexed in Scilit:
- Development and validation of the Infertility Self-Efficacy scaleFertility and Sterility, 2006
- Information Needs and Visitors' Experience of an Internet Expert Forum on InfertilityJournal of Medical Internet Research, 2005
- Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family GrowthVital and Health Statistics. Series 23, Data From the National Survey of Family Growth, 2005
- The Effectiveness of Web-Based vs. Non-Web-Based Interventions: A Meta-Analysis of Behavioral Change OutcomesJournal of Medical Internet Research, 2004
- A multimedia psychosocial support program for couples receiving infertility treatment: a feasibility studyFertility and Sterility, 2004
- Use of the internet as the only outlet for talking about infertilityFertility and Sterility, 2002
- Development and pilot testing of a decision aid for postmenopausal women with osteoporosisPatient Education and Counseling, 2001
- Trends in pregnancies and pregnancy rates by outcome: estimates for the United States, 1976-96.2000
- The impact of group psychological interventions on distress in infertile women.Health Psychology, 2000
- Spouse support, coping, and mood among individuals with cancerAnnals of Behavioral Medicine, 1999