Online psychoeducational support for infertile women: a randomized controlled trial
Open accessAbstract
BACKGROUND: The study goal was to develop and test the effectiveness of a brief online education and support program for female infertility patients. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.
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Time spent online was not correlated to outcomes in studies that targeted depression and anxiety, but was correlated to outcomes in studies of infertility related distress and body dissatisfaction.
“Time spent online was not correlated to outcomes in studies that targeted depression [58] and anxiety [59], but was correlated to outcomes in studies of infertility related distress [60] and body dissatisfaction [61].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [60]
Several studies categorized participants into adherent or not, or usage categories such as low, medium, and high, while others used continuous variables or a combination of these.
“Several studies categorized participants into adherent or not [49,54,57,75], or usage categories such as low, medium, and high [60], while others used continuous variables [23,24,33-36,38-41,43-45,50-52,55,56,58,59,61,76] or a combination of these [42,46,53,64-66,77].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [60]
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- Authors
- Cousineau, T. M., Green, T. C., Corsini, E., Seibring, A., Showstack, M. T., Applegarth, L., Davidson, M., & Perloe, M.
- Affiliations
- Inflexxion (United States) (US)
- Yale University (US)
- Boston IVF (US)
- University of Massachusetts Boston (US)
- NewYork–Presbyterian Hospital (US)
- Fertility Centers of Illinois (US)
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-03-01
- Volume
- 23
- Issue
- 3
- Pages
- 554-566
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- PMC
- PMC2993177
- OpenAlex
- W2075912479
- Cited by
- 127
- References
- 54
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 6 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 3 · 2013: 5 · 2012: 4
- FWCI
- 6.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R44HD039066, R44HD39066-02)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- female infertility, online psychoeducation, online intervention, decisional conflict, marital cohesion, coping styles, e-health, patient education, psychological outcomes
- MeSH terms
- Adult, Female, Health Promotion, Humans, Infertility, Female, Online Systems, Patient Education as Topic, Social Support, Internet
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