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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 [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]
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“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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A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies
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Metadata
- 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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