Patient-focused Internet interventions in reproductive medicine: a scoping review
Open accessAbstract
BACKGROUND: The Internet has revolutionized fertility care since it became a popular source of information and support for infertile patients in the last decade. The aim of this scoping review is to map (i) the main categories of patient-focused Internet interventions within fertility care, (ii) the detailed composition of the interventions and (iii) how these interventions were evaluated. METHODS: A literature search used various 'Internet' and 'Infertility' search terms to identify relevant studies published up to 1 September 2011. The selected studies had to include patients facing infertility and using an infertility-related Internet intervention. We charted data regarding categories of interventions, components of interventions and evaluation methodology. We categorized the stages of research using the UK's Medical Research Council framework for evaluating complex interventions. RESULTS: We included 20 studies and identified 3 educational interventions, 2 self-help interventions, 1 human-supported therapeutic intervention, 9 online support groups and 2 counselling services. Information provision, support and mental health promotion were common aims. Few interactive online components were present in the online programmes. Three studies were in the pilot phase and 17 were in the evaluation phase. CONCLUSIONS: Several categories of patient-focused Internet-based interventions in fertility care are primarily applied to provide support and education and promote mental health. The interventions could be improved by using more interactive and dynamic elements as their key components. Finally, more emphasis on methodological standards for complex interventions is needed to produce more rigorous evaluations. This review shows where further development or research into patient-focused Internet interventions in fertility-care practice may be warranted.
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Tuil, W. S., van Selm, M., Verhaak, C. M., Robbé, P. F. D. V., & Kremer, J. A. M. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.12.059 · Cited by 18 · see citing works
Self-citationUse Of Internet In Infertility Patients
(2006) · The Internet Journal of Gynecology and Obstetrics · doi:10.5580/1af0 · Cited by 15 · see citing works
IVF patients show three types of online behaviour
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Self-citationvan Selm, M., Tuil, W. S., Verhaak, C. M., Woldringh, G. H., & Kremer, J. A. M. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.0227 · Cited by 12 · see citing works
Self-citationGuidance recommends asking pregnant women about mental health
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Male infertility on the internet: an analysis of web‐based resources
Zahalsky, M. P., Wilson, S. R., DiBlasio, C. J., Lam, S. K., & Nagler, H. M. (2005) · British Journal of Urology · doi:10.1111/j.1464-410x.2005.05377.x · Cited by 9 · see citing works
Male infertility on the Internet: an analysis of web‐based resources
Harris, M. A., Hart, S. J., & Hindmarsh, J. R. (2005) · British Journal of Urology · doi:10.1111/j.1464-410x.2005.5547_4.x · Cited by 7 · see citing works
Flagged first, then by citations
3 of the 115 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- National CASP Collaboration for Qualitative Methodologies. Critical Appraisal Skills Programme (CASP). 10 Questions to Help You Make Sense of Qualitative Research. Oxford, UK. Public Health Research Unit, 2006.
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Sorted by citations
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Tackling burden in ART: an integrated approach for medical staff
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Publicly Available Online Educational Videos Regarding Pediatric Needle Pain
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Searching the Internet for Infertility Information: A Survey of Patient Needs and Preferences
Brochu, F., Robins, S., Miner, S. A., Grunberg, P. H., Chan, P. T. K., Lo, K. C., Holzer, H. E. G., MAHUTTE, N. G., Ouhilal, S., Tulandi, T., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/15132 · Cited by 40 · see citing works
Dancet, E. A. F., D’Hooghe, T. M., Spiessens, C., Sermeus, W., Neubourg, D. D., Karel, N., Kremer, J. A. M., & Nelen, W. L. D. M. (2013) · Human Reproduction · doi:10.1093/humrep/det056 · Cited by 37 · see citing works
Self-citationAarts, J. W. M., Faber, M. J., Cohlen, B. J., van Oers, A. M., Nelen, W. L. D. M., & Kremer, J. A. M. (2015) · Human Fertility · doi:10.3109/14647273.2015.1057901 · Cited by 21 · see citing works
Self-citationBoedt, T., Matthys, C., Fong, S. L., Neubourg, D. D., Vereeck, S., Seghers, J., der Gucht, K. V., Weyn, B., Geerts, D., Spiessens, C., et al. (2021) · Human Reproduction · doi:10.1093/humrep/deab166 · Cited by 21 · see citing works
Etchegaray-Armijo, K., Bustos-Arriagada, E., Navarro-Rosenblatt, D., Vera, C. M., Garmendia, M. L., Sobrevía, L., López‐Alarcón, C., & Casanello, P. C. (2025) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2025.06.007 · Cited by 23 · see citing works
Domenech-Briz, V., Gea-Caballero, V., Chover‐Sierra, E., Czapla, M., Fehler, P., Rodríguez-Calvo, A., Ballestar‐Tarín, M. L., Marín-Maicas, P., Cabellos-García, A. C., Pardo-Bosch, M., et al. (2024) · Nursing Reports · doi:10.3390/nursrep14010045 · Cited by 19 · see citing works
Aarts, J. W. M., Faber, M. J., den Boogert, A. G., Cohlen, B. J., van der Linden, P. J. Q., Kremer, J. A. M., & Nelen, W. L. D. M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2098 · Cited by 17 · see citing works
Self-citationRobertson, I., Harrison, C., Ng, K. Y. B., Macklon, N., Cheong, Y. C., & Boivin, J. (2022) · Human Reproduction · doi:10.1093/humrep/deac046 · Cited by 16 · see citing works
Hamidzadeh, A., Salehin, S., NaseriBooriAbadi, T., Chaman, R., Mogharabian, N., & Keramat, A. (2023) · Middle East Fertility Society Journal · doi:10.1186/s43043-023-00137-7 · Cited by 16 · see citing works
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Religiosity: Its Impact on Coping Styles Among Women Undergoing Fertility Treatment
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Independent and Web-Based Advice for Infertile Patients Using Fertility Consult: Pilot Study
Huppelschoten, A. G., de Bruin, J. P., & Kremer, J. A. M. (2019) · JMIR Formative Research · doi:10.2196/13916 · Cited by 10 · see citing works
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Covington, S. N. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107449398.002 · Cited by 7 · see citing works
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Self-citationWang, Y., Zhao, X., Wang, Y., & Pu, Y. (2024) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2024.12.053 · Cited by 4 · see citing works
Identifying Mental Health Issues Associated With Infertility
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Personalized fertility care in the Internet era
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Collaborative Reproductive Healthcare Model
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- Authors
- Aarts, J. W. M., van den Haak, P., Nelen, W. L. D. M., Tuil, W. S., Faber, M. J., & Kremer, J. A. M.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Kremer, J.A.M.
- Venue
- Human Reproduction Update
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-11-22
- Volume
- 18
- Issue
- 2
- Pages
- 211-227
- ISSN
- 1355-4786 (ISSN-L)
- 1460-2369
- OpenAlex
- W2097704289
- Cited by
- 52
- References
- 115
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 9 · 2014: 1 · 2013: 7 · 2012: 3
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- Locations
- Human Reproduction Update (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion, public-domain)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Radboud Universiteit
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- infertility, online support groups, self-help intervention, online counseling, educational intervention, mental health promotion, fertility care, MRC framework
- MeSH terms
- Counseling, Health Promotion, Humans, Infertility, Mental Health, Self-Help Groups, Reproductive Medicine, Internet
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