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Hum Reprod. 2008 Mar;23(3):554-66. Epub 2007 Dec 18.

Online psychoeducational support for infertile women: a randomized controlled trial.

Author information

1
Domar Center for Mind-Body Health, Boston IVF, Inc. 130 Second Avenue Waltham, MA 02451, USA. cousineau@domarcenter.com

Abstract

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.

PMID:
18089552
PMCID:
PMC2993177
DOI:
10.1093/humrep/dem306
[Indexed for MEDLINE]
Free PMC Article
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