Health Information Needs of Couples Undergoing Assisted Reproductive Techniques

Masoomeh Latifi, Leili Allahbakhshian, Fatemeh Eini, Nader Alishan Karami, Mohammed Nasser Al‑Suqri

Abstract


Background: Couples undergoing Assisted Reproductive Techniques (ART) come across various information needs. This study aimed to identify the health information needs of couples undergoing ART.

Materials and Methods: The methodology of the present applied study was qualitative and the research method was conventional qualitative content analysis performed with the participation of 25 infertile couples under ART. The study took nine months (July 2020 to March 2021). The samples were objectively screened based on the criteria from the couples referred to the infertility center affiliated to Hormozgan University of Medical Sciences (Public) and Ome‑Leila Specialized infertility clinic (Private) in Bandar Abbas (Iran). Data collection was performed by semi‑structured interviews. The typical content analysis method was used in this research. Data analysis was carried out based on coding by the use of MAXQDA a software for qualitative and mixed methods data analysis.

Results: Information needs of couples under ART were categorized into three main categories and ten subcategories: 1) main cause of infertility [feminine or masculine cause, and etiology (nature and origin)], 2) treatment of infertility [identifying ART, treatment success rate, complications and risks (outcomes) of the treatment method, and treatment duration], and 3) healthcare [advice on medication, healthy nutrition (diet), sexual relations, and daily routine].

Conclusions: The results of this study emphasize that the country’s health officials, especially those in charge of the healthcare of infertile couples under ART, must necessarily pay more attention to meeting the needs of this group of people in society.



Keywords


Assisted, consumer health information, infertility, qualitative research, reproductive techniques

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References


Ehsan Z, Yazdkhasti M, Rahimzadeh M, Ataee M, Esmaelzadeh‑Saeieh S. Effects of group counseling on stress and gender‑role attitudes in infertile women: A clinical trial. J Reprod Infertil 2019;20:169‑77.

Abebe MS, Afework M, Abaynew Y. Primary and secondary infertility in Africa: Systematic review with meta‑analysis. Fertil Res Pract 2020;6:20.

Mann U, Shiff B, Patel P. Reasons for worldwide decline in male fertility. Curr Opin Urol 2020;30:296‑301.

Pushpalatha D, Tamaskar S, Sundaram. Evaluation of sperm DNA abnormality index as a indicator of male infertility. Int J Clin Diagn Pathol 2021;4:102‑7.

Akhundi MM. Infertility in Iran Pana News Agency. 2021. Available from: http://www.pana.ir/news/133450 . [Last accessed on 2021 Sep 12].

Delaunay C, Santos MJ, Gouveia L. In‑vitro metaphors: ART beneficiaries’ meaning‑making about human embryos in the context of IVF in Portugal. Reprod Biomed Soc Online 2021;13:62‑74.

Huang JYJ, Rosenwaks Z. Assisted reproductive techniques. Human Fertility. Springer; 2014. p. 171‑231.

Costa Figueiredo M, Su HI, Chen Y. Using data to approach the unknown: Patients’ and healthcare providers? Data practices in fertility challenges. Proc ACM Hum Comput Interact 2021;4:1‑35.

Massarotti C, Gentile G, Ferreccio C, Scaruffi P, Remorgida V, Anserini P. Impact of infertility and infertility treatments on quality of life and levels of anxiety and depression in women undergoing in‑vitro fertilization. Gynecol Endocrinol 2019;35:485‑9.

Ried K, Alfred A. Quality of life, coping strategies and support needs of women seeking Traditional Chinese Medicine for infertility and viable pregnancy in Australia: A mixed methods approach. BMC Womens Health 2013;13:1‑11.

Bennett LR, Wiweko B, Bell L, Shafira N, Pangestu M, Adayana IP, et al. Reproductive knowledge and patient education needs among Indonesian women infertility patients attending three fertility clinics. Patient Educ Couns 2015;98:364‑9.

Njagi P, Groot W, Arsenijevic J, Dyer S, Mburu G, Kiarie J. Economic costs of infertility care for patients in low‑income and middle‑income countries: A systematic review protocol. BMJ Open 2020;10:e042951.

Fisher JR, Hammarberg K. Psychological and social aspects of infertility in men: An overview of the evidence and implications for psychologically informed clinical care and future research. Asian J Androl 2012;14:121‑9.

Blakemore JK, Maxwell SM, Hodes‑Wertz B, Goldman KN. Access to infertility care in a low‑resource setting: Bridging the gap through resident and fellow education in a New York City public hospital. J Assist Reprod Genet 2020;37:1545‑52.

Slauson‑Blevins KS, McQuillan J, Greil AL. Online and in‑person health‑seeking for infertility. Soc Sci Med 2013;99:110‑5.

Zare‑Farashbandi F, Lalazaryan A, Rahimi A, Hasssanzadeh A. The effect of contextual factors on health information–seeking behavior of Isfahan diabetic patients. J Hosp Librariansh 2016;16:1‑13.

Zimmerman MS, Shaw G Jr. Health information seeking behaviour: A concept analysis. Health Info Libr J 2020;37:173‑91.

Zelkowitz P, Robins S, Grunberg P. Searching for infertility information online: Differences between men and women. Iproceedings 2016;2:e37.

Latifi M, Salimi S, Barahmand N, Fahimnia F, Farsani LA. Postmastectomy information needs and information‑seeking motives for women with breast cancer. Adv Biomed Res 2018;7:75.

Luk BH‑K, Loke AY. The impact of infertility on the psychological well‑being, marital relationships, sexual relationships, and quality of life of couples: A systematic review. J Sex Marital Ther 2015;41:610‑25.

Rumyeni R, Dida S, Hadisiwi P, Setianti Y. Information needs of Indonesian infertile patients about cross‑border reproductive care. International Journal of Media and Communication Research 2021;2:37‑50.

Afshani SA, Abdoli AM, Hashempour M, Baghbeheshti M, Zolfaghari M. The attitudes of infertile couples towards assisted reproductive techniques in Yazd, Iran: A cross sectional study in 2014. Int J Reprod Biomed 2016;14:761‑8.

Asazawa K, Jitsuzaki M, Mori A, Ichikawa T, Shinozaki K. Supportive care needs and medical care requests of male patients during infertility treatment. Open J Nurs 2018;8:235.

Taguchi S, Hayashi T, Tada Y, Kitaya K, Funabiki M, Iwaki Y, et al. Do combined psychological stress examinations predict pregnancy outcome in an assisted reproductive technology program? Clin Exp Obstet Gynecol 2015;42:309‑10.

Zeinab H, Zohreh S, Gelehkolaee KS. Lifestyle and outcomes of assisted reproductive techniques: A narrative review. J Glob Health Sci 2015;7:11‑22.

Mir SA, Khosravi S, Bidkani MM, Khosravi AA. Expanding the health care in deprived areas in Iran: Policies and challenges. J Mil Med 2019;21:342‑52.

Hamilton AB, Finley EP. Qualitative methods in implementation research: An introduction. Psychiatry Res 2019;280:112516.

Kuckartz U, Rädiker S. Analyzing Qualitative Data with MAXQDA. Springer; 2019.

Renjith V, Yesodharan R, Noronha JA, Ladd E, George A. Qualitative methods in health care research. Int J Prev Med 2021;12:20.

Elyasi F, Parkoohi PI, Naseri M, Hamedi M, Peyvandi S, Gelehkolaee KS. The relation between couple’s infertility distress with their partner’s attachment and coping styles. Journal of Nursing and Midwifery Sciences 2021;8:92.

Frederiksen Y, Farver‑Vestergaard I, Skovgård NG, Ingerslev HJ, Zachariae R. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: A systematic review and meta‑analysis. BMJ Open 2015;5:e006592.

Legro RS, Hansen KR, Diamond MP, Steiner AZ, Coutifaris C, Cedars MI, et al. Effects of preconception lifestyle intervention in infertile women with obesity: The FIT‑PLESE randomized controlled trial. PLoS Med 2022;19:e1003883.

Nekuei N, Esfahani MH, Kazemi A. Preconception counseling in couples undergoing fertility treatment. Int J Fertil Steril 2012;6:79‑86.

Wischmann T. Sexual disorders in infertile couples: An update. Curr Opin Gynecol Obstet 2013;25:220‑2.

Luca G, Parrettini S, Sansone A, Calafiore R, Jannini EA. The Inferto‑Sex Syndrome (ISS): Sexual dysfunction in fertility care setting and assisted reproduction. J Endocrinol Invest 2021;44:2071‑102.

Latifi M, Sedaghat M, Barahmand N, Fahimnia F, Farsani LA. Qualitative study of health information‑seeking barriers among mastectomy patients. Asian Pac J Cancer Prev 2020;21:3185‑90.


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