Patient identified factors influencing decisions to seek fertility care: adaptation of a wellness model.
J Reprod Infant Psychol
; 39(3): 263-275, 2021 07.
Article
em En
| MEDLINE
| ID: mdl-31856599
ABSTRACT
Objective:
To adapt a fertility care wellness model.Background:
Despite availability of a range of diagnostic and therapeutic services for infertility, many do not seek care or discontinue care prior to achieving a live birth. Wellness models can inform research on patient decisions to seek and continue fertility care, as many barriers and drivers are represented within the dimensions of wellness.Methods:
A mixed-methods online survey was completed by 135 people of reproductive age who experienced infertility in the USA. Outcomes included drivers and barriers to seeking or continuing fertility care. Identified factors were compared by treatment history using chi-square and Fisher's exact tests. Themes and patterns were identified within 174 responses to 6 open-response items through conventional content analysis.Results:
Thematic analysis revealed practical (environmental, financial, and physical) and affective (emotional, social and spiritual) dimensions of wellness in decisions to seek care (67%), with affective rationales more prominent in decisions to return for care (78%).Conclusion:
Decisions to seek fertility care and return after failed treatment integrate practical and affective rationales from financial, physical, environmental, emotional, social and spiritual wellness dimensions. Drivers and barriers within these dimensions should be considered to encourage care seeking and improve patient retention.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Preservação da Fertilidade
/
Infertilidade
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Reprod Infant Psychol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos