Patient identified factors influencing decisions to seek fertility care: adaptation of a wellness model.
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| Title: | Patient identified factors influencing decisions to seek fertility care: adaptation of a wellness model. |
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| Authors: | Whittier Olerich, Kelsey, Summers, Karen, Lewis, Adam M., Stewart, Kathleen, Ryan, Ginny L. |
| Source: | Journal of Reproductive & Infant Psychology. Jul2021, Vol. 39 Issue 3, p263-275. 13p. 1 Diagram, 4 Charts, 1 Map. |
| Subjects: | Health services accessibility, Patient decision making, Mathematical models, Research methodology, Help-seeking behavior, Fisher exact test, Infertility, Patients' attitudes, Health, Theory, Questionnaires, Chi-squared test, Fertilization in vitro, Thematic analysis, Content analysis |
| Geographic Terms: | United States |
| 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. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| 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. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02646838 |
| DOI: | 10.1080/02646838.2019.1705263 |
