4.2 Article

Effects of a partnership support program for couples undergoing fertility treatment

Journal

JAPAN JOURNAL OF NURSING SCIENCE
Volume 12, Issue 4, Pages 354-366

Publisher

WILEY-BLACKWELL
DOI: 10.1111/jjns.12074

Keywords

infertility; partnership; program; psychological distress; quality of life

Categories

Funding

  1. Japan Academy of Midwifery
  2. Fumiko Yamaji Nursing Research Fund

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AimThe study's purpose was to examine the effects of providing a partnership support program. It was designed to improve Japanese couples' partnership, maintain quality of life, decrease psychological distress, and improve marital relationship satisfaction while they underwent infertility treatment that included the possibility of using assisted reproductive technology. MethodsThis quasi-experimental study with a two-group pretest-post-test design used purposive sampling and non-random assignment of 318 consenting Japanese patients from previous phases of assisted reproductive technology fertility treatment who were patients from a fertility clinic in Tokyo, Japan. The intervention group of 152 patients (76 couples) participated in the partnership support program. The comparison group of 166 patients (83 couples) received usual care. Recruitment was age matched. The program provided information and used a participatory-interactive approach to enhance understanding and cooperation in couples undergoing fertility treatment. The main outcome measures were: partnership, FertiQoL, Quality Marriage Index, and psychological distress. ResultsThere were 311 participants (intervention group n=148; comparison group, n=163). The intervention group showed significant improvement in the couples' partnerships and a significant decrease in women's psychological distress using subgroup analysis. ConclusionThe partnership support program provided effective improvement in partnership for the couples, and reduced psychological distress for the women; however, it had less impact for the men. The program was not effective in improving couples' overall quality of life (QOL); however, it was effective in improving the mind-body aspects of the QOL subscale.

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