Fertility awareness online: the efficacy of a fertility education website in increasing knowledge and changing fertility beliefs

Daniluk, Judith C.; Koert, Emily

doi:10.1093/humrep/deu328

Cited by 112 publications

(120 citation statements)

References 39 publications

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“…The effectiveness of our intervention regarding knowledge on age-related fertility decline was also verified in previous intervention studies consisting in written information 7,8 , or a combination of oral and written information 9 . Findings regarding knowledge on treatment success rates are also in accordance with previous evidence 7,9 , as well as on the definition on infertility 7 .…”

Section: Differences In Results and Conclusionsupporting

confidence: 76%

“…Additionally, our sample was mainly composed by female undergraduate students, which did not allow us to check for gender differences. Given that fertility awareness interventions might be more effective on women 8 , future research with sufficient male participants should assess whether these effects are moderated by gender. Lastly, some bias could have resulted from the possibility that participants within the control group had understood that they were assigned to the control condition given that they received no stimulus.…”

Section: Strengths and Weaknesses Of The Studymentioning

confidence: 99%

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Effectiveness of a video intervention on fertility knowledge among university students: a randomised pre-test/post-test study

Conceição

Pedro

Martins

2017

The European Journal of Contraception & Reproductive Health

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Objectives: Recent evidence showed that young adults have low reproductive health and fertility knowledge, and that interventions are needed to increase fertility awareness. The aim of this study was to assess the effectiveness of a brief video in increasing knowledge regarding fertility and infertility in young adults. Methods:A two-arm, parallel-group, randomized controlled trial with a pretest-posttest design was conducted (NCT02607761, ClinicalTrials.gov). The sample was composed of 173 undergraduates answering to a self-report questionnaire. Participants were randomly assigned to be exposed or not to an educational video about reproductive health and infertility (intervention group, n = 89; control group, n = 84).Results: At baseline (T0), participants revealed low knowledge on risk factors and fertility issues, and average knowledge on the definition of infertility. Interaction effects between group and time were found for all variables targeted within the presented video. Participants in the IG significantly increased knowledge on fertility issues, infertility risk factors, and infertility definition. No significant differences in the post-test (T1) were observed in the CG, except for the age of marked decrease in female fertility. Conclusions:A short video intervention is effective in provisionally increasing knowledge on reproductive health and infertility. If future research using longer intervals corroborates our findings, this intervention could be a useful tool in public health prevention campaigns.

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Section: Differences In Results and Conclusionsupporting

confidence: 76%

Section: Strengths and Weaknesses Of The Studymentioning

confidence: 99%

Effectiveness of a video intervention on fertility knowledge among university students: a randomised pre-test/post-test study

Conceição

Pedro

Martins

2017

The European Journal of Contraception & Reproductive Health

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“…A study that provided online educational information to a group of undergraduates on fertility, ART, and delaying childbearing resulted in an increase in knowledge on fertility and a change in intention to have children at an earlier age (Wojcieszek & Thompson, 2013). Despite the benefits and availability of online resources, Daniluk (2015) found in a study of 199 men and women aged 18-35 years that fertility knowledge and ART initially improved after viewing online sources, but decreased to preintervention levels after six months, particularly for male participants. Online education may be beneficial however the extent of retention of that information over the longer term is unknown.…”

Section: The Marketing Of Hope Despite Risksmentioning

confidence: 94%

“…Childbearing for midlife intending mothers has health implications for the mother and baby (Baart et al, 2006). Midlife intending mothers also have an increased risk of adverse maternal, foetal or infant outcomes, smaller family size than desired, higher chance of miscarriage, as well as involuntary childlessness (Daniluk & Koert, 2015). It has been documented that older women have higher rates of instrument birth, neonatal complications, caesarean delivery, gestational diabetes, and low birthweight babies.…”

Section: Rationalementioning

confidence: 99%

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Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Hayward¹

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The age for optimal women's childbearing, with the best chance of delivering a healthy baby, is generally considered to be when aged in their 20s years. Some researchers propose that fertility declines occurs from 32 years of age. After this age women have a decreasing chance of conception attributed primarily to age-related chromosomal changes in their oocytes. Midlife intending mothers (women aged 35 and older) This research investigates perceptions of women's fertility decline and ART success from a group of women who had used ART, and from men and women in the community who may not have used ART. Women who had used ART and a community cohort were surveyed. Responses from these two groups were analysed separately and compared.Women who had used ART were asked about their experiences at their clinic, and if treatment had social or psychological repercussions. Participants asked about their perceptions of media portrayal of ART success for women aged 35 and older. The concept that ART has become commodified, where commodification is the transformation of services or entities into a commodity, is explored. Those who had used ART suggested recommendations for younger women about childbearing.A mixed-methods approach was utilised. Data were gathered from three cohorts of participants. Quantitative and qualitative data were gathered from an in-vitro fertilisation (IVF) support group (N = 68) and qualitative data from an interview group of IVF users (N=6) who had engaged with ART treatment either currently or recently. Some had conceived and some were still having treatment. The community group (N= 1243) comprised men and women over 18 years of age who participated in a Queensland-wide telephone survey. Quantitative data gathered from the support group and the community were analysed using SPSS. Qualitative data were explored via thematic analysis.Thematic findings from the interview group supported findings of the support group. Most women knew the benefits and risks of delaying childbearing and made an informed choice ii to use ART. Most were aware that fertility declined from the age of 35, yet this age group is the major consumer of ART. Most women younger than 40 years believed they would get pregnant and have a healthy baby. Only half of the women aged 40 years and older had that confidence. However, this insight may have been gained after using ART. Women found their experience physiologically and psychologically challenging and those who didn't conceive, found making the decision to stop treatment confronting. Some were confused on the published success rates, and expectations elevated from overall rather than age specific pregnancy not birth rates.Support group and interview participants felt delayed childbearing was mainly due to lack of a relationship partner whereas community members believed career or work aspirations. Both he support group and community group agreed that women's fertility declined from the age of 35 years but significantly more community members, and significantly more men th...

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Intention to have a third child among millennial parents with two children in eastern China: A cross‐sectional survey

Xu,

Jiang,

et al. 2024

Nursing Open

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AimThis Study Aimed to Assess the Intention to Have a Third Child among Millennial Parents (25–40 years old) with Two Children in a City in Eastern China and to Explore the Influencing Factors Related to Fertility Intention.DesignA cross‐sectional design study.MethodsA convenience sampling method was used to enrol participants of childbearing age who visited two tertiary hospitals in Hang zhou, a city in eastern China, from June 2021 to March 2022. We conducted a face‐to‐face questionnaire survey with 520 participants and calculated the prevalence of intention‐related factors. Multivariate logistic regression was used to analyse the independent influencing factors of fertility intention.ResultsIn total, 105 (20.2%) participants had the intention to have a third child. The results showed that ‘employment status’, ‘age’, ‘reasons for wanting a third child’, the considered ‘biggest barrier to having a third child’, ‘views on the three‐child policy’, ‘desired free services’, ‘supporting work policies’ and ‘assistance policies’ were significant independent influencing factors of intention to have a third child (p‐value < 0.05). The intention of the participants ‘over 30 years old’ was 2.466 times that of those ‘30 years old and under’, and ‘older age/personal health status’ was considered the ‘biggest barrier to having a third child’. Regarding policy and social reasons, the participants who need ‘medical assistance’ policy negatively affect the intention to have a third child (OR = 0.453, 95% CI = 0.247–0.830).Implications for Healthcare/NursingNursing plays an important role in health promotion. Nurses can help couples make wise decisions about fertility by providing professional consultation, education, evaluation and support. They can also provide corresponding nursing and guidance to improve couples' health quality and overall reproductive success.ConclusionsThe general level of intention to have a third child of Millennial parents with two children is still low. The participants who are ‘housewives/househusbands’, ‘over 30 years old’, and satisfied with the state of ‘medical assistance’ have higher fertility intentions.Patient or Public ContributionIt is particularly meaningful for the policymakers to improve the social support system and raise universal awareness to encourage childbirth.

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Fertility awareness online: the efficacy of a fertility education website in increasing knowledge and changing fertility beliefs

Cited by 112 publications

References 39 publications

Effectiveness of a video intervention on fertility knowledge among university students: a randomised pre-test/post-test study

Effectiveness of a video intervention on fertility knowledge among university students: a randomised pre-test/post-test study

Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Intention to have a third child among millennial parents with two children in eastern China: A cross‐sectional survey

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