Patient attitudes towards twin pregnancies and single embryo transfer a questionnaire study

Højgaard, Astrid Ditte; Ottosen, Lars Ditlev Mørck; Kesmodel, Ulrik Schiøler; Ingerslev, Hans Jakob

doi:10.1093/humrep/dem173

Cited by 69 publications

(52 citation statements)

References 15 publications

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“…In a recent review by Leese and Denton (2010), patients in most studies would rather choose double-embryo transfer than single but this was mainly to maximize their chances of achieving a pregnancy and did not necessarily reflect a preference for twins. Nevertheless, some infertile couples prefer twins (Pinborg et al, 2003) so they do not have to go through the uncertain and costly process again to ensure a sibling for their much wanted child (Hojgaard et al, 2007). This supports previous research reporting that a longer time in treatment and having had previous IVF treatments increased the desire for multiple births (Child et al, 2004).…”

Section: Introductionsupporting

confidence: 78%

Elective single-embryo transfer: persuasive communication strategies can affect choice in a young British population

Akker

Purewal

2011

Reproductive BioMedicine Online

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Akker is on the editorial board of a number of journals and has been a member of numerous learned societies. Her research interests cover a variety of health psychology areas with a focus on reproductive health psychology, using qualitative, quantitative and experimental research techniques. She has been successful in securing funding for a number of research grants, has published one book and nearly completed her second book, and has written numerous book chapters and publications in scientific journals.Abstract This study tested the effectiveness of the framing effect and fear appeals to inform young people about the risks of multiple births and the option of selecting elective single-embryo transfer (eSET). A non-patient student sample (age (mean ± SD) 23 ± 5.5 years; n = 321) were randomly allocated to one of seven groups: (1) framing effect: (1a) gain and (1b) loss frame; (2) fear appeal: (2a) high, (2b) medium and (2c) low fear; or (3) a control group: (3a) education and (3b) non-education. The primary outcome measure was the Attitudes towards Single Embryo Transfer questionnaire, before exposure to the messages (time 1) and immediately afterwards (time 2). Results revealed participants in the high fear, medium fear and gain condition demonstrated the most positive and significant differences (P < 0.001 to P < 0.05) in their knowledge, hypothetical intentions and modest changes in attitudes towards eSET than the low fear, loss frame and education and non-education messages. The results demonstrate that the use of complex persuasive communication techniques on a student population to promote immediate and hypothetical eSET preferences is more successful at promoting eSET than merely reporting educational content. Future research should investigate its application in a clinical population. RBMOnline

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Section: Introductionsupporting

confidence: 78%

Elective single-embryo transfer: persuasive communication strategies can affect choice in a young British population

Akker

Purewal

2011

Reproductive BioMedicine Online

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“…Before embryo transfer policy is legislated, however, it is important to consider what factors influence embryo transfer practices. Previous studies suggest that PRs at individual clinics (15), patient funding for IVF (8), and patient preference (16)(17)(18)(19) are important, but little is actually known regarding factors US clinicians take into consideration when deciding how many embryos to transfer. To gain a better understanding of these factors, we conducted a survey of clinicians practicing in IVF centers registered with SART.…”

mentioning

confidence: 99%

Embryo transfer practices in the United States: a survey of clinics registered with the Society for Assisted Reproductive Technology

Jungheim

Ryan

Levens

et al. 2010

Fertility and Sterility

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“…To date research in this area has used quite lengthy questionnaires developed for each individual project. Couples have been asked to rate risk, to rank their preference for different treatment outcomes or even to indicate their preference for hypothetical choices [33][34][35]. There is a need for a short easily completed questionnaire to assess attitudes to multiple births in order to meet patients' information needs and to evaluate the impact of interventions to promote eSET.…”

Section: Introductionmentioning

confidence: 99%

Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

Rai

Betsworth

Beer

et al. 2010

J Assist Reprod Genet

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Background This study evaluated a questionnaire originally developed for use with health professionals to explore and compare patients' and clinicians' perceptions of elective single embryo transfer and twin births. Methods IVF clinicians and patients attending an independent Fertility clinic were surveyed using the Attitudes to a twin birth scale (ATIPS) comprising two subscales: attitudes to twins (A-Twin) and attitudes to elective single embryo transfer (A-SET). After refinement total sample scores showed both subscales were reliable with Cronbach's alpha >0.8 and item-total correlations >0.35. Results Questionnaires were completed by 100 female IVF patients and 17 IVF clinicians. A-Twin subscale scores indicated neither the IVF clinicians nor female IVF patients demonstrated very positive attitudes to a twin birth although the IVF female patients were more in favour (t=5.29, n=117, p=<0.001). Responses suggest both groups would benefit from increased information about the risks of a twin birth for the baby. First cycle IVF female patients were significantly more positive about eSET (z=3.94, n=100, p=<0.001). Clinicians perceive both their colleagues' and female patients' negativity towards eSET; suggesting a role for education. Conclusions This study found the ATIPS to be a reliable measure which could be useful in evaluating interventions to promote single embryo transfer.

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Patient attitudes towards twin pregnancies and single embryo transfer a questionnaire study

Cited by 69 publications

References 15 publications

Elective single-embryo transfer: persuasive communication strategies can affect choice in a young British population

Elective single-embryo transfer: persuasive communication strategies can affect choice in a young British population

Embryo transfer practices in the United States: a survey of clinics registered with the Society for Assisted Reproductive Technology

Comparing patients’ and clinicians’ perceptions of elective single embryo transfer using the attitudes to a twin IVF pregnancy scale (ATIPS)

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