The effect of a positive reappraisal coping intervention and problem-solving skills training on coping strategies during waiting period of IUI treatment: An RCT

Abstract

Background:Waiting period of fertility treatment is stressful, therefore it is necessary to use effective coping strategies to cope with waiting period of intrauterine insemination (IUI) treatment.Objective:The aim of this study was comparing the effect of the positive reappraisal coping intervention (PRCI) with the problem-solving skills training (PSS) on the coping strategies of IUI waiting period, in infertile women referred to Milad Infertility Center in Mashhad.Materials and Methods:In this randomized clinical trial, 108 women were evaluated into three groups. The control group received the routine care, but in PRCI group, two training sessions were held and they were asked to review the coping thoughts cards and fill out the daily monitoring forms during the waiting period, and in PSS group problem-solving skill were taught during 3 sessions. The coping strategies were compared between three groups on the 10th day of IUI waiting period.Results:Results showed that the mean score for problem-focused were significantly different between the control (28.54±9.70), PSS (33.71±9.31), and PRCI (30.74±10.96) (p=0.025) groups. There were significant differences between the PSS group and others groups, and mean emotion-focused were significantly different between the control (32.09±11.65), PSS (29.20±9.88), and PRCI (28.74±7.96) (p=0.036) groups. There were significant differences between the PRCI and the control group (p=0.047).Conclusion: PSS was more effective to increase problem-focused coping strategies than PRCI, therefore it is recommended that this intervention should be used in infertility treatment centers.

Effectiveness of an Educational Program in Enhancing Infertile Women’s Psychological Health

“…Similar success of psychological interventions aimed at improving the coping of infertile women and relieving their distress were reported in two studies in Iran. [31,32] Concerning the narcissistic personality, the current study results revealed generally high pre-intervention scores in most of its domains. This reflects infertile women's response to their inability to conceive by trying to invest onto the self in order to regulate their self-esteem.…”

Influence of a patient education and care program on women undergoing non‐assisted reproductive technology fertility treatment

“…These results may be attributed to the fact that this intervention study that was conducted to educate patients undergoing artificial insemination about coping strategies, researchers held a few sessions apart from outpatient setting, and this was effective for specific coping strategies for patients. 14 However, the education and care program of this study contributes to maintaining a good relationship between patients and medical staff by dedicating a small amount of time to frequently collaborate with doctors and nurses regarding daily medical care.…”

“…Recently, many randomized controlled trials have been conducted with programs that impose group session or homework; however, most of them are aimed at patients undergoing assisted reproductive technology and are provided by researchers other than clinic medical staff. [12][13][14][15][16] Infertility treatment is divided into non-assisted reproductive technology (non-ART) infertility treatments and assisted reproductive technology (ART). In Japan, government subsidies cover some ART, though it is mainly a self-financed medical treatment.…”

“…Recently, many randomized controlled trials have been conducted with programs that impose group session or homework; however, most of them are aimed at patients undergoing assisted reproductive technology and are provided by researchers other than clinic medical staff. 12 , 13 , 14 , 15 , 16 …”

Smartphone-supported Positive Adjustment Coping Intervention (PACI) for couples undergoing fertility treatment: a randomised controlled trial protocol

“…Furthermore, besides the waiting time in IVF treatment, the PRCI was used recently during the waiting period of intrauterine insemination treatment30 and as an intervention for pregnant women with a miscarriage history 31 32…”