|The Application of The Collaborative Infertility Counselling Model on Coping Strategies in Infertile Women Undergoing In Vitro Fertilization : A Randomized Controlled Trial|
|Mahboobeh Rasoulzadeh Bidgoli1, Robab Latifnejad Roudsari2|
|1Department of Midwifery, Kashan University of Medical Sciences, Kashan, Iran
2Department of Midwifery,Research Center for Patient Safety, Mashhad University of Medical Sciences, Mashhad, Iran
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Keywords : Infertility, collaborative counseling, coping strategies, in vitro fertilization
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Objectives: Infertility is a stressful condition influencing interpersonal and social relationships among infertile couples. Various strategies have been suggested for coping with infertility. This study examined the effect of the collaborative infertility counseling model on coping strategies in infertile women undergoing in vitro fertilization in an urban area of Iran.
Materials and Methods: This clinical controlled trial was conducted with 60 women with primary infertility selected from an infertility research center. They were randomly allocated to the intervention and control groups with 29 and 31 samples in each group, respectively. The intervention group received individual counseling based on the collaborative reproductive healthcare model. The counselling was provided with the collaboration of a midwife, a gynecologist and a clinical psychologist in five sessions during a two-month period. The control group received only routine care. The fertility problem inventory and general health questionnaire were used for data collection regarding perceived fertility-related stress and general health, respectively. Also, the ways of coping-revised questionnaire was used to collect data regarding the women’s coping strategies at the beginning of the study and at the day of the embryo transfer. Descriptive and inferential statistics were used for data analysis.
Results: A statistically significant difference was reported between the two groups in terms of problem-focused coping strategies (P = 0.037). However, no statistically significant difference was reported between the groups with regard to emotion-focused coping strategies (P = 0.947). The mean scores of seeking social support (P = 0.022) and planful problem-solving (P = 0.045) as the subscales of problem-focused coping strategies had statistically significant differences between the two groups.
Conclusion: The collaborative reproductive healthcare model promoted the use of problem-focused coping strategies. Therefore, the use of collaborative counseling approaches by healthcare professionals are suggested for assisting infertile women to cope with infertility.
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