Implementation of reproductive life planning (RLP) in primary health care supported by an evidence-based website

Andersson, Melinda Koo; Tydén, Tanja

doi:10.1080/13625187.2019.1695117

Cited by 10 publications

(19 citation statements)

References 28 publications

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“…Although reproductive-aged Japanese individuals learn about contraception during school, they mostly learn about fertility through the mass media, followed by the internet [39]. Therefore, it is necessary to explore new ways of spreading information as widely as possible, such as creating websites and smartphone applications that incorporate the opinions of reproductive-aged women and men [40,41]. In addition, health professionals should assess the usability of existing online information and instruct reproductive-aged women and men how to use it effectively [42].…”

Section: Discussionmentioning

confidence: 99%

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Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

2020

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Background: Currently, in developed countries, increasing numbers of women and men are delaying childbearing but begin seeking fertility treatment later in life. Some women undergoing infertility treatment develop negative feelings such as depression associated with low life satisfaction and regret over the delay in childbearing. We therefore examine the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors among Japanese women and men seeking fertility treatment. Methods: This cross-sectional study included 253 women and 196 men referred to fertility facilities in Japan from July to December 2018. Participants completed a questionnaire on life satisfaction, regret over the delay in childbearing decision, infertility-related factors and sociodemographic characteristics. Life satisfaction was measured using the Satisfaction with Life Scale (SWLS), and the degree of regret over delay in childbearing decision was measured on a 7-point Likert scale. Multiple linear regressions, conducted separately by sex, were used to analyze the association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors. Results: Of the 253 women and 196 men, 102 (40.3%) women and 43 (21.9%) men answered "strongly agree" regarding their regret over the delay in childbearing decision. Among women, life satisfaction was negatively associated with regret (β = − 0.155, 95% CI [− 0.938, − 0.093], p = 0.017), use of assisted reproduction technology (ART) (β = − 0.135, 95% CI [− 2.977, − 0.020], p = 0.047). In contrast, previous live birth was positively associated with life satisfaction (β = 0.134, 95% CI [0.122, 3.739], p = 0.037). In men, we found no significant association of life satisfaction with regret over the delay in childbearing decision and infertility-related factors. Conclusions: Regret over the delay in childbearing decision is negatively associated with life satisfaction among Japanese women seeking fertility treatment. It may be important for women to make better informed decision regarding the timing of childbearing to not regret later in life. Health professionals should address regret over the delay in childbearing decision during fertility treatment and explore ways to spread information on fertility awareness.

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Section: Discussionmentioning

confidence: 99%

“…In addition, health professionals should assess the usability of existing online information and instruct reproductive-aged women and men how to use it effectively [42]. Overall, it is important for health professionals to explore effective methods without being bound by traditional ones [41].…”

Section: Discussionmentioning

confidence: 99%

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

2020

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“…The Swedish National Food Agency states: 'The foetus is more sensitive to alcohol than you are, so refrain from alcohol as soon as you believe that you are pregnant' [3]. Other European countries such as Italy, Denmark and the Netherlands recommend that women stop consuming alcohol when they start trying to conceive [34]. We suggest Sweden should follow their example and update its current recommendations.…”

Section: Implications For Policy-makers and Health Care Providersmentioning

confidence: 99%

“…Public educational efforts for all women of reproductive age should, therefore, be combined with the identification and counselling of women who intend to conceive or who are at risk of conceiving [17]. This can be achieved by using counselling tools such as the Reproductive Life Plan or One Key Question, enabling tailored counselling based on women's needs [34,35].…”

Section: Implications For Policy-makers and Health Care Providersmentioning

confidence: 99%

Foreign-born women’s lifestyle and health before and during early pregnancy in Sweden

Hultstrand

Tydén

Ragnar

et al. 2020

The European Journal of Contraception & Reproductive Health

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Objectives: The aims of the study were to investigate foreign-born women's lifestyle and health before and during early pregnancy and compare them with those of Nordic-born women. Methods: Women recruited at antenatal clinics in Sweden answered a questionnaire in Swedish, English or Arabic or by telephone interview with an interpreter. Questions covered pregnancy planning and periconceptional lifestyle and health. The responses of women born in or outside Europe were compared with those of Nordic-born women. The impact of religiousness and integration on periconceptional lifestyle and health was also investigated. Results: Twelve percent of participants (N ¼ 3389) were foreign-born (n ¼ 414). Compared with Nordic women, European and non-European women consumed less alcohol before conception (respectively, adjusted odds ratio [aOR] 0.38; 95% confidence interval [CI] 0.24, 0.58 and aOR 0.14; 95% CI 0.10, 0.19) and during early pregnancy (respectively, aOR 0.61; 95% CI 0.40, 0.91 and aOR 0.20; 95% CI 0.14, 0.29). Non-European women used less tobacco and were less physically active, but body mass index (BMI) did not differ between groups. Self-perceived health, stress and anxiety during early pregnancy did not differ, but non-European women more often had depressive symptoms (aOR 1.67; 95% CI 1.12, 2.51). Non-European women's healthy lifestyle was associated with religiousness but not with the level of integration. Conclusions: Non-European women were overall less likely to engage in harmful lifestyle habits before and during early pregnancy but were more likely to suffer from depressive symptoms in comparison with Nordic women.

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“…To the best of our knowledge, the RLP has never been tested in any low-or middle income country. The healthcare providers using the RLP have generally been nursemidwives or general practitioners [19,[21][22][23][24][25][26], and the use of it among community health workers has not yet been studied. Further, research on the implementation of reproductive life planning is lacking [2,3,19].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the implementation of the Reproductive Life Plan in disadvantaged communities: A mixed-methods study using the i-PARIHS framework

et al. 2020

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Introduction The Reproductive Life Plan (RLP) is a clinical tool to help clients find strategies to achieve their reproductive goals. Despite much research on the RLP from high-income countries, it has never been studied in low-or middle income countries. Together with health workers called Mentor Mothers (MMs), we used a context-adapted RLP in disadvantaged areas in Eswatini. Our aim was to evaluate the implementation of the RLP in this setting. Methodology MMs participated in focus group discussions (FGDs, n = 3 MMs n = 29) in January 2018 and at follow-up in May 2018 (n = 4, MMs n = 24). FGDs covered challenges in using the RLP, how to adapt it, and later experiences from using it. We used a deductive qualitative thematic analysis with the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, creating themes guided by its four constructs: facilitation, innovation, recipients and context. The MMs also answered a questionnaire to assess the implementation process inspired by normalization process theory. Results The RLP intervention was feasible and acceptable among MMs and fit well with existing practices. The RLP questions were perceived as advantageous since they opened up discussions with clients and enabled reflection. All except one MM (n = 23) agreed or strongly agreed that they valued the effect the RLP has had on their work. Using the RLP, the MMs observed progress in pregnancy planning among their clients and thought it improved the quality of contraceptive counselling. The clients' ability to form and achieve their

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Implementation of reproductive life planning (RLP) in primary health care supported by an evidence-based website

Cited by 10 publications

References 28 publications

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Regret over the delay in childbearing decision negatively associates with life satisfaction among Japanese women and men seeking fertility treatment: a cross-sectional study

Foreign-born women’s lifestyle and health before and during early pregnancy in Sweden

Evaluating the implementation of the Reproductive Life Plan in disadvantaged communities: A mixed-methods study using the i-PARIHS framework

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