Promoting patient empowerment in men and women undergoing fertility treatment through the provision of mobile informational and emotional support
Notice bibliographique
Résumé
Infertility, the inability to become pregnant after 12 months of regular unprotected sex, affects approximately 16% of Canadian couples and is associated with psychological distress, stigma and feelings such as loneliness, uncertainty and loss of control. Fertility patients may benefit from interventions that foster patient empowerment (PE), which refers to patients’ sense of control over their health and ability to cope with their illness and manage their treatment. Mobile health (mHealth) is the delivery of health care services through communication devices such as smartphones, and may represent an effective approach to deliver empowering interventions through improved access to targeted and suitable information and increased connectivity with peers.The present project involved the testing of an mHealth application (app) Infotility containing practical information on infertility, treatment options and associated psychosocial issues, as well as a forum providing access to peer support. A pre-post study design was used to address the following study objectives: (1) to assess which patient characteristics were related to PE, (2) to examine the relationship between PE, perceived stress and fertility-related quality of life, (3) to explore how PE relates to engagement with the app, and (4) to evaluate whether PE changed during the study and in relation to engagement with the app. Standardized questionnaires assessing PE, perceived stress, fertility-related quality of life and participant characteristics were administered prior to (Time 1) and following (Time 2) app use. A total of 152 participants, including 122 women and 30 men, tested the app for a period of 8 weeks during which time activity on the app was monitored via Google Analytics.Results indicated that being older was associated with greater PE in both women and men. In women, having sought psychological counselling during fertility treatment was related to lower PE. In addition, PE correlated negatively with perceived stress (r = -.549, p < .005) and positively with quality of life (r = .602, p < .005). Women reporting lower PE at Time 1 engaged significantly more with the app as a whole, and particularly the information section while men reporting lower PE at Time 1 engaged significantly more with the app. Even though overall PE scores did not change between Time 1 and 2, engagement with the forum was found to moderate the relationship between stress and change in PE for men (b = 5.876, t = 2.176, p < .05), such that men who reported high stress and who used the forum reported increased PE. The present findings suggest that the Infotility app may be a helpful resource for patients who feel less empowered, especially men who are highly stressed, as it provides tools to better understand infertility, navigate treatment, cope and feel supported
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».