Patient Centredness, Quality of Life, Risk Factors for Emotional Maladjustment
Conditions
Keywords
Patient centredness, Quality of life, Multifaceted approach, Fertility care
Brief summary
The purpose of this study is to evaluate the effects and costs of a multifaceted approach on the patient-centredness of fertility care and the quality of life of fertility patients.
Detailed description
Besides traditional outcomes as (cost)-effectiveness and safety, the Institute of Medicine calls patient-centredness as an independent outcome indicator to evaluate quality of healthcare. Nevertheless, within fertility care there is great variation in the delivery of patient-centred care and room for improvement. The effects of a multifaceted approach on patient centredness and quality of life will be determined by a baseline and after measurement. Three questionnaires will be used to measure patient centredness (Patient Centredness Questionnaire-Infertility), Quality of Life (FertiQoL) and risk factors of emotional maladjustment(SCREENIVF). The multifaceted approach consists of: 1)audit and feedback, 2) educational outreach visits, and 3) patient-mediated interventions. During one year the multifaceted approach is performed followed by an after measurement with the same questionnaires. The effects and costs of the multifaceted approach will be determined. Process evaluation will be performed to investigate feasibility and to study wether and to what extend patients and professionals used and appreciated the elements of the multifaceted approach.
Interventions
BEHAVIORALMultifaceted approach
Audit and feedback, educational outreach visits, and patient-mediated interventions.
Sponsors
A.G. Huppelschoten
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients undergoing MAR-treatment (ovulation induction, intra-uterine inseminations, in vitro fertilization, or intra-cytoplasmic sperm injection).
Exclusion criteria
* Pregnant couples
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in the level of patient-centredness at one year | one year | Main outcome measure will be the difference in the level of patient-centredness after the multifaceted approach between control and intervention group. The level of patient-centredness will be determined by a patients' questionnaire (PCQ-Infertility). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in patients' quality of life at one year | 1 year | Differences in the level of quality of life at after measurement between control and intervention group will be determined. |
| Change from baseline in risk factors of emotional maladjustment at one year | 1 year | Differences in risk factors of emotional maladjustment at after measurement between control and intervention group will be determined. |
| Cost-effectiveness | one year | A cost-effectiveness analysis will be performed to evaluate efficiency of the multifaceted approach at different thresholds (cost-effectiveness acceptibility curve) |
Countries
Netherlands
Outcome results
None listed