Content Validity of Infertility Quality of Life Questionnaire Among Women with Infertility in Treatment (original) (raw)

Investigation of Quality of Life and Related Factors in Infertile Women Undergoing Infertility Treatment

2021

Objective: Infertility is an unpleasant emotional experience and is one of the factors that affect the quality of life. Psychological problems caused by infertility can affect fertility success. This study conducted to investigate quality of life and related factors in infertile women. Methods: This cross-sectional study carried out on 80 infertile women referred to the infertility treatment center of Imam Khomeini Hospital in Sari, Iran. Data gathered by World Health Organization Quality of Life (WHOQOL)-BREF questionnaire and analyzed using Pearson’s and Spearman’s correlation coefficient and Kruskal-Wallis test in SPSS version 24 (P < 0.05). Results: Mean age of women was 33 ± 5.70 years. Quality of life of them was good (32.5%), moderate (61.2%), and poor (6.2%). there was a reverse relationship between the duration of trying to conceive and quality of life, meaning that increase of this duration was associated with decreased quality of life (P = 0.05). The increase in durati...

Quality of Life of Women with Infertility

Procedia - Social and Behavioral Sciences, 2015

Background: Procreation and the wish to start a family is one of the natural needs of human beings and one of the important pillars of their quality of life. It is subject to emotional and marital impacts which may contribute to pregnancy failure. Objectives: To identify determinants that influence the quality of life; to determine whether socio demographic variables impact the quality of life of women with infertility; to verify the influence of contextual variables of infertility on the quality of life of women. Methods: A quantitative study with 106 women with a diagnosis of infertility. Data collection was carried out through a questionnaire consisting of a socio-demographic component, obstetric history and a scale WHOQOL-Brief (Abbreviated Instrument for Assessment of the Quality of Life of the World Health Organization). Results: The average age was 33 years; 62.3 %have never been pregnant and 51.9% have been trying to get pregnant for more than 3 years. There is a relationship (p<0.05) between age, schooling, number of previous pregnancies, type of treatment used in case of missed abortion, duration of menstruation, infertility and quality of life. Conclusion: Updating knowledge has become increasingly important for health professionals, aiming for the improvement of the quality of life of women confronted with a diagnosis of infertility. These results are consistent with those obtained by other studies that validate the change in quality of life, according to several sociodemographic characteristics, obstetric history and infertility diagnosis.

Investigating different dimensions of infertile women’s quality of life: a descriptive cross-sectional study

BMC Public Health

Background Infertility is a major challenge in the life of women which affects their quality of life. Infertile women's quality of life is a relatively new field of research that has recently been considered by health researchers. However, there has been no standard tool for measuring different aspects of infertile women's quality of life with female factors, and general and specific tools of infertile couples have been used to assess their quality of life. This study, thus, aimed to analyze different aspects of the quality of life of infertile women. Methods This descriptive cross-sectional study was conducted on 320 infertile women referred to a teaching hospital affiliated with Mazandaran University of Medical Sciences and private infertility treatment centers in Sari, Iran. Demographic and fertility characteristics and the quality of life questionnaire for infertile women questionnaire (a 25-item tool was designed which measured 7 factors of psychological effects, sexual...

Quality of life of Iranian married women: a comparative study of women who had experienced infertility with fertile ones through Health, Wellness and Quality of Life Questionnaire

Caspian Journal of Reproductive Medicine , 2015

Background: The treatment of infertility and the quality of life in women is now considered equally important. The aim of the study was to determine the quality of life (QoL) of married women aged 20-45 years and to compare QoL domain in fertile and infertile women. Methods: In a community based study, the Wellness and Quality of Life Questionnaire (WHOQOL) was used to assess the QoL of married women. A total of 1,140 women with the age range of 20-45 were selected using standard cluster sampling technique in Babol, Iran. Among those women who attempted conception, 168 of the women experienced difficulty conceiving at some stage in their lives. Then, the QoL of the women who had experienced infertility were compared with those of other fertile women. The questionnaire containing 55 items comprised five domains: physical state, mental/emotional state, stress evaluation, life enjoyment, and overall quality of life. Lower scores in three domains: physical state, mental/emotional state, and stress evaluation mean better QoL. Higher scores in life enjoyment and overall quality of life mean better QoL. Results: The means of the QoL of married women in physical status, mental/emotional state, stress evaluation, life enjoyment, and overall QoL were 19.0 ± 5.3, 20.0 ± 6.8, 23.4 ± 7.8, 32.6 ± 5.3, and 61.5 ± 10.1, respectively. There was no significant relationship in the mean scores in the five domains of QoL between the fertile and infertile groups. Logistic regression also indicated that infertility was associated with higher (worse) scores in the mental/emotional state domain (p= 0.018), and fertility was associated with higher scores (better) in overall score QoL (p= 0.003). Conclusion: The results can be regarded as useful findings to make more efficient interventions for infertile women.

Quality of life and related constructs in a group of infertile Hungarian women: a validation study of the FertiQoL

Human Fertility, 2020

Quality-of-life measurement is a basic prerequisite for psychologically sensitive fertility care and the FertiQoL is a psychometrically sound outcome measure in this field. The aim of the present research was to investigate the reliability and validity of the Hungarian Core FertiQoL. Two independent samples of infertile women were merged (n ¼ 320). While the model fit of the four-factor Confirmatory Factor Analysis was under the level of acceptability (v 2 (246) ¼ 626.36, p < 0.001, RMSEA ¼ 0.070 [CI 90 ¼ 0.063-0.076], CFI ¼ 0.878, SRMR ¼ 0.071), the four-factor Exploratory Structural Equation Model showed much improved model fit (v 2 (186) ¼ 395.63, p < 0.001, RMSEA ¼ 0.059 [CI 90 ¼ 0.051-0.067], CFI ¼ 0.933, SRMR ¼ 0.035). Good internal consistency (Cronbach's Alphas 0.77-0.92) and construct reliability (0.75-0.95) were found for both factor structures. Depression correlated negatively with fertility-specific quality of life. Almost a quarter of the sample suffered from moderate-to-severe depression. Multivariate analysis of variance indicated that Beck Depression Inventory categories (mild, moderate etc.) co-occurred with significantly distinct FertiQoL score ranges, leading to a possible, clinically meaningful threshold on the Core FertiQoL. Pearson coefficients showed secondary infertility, rural residency and pretreatment status to be associated with better fertility quality of life.

Psychometric characteristics of the FertiQoL questionnaire in a German sample of infertile individuals and couples

Health and Quality of Life Outcomes, 2018

Background: FertiQoL is a questionnaire internationally developed to measure fertility-specific quality of life. It has been validated with infertile populations in many countries and used in several studies focusing on the psychosocial consequences of infertility in Europe, Asia, and North America. Methods: Over a period of two years, 596 infertile women and men took part in the study conducted at three German fertility clinics. Psychometric properties of FertiQoL were tested by performing confirmatory factor analyses, calculating average variance extracted values, reliability and correlation coefficients. Hierarchical regression analyses were conducted to determine the relations between FertiQoL subscales and both sociodemographic and medical variables. Individual and cross-partner effects were tested for. Results: The confirmatory factor analyses conducted on our FertiQoL data supported the original four-factor solution for both women and men but, resulted in some unsatisfactory indices. Family and friends' support items loaded weakly on the Social subscale of FertiQoL (.27 and .34 in women, .32 and .19 in men). The Emotional and Mind/Body subscales revealed a strong intercorrelation (r = .77, p < .001 in women, r = .74, p < .001 in men). Women scored lower than men on the Emotional and Mind/Body subscales only, and they reported better fertility-specific relational QoL. In women, the perceived cause of infertility and already mothering a child related significantly to individual FertiQoL scores, while in men, age, educational level, and the duration of their wish for a child had an impact on the FertiQoL subscales (all p < .05). The men's educational level, the women's educational level, and the subjective perceived medical cause of fertility problems exerted cross-partner effects on QoL (all p < .05). Conclusions: Our study results represent a contribution both to research and clinical practice. The findings suggest the importance of considering the personal experience of infertility in different cultural and gender specific settings and that the strong connections between the emotional, physical, and cognitive aspects of an individual's fertility-specific quality of life should be regarded as a more coherent system.

Quality of life and its related factors in infertile couples

Journal of research in health sciences, 2014

Health related quality of life (QoL) has now been considered as a main tool for outcome measurement in infertility. The present study aimed to determine the association between general and specified QoL with different psychological aspects of self-esteem, social support, sexual satisfaction, and marital satisfaction in a sample of Iranian infertile couples. This cross-sectional study was conducted on 385 infertile couples referred to the Fatemieh Hospital in Hamadan City, western Iran in 2012.To measure the self-esteem, the Iseng test was used. The social support scaling developed by Cassidy and Long was used for assessment of social support. The sexual satisfaction was also assessed by the Lindaberg questionnaire. For assessing the general QoL state, the WHO-QoL-BREF and FertiQoL tools were employed. Self-esteem scores were lower in the couples with longer infertility duration. The social support mean score was lower in low income couples. Those with higher educational level, short...

An investigation of the effects of infertility on Women’s quality of life: a case-control study

BMC Women's Health

Background: Human instinctively desire to have offspring. Infertility can cause painful emotional experiences throughout the life mainly known as quality of life impairment. This study aimed to investigate the impact of infertility on a woman's quality of life. Methods: A number of 180 infertile and 540 fertile women participated in this matched case-control study. The cases were selected through a combination of multistage stratified and cluster sampling methods. For each infertile woman three fertile women were randomly selected. The data gathering instrument consisted of demographic variables and the WHOQOL-BREF questionnaire. Data collection was conducted through interview with participants. The multivariate marginal model and SPSS software 21 were used for data analyses with a significance level of 0.05. Results: The results of the multivariate modeling show infertility can potentially affect various aspects of women's quality of life such as physical health (p < 0.001), mental health (p < 0.001), social health (p < 0.001) and the total score of quality of life (p < 0.001) significantly. Conclusion: An infertile woman practice a relatively lower scores in QOL sub-scales of mental, physical and environmental health; while they experience a higher social health score than a fertile woman.