1
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An assessment of coping with infertility stress and eating disorders in women undergoing IVF treatment. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-022-01780-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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2
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Cervi L, Knights D. Organizing male infertility: Masculinities and fertility treatment. GENDER WORK AND ORGANIZATION 2022. [DOI: 10.1111/gwao.12809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Lucia Cervi
- The University of Edinburgh Edinburgh Scotland
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3
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Kruglova K, O'Connell SBL, Dawadi S, Gelgoot EN, Miner SA, Robins S, Schinazi J, Zelkowitz P. An mHealth App to Support Fertility Patients Navigating the World of Infertility (Infotility): Development and Usability Study. JMIR Form Res 2021; 5:e28136. [PMID: 34636741 PMCID: PMC8548975 DOI: 10.2196/28136] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 07/20/2021] [Accepted: 08/01/2021] [Indexed: 01/25/2023] Open
Abstract
Background The experience of infertility and its treatment engenders considerable stress and is often described as an emotional rollercoaster. A mobile health (mHealth) app may be a novel solution to address the psychoeducational and psychosocial support needs of fertility patients because of its potential to reduce stress and increase patient empowerment. There are a few fertility-related apps that provide information and support to both men and women undergoing fertility treatment; however, none have documented their development and evaluation process. Objective This study aims to describe the development and evaluation process of a bilingual mHealth app, Infotility, designed to meet the psychoeducational and psychosocial support needs of men and women undergoing fertility treatment. Methods To develop the Infotility app, we adhered to the Medical Research Council guidelines for the development and evaluation of complex interventions. First, we conducted literature reviews and needs assessment surveys of fertility patients and health care providers who informed the content and design of the app. Second, we tested the intervention with a small group of end users who provided feedback on the design and appropriateness of the app’s content. Third, we evaluated the uptake and usability of the app using a pre-post study design. Finally, we updated the app’s content based on participants’ feedback and searched for partners to disseminate the app to the broader public. Results This study is the first to describe the development and evaluation process of an mHealth app for men and women undergoing fertility treatment. The app met its goal in providing fertility patients with a clinician-approved, portable resource for reliable information about medical and psychosocial aspects of infertility and its treatments and a confidential peer support forum monitored by trained peer supporters. Participants rated the engagement, functionality, information, and esthetics of the app positively, with an overall app quality mean score of 3.75 (SD 0.53) and a star rating of 3.43 (SD 0.75), with a total possible score and star rating of 5.00. Conclusions By documenting the systematic development and evaluation of the mHealth app for men and women undergoing fertility treatment, this paper can facilitate the replication of the study intervention and the development of similar mHealth apps.
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Affiliation(s)
- Katya Kruglova
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Siobhan Bernadette Laura O'Connell
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Shrinkhala Dawadi
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Eden Noah Gelgoot
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Skye A Miner
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada
| | - Stephanie Robins
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Joy Schinazi
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
| | - Phyllis Zelkowitz
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.,Department of Psychiatry, McGill University, Montreal, QC, Canada
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4
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Grunberg PH, Da Costa D, Dennis CL, O'Connell S, Lahuec A, Zelkowitz P. 'How did you cope with such concerns?': insights from a monitored online infertility peer support forum. HUM FERTIL 2021:1-15. [PMID: 34347545 DOI: 10.1080/14647273.2021.1959952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The Research Question posed was 'What coping strategies do fertility patients and trained peer supporters discuss in an online infertility peer support forum?' A thematic analysis was used to examine 244 online posts from a sample of 39 users (37 women and two men) for themes in coping with fertility-related stressors. Data were collected from Connect, a monitored online discussion forum with trained peer supporters. Connect users ranged from 27 to 44 years of age (mean = 34.38) and 33 (84.6%) were nulliparous at the time of the study. A variety of cognitive-reappraisal and practical management coping strategies was discussed across four themes: (i) balancing interpersonal relationships; (ii) partner support; (iii) uncertainty and lack of control; and (iv) positivity and negativity. Experiences of uncertainty and lack of control related to time and schedule, outcomes and waiting for physical symptoms, and the clinic. Connect users commonly discussed the helpfulness of coping strategies. Connect users actively requested experiential information about ways of coping from other patients and peer supporters, highlighting the importance of lived experience to those currently in treatment. Findings support conceptualizations of infertility coping as a process that is unique to the infertility treatment context and that may change throughout a patient's treatment. Trained peer supporters may benefit fertility patients by normalizing, reappraising, and providing practical strategies to ameliorate difficult infertility-related challenges.
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Affiliation(s)
- Paul H Grunberg
- Department of Psychology, McGill University, Montreal, Canada.,Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada
| | - Deborah Da Costa
- Department of Medicine, Centre for Outcomes Research & Evaluation, Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada
| | - Cindy-Lee Dennis
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada
| | - Siobhan O'Connell
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada
| | - Alix Lahuec
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada
| | - Phyllis Zelkowitz
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada.,Department of Psychiatry, McGill University, Montreal, Canada
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5
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Stevenson EL, Ching-Yu C, Chia-Hao C, McEleny KR. Men's perception and understanding of male-factor infertility in the UK. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2021; 30:S8-S16. [PMID: 33983808 DOI: 10.12968/bjon.2021.30.9.s8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Male-factor infertility is a common but stigmatised issue, and men often do not receive the emotional support and the information they need. This study sought to understand awareness of male fertility issues compared to female fertility among the UK general male public, and also what were perceived as being the optimum methods for providing support for affected men, emotionally and through information. Men feel that male infertility is not discussed by the public as much as female infertility. Lifestyle issues that affect male fertility are not well understood, and men affected by infertility desire more support, including online, from health professionals and through peer support. Health professionals, including those in public health, could offer evidence-based programmes to reduce stigma and increase public knowledge about infertility, as well as offer emotional support to men with infertility problems.
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Affiliation(s)
| | - Cheng Ching-Yu
- Professor and Research Fellow, Department of Nursing, Chang Gung University of Science and Technology and Chang Gung Memorial Hospital at Chiayi, Putz, Chiayi County, Taiwan
| | - Chang Chia-Hao
- Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Putz, Chiayi County, Taiwan
| | - Kevin R McEleny
- Consultant Urologist, Newcastle Fertility Centre, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne
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6
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Warchol-Biedermann K. The Etiology of Infertility Affects Fertility Quality of Life of Males Undergoing Fertility Workup and Treatment. Am J Mens Health 2021; 15:1557988320982167. [PMID: 33834914 PMCID: PMC8040574 DOI: 10.1177/1557988320982167] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
This panel study explored the effects of male, female, mixed, or idiopathic factor of infertility on the fertility quality of life (FertiQoL) in involuntarily childless males undergoing fertility workup for the first time. A convenience sample of 255 married males (age range = 22–51 years, mean = 30.24 years), 254 (99.6%) of whom suffered from primary infertility were assessed (1) at the baseline, before their initial fertility evaluation (T1); (2) before their second andrological appointment, 2–3 months after diagnostic disclosure (T2); and (3) before subsequent treatment-related/ follow-up appointments (T3, T4). The timing of psychological assessment was strictly related to andrological appointments and routine medical procedures. Respondents completed Emotional, Mind–Body, Relational, and Social subscales of the Polish version of FertiQoL and a baseline demographic survey. The research demonstrated that the FertiQoL scores across the Emotional, Mind–Body, and Relational subscales markedly decreased after the diagnostic disclosure, particularly in the subgroups with male and concurrent male and female factor. Social subscale scores in all subgroups remained stable after the diagnostic disclosure (at T2) but significantly decreased in the follow-up (at T3 and T4). Significant differences in FertiQoL scores associated with respondents’ infertility factor could be demonstrated at each time point. The study identifies the FertiQoL in unintentionally childless males is significantly affected by their factor of infertility and evolves across the pathway of treatment-related/follow-up appointments.
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7
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Szkody E, McKinney C. Appraisal and social support as moderators between stress and physical and psychological quality of life. Stress Health 2020; 36:586-595. [PMID: 32419328 DOI: 10.1002/smi.2957] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 04/14/2020] [Accepted: 05/01/2020] [Indexed: 01/25/2023]
Abstract
One proposed mechanism of social support is the facilitation of primary and secondary reappraisal of stressful situations. The current study examined the expansion of the original stress-buffering hypothesis to include primary or secondary appraisal in an emerging adult population (N = 854) on physical and psychological health outcomes. The additional moderating effects of gender also were examined. Perceived social support (by the Multidimensional Survey of Perceived Social Support) significantly buffered the effects of stress from negative events (by the Risky Behaviour and Stressful Events Scale) on physical and psychological health (by the World Health Organizations Quality of Life Instrument) for females only. Neither primary nor secondary appraisal (by the Stress Appraisal Measure) acted as additional buffers for male or females. Social support may be a more salient buffer for females. Reappraisal mechanisms may have another role in the buffering pathways. Further implications and limitations were discussed.
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Affiliation(s)
- Erica Szkody
- Psychology Department, Mississippi State University, Mississippi State, Mississippi, USA
| | - Cliff McKinney
- Psychology Department, Mississippi State University, Mississippi State, Mississippi, USA
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Yokota R, Okuhara T, Ueno H, Okada H, Furukawa E, Kiuchi T. Online Japanese-Language Information on Lifestyle Factors Associated With Reduced Fertility: Content Analysis. J Med Internet Res 2020; 22:e19777. [PMID: 32840486 PMCID: PMC7479583 DOI: 10.2196/19777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 06/23/2020] [Accepted: 07/07/2020] [Indexed: 01/16/2023] Open
Abstract
Background Approximately one-third of Japanese couples currently worry or previously worried about infertility. To develop strategies for the primary prevention of infertility as a population approach, it is important for the general population to be knowledgeable about fertility and infertility. The internet may contribute to the dissemination of information regarding infertility and fertility. However, few studies have examined online information about fertility. Objective This study aimed to quantitatively examine online Japanese-language information about lifestyle factors associated with reduced fertility. Methods We conducted online searches, using the 10 search terms with the highest numbers of searches that people hoping to conceive are likely to input in two major search engines in Japan (Google Japan and Yahoo! Japan). From the 2200 retrieved websites, 1181 duplicates and 500 websites unrelated to our objective were excluded, resulting in a final dataset of 519 websites. Coding guidelines were developed for the following lifestyle factors associated with reduced fertility: sexually transmitted diseases, psychological stress, cigarette smoking, alcohol use, nutrition and diet, physical activity and exercise, underweight, overweight and obesity, and environmental pollutants. Results In terms of the website author’s professional expertise, 69.6 % of the coding instances for the selected lifestyle factors were mentioned by hospitals, clinics, or the media, whereas only 1.7% were mentioned by laypersons. Psychological stress (20.1%) and sexually transmitted diseases (18.8%) were the most frequently mentioned lifestyle factors associated with reduced fertility. In contrast, cigarette smoking, alcohol use, nutrition and diet, physical activity and exercise, underweight, overweight and obesity, and environmental pollutants were mentioned relatively infrequently. The association between reduced fertility and sexually transmitted diseases was mentioned significantly more frequently by hospitals and clinics than by the media (P<.001). The association between reduced fertility and nutrition and diet was mentioned significantly more frequently by the media than by hospitals and clinics (P=.008). With regard to the sex of the target audience for the information, female-specific references to psychological stress, sexually transmitted diseases, nutrition and diet, underweight, physical activity and exercise, and overweight and obesity were significantly more frequent than were male-specific references to these lifestyle factors (psychological stress: P=.002, sexually transmitted diseases: P<.001, nutrition and diet: P<.001, underweight: P<.001, physical activity and exercise: P<.001, overweight and obesity: P<.001). Conclusions Of the lifestyle factors known to be related to reduced fertility, cigarette smoking, alcohol use, and male-specific lifestyle factors are mentioned relatively infrequently in online information sources in Japan, and these factors should be discussed more in information published on websites.
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Affiliation(s)
- Rie Yokota
- Department of Health Communication, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Tsuyoshi Okuhara
- Department of Health Communication, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Haruka Ueno
- Department of Health and Dietetics, Faculty of Health and Medical Science, Teikyo Heisei Unievrsity, Toshima-ku, Tokyo, Japan
| | - Hiroko Okada
- Department of Health Communication, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Emi Furukawa
- Department of Health Communication, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Takahiro Kiuchi
- Department of Health Communication, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
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Grunberg PH, Dennis CL, Da Costa D, Gagné K, Idelson R, Zelkowitz P. Development and evaluation of an online infertility peer supporter training program. PATIENT EDUCATION AND COUNSELING 2020; 103:1005-1012. [PMID: 31761526 DOI: 10.1016/j.pec.2019.11.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 10/09/2019] [Accepted: 11/16/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To outline the development and evaluation of an online infertility peer supporter training program. METHODS Men and women with diverse infertility backgrounds were recruited and trained to provide online peer support to people undergoing fertility treatment. Training required volunteers to (1) read a peer support training manual, (2) watch a webinar, and (3) complete practice questions, each of which was evidence-based and reviewed by key stakeholders. RESULTS Seventeen women and one man were trained and provided online peer support. Program satisfaction was high and training materials were rated as helpful. Peer supporters felt comfortable providing support and having their discussions monitored. They liked helping others and the convenience of a mobile application. CONCLUSION Online recruitment and training of infertility peer supporters is feasible. The current program was acceptable and offers steps for improving future online peer support interventions. PRACTICE IMPLICATIONS Current evidence supports the acceptability and feasibility of this training and supervision program, and provides service providers with information guiding its development and implementation.
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Affiliation(s)
- Paul H Grunberg
- Department of Psychology, McGill University, 2001 McGill College Avenue, Montreal, H3A 1G1, Canada; Department of Psychiatry, Jewish General Hospital, Montreal, 4333 Cote Ste. Catherine Road, H3T 1E4, Canada
| | - Cindy-Lee Dennis
- University of Toronto, Lawrence S. Bloomberg Faculty of Nursing, 155 College St. Suite 130, Toronto, M5T 1P8, Canada
| | - Deborah Da Costa
- McGill University, Department of Medicine, Centre for Outcomes Research & Evaluation, Research Institute of the McGill University Health Centre, 5252 Boulevard de Maisonneuve O, Montreal, QC H4A 3S5, Canada
| | - Karolanne Gagné
- Department of Psychiatry, Jewish General Hospital, Montreal, 4333 Cote Ste. Catherine Road, H3T 1E4, Canada
| | - Rachel Idelson
- Department of Psychiatry, Jewish General Hospital, Montreal, 4333 Cote Ste. Catherine Road, H3T 1E4, Canada
| | - Phyllis Zelkowitz
- Department of Psychiatry, Jewish General Hospital, Montreal, 4333 Cote Ste. Catherine Road, H3T 1E4, Canada; Lady Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote Ste-Catherine Road, Montreal, H3T1E2, Canada.
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10
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Abstract
Qualitative research methods represent a valuable tool for investigating the entirety of the experience of male infertility evaluation, diagnosis, and treatment. Qualitative research is rigorous and thorough and well adapted for studying the complex field of infertility and reproductive health. Knowledge gained from qualitative research methods can undoubtedly inform clinical practice and improve support for individuals and couples affected by male factor infertility.
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Affiliation(s)
- Akanksha Mehta
- Department of Urology, Emory University School of Medicine, 1365 Clifton Road, Building B, Suite 1400, Atlanta, GA 30322, USA.
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11
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Osadchiy V, Mills JN, Eleswarapu SV. Understanding Patient Anxieties in the Social Media Era: Qualitative Analysis and Natural Language Processing of an Online Male Infertility Community. J Med Internet Res 2020; 22:e16728. [PMID: 32154785 PMCID: PMC7093775 DOI: 10.2196/16728] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 11/23/2019] [Accepted: 12/16/2019] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Couples struggling with infertility are increasingly turning to the internet for infertility-related content and to connect with others. Most of the published data on infertility and the internet only address the experiences of women, with limited studies focusing exclusively on internet discussions on male factor infertility. OBJECTIVE The aim of this study was to understand the concerns and experiences of discussants on an online male infertility community and to provide insight into their perceptions of interactions with health care professionals. METHODS Using the large-scale data analytics tool BigQuery, we extracted all posts in the r/MaleInfertility community (877 members) of the social media website and discussion board Reddit from November 2017 to October 2018. We performed a qualitative thematic analysis and quantitative semantic analysis using Language Inquiry and Word Count 2015 of the extracted posts to identify dominant themes and subthemes of discussions. Descriptive statistics and semantic analytic Z-scores were computed. RESULTS From the analysis of 97 posts, notable themes and subthemes emerged: 70 (72%) posts shared personal experiences, including feeling emasculated or isolated or describing a negative (28/97, 29%), positive (13/97, 13%), or neutral (56/97, 58%) experience with a health care professional; 19% (18/97) of the posts posed questions about personal semen analysis results. On the basis of semantic analysis, posts by men had higher authenticity scores (Z=3.44; P<.001), suggesting more honest or personal texts, but lower clout scores (Z=4.57; P<.001), suggesting a more tentative or anxious style of writing, compared with posts by women. CONCLUSIONS To our knowledge, this study represents the first evaluation of a social media community focused exclusively on male infertility using mixed methodology. These results suggest a role for physicians on social media to engage with patients and connect them to accurate resources, in addition to opportunities to improve in-office patient education.
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Affiliation(s)
- Vadim Osadchiy
- Division of Andrology, Department of Urology, David Geffen School of Medicine, University of California,, Los Angeles, CA, United States.,Consortium for Health Activity on Social Media, David Geffen School of Medicine, University of California,, Los Angeles, CA, United States
| | - Jesse Nelson Mills
- Division of Andrology, Department of Urology, David Geffen School of Medicine, University of California,, Los Angeles, CA, United States
| | - Sriram Venkata Eleswarapu
- Division of Andrology, Department of Urology, David Geffen School of Medicine, University of California,, Los Angeles, CA, United States.,Consortium for Health Activity on Social Media, David Geffen School of Medicine, University of California,, Los Angeles, CA, United States
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12
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Hanna E, Gough B. The social construction of male infertility: a qualitative questionnaire study of men with a male factor infertility diagnosis. SOCIOLOGY OF HEALTH & ILLNESS 2020; 42:465-480. [PMID: 31773768 DOI: 10.1111/1467-9566.13038] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Although recent research has highlighted the distressing impact of infertility for men, fertility issues are still routinely seen as a 'women's issue' - even when male factor infertility is highlighted. This article reports findings from a qualitative questionnaire study focusing on a sample of men with a male factor infertility diagnosis; an under-researched and marginalised group in the context of reproductive medicine. Our analysis suggests that male factor infertility is viewed by men as a failure of masculinity, as stigmatising and silencing, and as an isolating and traumatic experience. It is also clear that these themes are shaped by wider societal discourses which present men as (unproblematically) fertile, uninvested in parenthood and stoic in their approach to emotional distress. Such norms also ensure that reproduction continues to be presented as a 'women's issue' which burdens women and marginalises men. In understanding male factor infertility experiences, the damaging nature of the social construction of male fertility is then more clearly illuminated.
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Affiliation(s)
- Esmée Hanna
- Centre for Reproduction Research, De Montfort University, Leicester, UK
| | - Brendan Gough
- School of Social Sciences, Leeds Beckett University, Leeds, UK
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Balasubramanian A, Yu J, Srivatsav A, Spitz A, Eisenberg ML, Thirumavalavan N, McBride JA, Lipshultz LI, Pastuszak AW. A review of the evolving landscape between the consumer Internet and men's health. Transl Androl Urol 2020; 9:S123-S134. [PMID: 32257853 PMCID: PMC7108985 DOI: 10.21037/tau.2019.09.29] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Accepted: 09/19/2019] [Indexed: 12/30/2022] Open
Abstract
Internet adoption continues to increase as broadband access and mobile connectivity penetrate developing global markets. Alongside increasing adoption, the Internet continues to evolve and usher in new modes of user interaction. Social media and search engines have facilitated the emergence of the participatory web, in which users are able to contribute content, form online communities, and disseminate information. This participatory web is reshaping the patient-physician relationship as patients are able to search for medical information, directly engage with healthcare practitioners through social media, and make therapeutic decisions via online marketplaces. The ability for patients to self-diagnose and self-treat is highly relevant to andrology, given that men have a baseline reluctance to visit healthcare providers. Furthermore, men's health issues such as erectile dysfunction and male infertility are stigmatized, with men turning to the Internet for guidance. The focus of this review is to survey the academic literature that evaluates the quality of online content for four common men's health conditions: hypogonadism, male infertility, erectile dysfunction, and Peyronie's disease.
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Affiliation(s)
| | - Justin Yu
- Baylor College of Medicine, Houston, TX, USA
| | | | - Aaron Spitz
- Department of Urology, University of California-Irvine, Orange County Urology Associates, Laguna Hills, CA, USA
| | - Michael L. Eisenberg
- Department of Urology, Stanford University, Stanford, CA, USA
- Department of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA
| | - Nannan Thirumavalavan
- University Hospitals Urology Institute/Case Western Reserve University, Cleveland, OH, USA
| | - J. Abram McBride
- Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA
- Center for Reproductive Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Larry I. Lipshultz
- Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA
- Center for Reproductive Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Alexander W. Pastuszak
- Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA
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14
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Analyzing Online Twitter Discussion for Male Infertility via the Hashtag #MaleInfertility. UROLOGY PRACTICE 2020. [DOI: 10.1097/upj.0000000000000066] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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15
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Lu JY, Miller EJ, Welliver C. A Thematic Analysis of the Online Discussion Board, FrankTalk, Regarding Penile Implant. J Sex Med 2019; 17:325-330. [PMID: 31866124 DOI: 10.1016/j.jsxm.2019.11.258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 10/23/2019] [Accepted: 11/04/2019] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Medical websites and discussion boards are commonly used by patients to obtain information. The online forum FrankTalk.org provides a venue specifically for men to discuss sexual dysfunction and particularly inflatable penile prosthesis (IPP). By querying and better understanding the content of this forum related to implants, we can better understand patient concerns before and after IPP. AIM The aim of this study is to understand the main topics being discussed about IPPs online and to use these topics to understand patient concerns and patient needs and to improve care. METHODS Messages posted in a 6-month window from January 2018 to June 2018 under the topic "Implant" were identified on FrankTalk.org. Posts were broken down into preoperative and postoperative and then organized using a 3-stage analysis to determine central themes of each post: open coding, axial coding, and selective coding. MAIN OUTCOME MEASURE The primary outcome measure is the prevalence of each selective code. RESULTS Of all 587 posts, 304 were written preoperatively with the most common theme being "Size" (23.0%), followed by "seeking support" (18.4%). 283 posts were considered postoperative, of which the most common theme was "Concern about healing" (22.6 %) which questioned if they needed to see a physician, followed by size concerns (20.1%).When analyzed with the 3-stage coding system, there were a total of 41 axial codes which were organized into 6 selective codes: "Social Support" (27.8% of all posts), "Pre-Operative Worries" (23.58%),"Technical Issues" (11.1%), "Prosthesis Logistics" (14.37%), "Post-Operative Worries" (20.22%), "Forum and Misc" (2.93%) for topics outside the scope of penile prosthesis. CLINICAL IMPLICATIONS The percentage of men seeking medical opinion is concerning, and providers should consider using resources to better educate patients on normal postoperative findings. Implanters should continue to preoperatively counsel patients on size-related changes with surgery. STRENGTH & LIMITATIONS Strengths include the use of a common online website for men to discuss IPPs and a systematic coding system. Limitations include the applicability of these results to nonheterosexual men as these are likely oversampled in this population. The inherent bias of those willing to post on an online forum may have influenced results along with no oversight for factual accuracy. CONCLUSION Patients use online discussion boards like FrankTalk.org for social support, medical advice, and validation of their concerns. Providers should be aware of these online topic focuses to help open a discussion with patients about concerns they may feel are difficult to approach with providers. Lu JY, Miller EJ, Welliver C. A Thematic Analysis of the Online Discussion Board, FrankTalk, Regarding Penile Implant. J Sex Med 2020;17:325-330.
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Affiliation(s)
- Jennifer Y Lu
- Albany Medical Center, 50 New Scotland Ave, Albany 12208 NY, USA
| | - Eric J Miller
- Upstate University Hospital, 750 E Adams St, Syracuse 13210 NY, USA
| | - Charles Welliver
- Albany Medical Center, 50 New Scotland Ave, Albany 12208 NY, USA.
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16
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Brochu F, Robins S, Miner SA, Grunberg PH, Chan P, Lo K, Holzer HEG, Mahutte N, Ouhilal S, Tulandi T, Zelkowitz P. Searching the Internet for Infertility Information: A Survey of Patient Needs and Preferences. J Med Internet Res 2019; 21:e15132. [PMID: 31829963 PMCID: PMC6933516 DOI: 10.2196/15132] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 08/13/2019] [Accepted: 09/24/2019] [Indexed: 01/30/2023] Open
Abstract
Background Given the complexity of infertility diagnoses and treatments and the convenience of the internet for finding health-related information, people undergoing infertility treatments often use Web-based resources to obtain infertility information and support. However, little is known about the types of information and support resources infertility patients search for on the internet and whether these resources meet their needs. Objective The aims of this study were to (1) examine what individual factors, namely, demographic characteristics and distress, are associated with searching the internet for different types of infertility-related information and support resources and (2) determine whether Web-based resources meet the needs of patients. Methods Men and women seeking infertility care responded to a survey assessing use of Web-based resources for accessing infertility-related information and support. The survey further assessed satisfaction with Web-based resources as well as perceived stress and depressive symptomatology. Results A total of 567 participants, including 254 men and 313 women, completed the survey. Most participants (490/558, 87.8%) had searched the internet for infertility information and support. Searchers were more likely to be women (P<.001), highly educated (P=.04), long-term patients (P=.03), and more distressed (P=.04). Causes of infertility, treatment options, and scientific literature about infertility were the three most frequently searched topics, whereas ways to discuss treatment with family and friends as well as surrogacy and ways to find peer support were the three least searched topics. Of those who searched the internet, 70.9% (346/488) indicated that their needs were met by Web-based information, whereas 29.1% (142/488) said that their needs were not met. Having unmet needs was related to greater levels of perceived stress (P=.005) and depressive symptomatology (P=.03). Conclusions This study provides evidence for the important role of the internet in accessing infertility information and support and for the ability of Web-based resources to meet patients’ needs. However, although distressed patients reported particularly high rates of searching, their needs were not always met, suggesting that they may benefit from alternative sources of information and support or guidance from health care providers when searching the internet.
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Affiliation(s)
- Felicia Brochu
- Department of Psychiatry, McGill University, Montreal, QC, Canada
| | - Stephanie Robins
- Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada.,Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
| | - Skye A Miner
- Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada.,Department of Sociology, McGill University, Montreal, QC, Canada
| | - Paul H Grunberg
- Department of Psychology, McGill University, Montreal, QC, Canada
| | - Peter Chan
- McGill University Health Center, Montreal, QC, Canada
| | - Kirk Lo
- Mount Sinai Hospital, Toronto, ON, Canada
| | - Hananel E G Holzer
- McGill University Health Center, Montreal, QC, Canada.,Hadassah University Hospitals, Jerusalem, Israel.,Hebrew University, Jerusalem, Israel
| | | | | | - Togas Tulandi
- Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada.,McGill University Health Center, Montreal, QC, Canada
| | - Phyllis Zelkowitz
- Department of Psychiatry, McGill University, Montreal, QC, Canada.,Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada.,Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
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17
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Hanna E, Gough B. The impact of infertility on men's work and finances: Findings from a qualitative questionnaire study. GENDER WORK AND ORGANIZATION 2019. [DOI: 10.1111/gwao.12414] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Esmée Hanna
- Centre for Reproduction ResearchDe Montfort University UK
| | - Brendan Gough
- School of Social SciencesLeeds Beckett University UK
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18
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Beeder L, Samplaski MK. Analysis of online discussion boards for male infertility. Andrologia 2019; 51:e13422. [PMID: 31642097 DOI: 10.1111/and.13422] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 07/27/2019] [Accepted: 08/06/2019] [Indexed: 11/29/2022] Open
Abstract
We aimed to identify what information patients and partners are seeking on male infertility forums. Online discussion boards were identified. Posts were analysed in three steps: open coding, axial coding and selective coding, to determine common themes. A total of 1,118 posts were analysed. The majority of posts (20.2%) were related to "Questions about male fertility diagnosis and testing", with 47.8% asking for assistance interpreting semen analysis results. About 15.7% of posts were about "Feelings associated with male infertility", with 26.7% expressing anger or frustration, 26.1% encouraging hope, 21% seeking hope and 12.5% expressing fear. About 15.4% of posts were about "Lifestyle factors to improve male fertility", 24.4% of which were about vitamins and 6.4% about intercourse timing. About 15.4% of posts were about "Male infertility conditions", with 43% about semen parameters. Other themes included "Questions about male factor treatments", "Questions about assisted reproductive technologies (ART)", "Relationship issues", "Asking for advice", "Financial concerns" and "Information sharing". About 63.6% of posts were written by female partners [t(1,117) = 9.451, p < .001]. The most common posts posed questions about male fertility diagnosis and testing. Users discussed feelings involved in infertility, and counselling should be integrated. About 63.6% of posts were by partners, highlighting the importance of partners having access to infertility information.
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Affiliation(s)
- Lauren Beeder
- Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Mary K Samplaski
- Institute of Urology, University of Southern California, Los Angeles, CA, USA
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19
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Cook NS, Tripathi P, Weiss O, Walda S, George AT, Bushell A. Patient Needs, Perceptions, and Attitudinal Drivers Associated with Obesity: A Qualitative Online Bulletin Board Study. Adv Ther 2019; 36:842-857. [PMID: 30859499 PMCID: PMC6824354 DOI: 10.1007/s12325-019-00900-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2018] [Indexed: 11/06/2022]
Abstract
INTRODUCTION To gain insights into the needs, attitudes, perceptions, and preferences of people living with obesity using an online bulletin board (OBB) study. METHODS The OBB is a moderated asynchronous online qualitative market research method that allows interactive discussion among participants. Participants were recruited via physician referral followed by screening questions to ensure eligibility and willingness to participate. The discussions in the OBB were moderated and allowed anonymized open answers and responses. Analysis was performed using various qualitative analytical tools. RESULTS This OBB study included 23 participants (n = 11, UK; n = 12, USA). Participants expressed negative emotions associated with obesity. Obesity impacted various aspects of their life, and the feeling of loneliness caused food indulgence, especially during the evenings. Their appearance was their primary cause of anxiety, whilst health considerations were secondary. The participants felt trapped in a cycle where food was (ab)used to overcome problems associated with being obese. Participants were pessimistic about weight management measures as a result of unsuccessful past attempts, with little/no support from healthcare providers, friends, and family for weight management. They preferred medications that would allow them to maintain their current lifestyle yet cause visible weight reduction. Along with medications, they expressed a strong preference for an online support group with similar peers for motivation, support, and sustained outcomes. CONCLUSIONS As losing excess weight is a challenge for most overweight individuals, the qualitative insights from this OBB can inform the planning and successful execution of various weight management and drug development programs. FUNDING Novartis Pharma AG, Basel Switzerland.
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20
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Miner SA, Daumler D, Chan P, Gupta A, Lo K, Zelkowitz P. Masculinity, Mental Health, and Desire for Social Support Among Male Cancer and Infertility Patients. Am J Mens Health 2018; 13:1557988318820396. [PMID: 30585112 PMCID: PMC6775564 DOI: 10.1177/1557988318820396] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
By surveying men who are currently infertile ( N = 251) and men who are potentially infertile (i.e., men with cancer; N = 195), the mental health consequences of reproductive masculinity, or the cultural assumption that men are virile and should be fathers, were investigated. There was no difference in depression levels between these two groups when controlling for demographic variables, suggesting that both groups of men have similar mental health needs. Since gendered notions of masculinity also suggest that men do not want to discuss their fertility health, their desire for online fertility-related social support was assessed. These findings suggest that most men do want to talk to others about fertility, which indicates that there is a need for more fertility-related social support. This research challenges some conceptions regarding masculinity, as men revealed an interest in accessing online social support related to fertility.
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Affiliation(s)
- Skye A Miner
- 1 Department of Sociology, McGill University, Montreal, QC, Canada.,2 Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
| | - Davis Daumler
- 2 Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada.,3 Department of Sociology, University of Michigan, Ann Arbor, MI, USA
| | - Peter Chan
- 4 McGill University Health Center, Montreal, QC, Canada
| | - Abha Gupta
- 5 Princess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada
| | - Kirk Lo
- 6 Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada
| | - Phyllis Zelkowitz
- 2 Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada.,7 Department of Psychiatry, McGill University, Montreal, QC, Canada.,8 Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada
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21
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Grunberg PH, Dennis CL, Da Costa D, Zelkowitz P. Infertility patients' need and preferences for online peer support. REPRODUCTIVE BIOMEDICINE & SOCIETY ONLINE 2018; 6:80-89. [PMID: 30547107 PMCID: PMC6282097 DOI: 10.1016/j.rbms.2018.10.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Revised: 07/10/2018] [Accepted: 10/16/2018] [Indexed: 05/09/2023]
Abstract
This study sought to determine the level of interest in online peer support among infertility patients, factors associated with such interest, and preferences for features of an online peer support network. A sample of 236 men and 283 women (n = 519) seeking fertility treatment were recruited from four clinics in Ontario and Quebec, Canada. Participants completed an anonymous online questionnaire assessing demographics, perceived stress and fertility characteristics, in addition to interest in and preferences for online infertility peer support. Most men (80.1%) and women (89.8%) expressed interest in online peer support, with perceived stress being related to interest among both men and women. Non-White ethnicity and lower income were related to greater interest among men. Patients reported a preference for mobile accessibility, monitored peer-to-peer communication, and links to information. Men and women, particularly those with high levels of perceived stress, expressed interest in online peer support and shared similar preferences for features irrespective of fertility characteristics. Demographic characteristics and perceived stress were related to a desire for more personalized support options.
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Affiliation(s)
- Paul H. Grunberg
- McGill University, Department of Psychology, Montreal, Quebec, Canada
- Jewish General Hospital, Department of Psychiatry, Montreal, Quebec, Canada
| | - Cindy-Lee Dennis
- University of Toronto, Lawrence S. Bloomberg Faculty of Nursing, Toronto, Ontario, Canada
| | - Deborah Da Costa
- McGill University, Department of Medicine, Centre for Outcomes Research & Evaluation, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
| | - Phyllis Zelkowitz
- Jewish General Hospital, Department of Psychiatry, Montreal, Quebec, Canada
- McGill University, Department of Psychiatry, Montreal, Quebec, Canada
- Jewish General Hospital, Lady Davis Institute for Medical Research, Montreal, Quebec, Canada
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