Effect of Psychological Intervention on Drop-out Rates in IVF
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies, Infertility |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 44 |
| Updated: | 4/21/2016 |
| Start Date: | April 2011 |
| End Date: | September 2014 |
An Assessment of the Effect of a Brief Psychological Intervention on Decreasing Drop-Out Rates in IVF Patients
The most common reason why insured In Vitro Fertilization (IVF) patients drop out of
treatment is the distress caused by the treatment.
The objective of this study is to determine the efficacy of a combined Cognitive Coping and
Relaxation Intervention (CCRI) in reducing drop out behavior in IVF patients.
treatment is the distress caused by the treatment.
The objective of this study is to determine the efficacy of a combined Cognitive Coping and
Relaxation Intervention (CCRI) in reducing drop out behavior in IVF patients.
Intervention participants will be given a packet containing the CCRI, which consists of two
intervention components tailored to the Stimulation Phase and Waiting Phases of IVF. The
cognitive component of the CCRI is the PRCI intervention (Boivin & Lancastle, 2008) tailored
to the stimulation/waiting phases of an IVF cycle. The PRCI intervention consists of a
series of ten statements that facilitate the use of cognitive reappraisal coping, a form of
coping that helps people think more about the positive aspects of a difficult situation and
dwell less on problems or uncertainties of the future.
The relaxation components of the CCRI consists of techniques that have been used for two
decades in the mind/body infertility program as well as in randomized controlled research
trials. For the Stimulation phase, participants will receive instructions on how to do "mini
relaxation" techniques which are specifically designed to reduce anxiety in the moment, for
example feelings of tension, worry, and nervousness that might occur prior to and during
Stimulation phase procedures (e.g. injections, blood tests, and ultrasounds). For the
Waiting Phase the relaxation intervention will include a relaxation CD. The CD contains
narrated instruction on how to elicit the relaxation response through several techniques
This is a randomized, controlled prospective study conducted at a private
academically-affiliated infertility clinic and includes women ages 44 and below scheduled to
undergo their first IVF cycle. Subjects are randomized to a CCRI or a control group. The
primary outcome measure is dropout rates.
intervention components tailored to the Stimulation Phase and Waiting Phases of IVF. The
cognitive component of the CCRI is the PRCI intervention (Boivin & Lancastle, 2008) tailored
to the stimulation/waiting phases of an IVF cycle. The PRCI intervention consists of a
series of ten statements that facilitate the use of cognitive reappraisal coping, a form of
coping that helps people think more about the positive aspects of a difficult situation and
dwell less on problems or uncertainties of the future.
The relaxation components of the CCRI consists of techniques that have been used for two
decades in the mind/body infertility program as well as in randomized controlled research
trials. For the Stimulation phase, participants will receive instructions on how to do "mini
relaxation" techniques which are specifically designed to reduce anxiety in the moment, for
example feelings of tension, worry, and nervousness that might occur prior to and during
Stimulation phase procedures (e.g. injections, blood tests, and ultrasounds). For the
Waiting Phase the relaxation intervention will include a relaxation CD. The CD contains
narrated instruction on how to elicit the relaxation response through several techniques
This is a randomized, controlled prospective study conducted at a private
academically-affiliated infertility clinic and includes women ages 44 and below scheduled to
undergo their first IVF cycle. Subjects are randomized to a CCRI or a control group. The
primary outcome measure is dropout rates.
Inclusion Criteria:
- First fresh IVF cycle
- Using own eggs
- Able to read, understand, and sign the informed consent in English
- Must have insurance coverage for IVF cycle
Exclusion Criteria:
- >1 previous IVF cycle
- Donor egg cycle
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