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Many women and men in fertile age are at risk for sexual transmitted infections and unwanted pregnancies, and have insufficient knowledge of health promoting lifestyle prior to conception. There is a need to increase awareness among people in fertile age about how sexual risk-taking and unhealthy lifestyle can negatively affect fertility and pregnancy outcomes. Previous studies on preconception health and care have mainly focused on women. The aim of our study was to investigate if Reproductive Life Plan-based counseling with a midwife could increase men's reproductive knowledge. The second aim was to evaluate men's experiences of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle counseling | Experimental | The intervention group answered a baseline questionnaire in the waiting room and received the intervention (Reproductive Life Plan) in addition to standard care. |
|
| Control group | No Intervention | The control group answered a baseline questionnaire in the waiting room and received standard care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reproductive Life Plan (RLP) | Behavioral | A structured discussion based on the RLP, including information about reproduction and a brochure with the same information. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of reproduction, measured by a total knowledge score | Knowledge of reproduction will be measured by knowledge of the following items:
The outcome will be given as a total score, based on number of correct answers to the items above, and compared to the total score at baseline | 2-3 months after the intervention |
| Knowledge of lifestyle related factors that can affect fertility, measured by the total number of factors mentioned | The participants will be asked to mention as many factors as they can remember that
The number of factors mentioned after the intervention will be compared to the number of factors mentioned at baseline | 2-3 months after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Overall experiences of the intervention (Likert-scale) | Experience of the intervention is measured on a Likert-scale by the question of - The participants overall experience of the intervention (very positive - very negative) | 2-3 months after the intervention |
| Experience of discussing reproductive life plan (RLP) with a midwife (Likert-scale) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maja Bodin | Uppsala University, Sweden | Principal Investigator |
| Margareta Larsson, PhD | Uppsala University, Sweden | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The RFSU clinic | Stockholm | 118 26 | Sweden | |||
| Flogsta Mansmottagning |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23471934 | Background | Warner JN, Frey KA. The well-man visit: addressing a man's health to optimize pregnancy outcomes. J Am Board Fam Med. 2013 Mar-Apr;26(2):196-202. doi: 10.3122/jabfm.2013.02.120143. | |
| 23842564 | Background | Stern J, Larsson M, Kristiansson P, Tyden T. Introducing reproductive life plan-based information in contraceptive counselling: an RCT. Hum Reprod. 2013 Sep;28(9):2450-61. doi: 10.1093/humrep/det279. Epub 2013 Jul 10. |
| Label | URL |
|---|---|
| Homepage of Department of Women's and Children's Health, Uppsala University | View source |
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| ID | Term |
|---|---|
| D012725 | Sexual Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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The randomization was blind to the participants, but they were made aware of their allocation during the intervention
Experience of discussing RLP with a midwife is measured on a Likert-scale by the question - How was the experience of talking to a midwife about the reproductive life plan (very positive - very negative) |
| 2-3 months after the intervention |
| Generating new thoughts (Likert-scale) | If the intervention could generate new thoughts on reproduction is measured on a Likert-scale by the question - Has the intervention brought new thoughts about reproduction (In very large extent - in very small extent) | 2-3 months after the intervention |
| Generating further knowledge seeking (Likert-scale) | If the intervention could lead to further knowledge seeking is measured on by the question - Did the discussion with the midwife lead to a search for more information about reproduction (A lot more - some more - not at all) | 2-3 months after the intervention |
| Implications for future health care seeking (Likert-scale) | Whether the availability of discussing RLP with a midwife would be of future interest is measured on a Likert-scale by the question - The likelihood of approaching a midwife if more questions about reproduction occured (Very likely - Very unlikely) | 2-3 months after the intervention |
| Implications for implementing RLP-counseling as a routine (yes/no) | The acceptance of implementing RLP-counselling as a routine is measured by the question - Should midwives or other health care professionals routinely discuss the Reproductive Life Plan with their patients (yes/no) | 2-3 months after the intervention |
| Likelihood of future lifestyle change (Likert-scale) | Whether participants would consider making a preconception lifestyle change is measured on a Likert-scale by the question - The likelihood among of making a lifestyle change in the future when planning for a pregnancy (Very likely - Very unlikely) | 2-3 months after the intervention |
| Importance of discussing fertility and preconception health with men (Likert-scale) | The perceived significance of RLP-counselling is measured on a Likert-scale by the question - The importance of informing/educating men about fertility and preconception health issues (Very important - Very unimportant) | 2-3 months after the intervention |
| Uppsala |
| 75272 |
| Sweden |
| 19081435 | Background | Frey KA, Navarro SM, Kotelchuck M, Lu MC. The clinical content of preconception care: preconception care for men. Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S389-95. doi: 10.1016/j.ajog.2008.10.024. |