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How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility
BACKGROUND The aim of this study was to investigate to what extent patients' experiences with fertility care are associated with their quality of life (QoL), and levels of anxiety and depression. METHODS We performed a cross-sectional questionnaire study within 29 Dutch fertility clinics, inclu...
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| Published in: | Human reproduction (Oxford) 2012-02, Vol.27 (2), p.488-495 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c394t-f7641b112263c7e4da90940cf94bb9613c136ed0352066468513e792ca7c2bdd3 |
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| cites | cdi_FETCH-LOGICAL-c394t-f7641b112263c7e4da90940cf94bb9613c136ed0352066468513e792ca7c2bdd3 |
| container_end_page | 495 |
| container_issue | 2 |
| container_start_page | 488 |
| container_title | Human reproduction (Oxford) |
| container_volume | 27 |
| creator | Aarts, J.W.M. Huppelschoten, A.G. van Empel, I.W.H. Boivin, J. Verhaak, C.M. Kremer, J.A.M. Nelen, W.L. |
| description | BACKGROUND
The aim of this study was to investigate to what extent patients' experiences with fertility care are associated with their quality of life (QoL), and levels of anxiety and depression.
METHODS
We performed a cross-sectional questionnaire study within 29 Dutch fertility clinics, including women with fertility problems. Through multilevel regression analyses, associations between patients' QoL (FertiQoL) and distress [anxiety and depression; Hospital Anxiety and Depression Scale (HADS)] and their experiences with fertility care [patient-centredness questionnaire (PCQ)-infertility] were determined. For all multilevel models, R2 and intra-cluster correlation coefficients were calculated.
RESULTS
This study included 427 non-pregnant patients who filled out the FertiQoL, HADS and PCQ-infertility (response rate 76%). Multilevel regression analysis showed significant associations between the PCQ total scale, the total FertiQoL scale (B = 0.25), and HADS subscales (B = −0.22 and −0.18). Of the variance in patients' experiences, 13% (=R2) could be explained by their perceived QoL, 12% by their level of anxiety and 10% by their level of depression.
CONCLUSIONS
Patient-centredness in fertility care and the patients' QoL and anxiety and depression scores are related. Paying attention to these variables could lead to positive care experiences and improved patient-centredness of care. Future research should focus on identifying causal relationships among these variables. |
| doi_str_mv | 10.1093/humrep/der386 |
| format | article |
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The aim of this study was to investigate to what extent patients' experiences with fertility care are associated with their quality of life (QoL), and levels of anxiety and depression.
METHODS
We performed a cross-sectional questionnaire study within 29 Dutch fertility clinics, including women with fertility problems. Through multilevel regression analyses, associations between patients' QoL (FertiQoL) and distress [anxiety and depression; Hospital Anxiety and Depression Scale (HADS)] and their experiences with fertility care [patient-centredness questionnaire (PCQ)-infertility] were determined. For all multilevel models, R2 and intra-cluster correlation coefficients were calculated.
RESULTS
This study included 427 non-pregnant patients who filled out the FertiQoL, HADS and PCQ-infertility (response rate 76%). Multilevel regression analysis showed significant associations between the PCQ total scale, the total FertiQoL scale (B = 0.25), and HADS subscales (B = −0.22 and −0.18). Of the variance in patients' experiences, 13% (=R2) could be explained by their perceived QoL, 12% by their level of anxiety and 10% by their level of depression.
CONCLUSIONS
Patient-centredness in fertility care and the patients' QoL and anxiety and depression scores are related. Paying attention to these variables could lead to positive care experiences and improved patient-centredness of care. Future research should focus on identifying causal relationships among these variables.</description><identifier>ISSN: 0268-1161</identifier><identifier>EISSN: 1460-2350</identifier><identifier>DOI: 10.1093/humrep/der386</identifier><identifier>PMID: 22108249</identifier><identifier>CODEN: HUREEE</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Ambulatory Care Facilities ; Anxiety - etiology ; Attitude to Health ; Biological and medical sciences ; Cross-Sectional Studies ; Depression - etiology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Infertility, Female - psychology ; Infertility, Female - therapy ; Medical sciences ; Middle Aged ; Netherlands - epidemiology ; Precision Medicine ; Psychiatric Status Rating Scales ; Quality of Life ; Reproductive Behavior ; Reproductive Techniques, Assisted - adverse effects ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Human reproduction (Oxford), 2012-02, Vol.27 (2), p.488-495</ispartof><rights>The Author 2011. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-f7641b112263c7e4da90940cf94bb9613c136ed0352066468513e792ca7c2bdd3</citedby><cites>FETCH-LOGICAL-c394t-f7641b112263c7e4da90940cf94bb9613c136ed0352066468513e792ca7c2bdd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25543739$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22108249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aarts, J.W.M.</creatorcontrib><creatorcontrib>Huppelschoten, A.G.</creatorcontrib><creatorcontrib>van Empel, I.W.H.</creatorcontrib><creatorcontrib>Boivin, J.</creatorcontrib><creatorcontrib>Verhaak, C.M.</creatorcontrib><creatorcontrib>Kremer, J.A.M.</creatorcontrib><creatorcontrib>Nelen, W.L.</creatorcontrib><title>How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility</title><title>Human reproduction (Oxford)</title><addtitle>Hum Reprod</addtitle><description>BACKGROUND
The aim of this study was to investigate to what extent patients' experiences with fertility care are associated with their quality of life (QoL), and levels of anxiety and depression.
METHODS
We performed a cross-sectional questionnaire study within 29 Dutch fertility clinics, including women with fertility problems. Through multilevel regression analyses, associations between patients' QoL (FertiQoL) and distress [anxiety and depression; Hospital Anxiety and Depression Scale (HADS)] and their experiences with fertility care [patient-centredness questionnaire (PCQ)-infertility] were determined. For all multilevel models, R2 and intra-cluster correlation coefficients were calculated.
RESULTS
This study included 427 non-pregnant patients who filled out the FertiQoL, HADS and PCQ-infertility (response rate 76%). Multilevel regression analysis showed significant associations between the PCQ total scale, the total FertiQoL scale (B = 0.25), and HADS subscales (B = −0.22 and −0.18). Of the variance in patients' experiences, 13% (=R2) could be explained by their perceived QoL, 12% by their level of anxiety and 10% by their level of depression.
CONCLUSIONS
Patient-centredness in fertility care and the patients' QoL and anxiety and depression scores are related. Paying attention to these variables could lead to positive care experiences and improved patient-centredness of care. Future research should focus on identifying causal relationships among these variables.</description><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Anxiety - etiology</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Depression - etiology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infertility, Female - psychology</subject><subject>Infertility, Female - therapy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Netherlands - epidemiology</subject><subject>Precision Medicine</subject><subject>Psychiatric Status Rating Scales</subject><subject>Quality of Life</subject><subject>Reproductive Behavior</subject><subject>Reproductive Techniques, Assisted - adverse effects</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0268-1161</issn><issn>1460-2350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqFkMtLxDAQh4Mouj6OXiUXWS_VvJo23kR8geBFzyVNphrpyyRF9783S1c9epkZmG9-Ax9Cx5ScU6L4xdvUeRgvLHheyi20oEKSjPGcbKMFYbLMKJV0D-2H8E5IGku5i_YYo6RkQi3Q6n74xKOODvqYmVQ8WGy0B-yh1RECjsPPPizxx6RbF1d4aHDrGsC6t9i6kK5CuMQahzjZFXY9FqzAn0MHPYavEXw6N65_TZsGfHTrjEO00-g2wNGmH6CX25vn6_vs8enu4frqMTNciZg1hRS0ppQxyU0BwmpFlCCmUaKulaTcUC7BEp4zIqWQZU45FIoZXRhWW8sP0HLOHf3wMUGIVeeCgbbVPQxTqBSVOaOi5InMZtL4IQQPTTV612m_qiip1rKrWXY1y078ySZ5qjuwv_SP3QScbgAdjG4br5OF8MflueAFX3NnMzdM4z8_vwGKNZgT</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Aarts, J.W.M.</creator><creator>Huppelschoten, A.G.</creator><creator>van Empel, I.W.H.</creator><creator>Boivin, J.</creator><creator>Verhaak, C.M.</creator><creator>Kremer, J.A.M.</creator><creator>Nelen, W.L.</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility</title><author>Aarts, J.W.M. ; Huppelschoten, A.G. ; van Empel, I.W.H. ; Boivin, J. ; Verhaak, C.M. ; Kremer, J.A.M. ; Nelen, W.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-f7641b112263c7e4da90940cf94bb9613c136ed0352066468513e792ca7c2bdd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Ambulatory Care Facilities</topic><topic>Anxiety - etiology</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Depression - etiology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infertility, Female - psychology</topic><topic>Infertility, Female - therapy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Netherlands - epidemiology</topic><topic>Precision Medicine</topic><topic>Psychiatric Status Rating Scales</topic><topic>Quality of Life</topic><topic>Reproductive Behavior</topic><topic>Reproductive Techniques, Assisted - adverse effects</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aarts, J.W.M.</creatorcontrib><creatorcontrib>Huppelschoten, A.G.</creatorcontrib><creatorcontrib>van Empel, I.W.H.</creatorcontrib><creatorcontrib>Boivin, J.</creatorcontrib><creatorcontrib>Verhaak, C.M.</creatorcontrib><creatorcontrib>Kremer, J.A.M.</creatorcontrib><creatorcontrib>Nelen, W.L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Human reproduction (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aarts, J.W.M.</au><au>Huppelschoten, A.G.</au><au>van Empel, I.W.H.</au><au>Boivin, J.</au><au>Verhaak, C.M.</au><au>Kremer, J.A.M.</au><au>Nelen, W.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility</atitle><jtitle>Human reproduction (Oxford)</jtitle><addtitle>Hum Reprod</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>27</volume><issue>2</issue><spage>488</spage><epage>495</epage><pages>488-495</pages><issn>0268-1161</issn><eissn>1460-2350</eissn><coden>HUREEE</coden><abstract>BACKGROUND
The aim of this study was to investigate to what extent patients' experiences with fertility care are associated with their quality of life (QoL), and levels of anxiety and depression.
METHODS
We performed a cross-sectional questionnaire study within 29 Dutch fertility clinics, including women with fertility problems. Through multilevel regression analyses, associations between patients' QoL (FertiQoL) and distress [anxiety and depression; Hospital Anxiety and Depression Scale (HADS)] and their experiences with fertility care [patient-centredness questionnaire (PCQ)-infertility] were determined. For all multilevel models, R2 and intra-cluster correlation coefficients were calculated.
RESULTS
This study included 427 non-pregnant patients who filled out the FertiQoL, HADS and PCQ-infertility (response rate 76%). Multilevel regression analysis showed significant associations between the PCQ total scale, the total FertiQoL scale (B = 0.25), and HADS subscales (B = −0.22 and −0.18). Of the variance in patients' experiences, 13% (=R2) could be explained by their perceived QoL, 12% by their level of anxiety and 10% by their level of depression.
CONCLUSIONS
Patient-centredness in fertility care and the patients' QoL and anxiety and depression scores are related. Paying attention to these variables could lead to positive care experiences and improved patient-centredness of care. Future research should focus on identifying causal relationships among these variables.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>22108249</pmid><doi>10.1093/humrep/der386</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Human reproduction (Oxford), 2012-02, Vol.27 (2), p.488-495 |
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| source | Oxford Journals Online |
| subjects | Adult Ambulatory Care Facilities Anxiety - etiology Attitude to Health Biological and medical sciences Cross-Sectional Studies Depression - etiology Female Gynecology. Andrology. Obstetrics Humans Infertility, Female - psychology Infertility, Female - therapy Medical sciences Middle Aged Netherlands - epidemiology Precision Medicine Psychiatric Status Rating Scales Quality of Life Reproductive Behavior Reproductive Techniques, Assisted - adverse effects Surveys and Questionnaires Young Adult |
| title | How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility |
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