Can an educational DVD improve the acceptability of elective single embryo transfer? A randomized controlled study

Can an educational DVD improve the acceptability of elective single embryo transfer? A randomized controlled study
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DOI:
10.1016/j.fertnstert.2009.03.080
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发表时间:
2010-07-01
影响因子:
6.7
通讯作者:
Rombauts, Luk
Rombauts, Luk
中科院分区:
医学2区
文献类型:
--
作者:
Hope, Nicole;Rombauts, Luk

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目的:评估在体外受精人群中,提供教育DVD是否比提供教育手册更有效地增加选择性单胚胎移植的接受率。设计:随机对照试验。设置:私人试管婴儿诊所。患者(S):131对夫妇被随机分为教育DVD和宣传册两组。干预(S):64对夫妇收到DVD,67对夫妇收到宣传册。两者都提供了关于双胞胎妊娠结局和风险的相同事实信息。DVD还包括两个对双胞胎母亲的简短访谈。主要结果衡量标准(S):干预后对ESET的偏好。结果(S):两组在生育史和人口学方面没有显著差异。干预后,两组患者的知识都有了显著的提高。与阅读宣传册的患者相比,DVD组患者更倾向于选择ESET(82.6%比66.7%)。结论:接触教育DVD的患者更倾向于ESET。提供教育DVD,如本研究中使用的DVD,可能提供一种负担得起的、更有效的传递健康风险信息的手段。(Fertil Steril(R)2010;94:489-95。(C)2010年由美国生殖医学学会公布。)
Objective: To assess whether provision of an educational DVD was more effective in increasing the uptake of elective single embryo transfers (eSET) than an educational brochure in an IVF population.Design: Randomized controlled trial.Setting: Private IVF clinic.Patient(s): One hundred thirty-one couples starting their first cycle of IVF were randomized to receive either an educational DVD or brochure.Intervention(s): Sixty-four couples received the DVD and 67 couples received the brochure. Both provided identical factual information on outcomes and risks of twin pregnancies. The DVD also included two short interviews with mothers of twins.Main Outcome Measure(s): Preference for eSET after the intervention.Result(s): There were no significant differences in fertility history or demographics. After the interventions, both groups demonstrated significantly improved knowledge. Patients in the DVD group were significantly more likely to prefer eSET compared with patients who read the brochure (82.6% vs. 66.7%).Conclusion(s): Patients exposed to the educational DVD were significantly more likely to prefer eSET. Provision of an educational DVD, such as the one used in the present study, may provide an affordable and more effective means of delivering health risk information. (Fertil Steril(R) 2010;94:489-95. (C) 2010 by American Society for Reproductive Medicine.)