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Characteristics and Effectiveness of Online-based Intervention for Infertile Women: A Systematic Review

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KMID : 0123520180250030205
±èÂùÈñ ( Kim Chan-Hee ) - °¡Ãµ´ëÇб³ ÀϹݴëÇпø °£È£Çаú

À̼±Èñ ( Lee Seon-Heui ) - °¡Ãµ´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purpose of this review was to analyze the characteristics and effectiveness of online-based intervention for infertile women.

Methods: We established the PICO (Participant-Intervention-Comparison-Outcome) strategy and conducted a systematic review of 7 literatures retrieved from 3 electronic databases of Ovid-Medline, Ovid-Embase, and the Cochrane Library. Two investigators independently extracted the data and assessed the quality of included studies using Cochrane risk of bias.

Results: The pregnancy outcome showed that higher total risk scores (TRS) about lifestyle behavior was significantly associated with lower chance of pregnancy (aHR 0.79, 95% CI 0.72~0.85). Stress was significantly decreased in experimental groups receiving online-based interventions (p<.05). Depression score was significantly lower in groups receiving additional interventions besides on-line interventions than those who used online-based intervention only. The other outcomes, including anxiety, self-efficacy, helpfulness of intervention, perceived social support, and knowledge scores were not significantly different within and between groups in overall. Characteristics of the interventions were heterogeneous.

Conclusion: There is evidence that online-based intervention in infertile women enhances the pregnancy and reduces stress levels.
KeyWords
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Infertility, Female, Telemedicine, Treatment outcome, Systematic review
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