How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility

J W M Aarts; A G Huppelschoten; I W H van Empel; J Boivin; C M Verhaak; J A M Kremer; W L Nelen

doi:https://doi.org/10.1093/humrep/der386

How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility

J W M Aarts, A G Huppelschoten, I W H van Empel, J Boivin, C M Verhaak, J A M Kremer, W L Nelen

Obstetrics and Gynaecology (AMC)

Research output: Contribution to journal › Article › Academic › peer-review

85 Citations (Scopus)

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.

Original language	English
Pages (from-to)	488-95
Number of pages	8
Journal	Human reproduction (Oxford, England)
Volume	27
Issue number	2
DOIs	https://doi.org/10.1093/humrep/der386
Publication status	Published - Feb 2012

Keywords

Adult
Ambulatory Care Facilities
Anxiety/etiology
Attitude to Health
Cross-Sectional Studies
Depression/etiology
Female
Humans
Infertility, Female/psychology
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

Access to Document

https://doi.org/10.1093/humrep/der386

Cite this

@article{7961b48c2ca24075bc5bb5f4cfda498e,

title = "How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility",

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.",

keywords = "Adult, Ambulatory Care Facilities, Anxiety/etiology, Attitude to Health, Cross-Sectional Studies, Depression/etiology, Female, Humans, Infertility, Female/psychology, 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",

author = "Aarts, {J W M} and Huppelschoten, {A G} and {van Empel}, {I W H} and J Boivin and Verhaak, {C M} and Kremer, {J A M} and Nelen, {W L}",

year = "2012",

month = feb,

doi = "https://doi.org/10.1093/humrep/der386",

language = "English",

volume = "27",

pages = "488--95",

journal = "Human reproduction (Oxford, England)",

issn = "0268-1161",

publisher = "Oxford University Press",

number = "2",

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TY - JOUR

T1 - How patient-centred care relates to patients' quality of life and distress

T2 - a study in 427 women experiencing infertility

AU - Aarts, J W M

AU - Huppelschoten, A G

AU - van Empel, I W H

AU - Boivin, J

AU - Verhaak, C M

AU - Kremer, J A M

AU - Nelen, W L

PY - 2012/2

Y1 - 2012/2

N2 - 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.

AB - 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.

KW - Adult

KW - Ambulatory Care Facilities

KW - Anxiety/etiology

KW - Attitude to Health

KW - Cross-Sectional Studies

KW - Depression/etiology

KW - Female

KW - Humans

KW - Infertility, Female/psychology

KW - Middle Aged

KW - Netherlands/epidemiology

KW - Precision Medicine

KW - Psychiatric Status Rating Scales

KW - Quality of Life

KW - Reproductive Behavior

KW - Reproductive Techniques, Assisted/adverse effects

KW - Surveys and Questionnaires

KW - Young Adult

U2 - https://doi.org/10.1093/humrep/der386

DO - https://doi.org/10.1093/humrep/der386

M3 - Article

C2 - 22108249

SN - 0268-1161

VL - 27

SP - 488

EP - 495

JO - Human reproduction (Oxford, England)

JF - Human reproduction (Oxford, England)

IS - 2

ER -