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The Fertility Quality of Life Questionnaire (FertiQoL) Relational subscale: psychometric properties and discriminant validity across gender.
Hum Reprod. 2016 09; 31(9):2061-71.HR

Abstract

STUDY QUESTION

Is the Fertility Quality of Life Questionnaire (FertiQoL)-Relational Scale a valid measure to assess the relational domain regarding quality of life in women and men undergoing infertility treatment?

SUMMARY ANSWER

The FertiQoL-Relational scale (FertiQoL-REL) showed good psychometric properties and captured core aspects of couple relationships.

WHAT IS KNOWN ALREADY

FertiQoL has become a gold standard for the assessment of infertility-related quality of life in patients undergoing assisted reproduction treatment (ART). Despite its growing importance, no previous studies have examined the convergent validity of the FertiQoL-REL and its discriminant validity across gender.

STUDY DESIGN, SIZE, DURATION

Baseline cross-sectional data as part of a longitudinal study of infertile couples undergoing an ART between February 2013 and January 2015.

PARTICIPANTS/MATERIALS, SETTING, METHODS

Five hundred and eighty-nine patients (301 females and 288 males), prior to starting an ART in a private clinic, filled in the Fertility Quality of Life Questionnaire (FertiQoL) and several measures of the marital relationship (Dyadic Adjustment Scale, Marital Commitment Inventory and ENRICH Marital Satisfaction Scale) and infertility-related distress (Fertility Problem Inventory).

MAIN RESULTS AND THE ROLE OF CHANCE

Confirmatory factor analysis showed that the FertiQoL four-factor solution provided a good fit for the observed data. Reliability of the FertiQoL-REL was higher for women than men. Significant correlations between the FertiQoL-REL scores and all the other measures of marital relationship were found for both women and men. FertiQoL-REL scores did not differ significantly in women and men. The FertiQoL-REL was able to differentiate subjects as regards the Dyadic Adjustment Scale and ENRICH Marital Satisfaction Scale threshold.

LIMITATIONS, REASONS FOR CAUTION

Findings are limited because the data were obtained from only one Italian private clinic.

WIDER IMPLICATIONS OF THE FINDINGS

FertiQoL-REL threshold scores are useful for identifying those patients undergoing ART who are more likely to report poor or good relationship quality. Clinicians should tailor their counselling strategies to the positive qualities in a couple's relationship, so as to reinforce the overall quality of life, especially among women, and to support patients in tackling the psychological burden, so that they can either continue treatment or choose discontinuation.

STUDY FUNDING/COMPETING INTERESTS

This research was supported by funds provided by Centro Andros S.r.l., Palermo, Italy. The authors declare no financial or commercial conflicts of interest in this study.

TRIAL REGISTRATION NUMBER

Not necessary.

Authors+Show Affiliations

ANDROS Day Surgery Clinic, Psychology Unit, Palermo, Italy zairadn@gmail.com.Department of Psychology and Educational Sciences, University of Palermo, Palermo, Italy.ANDROS Day Surgery Clinic, Medical Statistics Unit, Palermo, Italy.ANDROS Day Surgery Clinic, Psychology Unit, Palermo, Italy.ANDROS Day Surgery Clinic, Reproductive Medicine Unit, Palermo, Italy.ANDROS Day Surgery Clinic, Reproductive Medicine Unit, Palermo, Italy.ANDROS Day Surgery Clinic, Reproductive Medicine Unit, Palermo, Italy.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27343271

Citation

Donarelli, Z, et al. "The Fertility Quality of Life Questionnaire (FertiQoL) Relational Subscale: Psychometric Properties and Discriminant Validity Across Gender." Human Reproduction (Oxford, England), vol. 31, no. 9, 2016, pp. 2061-71.
Donarelli Z, Lo Coco G, Gullo S, et al. The Fertility Quality of Life Questionnaire (FertiQoL) Relational subscale: psychometric properties and discriminant validity across gender. Hum Reprod. 2016;31(9):2061-71.
Donarelli, Z., Lo Coco, G., Gullo, S., Salerno, L., Marino, A., Sammartano, F., & Allegra, A. (2016). The Fertility Quality of Life Questionnaire (FertiQoL) Relational subscale: psychometric properties and discriminant validity across gender. Human Reproduction (Oxford, England), 31(9), 2061-71. https://doi.org/10.1093/humrep/dew168
Donarelli Z, et al. The Fertility Quality of Life Questionnaire (FertiQoL) Relational Subscale: Psychometric Properties and Discriminant Validity Across Gender. Hum Reprod. 2016;31(9):2061-71. PubMed PMID: 27343271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Fertility Quality of Life Questionnaire (FertiQoL) Relational subscale: psychometric properties and discriminant validity across gender. AU - Donarelli,Z, AU - Lo Coco,G, AU - Gullo,S, AU - Salerno,L, AU - Marino,A, AU - Sammartano,F, AU - Allegra,A, Y1 - 2016/06/23/ PY - 2016/02/25/received PY - 2016/06/06/accepted PY - 2016/6/26/entrez PY - 2016/6/28/pubmed PY - 2018/2/1/medline KW - FertiQoL KW - confirmatory factor analysis KW - dyadic adjustment KW - gender specificity KW - infertility KW - marital satisfaction KW - quality of life KW - relational domain SP - 2061 EP - 71 JF - Human reproduction (Oxford, England) JO - Hum Reprod VL - 31 IS - 9 N2 - STUDY QUESTION: Is the Fertility Quality of Life Questionnaire (FertiQoL)-Relational Scale a valid measure to assess the relational domain regarding quality of life in women and men undergoing infertility treatment? SUMMARY ANSWER: The FertiQoL-Relational scale (FertiQoL-REL) showed good psychometric properties and captured core aspects of couple relationships. WHAT IS KNOWN ALREADY: FertiQoL has become a gold standard for the assessment of infertility-related quality of life in patients undergoing assisted reproduction treatment (ART). Despite its growing importance, no previous studies have examined the convergent validity of the FertiQoL-REL and its discriminant validity across gender. STUDY DESIGN, SIZE, DURATION: Baseline cross-sectional data as part of a longitudinal study of infertile couples undergoing an ART between February 2013 and January 2015. PARTICIPANTS/MATERIALS, SETTING, METHODS: Five hundred and eighty-nine patients (301 females and 288 males), prior to starting an ART in a private clinic, filled in the Fertility Quality of Life Questionnaire (FertiQoL) and several measures of the marital relationship (Dyadic Adjustment Scale, Marital Commitment Inventory and ENRICH Marital Satisfaction Scale) and infertility-related distress (Fertility Problem Inventory). MAIN RESULTS AND THE ROLE OF CHANCE: Confirmatory factor analysis showed that the FertiQoL four-factor solution provided a good fit for the observed data. Reliability of the FertiQoL-REL was higher for women than men. Significant correlations between the FertiQoL-REL scores and all the other measures of marital relationship were found for both women and men. FertiQoL-REL scores did not differ significantly in women and men. The FertiQoL-REL was able to differentiate subjects as regards the Dyadic Adjustment Scale and ENRICH Marital Satisfaction Scale threshold. LIMITATIONS, REASONS FOR CAUTION: Findings are limited because the data were obtained from only one Italian private clinic. WIDER IMPLICATIONS OF THE FINDINGS: FertiQoL-REL threshold scores are useful for identifying those patients undergoing ART who are more likely to report poor or good relationship quality. Clinicians should tailor their counselling strategies to the positive qualities in a couple's relationship, so as to reinforce the overall quality of life, especially among women, and to support patients in tackling the psychological burden, so that they can either continue treatment or choose discontinuation. STUDY FUNDING/COMPETING INTERESTS: This research was supported by funds provided by Centro Andros S.r.l., Palermo, Italy. The authors declare no financial or commercial conflicts of interest in this study. TRIAL REGISTRATION NUMBER: Not necessary. SN - 1460-2350 UR - https://www.unboundmedicine.com/medline/citation/27343271/The_Fertility_Quality_of_Life_Questionnaire__FertiQoL__Relational_subscale:_psychometric_properties_and_discriminant_validity_across_gender_ L2 - https://academic.oup.com/humrep/article-lookup/doi/10.1093/humrep/dew168 DB - PRIME DP - Unbound Medicine ER -