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Can Reproductive Life Plan-based counselling increase men's fertility awareness?
Ups J Med Sci. 2018 Dec; 123(4):255-263.UJ

Abstract

BACKGROUND

Many men have limited knowledge about reproductive health and fertility. The aim of the study was to evaluate if Reproductive Life Plan (RLP)-based counselling during a sexual health visit could increase men's fertility awareness.

MATERIAL AND METHODS

The study was a randomized controlled trial including 201 men aged 18-50 who visited either of two participating sexual health clinics in Sweden for sexually transmitted infection testing during 2014-2016. All men received standard care, and men in the intervention group (IG) also received oral and written RLP-based information about lifestyle and fertility. Awareness about fertility and lifestyle-related factors were the main outcomes, measured through a questionnaire before the intervention and through a telephone survey after three months. Impressions from the counselling were also assessed at follow-up.

RESULTS

A majority (71%) of men wanted children in the future. General fertility awareness increased from a mean score of 4.6 to 5.5 out of 12 (P = 0.004) in the IG. The mean number of accurate lifestyle factors (that could affect fertility) mentioned increased from 3.6 to 4.4 (P < 0.001) in the IG. There were no improvements in the control group. Among the men in the IG, 76% had a positive experience of the counselling, and 77% had received new information.

CONCLUSION

The intervention managed to increase different aspects of men's fertility awareness. In the future, the format for preconception care for men needs further development. Including men in preconception health policy guidelines and identifying suitable actors for care provision would be important first steps.

Authors+Show Affiliations

a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden. b Centre for Gender Research, Uppsala University , Uppsala , Sweden.a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.b Centre for Gender Research, Uppsala University , Uppsala , Sweden.a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30541376

Citation

Bodin, Maja, et al. "Can Reproductive Life Plan-based Counselling Increase Men's Fertility Awareness?" Upsala Journal of Medical Sciences, vol. 123, no. 4, 2018, pp. 255-263.
Bodin M, Tydén T, Käll L, et al. Can Reproductive Life Plan-based counselling increase men's fertility awareness? Ups J Med Sci. 2018;123(4):255-263.
Bodin, M., Tydén, T., Käll, L., & Larsson, M. (2018). Can Reproductive Life Plan-based counselling increase men's fertility awareness? Upsala Journal of Medical Sciences, 123(4), 255-263. https://doi.org/10.1080/03009734.2018.1541948
Bodin M, et al. Can Reproductive Life Plan-based Counselling Increase Men's Fertility Awareness. Ups J Med Sci. 2018;123(4):255-263. PubMed PMID: 30541376.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can Reproductive Life Plan-based counselling increase men's fertility awareness? AU - Bodin,Maja, AU - Tydén,Tanja, AU - Käll,Lisa, AU - Larsson,Margareta, Y1 - 2018/12/13/ PY - 2018/12/14/pubmed PY - 2019/2/12/medline PY - 2018/12/14/entrez KW - ClinicalTrials.gov Identifier KW - Counselling KW - NCT02736214 KW - fertility awareness KW - lifestyle KW - men KW - preconception care KW - reproduction SP - 255 EP - 263 JF - Upsala journal of medical sciences JO - Ups. J. Med. Sci. VL - 123 IS - 4 N2 - BACKGROUND: Many men have limited knowledge about reproductive health and fertility. The aim of the study was to evaluate if Reproductive Life Plan (RLP)-based counselling during a sexual health visit could increase men's fertility awareness. MATERIAL AND METHODS: The study was a randomized controlled trial including 201 men aged 18-50 who visited either of two participating sexual health clinics in Sweden for sexually transmitted infection testing during 2014-2016. All men received standard care, and men in the intervention group (IG) also received oral and written RLP-based information about lifestyle and fertility. Awareness about fertility and lifestyle-related factors were the main outcomes, measured through a questionnaire before the intervention and through a telephone survey after three months. Impressions from the counselling were also assessed at follow-up. RESULTS: A majority (71%) of men wanted children in the future. General fertility awareness increased from a mean score of 4.6 to 5.5 out of 12 (P = 0.004) in the IG. The mean number of accurate lifestyle factors (that could affect fertility) mentioned increased from 3.6 to 4.4 (P < 0.001) in the IG. There were no improvements in the control group. Among the men in the IG, 76% had a positive experience of the counselling, and 77% had received new information. CONCLUSION: The intervention managed to increase different aspects of men's fertility awareness. In the future, the format for preconception care for men needs further development. Including men in preconception health policy guidelines and identifying suitable actors for care provision would be important first steps. SN - 2000-1967 UR - https://www.unboundmedicine.com/medline/citation/30541376/Can_Reproductive_Life_Plan_based_counselling_increase_men's_fertility_awareness L2 - http://www.tandfonline.com/doi/full/10.1080/03009734.2018.1541948 DB - PRIME DP - Unbound Medicine ER -