Torkel Sophia, Moran Lisa, Wang Rui, Villani Anthony, Mantzioris Evangeline, Norman Robert J, Cowan Stephanie
Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia.
NHMRC Clinical Trials Centre, University of Sydney, Sydney, Australia.
Reprod Biol Endocrinol. 2025 Apr 7;23(1):52. doi: 10.1186/s12958-025-01387-y.
While there is a recognised role of lifestyle (diet and physical activity) in management of infertility, there is limited research exploring the perspectives of people with infertility in relation to lifestyle management. The aim of this study was to understand the barriers and enablers affecting uptake of lifestyle intervention in people with infertility who were using or seeking fertility treatment.
A qualitative descriptive study was performed. Online interviews were conducted with people with infertility who were using or seeking fertility treatment. Interviews explored barriers and enablers to a healthy lifestyle while attempting conception. Interview questions were informed by the Capability, Opportunity, Motivation and Behaviour (COM-B) model and theoretical domains framework (TDF). Interview transcripts were analysed using template analysis. Themes were mapped to the COM-B and TDF, and suggested interventions were developed using the behaviour change wheel method.
Nine women and two men completed the interviews. The median age was 38 years (interquartile range 33 to 42 years). Barriers and enablers related to capability (e.g. managing whole-body health and disease), opportunity (e.g. unmet needs from the healthcare system) and motivation (e.g. interplay between lifestyle and emotional state). Suggested intervention components included delivering inclusive programs which accommodate individual needs and providing engaging information which debunks myths and explains the mechanism by which lifestyle promotes fertility.
Our study provides novel and rich insights into the unique needs of people with infertility, and has identified several interacting factors which influence their lifestyle behaviours. Our findings highlight that changes at the organisational and policy level are essential to overcome major barriers to lifestyle management by improving access to trustworthy resources with actionable advice, and by improving service provision to deliver multidisciplinary patient-centred care. Future studies should use these findings to co-design interventions and resources to support lifestyle management of infertility.
Not applicable.
虽然生活方式（饮食和体育活动）在不孕症管理中的作用已得到认可，但探索不孕症患者对生活方式管理看法的研究有限。本研究的目的是了解影响正在接受或寻求生育治疗的不孕症患者采用生活方式干预的障碍和促进因素。
进行了一项定性描述性研究。对正在接受或寻求生育治疗的不孕症患者进行了在线访谈。访谈探讨了在尝试受孕时采用健康生活方式的障碍和促进因素。访谈问题基于能力、机会、动机和行为（COM-B）模型及理论领域框架（TDF）提出。使用模板分析法对访谈记录进行分析。将主题映射到COM-B和TDF，并采用行为改变轮方法制定建议的干预措施。
9名女性和2名男性完成了访谈。中位年龄为38岁（四分位间距为33至42岁）。障碍和促进因素与能力（如管理全身健康和疾病）、机会（如医疗保健系统未满足的需求）和动机（如生活方式与情绪状态之间的相互作用）有关。建议的干预措施包括提供满足个体需求的包容性项目，以及提供引人入胜的信息，破除误解并解释生活方式促进生育的机制。
我们的研究为不孕症患者的独特需求提供了新颖而丰富的见解，并确定了几个影响其生活方式行为的相互作用因素。我们的研究结果表明，组织和政策层面的变革对于克服生活方式管理的主要障碍至关重要，具体方式包括改善获取有可操作建议的可靠资源的机会，以及改善服务提供以提供多学科的以患者为中心的护理。未来的研究应利用这些结果共同设计干预措施和资源，以支持不孕症的生活方式管理。
不适用。
