A multicenter randomized controlled trial protocol to evaluate the effectiveness of an educational intervention on fertility knowledge, intention and behavior among Iranian new couples.

Abstract:

BACKGROUND:Recent evidence shows that men and women have inadequate fertility knowledge which may negatively affect their childbearing decisions in future. Given the fact that decision making for fertility needs accurate information, targeted educational interventions especially through media are needed to improve knowledge regarding the best age of fertility, factors affecting fertility potential and fertility options available for sub-fertile couples. Aim of the study is to evaluate whether a fertility educational program can be effective in increasing fertility knowledge, childbearing intention and the planned pregnancy rate among couples referring to premarital counselling centers. METHODS:This study is a parallel randomised clinical trial with pre-test/post-test design. We will recruit 1240 marrying couples referring for compulsory premarital counselling in public health centers through stratified sampling in five metropolitan cities of Iran. The intervention group will receive both the typical premarital counselling training and a fertility knowledge package containing verbal and virtual educational package at five time episodes (one verbal session and four virtual sessions) within 4 weeks. The primary outcomes are fertility knowledge, childbearing intention and the first planned pregnancy rate (positive pregnancy test) and the secondary outcomes include contraception method use, miscarriage and unplanned pregnancy. Participants will respond to a self-administered demographic/reproductive characteristics questionnaire, the Cardiff Fertility Knowledge Scale (CFKS) and the childbearing intention questionnaire. Data will be collected through online questionnaires at baseline and 3, 12 and 18 months after the intervention. Data will be analyzed using Chi-square or Fisher-exact test for categorical variables, Independent sample t-test for normally distributed quantitative variables and Mann-Whitney U test for non-normally distributed quantitative variables. To compare the outcomes between the two groups over the time, repeated measures ANOVA will be used. We hypothesize that the positive impact of increasing the fertility knowledge is the reduced involuntarily childlessness. DISCUSSION:The findings are proposed to inform government policies and public education strategies aiming at supporting childbearing among young couples who postpone their first pregnancy while they might not have any important social and economic obstacles. TRIAL REGISTRATION:This study was approved by Iranian Registry of Clinical Trials (IRCT), Number: IRCT20201005048925N1 , Date of registration: 2020-10-12.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Gharacheh M,Khalajabadi Farahani F,Mirghafourvand M,Janani L,Ranjbar F

doi

10.1186/s12889-020-10029-4

subject

Has Abstract

pub_date

2020-12-17 00:00:00

pages

1917

issue

1

issn

1471-2458

pii

10.1186/s12889-020-10029-4

journal_volume

20

pub_type

杂志文章
  • Spatial distribution of incomplete immunization among under-five children in Ethiopia: evidence from 2005, 2011, and 2016 Ethiopian Demographic and health survey data.

    abstract:BACKGROUND:An estimate of 2-3 million children under 5 die in the world annually due to vaccine-preventable disease. In Ethiopia, incomplete immunization accounts for nearly 16% of under-five mortality, and there is spatial variation for vaccination of children in Ethiopia. Spatial variation of vaccination can create h...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09461-3

    authors: Melaku MS,Nigatu AM,Mewosha WZ

    更新日期:2020-09-05 00:00:00

  • A screening tool to prioritize public health risk associated with accidental or deliberate release of chemicals into the atmosphere.

    abstract::The Chemical Events Working Group of the Global Health Security Initiative has developed a flexible screening tool for chemicals that present a risk when accidentally or deliberately released into the atmosphere. The tool is generic, semi-quantitative, independent of site, situation and scenario, encompasses all chemi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-253

    authors: Blakey DH,Lafontaine M,Lavigne J,Sokolowski D,Philippe JM,Sapori JM,Biederbick W,Horre R,Marzi WB,Kondo H,Kuroki Y,Namera A,Okumura T,Yamamoto M,Yashiki M,Blain PG,Russell DR,Cibulsky SM,Jett DA,Global Health Securi

    更新日期:2013-03-21 00:00:00

  • Table Talk: revision of an observational tool to characterize the feeding environment in early care and education settings.

    abstract:OBJECTIVE:The Table Talk tool is an observational assessment of early care and education teacher (ECET) mealtime practices. The Table Talk Revised (TT-R) tool incorporates new constructs that emerged from qualitative research and teases apart existing categories to improve nuance of data capture. The objective of this ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-10087-8

    authors: Swindle T,Phelps J,McBride NM,Selig JP,Rutledge JM,Manyam S

    更新日期:2021-01-07 00:00:00

  • The More and Less Study: a randomized controlled trial testing different approaches to treat obesity in preschoolers.

    abstract:BACKGROUND:While obesity has been shown to be difficult to treat in school aged children and in adolescence, promising results have been detected for children who started treatment in early childhood. Yet knowledge on the effectiveness of structured early childhood obesity treatment programs is limited, preventing the ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-015-1912-1

    authors: Ek A,Chamberlain KL,Ejderhamn J,Fisher PA,Marcus C,Chamberlain P,Nowicka P

    更新日期:2015-08-01 00:00:00

  • Sickness absence trajectories following labour market participation patterns: a cohort study in Catalonia (Spain), 2012-2014.

    abstract:BACKGROUND:Previous studies have focused on the relationship between employment pathways and health-related outcomes based on cross-sectional or longitudinal approaches. However, little is known about the cumulative effects of employment status mobility on sickness absence (SA) over time. The aim of the present study w...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09396-9

    authors: Hernando-Rodriguez JC,Serra L,Benavides FG,Ubalde-Lopez M

    更新日期:2020-08-27 00:00:00

  • Volunteers in Ethiopia's women's development army are more deprived and distressed than their neighbors: cross-sectional survey data from rural Ethiopia.

    abstract:BACKGROUND:Many Community Health Workers (CHWs) experience the same socioeconomic and health needs as their neighbors, given that they are by definition part of their communities. Yet very few studies aim to measure and characterize experiences of deprivation, poverty, and wellbeing among community health workers. This...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-018-5159-5

    authors: Maes K,Closser S,Tesfaye Y,Gilbert Y,Abesha R

    更新日期:2018-02-14 00:00:00

  • Health care seeking behavior for diarrhea in children under 5 in rural Niger: results of a cross-sectional survey.

    abstract:BACKGROUND:Diarrhea remains the second leading cause of death in children under 5 years of age in sub-Saharan Africa. Health care seeking behavior for diarrhea varies by context and has important implications for developing appropriate care strategies and estimating burden of disease. The objective of this study was to...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-389

    authors: Page AL,Hustache S,Luquero FJ,Djibo A,Manzo ML,Grais RF

    更新日期:2011-05-25 00:00:00

  • Epidemiology of hepatitis B virus infection in people living in poverty in the central-west region of Brazil.

    abstract:BACKGROUND:People living in poverty (PLP) are highly vulnerable to hepatitis B virus (HBV) infection. This study aimed to investigate the epidemiology of HBV infection in PLP in the metropolitan region of Goiânia, Goiás State, in the Central-West Region of Brazil. METHODS:A cross-sectional study was conducted from Aug...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6828-8

    authors: Guimarães LCDC,Brunini S,Guimarães RA,Galdino-Júnior H,Minamisava R,da Cunha VE,Santos JRS,Silveira-Lacerda EP,Souza CM,de Oliveira VLB,Albernaz GC,de Menezes TG,Rezza G

    更新日期:2019-04-29 00:00:00

  • Progress towards reducing sociodemographic disparities in breastfeeding outcomes in Indonesia: a trend analysis from 2002 to 2017.

    abstract:BACKGROUND:Improving breastfeeding practice is important for reducing child health inequalities and achieving several Sustainable Development Goals. Indonesia has enacted legislation to promote optimal breastfeeding practices in recent years. We examined breastfeeding practices among Indonesian women from 2002 to 2017,...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09194-3

    authors: Saputri NS,Spagnoletti BRM,Morgan A,Wilopo SA,Singh A,McPake B,Atun R,Dewi RK,Lee JT

    更新日期:2020-07-15 00:00:00

  • Relationship of obesity to physical activity, domestic activities, and sedentary behaviours: cross-sectional findings from a national cohort of over 70,000 Thai adults.

    abstract:BACKGROUND:Patterns of physical activity (PA), domestic activity and sedentary behaviours are changing rapidly in Asia. Little is known about their relationship with obesity in this context. This study investigates in detail the relationship between obesity, physical activity, domestic activity and sedentary behaviours...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-762

    authors: Banks E,Lim L,Seubsman SA,Bain C,Sleigh A

    更新日期:2011-10-04 00:00:00

  • Masculinity and mental health treatment initiation for former political prisoners in Yangon, Myanmar - a qualitative investigation.

    abstract:BACKGROUND:Men living in low- and middle-income countries are unlikely to seek mental health care, where poor healthcare infrastructure, differences in illness conceptualization, and stigma can impact treatment seeking. Vulnerable groups, such as former political prisoners, are more likely than others to experience pot...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-021-10249-2

    authors: Lakin DP,Win KS,Aung H,Soe KNC,Kyi B,Marcell AV,Tol WA,Bass JK

    更新日期:2021-01-25 00:00:00

  • Recruitment into diabetes prevention programs: what is the impact of errors in self-reported measures of obesity?

    abstract:BACKGROUND:Error in self-reported measures of obesity has been frequently described, but the effect of self-reported error on recruitment into diabetes prevention programs is not well established. The aim of this study was to examine the effect of using self-reported obesity data from the Finnish diabetes risk score (F...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-510

    authors: Hernan A,Philpot B,Janus ED,Dunbar JA

    更新日期:2012-07-08 00:00:00

  • Are dietary interventions with a behaviour change theoretical framework effective in changing dietary patterns? A systematic review.

    abstract:BACKGROUND:The term 'whole dietary pattern' can be defined as the quantity, frequency, variety and combination of different foods and drinks typically consumed and a growing body of research supports the role of whole dietary patterns in influencing the risk of non-communicable diseases. For example, the 'Mediterranean...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09985-8

    authors: Timlin D,McCormack JM,Kerr M,Keaver L,Simpson EEA

    更新日期:2020-12-03 00:00:00

  • Is educational attainment related to end-of-life decision-making? A large post-mortem survey in Belgium.

    abstract:BACKGROUND:Educational attainment has been shown to influence access to and quality of health care. However, the influence of educational attainment on decision-making at the end of life with possible or certain life-shortening effect (ELDs ie intensified pain and symptom alleviation, non-treatment decisions, euthanasi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-1055

    authors: Chambaere K,Rietjens JA,Cohen J,Pardon K,Deschepper R,Pasman HR,Deliens L

    更新日期:2013-11-09 00:00:00

  • An outbreak of acute norovirus gastroenteritis in a boarding school in Shanghai: a retrospective cohort study.

    abstract:BACKGROUND:More than 200 students and teachers at a boarding school in Shanghai developed acute gastroenteritis in December, 2012. The transmission mode remained largely unknown. An immediate epidemiological investigation was conducted to identify it. METHODS:Using a retrospective cohort design, we investigated demogr...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1092

    authors: Xue C,Fu Y,Zhu W,Fei Y,Zhu L,Zhang H,Pan L,Xu H,Wang Y,Wang W,Sun Q

    更新日期:2014-10-22 00:00:00

  • Evaluating the effectiveness of a smartphone app to reduce excessive alcohol consumption: protocol for a factorial randomised control trial.

    abstract:BACKGROUND:Excessive alcohol consumption is a leading cause of death and morbidity worldwide and interventions to help people reduce their consumption are needed. Interventions delivered by smartphone apps have the potential to help harmful and hazardous drinkers reduce their consumption of alcohol. However, there has ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-016-3140-8

    authors: Garnett C,Crane D,Michie S,West R,Brown J

    更新日期:2016-07-08 00:00:00

  • HIV risk perception and distribution of HIV risk among African, Caribbean and other Black people in a Canadian city: mixed methods results from the BLACCH study.

    abstract:BACKGROUND:African, Caribbean and other Black (ACB) people are a priority group for HIV prevention in Canada, but little is known about the epidemiology of HIV risk in this population. This paper helps fill the knowledge gap by: presenting service providers' and ACB people's perceptions about HIV risk in ACB population...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-184

    authors: Baidoobonso S,Bauer GR,Speechley KN,Lawson E,BLACCH Study Team.

    更新日期:2013-03-02 00:00:00

  • Skin antiseptics in healthcare facilities: is a targeted approach necessary?

    abstract:BACKGROUND:Skin antisepsis occurs in every healthcare environment. From basic hand hygiene, to antiseptic bathing and pre surgical care with alcohol/chlorhexidine, use of antimicrobial agents to reduce the skin microflora has skyrocketed in the past several years. Although used in hopes of reducing the likelihood of in...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7507-5

    authors: Wiemken TL

    更新日期:2019-08-22 00:00:00

  • Social marketing interventions to promote physical activity among 60 years and older: a systematic review of the literature.

    abstract:BACKGROUND:Falls are a significant source of morbidity in people aged 65 and over, affecting one in three people in this age group. The scientific evidence indicates that physical activity is the most effective method for preventing falls among seniors. Although public health professionals often use social marketing to...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09386-x

    authors: Goethals L,Barth N,Hupin D,Mulvey MS,Roche F,Gallopel-Morvan K,Bongue B

    更新日期:2020-08-28 00:00:00

  • Alcohol misuse, drinking contexts and intimate partner violence in St. Petersburg, Russia: results from a cross-sectional study.

    abstract:BACKGROUND:Alcohol misuse has been linked to intimate partner violence (IPV). However, this association is not usually examined in Russia. Moreover, more investigation is required as to whether specific drinking contexts are also associated with IPV. The objectives of this study are: to investigate whether alcohol misu...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-629

    authors: Zhan W,Shaboltas AV,Skochilov RV,Kozlov AP,Krasnoselskikh TV,Abdala N

    更新日期:2011-08-05 00:00:00

  • Awareness, treatment, and control of hypertension and related factors in adult Iranian population.

    abstract:BACKGROUND:Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension. This study aims to estimate awareness, treated,...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08831-1

    authors: Mirzaei M,Mirzaei M,Bagheri B,Dehghani A

    更新日期:2020-05-12 00:00:00

  • Sanitation behavior among schoolchildren in a multi-ethnic area of Northern rural Vietnam.

    abstract:BACKGROUND:In Vietnam, efforts are underway to improve latrine use in rural and remote areas with particular focus on increasing coverage of sanitation in schools. However, there is a lack of information on how the school program affects latrine use by schoolchildren and at community level. This paper analyzes sanitati...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-140

    authors: Le TT,Luu NH,Rheinländer T,Dalsgaard A,Konradsen F

    更新日期:2012-02-21 00:00:00

  • Social-cognitive determinants of the tick check: a cross-sectional study on self-protective behavior in combatting Lyme disease.

    abstract:BACKGROUND:Performing a tick check after visiting nature is considered the most important preventive measure to avoid contracting Lyme disease. Checking the body for ticks after visiting nature is the only measure that can fully guarantee whether one has been bitten by a tick and provides the opportunity to remove the ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-017-4908-1

    authors: van der Heijden A,Mulder BC,Poortvliet PM,van Vliet AJH

    更新日期:2017-11-25 00:00:00

  • Study of non-Hodgkin's lymphoma mortality associated with industrial pollution in Spain, using Poisson models.

    abstract:BACKGROUND:Non-Hodgkin's lymphomas (NHLs) have been linked to proximity to industrial areas, but evidence regarding the health risk posed by residence near pollutant industries is very limited. The European Pollutant Emission Register (EPER) is a public register that furnishes valuable information on industries that re...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-9-26

    authors: Ramis R,Vidal E,García-Pérez J,Lope V,Aragonés N,Pérez-Gómez B,Pollán M,López-Abente G

    更新日期:2009-01-21 00:00:00

  • Evaluating the cost-effectiveness of preventive zinc supplementation.

    abstract:BACKGROUND:Even though the WHO currently recommends zinc for diarrhea management, no consensus has been reached with respect to routine distribution of zinc for preventive reasons. We reviewed the health impact of preventive zinc interventions, and evaluated the relative cost effectiveness of currently feasible interve...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-852

    authors: Fink G,Heitner J

    更新日期:2014-08-15 00:00:00

  • The speed of adoption of new drugs and prescription volume after the amendments in reimbursement coverage: the case of non-vitamin K antagonist oral anticoagulants in South Korea.

    abstract:BACKGROUND:The speed of adoption of new drugs and frequencies of substitutions leads to changes in health care expenditures as well as patient outcomes. In this study, we aim to understand the speed of adoption of new drugs and their prescription volume in health care institutions and evaluate the impact of policy opti...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08929-6

    authors: Son KB

    更新日期:2020-05-27 00:00:00

  • Employment conditions and use of gastric cancer screening services in Korea: a nationwide survey.

    abstract:BACKGROUND:Although it is well known that employment conditions exert considerable effects on health and health equity, the association between employment conditions and the use of preventative health services has rarely been studied. We explored whether inequities in the use of preventative services were associated wi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6841-y

    authors: Shim HY,Jun JK,Shin JY

    更新日期:2019-05-02 00:00:00

  • Regional differences in the global burden of age-related macular degeneration.

    abstract:BACKGROUND:Age-related Macular Degeneration (AMD) is the leading cause of blindness. This study aims to analyze regional differences on the global burden of AMD and help direct related policy making. METHODS:Disability-adjusted life years (DALY) data were collected from the Global Burden of Disease Study (GBD) 2017 to...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-8445-y

    authors: Xu X,Wu J,Yu X,Tang Y,Tang X,Shentu X

    更新日期:2020-03-30 00:00:00

  • Evaluation of the integrated disease surveillance and response system for infectious diseases control in northern Ghana.

    abstract:BACKGROUND:Well-functioning surveillance systems are crucial for effective disease control programs. The Integrated Disease Surveillance and Response (IDSR) strategy was developed and adopted in 1998 for Africa as a comprehensive public health approach and subsequently, Ghana adopted the IDSR technical guidelines in 20...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1397-y

    authors: Adokiya MN,Awoonor-Williams JK,Barau IY,Beiersmann C,Mueller O

    更新日期:2015-02-04 00:00:00

  • Are risk estimates biased in follow-up studies of psychosocial factors with low base-line participation?

    abstract:BACKGROUND:Low participation in population-based follow-up studies addressing psychosocial risk factors may cause biased estimation of health risk but the issue has seldom been examined. We compared risk estimates for selected health outcomes among respondents and the entire source population. METHODS:In a Danish coho...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-11-539

    authors: Kaerlev L,Kolstad HA,Hansen AM,Thomsen JF,Kærgaard A,Rugulies R,Mikkelsen S,Andersen JH,Mors O,Grynderup MB,Bonde JP

    更新日期:2011-07-08 00:00:00