title: Acceptability of a home monitor used to aid in conception: psychosocial factors and couple dynamics.
abstract: BACKGROUND
  Assessing the psychological acceptability of technologies designed to assist couples in achieving pregnancy is complex.
  
  
  OBJECTIVE
  The current study developed measures relating to the impact of one such technology on 52 couples' relationships, their feelings relating to pregnancy status and their feelings about the technology itself.
  
  
  METHODS
  Pregnancy status and daily logs of sexual activity were recorded for four menstrual cycles, in addition to the completion of acceptability questionnaires.
  
  
  RESULTS
  Baseline acceptability measures were more favorable among couples eventually achieving pregnancy. For couples not becoming pregnant, acceptability declined over time and relationships became more strained. Behavioral data clearly indicated a "targeting" and focusing of sexual activity in response to the information displayed by the monitor.
  
  
  CONCLUSIONS
  Expectations of success, couple disagreements about prior failure and partner communication patterns appear to be related to pregnancy success when using such technology.
authors.affiliation: Family Health International, Research Triangle Park, NC 27709, USA. lsevery@fhi.org
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Severy
authors.forename: Janet
authors.initials: J
authors.lastname: Robinson
authors.forename: Cynthia
authors.initials: C
authors.lastname: Findley-Klein
authors.forename: James
authors.initials: J
authors.lastname: McNulty
mesh_terms: D000328:Adult; D003075:Coitus; D004644:Emotions; D005260:Female; D006801:Humans; D007246:Infertility / Q000628:therapy*; D007398:Interpersonal Relations; D008297:Male; D008597:Menstrual Cycle; D008875:Middle Aged; D010061:Ovulation Detection / Q000295:instrumentation* / Q000523:psychology*; D017060:Patient Satisfaction; D011247:Pregnancy; D011795:Surveys and Questionnaires