title: Effects of a partnership support program for couples undergoing fertility treatment.
abstract: OBJECTIVE
  The study's purpose was to examine the effects of providing a partnership support program. It was designed to improve Japanese couples' partnership, maintain quality of life, decrease psychological distress, and improve marital relationship satisfaction while they underwent infertility treatment that included the possibility of using assisted reproductive technology.
  
  
  METHODS
  This quasi-experimental study with a two-group pretest-post-test design used purposive sampling and non-random assignment of 318 consenting Japanese patients from previous phases of assisted reproductive technology fertility treatment who were patients from a fertility clinic in Tokyo, Japan. The intervention group of 152 patients (76 couples) participated in the partnership support program. The comparison group of 166 patients (83 couples) received usual care. Recruitment was age matched. The program provided information and used a participatory-interactive approach to enhance understanding and cooperation in couples undergoing fertility treatment. The main outcome measures were: "partnership", FertiQoL, Quality Marriage Index, and "psychological distress".
  
  
  RESULTS
  There were 311 participants (intervention group n = 148; comparison group, n = 163). The intervention group showed significant improvement in the couples' partnerships and a significant decrease in women's psychological distress using subgroup analysis.
  
  
  CONCLUSIONS
  The partnership support program provided effective improvement in partnership for the couples, and reduced psychological distress for the women; however, it had less impact for the men. The program was not effective in improving couples' overall quality of life (QOL); however, it was effective in improving the "mind-body" aspects of the QOL subscale.
authors.affiliation: Department of Nursing, Tokyo Healthcare University, Tokyo, Japan.
authors.forename: Kyoko
authors.initials: K
authors.lastname: Asazawa
mesh_terms: D005260:Female; D006801:Humans; D007246:Infertility / Q000523:psychology / Q000628:therapy*; D007564:Japan; D008297:Male; D011788:Quality of Life; D012657:Self-Help Groups
keywords: infertility; partnership; program; psychological distress; quality of life