The purpose of this study is to compare two different strategies to implement the existing Guideline programme on Subfertility, as issued by the Dutch Society of Obstetrics and Gynaecology (NVOG). Therefore, an innovative patient-directed strategy will be compared to a control strategy and effectiveness, costs and feasibility of both strategies will be assessed.
The Dutch Society of Obstetrics and Gynaecology (NVOG) has developed a guideline programme on Subfertility, including 9 guidelines concerning diagnosis and treatment of subfertility and a national IVF protocol. However, guidelines in general do not implement themselves; large gaps consists between best evidence (as described in the guidelines) and practice, resulting in a large variation between professionals. Our study will compare an innovative patient-directed strategy with a (minimal intervention) control strategy, and effectiveness, costs and feasibility of both will be assessed. We eventually aim at the most cost-effective strategy to implement the existing subfertility guideline programme. Please Note: In our protocol, we consider only 'couples' undergoing fertility treatment; therefore, we aim at gathering information from approximately 5200 records, of both male and female participants. When reporting eventually on their treatment, we will consider them only as couples, resulting in reported numbers of approximately 2600 participating couples.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
DOUBLE
Enrollment
5,200
patient leaflets about national guideline contents
feedback on current practice according to quality indicators
educational tools for professionals concerning communication and shared decision making
tools and checklists to improve information provision
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, Netherlands
RECRUITINGGelre Ziekenhuizen
Apeldoorn, Netherlands
RECRUITINGRijnstate Ziekenhuis
Arnhem, Netherlands
RECRUITINGMaasziekenhuis Pantein
Boxmeer, Netherlands
RECRUITINGZBC stichting Geertgen
De Mortel, Netherlands
RECRUITINGSlingeland Ziekenhuis
Doetinchem, Netherlands
RECRUITINGZiekenhuis Gelderse Vallei
Ede, Netherlands
RECRUITINGCatharina Ziekenhuis
Eindhoven, Netherlands
RECRUITINGst Antonius Ziekenhuis
Nieuwegein, Netherlands
RECRUITINGRadboud University Nijmegen Medical Centre
Nijmegen, Netherlands
RECRUITING...and 6 more locations
Extent of guideline adherence after approximately one year (measured by a specific set of guideline-derived indicators, formulated beforehand by the research group)
Time frame: half year after intervention
Costs of both Implementation strategies
Time frame: half year after intervention
Psychosocial patient characteristics after one year: fear, depression, satisfaction
Time frame: half year after intervention
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