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PERMA model vs. integrative-behavioral couple therapy for fertility problems: A randomized clinical trial protocol
Sadeghi, Mahsa; Farajkhoda, Tahmineh; Khanabadi, Mahdi & Eftekhar, Maryam
Abstract
Background: Psychological interventions may reduce fertility problems. Positive emotion,
engagement, meaning, positive relationship and accomplishment (PERMA) is a cognitive
intervention and integrative-behavioral couple therapy (IBCT) is a behavioral intervention.
Appropriate mental interventions are important in infertility treatment.
Objective: To investigate the effect of the PERMA model vs. IBCT in reducing the fertility
problems of couples.
Materials and Methods: The content of the interventions was developed and adjusted
based on a literature review and the opinions of experts. In this three-arm parallel
randomized clinical trial, 42 couples undergoing infertility treatment will be allocated
randomly into three groups (n = 14 couples/each). Group 1 will receive the PERMA
intervention, group 2 will receive the IBCT intervention, and group 3 as the control group
will receive an infertility treatment training program intervention. The primary outcome will
be the fertility problems, which will be measured by completing a fertility problem inventory
at baseline, as well as in the 5th and 9th wk as a follow-up. Another primary outcome,
satisfaction with the intervention, will also be assessed in the 5th and 9th wk. The secondry
outcome will be a positive pregnancy test at wk 12. The interventions will be conducted
through a combination of face-to-face and online via WhatsApp.
Conclusion: This study will assess social, sexual, and parenthood concerns. A combination
of online and face-to-face interventions will be appropriate given the COVID-19 pandemic.
Couple’s counseling may provide better counseling outcomes for fertility problems in
comparison with group counseling. This study will try to optimize resilience during infertility
treatment through learning better relationship and problem-solving skills, and may have
an indirect impact on pregnancy rate, burden of infertility, and costs of treatment due to
increased effectiveness.
Keywords
Online; Face-to-face; Infertility; Integrative-behavioral couple therapy; PERMA model; RCT; Positive psychology; Protocol study; COVID-19.
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