Online Interactive Video Developed for Fertility Awareness

The Effect of Online Interactive Education Provided to Couples Applying for Wedding Via Web-Based Platform on Fertility Awareness

The main purpose of this research is to evaluate the effect of online interactive education provided to newly married couples via a web-based platform on fertility awareness.Since fertility awareness is a relatively new field of research, there are limited studies on this subject. These studies are generally given to women. But the concept of fertility in question concerns not only women but also men.The study conducted via web-based online interactive video developed to raise awareness about fertility; It is thought that raising the awareness of newly married couples, regulating fertility, and including men in this issue are important for public health and will set an example for future studies.The positive outcomes from Webb-based online videos will enable the application to be used on national and international platforms.

Study Overview

• Status: Not yet recruiting
• Conditions: Fertility Awareness
• Intervention / Treatment: Behavioral: Interactive video usage

Detailed Description

Fertility awareness is an understanding that enables individuals to be informed about their reproductive health, fertility cycle and reproductive systems. This understanding enables individuals to gain awareness about their reproductive capacity, fertile periods, sexual health and family planning. Increasing fertility awareness will contribute to increasing the general health and welfare of both individuals and society.Since fertility awareness is a relatively new field of research, there are limited studies on this subject. These studies are generally aimed at women. However, the concept of fertility in question concerns not only women but also men. Individuals who are about to get married have a very important place in processing fertility awareness. The high interest in premarital sexuality, labor and birth, and the motivation for education on this subject make it important for it to be considered as a "missed opportunity" during the application period for marriage procedures. No study has been found in the literature on the development of fertility awareness, including the period of application for marriage. It is expected that the research to be conducted will contribute to the literature in terms of filling the gap in this field, obtaining new data and guiding new strategies to be created.Since information about fertility mostly involves confidential issues, individuals cannot talk about this subject comfortably and cannot obtain information. At the same time, the formation and development of fertility awareness includes individual behavioral changes. Therefore, the education given to couples can be used continuously and in the long term. For such reasons, people prefer online educational materials. Online training helps people feel more comfortable, remain anonymous while learning about these topics, and progress according to their learning pace. Web-based platforms contribute to individuals' awareness of fertility awareness and making healthy decisions by being an effective tool in reaching large audiences, being low-cost and easily accessible, and offering independence of time and place.

The research is a pretest-posttest randomized controlled experimental study conducted to evaluate the effect of online interactive education given to couples applying for marriage via a web-based platform on fertility awareness. It is planned to be conducted with 70 couples (experimental group: 35 couples, control group: 35 couples) who applied to the marriage office of Kecioren Municipality. Couples who apply to the registry office and agree to participate in the research will be asked to fill out the Introductory Information Form, Fertility Awareness Scale and Fertility Health Information Scale. Afterwards, these couples will be randomized and assigned to experimental and control groups. Training content will be created for the couples assigned to the experimental group.After receiving expert opinions on the training content, interactive videos will be prepared via the website httpp://h5ptr.org/. In these interactive videos; It is planned to have 4 modules: anatomy and physiology of the male and female reproductive system, family planning method based on fertility awareness, modern family planning method and factors affecting fertility. While watching these videos, there will be fill-in-the-blank, true-false, and multiple choice questions at certain parts of the videos. If participants answer the questions incorrectly, they will be directed to the section in the video where the answer to the question is found. A website will be prepared for couples to access these interactive videos. The address of this website and the educational content will be sent as an online file to the couples' phones or e-mails. Participants will be asked to complete these trainings within 2 weeks at most and before the wedding. After the training is completed and 1 month after the wedding, participants will fill out the Fertility Awareness Scale and Fertility Health Information Scale via an online survey (Google Forms®). No intervention will be made to the participants in the control group. Before the wedding and one month after the wedding, participants will fill out the Fertility Awareness Scale and Fertility Health Information Scale via an online survey (Google Forms®). In this way, the effect of the online interactive training we have implemented on the fertility awareness of couples applying for marriage will be evaluated. After the data collection tools are completed, the analysis and reporting part will be carried out. Statistical analyzes will be performed using Statistical Package of SocialSciences 27.0 package program. Shapiro-Wilk test, Chi-square test, dependent and independent group t test, Mann Whitney U test will be used in the analysis.

In the research conducted through web-based online interactive video developed to raise awareness about fertility; It is thought that raising the awareness of newly married couples, regulating fertility and including men in this issue are important for public health and will set an example for future studies. The positive results obtained from web-based online videos will enable the application to be used on national and international platforms.

• Study Type: Interventional
• Enrollment (Estimated): 70
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Tenzile Hergül; Phone Number: +905383019593; Email: tenzilehergul95@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being over 18 years of age
• Having applied for official marriage
• First marriage
• Must be at least a primary school graduate

Exclusion Criteria:

• Not knowing Turkish
• Having any communication problems (mental, auditory, visual, etc.)
• Having previously received preconception training/care
• There is less than 2 weeks between the marriage ceremony and the marriage application date.

For female participants;

• Having had previous pregnancy or birth experience
• Having been diagnosed with menopause

Criteria for Exclusion from the Sample During the Study:

• Inaccessibility of the study at any stage
• Wanting to leave work
• Completion of training
• Not completing post-tests

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Active Comparator: 1. group; Couples in the pre-wedding period will receive information about fertility awareness with the developed interactive video	Behavioral: Interactive video usage; The implementation of the research was carried out in two stages. In the first stage, interactive videos were created, in the second stage, the experimental group was trained with interactive videos, and no intervention was made to the control group.
No Intervention: No Intervention: 2. Group; Control Group (non- education): No intervention will be made

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fertility Awareness Scale	Fertility Awareness Scale is a 19-item, five-point Likert type (1-Never, 2-Rarely, 3-Sometimes, 4-Often, 5-Always), two-dimensional scale: Body Awareness Sub-Dimension 7,9,10, 11,12,13,15,17,18,19 (10 items) and Cognitive Awareness Sub-Dimension 1,2,3,4,5,6,8,14,16 (9 items). There are no reverse items in the scale. The lowest score that can be obtained in the total of the Fertility Awareness Scale is 19 and the highest score is 95. As the total score from the Fertility Awareness Scale increases, the level of awareness increases. If the total score is between 19-43, awareness is classified as low, between 44-69, awareness is classified as medium, and between 70-95, awareness is classified as high level.	3 months
Fertility Health Information Scale	Fertility Health Information Scale includes biological information regarding gender-specific reproductive health (menstrual cycle, sperm survival and quality, ability to have an erection), non-modifiable (age) and modifiable (lifestyle choices such as weight, stress, marijuana and cigarette use). /exposure) related to healthy fertility, It includes statements about factors such as stress, caffeine, diet, exercise, sleep habits, etc.). The scale consists of 30 items and has a single-factor structure. Responses to the items related to the scale are on a five-point Likert type (5-definitely yes; 4-probably yes; 3-undecided; 2-probably no; 1-definitely no). Those who choose "definitely yes" or "probably yes" are considered correct. In the evaluation, item 20 is reverse coded. Scores between 0 and 30 points can be obtained from the scale, and as the score increases, knowledge increases.	3 months

Collaborators and Investigators

• Sponsor: Gazi University
• Investigators: Study Director: Şengül Yaman Sözbir, Head of Department of Obstetrics and Gynecology Nursing, Gazi University

Study record dates

Study Major Dates

• Study Start (Estimated): June 24, 2024
• Primary Completion (Estimated): December 31, 2024
• Study Completion (Estimated): June 30, 2025

Study Registration Dates

• First Submitted: June 11, 2024
• First Submitted That Met QC Criteria: June 11, 2024
• First Posted (Actual): June 14, 2024

Study Record Updates

• Last Update Posted (Actual): June 14, 2024
• Last Update Submitted That Met QC Criteria: June 11, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: Fertility awareness, Pre-wedding period, Web-based education
• Other Study ID Numbers: GaziU-Hem-ŞYS-08

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No