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Improving the implementation of tailored expectant management in subfertile couples: protocol for a cluster
Noortje M van den Boogaard1, Fleur A M Kersten, Mariëtte Goddijn
1Department of Obstetrics and Gynaecology, Academic Medical Centre, University of Amsterdam, PO Box 22660, Amsterdam DD 1100, The Netherlands. n.m.vandenboogaard@amc.uva.nl
Implementation Science : IS
|May 22, 2013
Summary
This study assesses a new strategy to improve tailored expectant management (TEM) for subfertile couples. The goal is to increase adherence to fertility guidelines, preventing unnecessary treatments and optimizing care.
Area of Science:
- Reproductive medicine
- Health services research
- Clinical guideline implementation
Background:
- Prognostic models aid in identifying subfertile couples for fertility treatment.
- Tailored expectant management (TEM) is recommended but not optimally implemented.
- A multifaceted implementation strategy was developed based on identified barriers and facilitators.
Purpose of the Study:
- To assess the effectiveness of a multifaceted implementation strategy on guideline adherence for TEM.
- To evaluate the impact on subfertile couples and their care providers.
- To determine the process and costs associated with the implementation strategy.
Main Methods:
- A cluster randomized trial involving 25 clinics and practitioners.
- Randomization stratified by in vitro fertilization (IVF) facility status.
- Pre- and post-randomization data collection to evaluate guideline adherence on TEM.
Main Results:
- The study will provide evidence on the effectiveness of the implementation strategy.
- It will also evaluate the costs associated with the strategy.
- Primary outcome is the percentage of guideline adherence on TEM.
Conclusions:
- The study aims to demonstrate the effectiveness and cost-efficiency of the implementation strategy.
- Improved guideline adherence for TEM is expected.
- This could lead to better outcomes for subfertile couples.
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