Psychometric characteristics of core FertiQoL questionnaire in a Spanish sample of infertile women

Authors

DOI: https://doi.org/10.6018/analesps.613491
Keywords: Woman, FertiQol, Infertility, Quality of life, Confirmatory factor analysis

Supporting Agencies

  • Spanish Ministry of Economy, Industry and Competitiveness under Grant PSI2017-82487-R

Abstract

Background: Fertility diagnosis and treatment have an impact on the quality of life (QoL) of individuals. FertiQoL is an internationally developed questionnaire to measure fertility-specific QoL. Obtaining reliable information on the impact of fertility issues enables social and health care systems to develop value-centered integrated care. Objective: The aim of the present study is to examine the dimensionality, validity and reliability of Core FertiQol in a sample of Spanish women undergoing fertility treatment. Methods: A cross-sectional study was conducted, administering the Core FertiQoL questionnaire to 564 women with fertility problems. Descriptive analyses were performed on sociodemographic and clinical data of the sample. The psychometric properties of the FertiQoL were tested by performing confirmatory factor analyses, calculating the average values of the variance extracted, validity, reliability and correlation coefficients between scales. Results: Four factors (Emotional, Mind/Body, Relational and Social) were obtained. All statistics presented adequate values (RMSEA and SRMR lower than 0.09 and CFI and TLI higher than 0.9). Reliability was demonstrated with the CR index of each factor higher than 0.7 and the AVE higher than 0.5. Conclusions: Core FertiQol presents an acceptable adjustment for Spanish women with fertility problems. It offers a communication channel between professionals and patients, as well as accurate information in its subscales on areas that may reflect QoL impairment. Core FertiQol is an instrument that allows the identification of areas requiring support, providing valuable information for the design of efficient social-health value-centered programs for people with infertility.

Downloads

Download data is not yet available.

References

Aarts, J. W., van Empel, I. W., Boivin, J., Nelen, W. L., Kremer, J. A., & Verhaak, C. M. (2011). Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Human Reproduction (Oxford, England), 26(5), 1112–1118. https://doi.org/10.1093/humrep/der051

Abraham, A. D. (2019). Perceptions of Social Support in Infertility (Order No. 27540026). Available from ProQuest One Academic. (2317708017). https://www.proquest.com/dissertations-theses/perceptions-social-support-infertility/docview/2317708017/se-2

Ariffin, F., Daud, S., Ismail, Z., Zainuddin, A. A., & Ramli, R. (2020). Language and cross-cultural influences in the psychometric evaluation of the Malaysian FertiQoL. Malaysian Journal of Medicine and Health Sciences, 16(2), 157–163. https://medic.upm.edu.my/upload/dokumen/2020042010203122_MJMHS_0259.pdf

Asazawa, K., Jitsuzaki, M., Mori, A., Ichikawa, T., Shinozaki, K., Yoshida, A., Kawanami, M., & Kamiyama, K. (2018). Validity and reliability of the Japanese version of the fertility quality of life (FertiQol) tool for couples undergoing fertility treatment. Open Journal of Nursing, 8(9), 616–628. https://doi.org/10.4236/ojn.2018.89046

Bakhtiyar, K., Beiranvand, R., Ardalan, A., Changaee, F., Almasian, M., Badrizadeh, A., Bastami, F., & Ebrahimzadeh, F. (2019). An investigation of the effects of infertility on Women's quality of life: a case-control study. BMC Women's Health, 19(1), 114. https://doi.org/10.1186/s12905-019-0805-3

Boivin, J., & Smith, L. (2005). Infertility-related stress in men and women predicts treatment outcome 1 year later. Fertility and Sterility, 83(6), 1745–1752. https://doi.org/10.1016/j.fertnstert.2004.12. 039

Boivin, J., Takefman, J., & Braverman, A. (2011). The Fertility Quality of Life (FertiQol) tool: Development and general psychometric properties. Fertility and Sterility, 96(2), 409–415.e3. https://doi.org/10.1016/j.fertnstert.2011.02.046

Bunting, L., & Boivin, J. (2010). Development and preliminary validation of the fertility status awareness tool: FertiSTAT. Human reproduction (Oxford, England), 25(7), 1722–1733. https://doi.org/10.1093/humrep/deq087

Chachamovich, J. R., Chachamovich, E., Ezer, H., Fleck, M. P., Knauth, D., & Passos, E. P. (2010). Investigating quality of life and health-related quality of life in infertility: A systematic review. Journal of Psychosomatic Obstetrics & Gynecology, 31, 101–110. https://doi.org/10.3109/0167482X. 2010.481337

Chu, K., Zhang, Q., Han, H., Xu, C., Pang, W., Ma, Y., Sun, N., & Li, W. (2017). A systematic review and meta-analysis of nonpharmacological adjuvant interventions for patients undergoing assisted reproductive technology treatment. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 139(3), 268–277. https://doi.org/10.1002/ijgo.12310

Donarelli, Z., Lo Coco, G., Gullo, S., Salerno, L., Marino, A., Sammartano, F., & Allegra, A. (2016). Psychology and counselling. The Fertility Quality of Life Questionnaire (FertiQoL) Relational subscale: psychometric properties and discriminant validity across gender. Human Reproduction, 2061–2071. https://doi.org/10.1093/humrep/dew168

Dura-Ferrandis, E., Bonilla-Campos, A., & Alhambra-Borras, T. (2023). Psychometric properties of the Spanish version of the FertiQoL measure in couples undergoing infertility treatment. Journal of Reproductive and Infant Psychology, 1–15. Advance online publication. https://doi.org/10.1080/02646838.2023.2180623

Finney, S. J., & DiStefano, C. (2006). Non-normal and categorical data in structural equation modeling. Structural equation modeling: A second course, 10(6), 269-314.

Gameiro, S., Verhaak, C. M., Kremer, J. A., & Boivin, J. (2013). Why we should talk about compliance with assisted reproductive technologies (ART): a systematic review and meta-analysis of ART compliance rates. Human Reproduction Update, 19(2), 124–135. https://doi.org/10.1093/humupd/dms045

Gameiro, S., & Finnigan, A. (2017). Long-term adjustment to unmet parenthood goals following ART: a systematic review and meta-analysis. Human Reproduction Update, 23(3), 322–337. https://doi.org/10.1093/humupd/dmx001

Gdańska, P., Drozdowicz-Jastrzębska, E., Grzechocińska, B., Radziwon-Zaleska, M., Węgrzyn, P., & Wielgoś, M. (2017). Anxiety and depression in women undergoing infertility treatment. Ginekologia Polska, 88(2), 109–112. https://doi.org/10.5603/GP.a2017.0019

Goetz, L. H., & Schork, N. J. (2018). Personalized medicine: motivation, challenges, and progress. Fertility and sterility, 109(6), 952–963. https://doi.org/10.1016/j.fertnstert.2018.05.006

Greil, AL, Slauson-Blevins, K., McQuillan, J., Lowry, MH, Burch, AR y Shreffler, KM (2018). Satisfacción de la relación entre parejas infértiles: Implicaciones de género y autoidentificación. [Relationship satisfaction among infertile couples: Implications for gender and self-identification.] Revista de Asuntos Familiares, 39 (5), 1304–1325. https://doi.org/10.1177/0192513X17699027

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Prentice Hall.

Hubens, K., Arons, A. M. M., & Krol, M. (2018). Measurement and evaluation of quality of life and well-being in individuals having or having had fertility problems: a systematic review. The European journal of contraception & reproductive health care: the official journal of the European Society of Contraception, 23(6), 441–450. https://doi.org/10.1080/13625187.2018.1539161

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118

Jagadeeswari, J., Lokeswari, S., Priyadarsini, A., Cecyli, C., & Jebapriya, J. J. (2022). Level of Stress and Perceived Social Support among Women Seeking Infertility Treatment: An Exploratory Study. Cardiometry, (25), 208-212. https://10.18137/cardiometry.2022.25.208212

Jestrović, J., & Mihić, I. (2020). Satisfaction with the medical staff support in the process of dealing with infertility. Psihološka Istraživanja, 23(2), 141-159. https://doi.org/10.22074/ijfs.2019.5314

Jung, Y. J., & Kim, H. Y. (2017). Factors influencing infertility-related quality of life in women undergoing assisted reproductive techniques: focusing on depression and resilience. Korean Journal of Women Health Nursing, 23(2), 117-125. Doi: https://doi.org/10.4069/kjwhn.2017.23.2.117

Juniarto, A. Z., Fulyani, F., Herlina, E. C., Paramesthi, P., Ariani, M. D., & Iskandarsyah, A. (2021). The validity and reliability of the Indonesian version of fertility quality of life (FertiQol) questionnaire. Malaysian Journal of Medicine and Health Sciences, 17(3), 209–215. https://dx.doi.org/10.18203/2394-6040.ijcmph20211944

Kahyaoglu Sut, H., & Balkanli Kaplan, P. (2015). Quality of life in women with infertility via the FertiQoL and the Hospital Anxiety and Depression Scales. Nursing & health sciences, 17(1), 84-89. https://doi.org/10.1111/nhs.12167

Kamboj, N., Saraswathy, K. N., Prasad, S., Babu, N., Puri, M., Sharma, A., Dhingra, S., Sachdeva, M. P., & Mahajan, C. (2023). Women infertility and common mental disorders: A cross-sectional study from North India. PloS one, 18(1), e0280054. https://doi.org/10.1371/journal.pone.0280054

Keramat, A., Masoomi, S. Z., Mousavi, S. A., Poorolajal, J., Shobeiri, F., & Hazavhei, S. M. (2014). Quality of life and its related factors in infertile couples. Journal of research in health sciences, 14(1), 57–63.

Kiani, Z., Simbar, M., Hajian, S., Zayeri, F., Shahidi, M., Saei Ghare Naz, M., & Ghasemi, V. (2020). The prevalence of anxiety symptoms in infertile women: a systematic review and meta-analysis. Fertility Research and Practice, 6, 1-10. https://doi.org/10.1186/s40738-020-00076-1

Kiesswetter, M., Marsoner, H., Luehwink, A., Fistarol, M., Mahlknecht, A., & Duschek, S. (2020). Impairments in life satisfaction in infertility: Associations with perceived stress, affectivity, partnership quality, social support and the desire to have a child. Behavioral medicine (Washington, D.C.), 46(2), 130–141. https://doi.org/10.1080/08964289.2018.1564897

Kitchen, H., Aldhouse, N., Trigg, A., Palencia, R., & Mitchell, S. (2017). A review of patient-reported outcome measures to assess female infertility-related quality of life. Health and Quality of Life Outcomes, 15, 86. https://doi.org/10.1186/s12955-017-0666-0

Koert, E., Takefman, J., & Boivin, J. (2021). Fertility quality of life tool: update on research and practice considerations. Human fertility (Cambridge, England), 24(4), 236–248. https://doi.org/10.1080/14647273.2019.1648887

Kulaksiz, D., Toprak, T., Ayribas, B., Ozcan, E., Arslan, U., & Dokuzeylul Gungor, N. (2022). The effect of male and female factor infertility on women's anxiety, depression, self-esteem, quality of life and sexual function parameters: a prospective, cross-sectional study from Turkey. Archives of Gynecology and Obstetrics, 306(4), 1349–1355. https://doi.org/10.1007/s00404-022-06713-y

Li, J., Long, L., Liu, Y., He, W., & Li, M. (2016). Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women subjected to first in vitro fertilization treatment. Behaviour Research and Therapy, 77, 96–104. https://doi.org/10.1016/j.brat.2015.12.010

Luk, B., & Loke, A. (2015). The Impact of Infertility on the Psychological Well-Being, Marital Relationships, Sexual Relationships, and Quality of Life of Couples: A Systematic Review. Journal of Sex & Marital Therapy, 41(6), 610-625. https://doi.org/10.1080/0092623X.2014.958789

Maroufizadeh, S., Ghaheri, A., Amini, P., & Samani, R. O. (2017). Psychometric properties of the fertility quality of life instrument in infertile Iranian women. International Journal of Fertility and Sterility, 10(4), 371–379. https://doi.org/10.22074/ijfs.2016.4696

Mousavi, S. A., Masoumi, S. Z., Keramat, A., Pooralajal, J., & Shobeiri, F. (2013). Assessment of questionnaires measuring quality of life in infertile couples: a systematic review. Journal of reproduction & infertility, 14(3), 110–119.

Pedro, J., Frederiksen, Y., Schmidt, L., Ingerslev, H. J., Zachariae, R., & Martins, M. V. (2019). Comparison of three infertility-specific measures in men and women going through assisted reproductive technology treatment. Journal of Health Psychology, 24(6), 738–749. https://doi.org/ 10.1177/1359105316678669

Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in clinical neuroscience, 20(1), 41–47. https://doi.org/10.31887/DCNS.2018.20.1/klrooney

Schweiger, U., Schweiger, J., & Schweiger, J. (2018). Mental Disorders and Female Infertility. Archives of Psychology, 2(6), 1-14

Sexty, R. E., Hamadneh, J., Rösner, S., Strowitzki, T., Ditzen, B., Toth, B., & Wischmann, T. (2016). Cross-cultural comparison of fertility specific quality of life in German, Hungarian and Jordanian couples attending a fertility center. Health and quality of life outcomes, 14 (27). https://doi.org/10.1186/s12955-016-0429-3

Sexty, R. E., Griesinger, G., Kayser, J., Lallinger, M., Rösner, S., Strowitzki, T., Toth, B., & Wischmann, T. (2018). Psychometric characteristics of the FertiQoL questionnaire in a German sample of infertile individuals and couples. Health Quality Life Outcomes, 16(1), 233. https://doi.org/10.1186/s12955- 018-1058-9

The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. (1995). Social Science & Medicine (1982), 41(10), 1403–1409. https://doi.org/10.1016/0277-9536(95)00112-k

Valsangkar, S., Bodhare, T., Bele, S., & Sai, S. (2011). An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women. Journal of human reproductive sciences, 4(2), 80.

Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical Biochemistry, 62, 2–10. https://doi.org/10.1016/j.clinbiochem.2018.03.012

Volpini, L., Mazza, C., Mallia, L., Guglielmino, N., Rossi Berluti, F., Fernandes, M., & Violani, C. (2020). Psychometric properties of the FertiQoL questionnaire in Italian infertile women in different stages of treatment. Journal of Reproductive and Infant Psychology, 38(3), 324–339. https://doi. org/10.1080/02646838.2019.1698017

Wadadekar, G. S., Inamdar, D. B., & Nimbargi, V. R. (2021). Assessment of Impact of Infertility & its Treatment on Quality of Life of Infertile Couples using Fertility Quality of Life Questionnaire. Journal of human reproductive sciences, 14(1), 3–10. https://doi.org/10.4103/jhrs.jhrs_163_20

World Health Organization (WHO). (2018). International classification of Diseases, 11th revision (ICD- 11). WHO

World Health Organization (2020). Infertility Fact Sheet. Geneva: https://www.who.int/news-room/fact-sheets/detail/infertility (April 2022, date last accessed).

World Health Organization. (2023). Infertility prevalence estimates: 1990–2021. World Health Organization. xiv, 79 p.

Woods, B. M., Bray, L. A., Campbell, S., Holland, A., Mrug, S., & Ladores, S. (2023). A review of the psychometric properties and implications for the use of the fertility quality of life tool. Health and Quality of Life Outcomes, 21(1), 45. https://doi.org/10.1186/s12955-023-02125-x

Wu, M. H., Chong, K. S., Huey, N. G., Ou, H. T., & Lin, C. Y. (2021). Quality of life with pregnancy outcomes: Further evaluating item properties for refined Taiwan’s FertiQoL. Journal of the Formosan Medical Association, 120(3), 939–946. https://doi.org/10.1016/j.jfma.2020.09.015

Published
19-07-2024
How to Cite
Bueno-Sánchez, L., Alhambra-Borrás, T., Bonilla-Campos, A., & Durá-Ferrandis, E. (2024). Psychometric characteristics of core FertiQoL questionnaire in a Spanish sample of infertile women. Anales de Psicología / Annals of Psychology, 40(3), 364–372. https://doi.org/10.6018/analesps.613491
Issue
Section
Clinical and Health Psychology