How do couples undergoing IVF treatment experience a preconception dietary intervention?

Abstract

Background:Couples were randomised to a dietary intervention to increase their chance of conception, delaying their fertility treatment by six weeks. They were given fruit-based drinks and replacement oil and spread. Delay in receiving treatment is known to be a concern for couples seeking IVF. This study sought to explore how couples experienced this intervention. Methods:Dyadic interviews were conducted with ten couples who had completed the dietary intervention and knew the treatment outcome. Dyadic interviews reflect involvement of both partners in the intervention and the importance of partner support. Interviews were audio-recorded, transcribed verbatim and analysed thematically using a constant comparative method. Findings:Couples experienced no major difficulties in following the dietary regime; establishing daily routines helped couples comply with the trial protocol. Other study practicalities were not perceived as onerous. Most had not reflected on the fact that treatment was delayed by their participation, but did not express any negative views on this. They would however need to weigh-up the pros and cons of extending the delay. Many indicated that to increase the likelihood of having a baby, they would follow the dietary regime for longer and were in fact prepared to do almost anything. Discussion:There are significant ethical issues in conducting research with participants willing to undertake almost anything. Health psychologists have an important role in designing trials of interventions to improve fertility to ensure that psychological consequences for patients are fully considered. Our profession’s expertise in motivation and behaviour lends itself to advocating on behalf of these vulnerable couples.