The Effect of Fertility Health Awareness Strategies on Fertility Knowledge and Childbearing in Young Married Couples

Summary

Singapore, like many developed countries, is experiencing low birth rates, which is coupled with increasing age at first marriage and birth. In addition, demand for assisted reproduction technology treatments has increased over the years. Fertility awareness surveys have consistently shown that public awareness of age-related fertility decline and the limitations of fertility treatments is generally low, and this may lead to couples not optimising their fertility potential to achieve their family aspirations. This trial aims to study the effect of fertility health screening and fertility awareness tools on knowledge, attitudes and practice around childbearing among young Singaporean married couples.

Conditions

• Fertility Awareness
• Childbearing Intentions

Interventions

DIAGNOSTIC_TEST

Fertility Health Screening

Basic fertility health screening comprising an anti-Mullerian hormone (AMH) test and semen analysis, a doctor's consultation to explain the results, and standardised reproductive counselling by a trained nurse comprising a discussion of reproductive plans (including addressing barriers the couple face), education on age-related fertility decline and limitations of artificial reproductive technologies, advice on the optimal reproductive timing and when to seek further help. An educational brochure will be handed to the couple during the counselling session.

BEHAVIORAL

Fertility Awareness Tools

Online intervention consisting of 1) video targeting fertility education and specific attitudes, social norms and perceived control for having children, 2) a fertility awareness tool (FERTISTAT) and 3) an educational brochure on fertility. This intervention can be self-administered and is therefore easily scalable.

Sponsors & Collaborators

• KK Women's and Children's Hospital

  collaborator OTHER_GOV

• Singapore Health Services

  collaborator OTHER

• Duke-NUS Graduate Medical School

  collaborator OTHER

• Cardiff University

  collaborator OTHER

• National Population and Talent Division

  collaborator UNKNOWN

• Singapore General Hospital

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

25 Years

Max Age

34 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-01-21

Primary Completion

2024-03-15

Completion

2024-03-15

Countries

• Singapore

Study Locations