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Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process

In this article, we sought to understand the adaptive challenges and work faced by men with male factor infertility. Using a prospective qualitative study in private (the United States) and academic (the United Kingdom) urology clinics, we recruited seven American and five British men with primary i...

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Autores principales: Stevenson, Eleanor L, McEleny, Kevin R, Moody, Eilis, Bailey, Donald E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710696/
https://www.ncbi.nlm.nih.gov/pubmed/31489202
http://dx.doi.org/10.1177/2055102919871647
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author Stevenson, Eleanor L
McEleny, Kevin R
Moody, Eilis
Bailey, Donald E
author_facet Stevenson, Eleanor L
McEleny, Kevin R
Moody, Eilis
Bailey, Donald E
author_sort Stevenson, Eleanor L
collection PubMed
description In this article, we sought to understand the adaptive challenges and work faced by men with male factor infertility. Using a prospective qualitative study in private (the United States) and academic (the United Kingdom) urology clinics, we recruited seven American and five British men with primary infertility after their urology consultation for male factor infertility between December 2015 and April 2017. Individual in-depth qualitative interviews were conducted shortly after male factor infertility urology consultation and then two additional interviews at about 3 and 6 months. We found three themes related to adaptive challenges faced during fertility treatment: avoidance (not disclosing, avoided social network), uncertainty (about ability to have a child, fertility-related information, and male factor infertility status), and affective symptoms (sadness, shock, disbelief, denial, about not achieving fatherhood, and poor outcomes). Four themes about adaptive work included focusing on goal (having clear, actionable steps; knowledge received from urologist; exhausted all options; focus on parenthood), support from partner (relationship and communication), support from health care team (provision of emotional support, increased comfort with staff over time, disclosure of knowing others with same condition), and acquired information (understanding issue, support from urologist, seeking information). We concluded that men with male factor infertility face adaptive challenges including avoidance, uncertainty, and affective symptoms. To manage during the treatment process, they use adaptive work including focusing on the goal, receiving support from their partner and health care team, and acquiring information. Although qualitative results cannot be generalized to larger populations, they might be applicable to men with male factor infertility during infertility treatment.
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spelling pubmed-67106962019-09-05 Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process Stevenson, Eleanor L McEleny, Kevin R Moody, Eilis Bailey, Donald E Health Psychol Open Report of Empirical Study In this article, we sought to understand the adaptive challenges and work faced by men with male factor infertility. Using a prospective qualitative study in private (the United States) and academic (the United Kingdom) urology clinics, we recruited seven American and five British men with primary infertility after their urology consultation for male factor infertility between December 2015 and April 2017. Individual in-depth qualitative interviews were conducted shortly after male factor infertility urology consultation and then two additional interviews at about 3 and 6 months. We found three themes related to adaptive challenges faced during fertility treatment: avoidance (not disclosing, avoided social network), uncertainty (about ability to have a child, fertility-related information, and male factor infertility status), and affective symptoms (sadness, shock, disbelief, denial, about not achieving fatherhood, and poor outcomes). Four themes about adaptive work included focusing on goal (having clear, actionable steps; knowledge received from urologist; exhausted all options; focus on parenthood), support from partner (relationship and communication), support from health care team (provision of emotional support, increased comfort with staff over time, disclosure of knowing others with same condition), and acquired information (understanding issue, support from urologist, seeking information). We concluded that men with male factor infertility face adaptive challenges including avoidance, uncertainty, and affective symptoms. To manage during the treatment process, they use adaptive work including focusing on the goal, receiving support from their partner and health care team, and acquiring information. Although qualitative results cannot be generalized to larger populations, they might be applicable to men with male factor infertility during infertility treatment. SAGE Publications 2019-08-23 /pmc/articles/PMC6710696/ /pubmed/31489202 http://dx.doi.org/10.1177/2055102919871647 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Report of Empirical Study
Stevenson, Eleanor L
McEleny, Kevin R
Moody, Eilis
Bailey, Donald E
Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title_full Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title_fullStr Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title_full_unstemmed Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title_short Applying the Adaptive Leadership Framework for Chronic Illness to understand how American and British men navigate the infertility process
title_sort applying the adaptive leadership framework for chronic illness to understand how american and british men navigate the infertility process
topic Report of Empirical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710696/
https://www.ncbi.nlm.nih.gov/pubmed/31489202
http://dx.doi.org/10.1177/2055102919871647
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