Reproductive health of women with endometriosis: an improving educational intervention based on the planned behavior theory

Niusha Zandi, Zahra Behboodi Moghadam, Batool Hossein Rashidi, Masoumeh Namazi, Shima Haghani
Middle East Fertility Society journal · 2023 · vol. 28(1) , pp. 4 · doi:10.1186/s43043-023-00129-7 · PMID:36852092 · W4321600744
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This randomized controlled trial found that an educational intervention based on the theory of planned behavior improved the reproductive health of women with endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper reports a randomized controlled trial evaluating whether an education program designed around the theory of planned behavior (TPB) improves reproductive health in 71 women with laparoscopically confirmed endometriosis in Tehran, Iran. Participants completed TPB construct questionnaires and the endometriosis reproductive health questionnaire (ERHQ) before intervention and at 4 and 8 weeks after; the intervention group received four weekly education sessions based on TPB attitudes, subjective norms, and behavioral intention constructs, while the control group did not receive the same education. After the intervention, TPB values and overall reproductive health scores improved significantly in the intervention group, with no significant changes in the control group. A key limitation explicitly noted is that participants were required to attend sessions to remain in the study (exclusion for absence in two or more sessions), which may affect generalizability. This paper is centrally about endometriosis — an improving TPB-based educational intervention targeting reproductive health outcomes in women with endometriosis.

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Abstract

Background: Endometriosis is a chronic deliberating disease with devastating effects on reproductive health. The present study aimed to investigate the impact of education based on the theory of planned behavior (TPB) on the reproductive health of women with endometriosis. This research was a randomized controlled trial performed on 71 women with endometriosis (35 intervention and 36 control groups) referred to the infertility clinic of Imam Khomeini Hospital in Tehran, Iran. The educational intervention based on the structures of the TPB was performed in the intervention group in 4 sessions, weekly for 90-120 min. The demographic questionnaire, model constructs questionnaire, and endometriosis reproductive health questionnaire (ERHQ) in both groups were completed in 3 stages (before intervention, 4, and 8 weeks after the intervention). Data were analyzed using SPSS software version 24. Results: < 0.05), while changes were not significant in the control group. Conclusion: The study results showed that education based on the TPB had positive effects on the reproductive health of patients. Trial registration: IRCT20120414009463N64. Registered 21 Jun 2021 - Retrospectively registered, http://www.irct.ir/trial/53341. Supplementary Information: The online version contains supplementary material available at 10.1186/s43043-023-00129-7.

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Condition tags

endometriosisinfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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