NCT04647136

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

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

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 841 (actual)
• Sponsor: Singapore General Hospital · Academic / Other
• Sex: All
• Age: 25 Years – 34 Years
• Healthy volunteers: Accepted

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

Type	Name	Description
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.

Timeline

• Start date: 2015-01-21
• Primary completion: 2024-03-15
• Completion: 2024-03-15
• First posted: 2020-11-30
• Last updated: 2025-04-16

Locations

2 sites across 1 country: Singapore