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Fertility IssuesPROWESSNCT06297070

Lifestyle Care for Fertility Outcome Evaluation

An observational study of Fertility Issues, run by Christine Kaiser, LAc, DACM at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

An observational outcome evaluation of the Lifestyle Care for Fertility program. Read more about this study

Who is it for?
Ages 18 to 50 years, women only
Conditions the study is for
Fertility Issues
What is being tested?
Whole Health Lifestyle Care for Reproductive Well-being pilot program
How many people
44 participants
Where
1 siteUnited States
Study dates
24 Jan 2024to 20 Jun 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: Study participants will be patients of University Hospitals Connor Whole Health who have a fertility-related diagnosis and who are participating in the Lifestyle Care for Fertility program

Who may be able to join

  • Adult with a uterus aged from 18 to 50 years
  • Participating in the Lifestyle Care for Fertility program
  • Able to speak and understand English.
  • Has email address and access to mobile device with a functioning data plan.
  • Infertility-related diagnosis

Who cannot join

  • Age < 18 or > 50 years
  • Having a significant and uncorrected visual, hearing, or cognitive impairment
  • Inability to provide consent
  • Current pregnancy

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

Other trials in United States

About this study

Official title: Promoting ReprOductive WellbEing Through Shared Medical Appointments and Health Coaching Sessions

An observational outcome evaluation of the Lifestyle Care for Fertility program.

Read the detailed description

This outcome evaluation will examine the feasibility and acceptability of the Whole Health Lifestyle Care for Reproductive Well-being Pilot Program ("Lifestyle Care for Fertility" or LCF) and collection of health behavior and patient-reported outcomes. Secondarily, it will also examine the longitudinal changes in health behaviors and patient-reported outcomes of participants in the Lifestyle Care for Fertility program

The Lifestyle Care for Fertility program serves women who have a fertility-related diagnosis. The program consists of an individual Integrative Health and Medicine (IHM) consultation with a CWH IHM provider, 4 Shared Medical Appointments (SMA), and 4 individual Health and Wellness Coaching (HWC) sessions. The SMA sessions occur at the UH CWH Beachwood office conference and movement rooms. The HWC sessions are virtual. The consultations are either virtual or in person at UH CWH Beachwood. Topics include meditation, sleep, yoga/exercise/movement, acupuncture, and nutrition

Participation in the program is not contingent on participation in the outcome evaluation. Patients with a uterus aged 18-50 who have a fertility-related diagnosis are eligible to participate in the program. Participants in the outcome evaluation will be a subset of the participants in the program who give their consent to researchers to collect survey and EHR data.

The outcome evaluation will collect data at 4 weeks, 8 weeks, and before, after, and in between each of the 8 weekly sessions. Data collected at baseline include demographics, PROMIS Sleep Disturbance 8a, Perceived Stress Scale 4 (PSS-4), Infertility Self Efficacy Scale (ISE), and current Health Behaviors (HB). The HB survey will be administered between Sessions 1-8, as well as after Session 8, to observe any longitudinal changes. Patients will complete the PROMIS Sleep Disturbance 8a, PSS-4, and ISE at 4 weeks and 8 weeks. Pre- and post-session data includes 0-10 NRS ratings of stress, energy, focus, well-being, perceived support (post-only), and satisfaction (post-only). Additionally, participants will complete a satisfaction survey post Session 8. All data will be collected in REDCap via a text message or email link sent to the participant. Research staff will review the participant's medical record to collect data on the participant's demographics and clinical characteristics at baseline, and to collect chemical pregnancy data at six months after the 8 sessions have been completed. Attendance data about participants will also be collected.

Being tested
Whole Health Lifestyle Care for Reproductive Well-being pilot program
Keywords
fertility, shared medical appointments, health coaching, quality of life
Medical subject headings
Infertility

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Whole Health Lifestyle Care for Reproductive Well-being pilot programBehavioural

    Also called Lifestyle Care for Fertility

    The program consists of an individual Integrative Health and Medicine (IHM) consultation with a CWH IHM provider, 4 Shared Medical Appointments (SMA), and 4 individual Health and Wellness Coaching (HWC) sessions. The SMA sessions occur at the UH CWH Beachwood office conference and movement rooms. The HWC sessions are virtual. The consultations are either virtual or in person at UH CWH Beachwood.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Servings of Fruit

    Number of servings of fruit consumed each day. A serving is about 1 medium piece, or 1/2 cup of fruit.

    Measured: 8 weeks

  2. Servings of Vegetables

    Number of servings of vegetables consumed each day. A serving is about 1 cup of raw leafy vegetables, 1/2 cup of other cooked or raw vegetables, or 3/4 cup of raw vegetable juice.

    Measured: 8 weeks

  3. Glasses of Water

    Number of glasses (8 oz) of plain water consumed per day.

    Measured: 8 weeks

  4. Caffeinated Beverages

    Number of caffeinated beverages consumed per day.

    Measured: 8 weeks

  5. Aerobic Exercise

    Frequency of aerobic exercise (min 20 min) in last week.

    Measured: 8 Weeks

  6. Strengthening Exercise

    Frequency of muscle strengthening exercise (min 20 min) in last week.

    Measured: 8 weeks

  7. Stretching Exercise

    Frequency of stretching exercise in last week.

    Measured: 8 weeks

  8. Sleep Hygiene

    Frequency of sleep hygiene practices before bed in last week.

    Measured: 8 weeks

  9. Hours of Sleep

    Average number of hours of sleep per night in last week.

    Measured: 8 weeks

  10. Self Care - Biofeedback

    Frequency of use of biofeedback in last week.

    Measured: 8 weeks

  11. Self Care - Breathing Exercises

    Frequency of breathing exercise practice in last week.

    Measured: 8 weeks

  12. Self Care - Guided Imagery

    Frequency of guided imagery practice in last week.

    Measured: 8 weeks

  13. Self Care - Mindfulness/Meditation

    Frequency of mindfulness/meditation practice in last week.

    Measured: 8 weeks

  14. Self Care - Progressive Relaxation

    Frequency of progressive relaxation practice in last week.

    Measured: 8 weeks

  15. Self Care - Journaling/Gratitude Journaling

    Frequency of journaling or gratitude journaling in last week.

    Measured: 8 weeks

  16. Self Care - Tai Chi/Chi Gong

    Frequency of Tai Chi or Chi Gong practice in last week.

    Measured: 8 weeks

  17. Self-Care - Massage Therapy

    Frequency of receipt of massage therapy in last week.

    Measured: 8 weeks

  18. Self Care - Acupuncture/Acupressure

    Frequency of receipt of acupuncture or acupressure in last week.

    Measured: 8 weeks

  19. Self Care - Nature Walking

    Frequency of walking in nature in last week.

    Measured: 8 weeks

Secondary outcomes (37)
  1. PROMIS Sleep Disturbance 8a

    Composite score (8 -40 with higher scores representing a better outcome) measuring self-reported alertness, sleepiness, tiredness, and functional impairments associated with sleep problems during waking hours within the past seven days.

    Measured: 8 weeks

  2. Perceived Stress Scale - 4

    Composite score (0-16 with higher scores representing a better outcome) measuring self-reported perception of stress.

    Measured: 8 weeks

  3. Infertility Self Efficacy

    Composite score (16-144 with higher scores representing a better outcome) measuring self-reported perceived self-efficacy for coping with a diagnosis and treatment for infertility.

    Measured: 8 weeks

  4. Chemical pregnancy

    Pregnancy as confirmed by presence of human chorionic gonadotropin (hCG) within 6 months of program completion.

    Measured: 8 months

  5. Stress Change (level of stress: none [0] to worst possible [10]) - SMA

    Change in 11 point numerical rating scale. Range from -11 to 11, with lower scores representing better outcomes: Change in stress level from pre to post each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  6. Anxiety Change (level of anxiety right now: none [0] to worst possible [10]) - SMA

    Change in 11 point numerical rating scale. Range from -11 to 11, with lower scores representing better outcomes: Change in anxiety level from pre to post each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  7. Energy Change (level of energy right now: no energy [0] to most energized [10]) - SMA

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in energy level from pre to post each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  8. Focus Change (level of energy right now: not focused at all [0] to very focused [10]) - SMA

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in focus level from pre to post each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  9. Wellbeing Change (level of energy right now: worst possible [0] to best possible [10]) - SMA

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in wellbeing level from pre to post each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  10. Stress Change (level of stress: none [0] to worst possible [10]) - HWC

    Change in 11 point numerical rating scale. Range from -11 to 11, with lower scores representing better outcomes:

    Change in stress level from pre to post each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  11. Anxiety Change (level of anxiety right now: none [0] to worst possible [10]) - HWC

    Change in 11 point numerical rating scale. Range from -11 to 11, with lower scores representing better outcomes: Change in anxiety level from pre to post each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  12. Energy Change (level of energy right now: no energy [0] to most energized [10]) - HWC

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in energy level from pre to post each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  13. Focus Change (level of energy right now: not focused at all [0] to very focused [10]) - HWC

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in focus level from pre to post each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  14. Wellbeing Change (level of energy right now: worst possible [0] to best possible [10]) - HWC

    Change in 11 point numerical rating scale. Range from -11 to 11, with higher scores representing better outcomes: Change in wellbeing level from pre to post each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  15. Recruitment Rate

    Number enrolled over number approached.

    Measured: 4-6 weeks

  16. Retention Rate

    Percent of participants retained at each data collection point

    Measured: 8 weeks

  17. Pace of Accrual

    Number of participants enrolled from each program cohort.

    Measured: 8 weeks

  18. Data Completeness

    Percent of data collection that is completed

    Measured: 8 weeks

  19. Helpfulness of group sessions in addressing needs

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  20. Coverage of important issues in the sessions

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  21. Helpfulness of tools presented in nutrition session

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  22. Helpfulness of tools presented in movement session

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  23. Helpfulness of tools presented in relaxation and sleep session

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  24. Helpfulness of tools presented in integrate session

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  25. Enjoyed group sessions

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  26. Enjoyed health and wellness coaching session

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  27. Group setting was beneficial

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  28. Comfortable in group setting

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  29. Helpfulness of individual health coaching sessions

    5-point Likert scale strongly disagree to strongly agree (1 - 5 with higher scores representing better outcomes)

    Measured: 8 weeks

  30. Feedback questionnaire: Location Preference question 1

    Shared Medical Appointment session location preference. Choices: virtual, in person or no preference.

    Measured: 8 weeks

  31. Feedback questionnaire: Location Preference question 2

    Health and Wellness Coaching session location preference. Choices: virtual, in person or no preference.

    Measured: 8 weeks

  32. Feedback questionnaire: Number of Sessions question.

    Opinion on number of sessions. Choices: too few, just right, too many.

    Measured: 8 weeks

  33. Feedback questionnaire: Length of Sessions question.

    Opinion on length of sessions. Choices: too short, just right, too long.

    Measured: 8 weeks

  34. Rating of level of support during each SMA

    11-point Likert scale not supported to very well supported (0 - 10 with higher scores representing better outcomes): Level of support received during each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  35. Rating of level of support during HWC

    11-point Likert scale not supported to very well supported (0 - 10 with higher scores representing better outcomes): Level of support received during each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

  36. Overall level of satisfaction during each SMA

    11-point Likert scale not at all satisfied to very well satisfied (0 - 10 with higher scores representing better outcomes): Overall level of satisfaction with each of the 4 shared medical appointment sessions.

    Measured: 2 hours

  37. Overall level of satisfaction during each HWC

    11-point Likert scale not at all satisfied to very well satisfied (0 - 10 with higher scores representing better outcomes): Overall level of satisfaction with each of the 4 health and wellness coaching sessions.

    Measured: 45 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2024
  2. Study start24 Jan 2024
  3. Primary completion20 Jun 2025
  4. Study completion20 Jun 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06297070
Sponsor's protocol ID
STUDY20231406
Acronym
PROWESS
Status last verified
Jul 2025
First submitted
28 Feb 2024
Last updated
18 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Fertility Issues, run by Christine Kaiser, LAc, DACM at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Servings of Fruit (time frame: 8 weeks). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jul 2025.

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