Megan E Worsfold, Clare Jouanny, Ela Hamer, Stian A Mohrsen, Patryk Jadzinski, Mick Harper
"This is how I'm going to do it, but this is not how you're going to do it": the expectation gap between student paramedics and mentors in East and Central Scotland
BMC medical education
recognized role optimizing lifestyle diet physical activity behaviours management infertility best practice remains unknown factors influencing lifestyle people infertility well understood systematic review evaluated barriers enablers healthy lifestyle people infertility perspectives people infertility health professionals order inform optimal behavioural change strategies ovid medliner psycinfo embase ebm reviews cinahl searched inception 28 august 2023 eligible studies qualitative quantitative primary studies explored barriers andor enablers lifestyle infertility management quality assessment performed using centre evidencebased management critical appraisal survey tool critical appraisal skills programme qualitative checklist data analysed thematic analysis themes mapped capability opportunity motivation behaviour comb model theoretical domains framework tdf screening 12 326 abstracts 99 fulltexts 27 studies included 12 quantitative 6 qualitative 9 mixedmethods 22 studies women infertility n 2524 11 studies men infertility n 1407 6 studies health professionals n 372 identified barriers enablers relating capability eg strategies behaviour change opportunity eg limited time resources money motivation eg interplay lifestyle emotional state based identified themes suggested intervention components integrate lifestyle management infertility include facilitating development selfmanagement skills support lifestyle change eg selfmonitoring action planning goal setting incorporating mental health strategies eg providing information benefits healthy lifestyle behaviours mental health encouraging patients reframe healthy lifestyle behaviours selfcare strategies findings identified important factors influence lifestyle management people infertility suggested relevant intervention components consider designing interventions given paucity qualitative studies identified research needed understand complex interacting factors shape lifestyle fertility journey