The fertility quality of life questionnaire (FertiQoL) relational subscale: Psychometric properties and discriminant validity across gender

Studyquestion: Is the Fertility Quality of LifeQuestionnaire (FertiQoL)-Relational Scale a valid measure to assess the relational domain regarding quality of life in women and men undergoing infertility treatment? summaryanswer: The FertiQoL-Relational scale (FertiQoL-REL) showed good psychometric properties and captured core aspects of couple relationships. what is known already: FertiQoL has become a gold standard for the assessment of infertility-related quality of life in patients undergoing assisted reproduction treatment (ART). Despite its growing importance, no previous studies have examined the convergent validity of the FertiQoL-REL and its discriminant validity across gender. study design, size, duration: Baseline cross-sectional data as part of a longitudinal study of infertile couples undergoing an ART between February 2013 and January 2015. participants/materials, setting, methods: Five hundred and eighty-nine patients (301 females and 288 males), prior to starting an ART in a private clinic, filled in the Fertility Quality of Life Questionnaire (FertiQoL) and several measures of the marital relationship (Dyadic Adjustment Scale, MaritalCommitment InventoryandENRICHMarital Satisfaction Scale) and infertility-related distress (Fertility Problem Inventory). main results and the role of chance: Confirmatory factor analysis showed that the FertiQoL four-factor solution provided a good fit for the observed data. Reliability of the FertiQoL-RELwas higher forwomenthan men. Significant correlations between the FertiQoL-REL scores and all the other measures of marital relationship were found for both women and men. FertiQoL-REL scores did not differ significantly in women and men. The FertiQoL-REL was able to differentiate subjects as regards the Dyadic Adjustment Scale and ENRICH Marital Satisfaction Scale threshold. limitations, reasons for caution: Findings are limited because the data were obtained from only one Italian private clinic. wider implications of the findings: FertiQoL-REL threshold scores are useful for identifying those patients undergoing ART who are more likely to report poor or good relationship quality. Clinicians should tailor their counselling strategies to the positive qualities in a couple's relationship, so as to reinforce the overall quality of life, especially among women, and to support patients in tackling the psychological burden, so that they can either continue treatment or choose discontinuation. study funding/competing interest(s): This research wassupported by funds provided byCentroAndrosS.r.l., Palermo, Italy. The authors declare no financial or commercial conflicts of interest in this study. trial registration number: Not necessary