scholarly journals ‘Your hopes can run away with your realistic expectations’: a qualitative study of women and men’s decision-making when undergoing multiple cycles of IVF

2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
T Copp ◽  
D Kvesic ◽  
D Lieberman ◽  
D Bateson ◽  
K J McCaffery
Keyword(s):  
Decision Making ◽  
Good Prognosis ◽  
Drop Out ◽  
Reproductive Age ◽  
Success Rates ◽  
Framework Analysis ◽  
Factors Influencing ◽  
Fertility Clinic ◽  
Multiple Cycles

Abstract STUDY QUESTION What are the factors that contribute to the decision to continue or stop IVF treatment after multiple unsuccessful cycles? SUMMARY ANSWER Factors contributing to the decision included external factors, such as their doctor’s guidance, success rates, the outcomes of previous cycles and anecdotal stories of success, as well as emotional and cognitive drivers, including perception of success, hope and fear of regret. WHAT IS KNOWN ALREADY Infertility affects about one in six Australian couples of reproductive age. Regarding IVF, some couples with a good prognosis drop out of treatment prematurely, whilst others continue for multiple cycles, despite limited chances of success. Little is known about what factors contribute to the decision to continue IVF after multiple failed cycles. STUDY DESIGN, SIZE, DURATION Semi-structured face-to-face and telephone interviews were conducted with 22 participants. Interviews were audio-recorded, transcribed and analysed thematically using Framework analysis. PARTICIPANTS/MATERIALS, SETTING, METHODS Doctors and nurses at an Australian private fertility clinic recruited individuals and/or couples who had undergone three or more complete unsuccessful cycles of IVF. MAIN RESULTS AND THE ROLE OF CHANCE The majority of participants had decided to or were leaning towards continuing treatment. Participants expressed a range of common factors important in their decision-making, which were evident both within and across couples. For most, their doctor’s advice and hope were key factors influencing their decision. Most participants expressed they would continue as long as there was a chance of success and until their doctor advised otherwise. Other factors included participants’ perception of their likelihood of success, hearing anecdotal stories of success after multiple cycles, positive outcomes of previous cycles and fear of regret. LIMITATIONS, REASONS FOR CAUTION The sample was highly educated and recruited from one private Australian fertility clinic only. Many participants were also couples, which may have resulted in more homogenous data as they shared the same diagnosis for infertility and outcomes of previous cycles. Factors influencing the decision to continue or stop may differ in different sociodemographic populations and in other healthcare systems. WIDER IMPLICATIONS OF THE FINDINGS Given the important role of the doctor’s guidance and patients’ own perceptions of their likelihood of success, which they tended to overestimate, it is vital that fertility specialists give accurate and transparent information regarding their likelihood of success and continue to regularly communicate this throughout the IVF journey. Anecdotal stories of success against the odds appeared to be influential in the decision to continue and underpinned unrealistic perceptions of possible success. More personalized, cumulative estimates of likelihood of success may help couples with their decision-making as well as with discussions about ending treatment or setting a limit before commencing IVF. STUDY FUNDING/COMPETING INTEREST(S) The study was funded by the National Health and Medical Research Council (NHMRC) Program Grant (APP1113532). No further competing interests exist.

scholarly journals Influential Factors and the Realization Mechanism of Sustainable Information-Sharing in Virtual Communities from a Knowledge Fermenting Perspective

SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402097400
Author(s):  
Meng Zhang ◽  
Yang Gao ◽  
Minghe Sun ◽  
Datian Bi
Keyword(s):  
Decision Making ◽  
Information Sharing ◽  
Virtual Communities ◽  
Virtual Community ◽  
Influential Factors ◽  
The Other ◽  
Factors Influencing ◽  
Communication Environment ◽  
Catalytic Role

Little is known about sustainable information-sharing in virtual communities, although it is increasingly recognized as a useful information-sharing tool. The aim of this study is to explore the influential factors and the realization mechanism of sustainable information-sharing in virtual communities. Starting from the similarity between biological fermentation and the information-sharing process in virtual communities, the present study creatively introduces the knowledge fermenting theory used in the analysis. Six factors influencing sustainable information-sharing in virtual communities are first identified based on this theory, which include sharing bodies, interactive topics, communication mechanism, supporting technology, communication environment, and platform scale. The relations among these six factors are then analyzed using the Decision-Making and Trial Evaluation Laboratory (DEMATEL) method. The results indicate that the factor of sharing bodies has the strongest influence on other factors and the factor of interactive topics receives the most influences from the other factors. On this basis, the realization mechanism of sustainable information-sharing in virtual communities is elaborated from the following four aspects: the four stages of the information-sharing realization, the guide role of “strain,” the catalytic role of “enzyme,” and the effect of environment. The results indicate that sustainable information-sharing in virtual communities is a process of spiral evolution. Finally, recommendations are given to virtual community managers, users, and business firms.

scholarly journals Factors Influencing the Investor’s Decision Making: The Moderating Role of Locus of Control

2020 ◽  
Vol 7 (12) ◽  
pp. 535-543
Author(s):  
Hafiz Waqas KAMRAN ◽  
Abthal QAISAR ◽  
Nayyer SULTANA ◽  
Muhammad Atif NAWAZ ◽  
Hafiz Tanveer AHMAD
Keyword(s):  
Decision Making ◽  
Locus Of Control ◽  
Factors Influencing ◽  
Moderating Role

scholarly journals Perceived facilitators of and barriers to mental health treatment engagement among decision-making competent adolescents in Greece

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Tsamadou ◽  
P. Voultsos ◽  
A. Emmanouilidis ◽  
G. Ampatzoglou
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Well Being ◽  
Drop Out ◽  
Attrition Rate ◽  
Negative Experiences ◽  
Wide Range

Abstract Background A subset of adolescents with mental disorders are likely to have decision-making capacity that facilitates their therapy engagement. However, there are high rates of drop-out in mental health settings. Aim This study aims to identify perceived barriers to or facilitators of mental health care engagement among adolescents with decision-making competence in Greece. Methods A qualitative study was conducted using semi-structured interviews of adolescents with a wide range of mental health problems. In addition, two psychometric assessment measures were used to define who to include or exclude from the study sample. Results Positive attitudes and experiences with therapy were reported as strong (“major”) facilitators of therapy engagement for adolescents with mental disorders, whereas negative experiences with therapy were reported as strong barriers to it. Furthermore, and most importantly, a “good” adolescent-therapist relationship was reported as a strong facilitator, whereas negative experiences of participants with their therapist were reported as strong barriers. Moreover, goals such as getting rid of symptoms, improving personal well-being, and improving social skills and relationships (especially with peers) emerged as strong facilitators of therapy engagement. Importantly, the early remission of symptoms emerged from the study as a strong barrier to therapy engagement for participants. Among the weaker (“minor”) perceived facilitators were goals such as confessing to a trustworthy person, becoming able to achieve personal expectations and life goals, enhancing independence and self-esteem, and developing a positive self-image. The (active or supportive) role of family emerged as a facilitator. The stigma related to mental health emerged as both a (“minor”) facilitator of and barrier to therapy engagement for participants. Friends were reported as having a role ranging from neutral to mildly supportive. Conclusion A number of more or less strong barriers and facilitators were identified that, for the most part, were consistent with prior literature. However, the authors identified some nuances that are of clinical importance. For instance, adolescents are most likely to terminate the treatment prematurely if they experience early symptom remission. Highlighting the role of therapy in achieving their goals or improving their families’ well-being might be used by therapists to reduce the attrition rate.

scholarly journals The Psychology of Risk Management

2020 ◽  
Author(s):  
Gaëlle Vallée-Tourangeau ◽  
Frédéric Vallée-Tourangeau
Keyword(s):  
Decision Making ◽  
Risk Taking ◽  
Subjective Perception ◽  
Decision Making Under Uncertainty ◽  
Risk And Uncertainty ◽  
Investment Performance ◽  
Human Risk ◽  
Factors Influencing ◽  
Shed Light

A better understanding of how human factors may shape risk perception and risk-taking is key to improve investment performance. This chapter draws on research on the psychology of risk and decision-making under uncertainty to shed light on these issues. The first part focuses on the evaluation of risk and uncertainty. After outlining the different psychological concepts of uncertainty, we review the different factors influencing individuals’ subjective perception of risk as well as the heuristics they may use to gauge risk and uncertainty. The second part of this chapter focuses on the different factors influencing human risk-taking behaviour, ranging from attitudes to risk to the contexts in which risky decisions take place, and the role of emotions in risk-taking.

scholarly journals interrelationship between the factors influencing retail selection behavior and FMCG market network

Economica ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 77-82
Author(s):  
Ibolya Rózsa Pénzes ◽  
Éva Pólya
Keyword(s):  
Decision Making ◽  
Influencing Factors ◽  
Distribution Systems ◽  
Consumer Behaviour ◽  
Network Development ◽  
Store Choice ◽  
Factors Influencing ◽  
Selection Behavior ◽  
The Relationship

From the consumer behaviour perspective the role of retail selection have a salient importance. Hence in the case of FMCG markets network development as a key area of store chains’ distribution systems is a substantial tool in competition for customers. In our paper we investigate the main network development influencing factors in the case of main store chains is Hungary. We also detail the relationship between the size and the change of store chains and the consumer store choice, possibilities, and the freedom-level of decision making

scholarly journals Understanding the Role of User Needs and Perceptions Related to Sub-Seasonal and Seasonal Forecasts on Farmers' Decisions in Kenya: A Systematic Review

2021 ◽  
Vol 3 ◽  
Author(s):  
Richard Muita ◽  
Andrew Dougill ◽  
Joseph Mutemi ◽  
Stella Aura ◽  
Richard Graham ◽  
...  
Keyword(s):  
Decision Making ◽  
User Needs ◽  
Water Efficiency ◽  
Key Factors ◽  
Seasonal Forecasts ◽  
Weather Information ◽  
Agronomic Practices ◽  
Factors Influencing ◽  
Barriers To Use

One major challenge facing farmers and other end users of weather and climate information (WCI) in Kenya is the linkage between their perceptions, needs, and engagements with producers of the information. This is highlighted by increased interest in understanding the constraints on appropriate use of weather information by farmers in decision-making. The choice between sub-seasonal and seasonal forecasts can enable better decisions by farmers if the forecast information is reliable and integrated through a coproduction process. This study analyzes user needs and perceptions of crop farmers, pastoralists, and agro-pastoralists in relation to sub-seasonal and seasonal forecasts for five counties in Kenya. A total of 258 peer-reviewed articles and gray literature were systematically analyzed using Search, Appraisal, Synthesis and Analysis (SALSA) to understand how the needs and perceptions of users of WCI shaped access and use in decision-making. The study also evaluated factors influencing use and uptake of sub-seasonal and seasonal forecasts as well as the barriers to use. Results show that farmers' perceptions shaped the choice of WCI that is used and also highlight how sub-seasonal and seasonal forecasts were used for diverse applications. Gender, availability of resources, access, and mode of communication were key factors influencing the use of seasonal forecasts. For example, access to seasonal forecasts of farmers in drier counties enabled them to manage floods and reduce risk. One lesson learned was that farmers combined WCI with other coping practices such as agronomic practices and water efficiency management. Despite a number of challenges by forecast users such as insufficient resources and lack of access to information, there is potential to improve forecasts according to user needs through a coproduction process. This study recommends stakeholder engagements with producers in the development and evaluation of forecast products and communication pathways to improve uptake and use of forecasts in decision-making.

scholarly journals Business Decision Making

10.28945/2368 ◽  
2001 ◽  
Author(s):  
Rimvydas Skyrius
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Makers ◽  
Problem Situation ◽  
Business Decision ◽  
Factors Influencing ◽  
Support Tools ◽  
New Knowledge ◽  
Role Of Information

Significant recent research in the decision support area has been concentrating on the human side of the person-technology relation. Knowledge, perceptions, beliefs and experiences have been researched in a number of works. The author has used individual interviews with business decision makers to find out their attitudes towards factors influencing the quality of business decisions. The issues discussed included features of actual right and wrong decisions, role of information sources and analytical tools, factors influencing creativity, and the role of information technology. The findings have shown that in the decision making process, available knowledge is used and new knowledge is created, and these processes are preferred to be supported by simple yet efficient support tools. The information environment surrounding business activities is getting increasingly complex. The important reasons for this complexity are: growing volumes of information of potential relevance to certain business activities; increasing number of sources of such information; and multiplying technologies for handling data and information. This is particularly true for decision making which has to encompass all relevant data, information and decision maker's knowledge to make quality decisions. Alongside with technologies for handling data and information, lately much attention has been given to knowledge management (KM) models and relations between data, information and knowledge. In knowledge-intensive activities, such as decision support, these relationships are important in terms of efficient utilisation of information resources, and especially those supported and facilitated by IT with its present capabilities. The aim of this paper is to take a look at the relations between data, information and knowledge in the context of managerial decision making, and professional learning and experience. These issues are discussed on the basis of surveys and interviews, conducted among small and medium enterprise (SME) decision makers in Lithuania in 1997-1999. The key questions of the survey have been: how important IT has become for management activities, regarding in the first place decision support, and how does it affect creativity and knowledge development. The synergy between technology and the user has been recognized to work in the areas such as using existing experiences and creating new ones on a problem and decision; working out the decision schema; stimulating creativity; capturing the details and specifics of the decision process for further uses. While IT is and can be efficiently used to manage data and information, the actual use of what is in decision support environment sometimes called stored knowledge - preprogrammed procedures for certain types of situations, sets of models, reusable queries - is rather limited. Instead, the survey has shown that decision makers prefer relatively simple tools and techniques that allow them to perform iterative buildup of decision support points towards a sufficient set to make a decision. Under a problem situation, existing practices are repeatedly tested. In the process, new associations and mental models may appear, expanding existing knowledge as well as creating new knowledge. The responses have shown that the presence of simple yet efficient decision support tools is welcome by the decision makers as having a potential to gain more with less - to provide more confidence and insurance from fatal decision mistakes, at the same time reducing the need to do extensive training, radically change existing beliefs or invest heavily into sophisticated technologies. In addition, such tools serve as support for managerial learning process and knowledge exchange, especially in the process of creativity stimulation where analogies, real-life and hypothetical situations, brainstorming and bias elimination techniques are used.

scholarly journals Factors Affecting Pregnant Women in Preparation of Early Breastfeeding Initiation (IMD) at Grobogan Regencys

2019 ◽  
Vol 15 (2) ◽  
pp. 276-285
Author(s):  
Aniestia Yuliana ◽  
M. Zen Rahfiludin ◽  
Sri Achadi Nugraheni
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Drop Out ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Independent Variable ◽  
Cross Sectional Design

Exclusive breastfeeding will be realized if mother start implementing Early Breastfeeding Initiation (IMD) program. The purpose of this study is to investigate factors influencing pregnant women in preparation for early breastfeeding initiation (IMD) in Grobogan regency. Study method is quantitative with cross-sectional design. Total population is 716 pregnant women with minimal of 85 sample after calculations. To anticipate drop out, 100 samples will be collected. Independent variable is the factors influencing preparation of IMD in pregnant women and dependent variable is preparation of Early Breastfeeding Initiation (IMD). Data was analyzed using multiple logistic regression. The analysis showed no significant relation between factors such as education, knowledge, attitudes, breastfeeding experience, husband/family support, participation in classes of pregnant women, the role of health workers with preparation for IMD. In contrast, the variable trust had a significance value of 0.001 <0.05. We conclude that IMD preparation of pregnant women is most influenced by trust.

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