A patient’s conscious decision to voluntarily undergo a therapeutic treatment is called informed consent (IC). The aim of IC is to provide information about health and treatment options and increase patient’s participation in healthcare decision-making. IC therefore honors the ethical principles of human autonomy and self-determination. In the field of assisted reproductive technology (ART), the process of communication and mutual understanding between patient and doctor (the IC process) is a current and relevant issue due to its medical, ethical and psychological implications. This exploratory research aims to understand how couples with infertility problems relate to the ART IC, and it proposes the innovative experience of IC conversations with a psychologist. It also provides practical advice on a better use of IC process in ART centers.
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Amin, M. F., Jawaid, M., Shafiq-ur-Rehman, Mudassir, H., & Zakai, S. B. (2006). An audit of information provided during preoperative informed consent. Pakistan Journal of Medical Sciences,22(1), 10–13.
Andrews, M., Squire, C., & Tamboukou, M. (2013). Doing narrative research (2nd ed.). London, England: Sage.
Berman, L., Curry, L., Gusberg, R., Dardik, A., & Fraenkel, L. (2008). Informed consent for abdominal aortic aneurysm repair: The patient’s perspective. Journal of Vascular Surgery,48(2), 296–302. https://doi.org/10.1016/j.jvs.2008.03.037.
Bluestein, D., & Cubic, B. A. (2009). Psychologists and primary care physicians: A training model for creating collaborative relationships. Journal of Clinical Psychology in Medical Settings,16(1), 101–112. https://doi.org/10.1007/s10880-009-9156-9.
Bretz, R., & Schmidbauer, M. (1983). Media for interactive communication. Beverly Hills, CA: Sage Publications.
Bruner, J. (2004). Life as narrative. Social Research,71(3), 691–710.
Bryman, A. (1992). Quantitative and qualitative research: Further reflections on their integration. In J. Brannen (Ed.), Mixing methods: Qualitative and quantitative research (pp. 57–81). Aldershot, England: Ashgate.
Burns, P., Keogh, I., & Timon, C. (2005). Informed consent: A patient’s perspective. The Journal of Laryngology & Otology,119(1), 19–22. https://doi.org/10.1258/0022215053222860.
Busquets, M., & Caïs, J. (2017). Informed consent: A study of patients with life-threatening illnesses. Nursing Ethics,24(4), 430–440. https://doi.org/10.1177/0969733015614880.
Cawich, S. O., Barnett, A. T., Crandon, I. W., Drew, S. D., & Gordon-Strachan, G. (2013). From the patient’s perspective: Is there a need to improve the quality of informed consent for surgery in training hospitals? The Permanente Journal,17(4), 22–26. https://doi.org/10.7812/TPP/13-032.
Cordella, B., Greco, F., Di Trani, M., Renzi, A., La Corte, C., & Solano, L. (2016). The impact of joint consultation with family physicians on perception of psychologists. Professional Psychology: Research and Practice,47(2), 102–109. https://doi.org/10.1037/pro0000064.
Cordella, B., Greco, F., & Renzi, A. (2017). L’infertilità tra individuo e cultura. Le parole per dirlo [Infertility between the individual and the culture. The words to say it]. In M. Di Trani & A. La Mesa (Eds.), In-fertilità: Un approccio multidisciplinare [In-fertility: A multidisciplinary approach] (pp. 87–102). Rome, Italy: Sapienza University Press.
Creswell, J. W. (2003). Research design: Qualitative, quantitative and mixed methods approaches (2nd ed.). Thousand Oaks, CA: Sage.
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., et al. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine,27(10), 1361–1367. https://doi.org/10.1007/s11606-012-2077-6.
Ernstmann, N., Weissbach, L., Herden, J., Winter, N., & Ansmann, L. (2017). Patient–physician communication and health-related quality of life of patients with localised prostate cancer undergoing radical prostatectomy—A longitudinal multilevel analysis. BJU International,119(3), 396–405. https://doi.org/10.1111/bju.13495.
Flory, J., & Emanuel, E. (2004). Interventions to improve research participants’ understanding in informed consent for research: A systematic review. The Journal of the American Medical Association,292(13), 1593–1601. https://doi.org/10.1001/jama.292.13.1593.
Fritzsche, K., Schweickhardt, A., Frahm, G., Monsalve, S. D., Zanjani, H. A., & Goli, F. (2014). Doctor–patient communication. In K. Fritzsche, S. H. McDaniel, & M. Wirsching (Eds.), Psychosomatic medicine: An international primer for the primary care setting (pp. 33–49). New York, USA: Springer.
Galhardo, A., Cunha, M., Pinto-Gouveia, J., & Matos, M. (2013). The mediator role of emotion regulation processes on infertility-related stress. Journal of Clinical Psychology in Medical Settings,20(4), 497–507. https://doi.org/10.1007/s10880-013-9370-3.
Giunta, F. (2001). Il consenso informato all’atto medico tra principi costituzionali e implicazioni penalistiche [The informed consent to the medical act between constitutional principles and criminal implications]. Rivista Italiana Diritto Processuale Penale,2(1), 377–410.
Hariharan, M., Rao, C. R., Rana, S., & Swain, S. (2015). Similarity index: A new approach to measuring doctor–patient communication. Psychological Studies,60(4), 462–467. https://doi.org/10.1007/s12646-015-0340-8.
Hilbert, J., & Yaggi, H. K. (2018). Patient-centered care in obstructive sleep apnea: A vision for the future. Sleep Medicine Reviews,37(1), 138–147. https://doi.org/10.1016/j.smrv.2017.02.004.
Jiang, S., & Street, R. L. (2018). The effects of patient-centered communication, social capital, and internet use on patient empowerment: A cross-sectional study in China. Global Health Promotion. https://doi.org/10.1177/1757975917749197.
Jisha, P. R., & Thomas, I. (2016). Quality of life and infertility: Influence of gender, years of marital life, resilience, and anxiety. Psychological Studies,61(3), 159–169. https://doi.org/10.1007/s12646-016-0358-6.
Köhler, A. K., Tingström, P., Jaarsma, T., & Nilsson, S. (2018). Patient empowerment and general self-efficacy in patients with coronary heart disease: A cross-sectional study. BMC Family Practice,19(1), 1–10. https://doi.org/10.1186/s12875-018-0749-y.
Koyfman, S. A., Reddy, C. A., Hizlan, S., Leek, A. C., & Kodish, A. E. (2016). Informed consent conversations and documents: A quantitative comparison. Cancer,122(3), 464–469. https://doi.org/10.1002/cncr.29759.
Krumholz, H. M. (2010). Informed consent to promote patient-centred care. Journal of American Medical Association,303(12), 1190–1191. https://doi.org/10.1001/jama.2010.309.
Madeira, J. L., Coyne, K., Jaeger, A. S., Parry, J. P., & Lindheim, S. R. (2017a). Inform and consent: More than just ‘‘sign here’’. Fertility and Sterility,108(1), 40–41. https://doi.org/10.1016/j.fertnstert.2017.03.022.
Madeira, J. L., Coyne, K., Jaeger, A. S., Parry, J. P., & Lindheim, S. R. (2017b). Inform and consent to ivf: More than just sign here. Fertility and Sterility,108(3), 301. https://doi.org/10.1016/j.fertnstert.2017.07.889.
Practice Committee, A. S. R. M. (2014). Revised minimum standards for practices offering assisted reproductive technologies: A committee opinion. Fertility and Sterility,102(3), 682–686. https://doi.org/10.1016/j.fertnstert.2014.05.035.
Ratner, N. L., Davis, E. B., Lhotka, L. L., Wille, S. M., & Walls, M. L. (2017). Patient-centered care, diabetes empowerment, and type 2 diabetes medication adherence among American Indian patients. Clinical Diabetes,35(5), 281–285. https://doi.org/10.2337/cd17-0008.
Skillern, A. A., Cedars, M. I., & Huddleston, H. G. (2014). Oocyte donors’ comprehension as assessed by the EDICT (Egg Donor Informed Consent Tool). Fertility and Sterility,101(1), 248–251. https://doi.org/10.1016/j.fertnstert.2013.09.018.
Solano, L., Pirrotta, E., Ingravalle, V., & Fayella, P. (2009). The family physician and the psychologist in the office together: A response to fragmentation. Mental Health in Family Medicine,6(2), 91–98.
Swain, S., Hariharan, M., Rana, S., Chivukula, U., & Thomas, M. (2015). Doctor–patient communication: Impact on adherence and prognosis among patients with primary hypertension. Psychological Studies,60(1), 25–32. https://doi.org/10.1007/s12646-014-0291-5.
Vergallo, G. M. (2008). Il rapporto medico-paziente. Consenso e informazione tra libertà e responsabilità [The doctor–patient relationship. Consent and information between freedom and responsibility]. Milan, Italy: Giuffrè Ed.
Zick, S. M., Czuhajewski, C., Fouladbakhsh, J. M., Greenlee, H., Harris, R. E., Henry, N. L., et al. (2018). Integrative oncology scholars program: A model for integrative oncology education. Journal of Alternative and Complementary Medicine,24(9–10), 1018–1022. https://doi.org/10.1089/acm.2018.0184.
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Fedele, F., Cordella, B. & Langher, V. Reconsidering the Process of Informed Consent in Assisted Reproductive Technology: Experiences and Implications for Practice. Psychol Stud 65, 191–198 (2020). https://doi.org/10.1007/s12646-019-00542-x
- Assisted reproductive technology
- Informed consent
- Practical suggestions