iPAD App for Improving Embryo Transfer Practices

This proposal will use interactive mobile technology decision aids for in vitro fertilization (IVF) patients. Phase I will focus on education patients on appropriate embryo transfer numbers. The advent of assisted reproductive technology methods has increased the incidences of high-order multiple births, which are a leading cause of long-term child morbidity, gestational hypertension, placenta previa, and other health problems. IVF patients can be at risk of making poorly informed decisions due to the heightened emotions surrounding this treatment area. This project will develop functional prototype that provides embryo transfer information adhering to guidelines from the American Society for Reproductive Medicine & the Society for Assisted Reproductive Technology. The prototype will be a mobile-base tool with educational computer simulations & interactives on the risks & probabilities associated with the number of embryos transferred. The University of Michigan will conduct a formative evaluation of the prototype on embryo transfer decisions with respect to understanding, satisfaction, and an assessment of the clinical utility of the program. If successful, this tool will provide an effective, engaging tool to aid patients in making informed decisions around embryo transfer number. Phase II will expand this tool to include other IVF treatment issues & decisions.