Barriers and Facilitators for preconception optimization

  • Research type

    Research Study

  • Full title

    Barriers and Facilitators for preconception optimization of modifiable lifestyle factors in people seeking fertility treatment

  • IRAS ID

    359282

  • Contact name

    Nicola Marconi

  • Contact email

    nicola.marconi@nhs.scot

  • Sponsor organisation

    University of Aberdeen and NHS Grampian

  • Clinicaltrials.gov Identifier

    N/A, N/A

  • Duration of Study in the UK

    0 years, 4 months, 0 days

  • Research summary

    Data from the Aberdeen Fertility Centre highlights that, in one year (April 2023 - April 2024), 30% of patients were deferred from receiving fertility treatment due to factors associated with modifiable lifestyle factors such as elevated BMI (body mass index) and/or smoking. These factors, particularly concerning BMI and smoking, are among those that can significantly hinder pregnancy success and delay access to NHS-funded fertility support. Delay in receiving fertility treatment has been found to be upsetting for couples and the emotional impact can manifest as mood disturbances, anxiety, sleep disturbances, and depressive ideas. Delay also increases the woman’s age at the time of treatment and advanced age lowers success rates.
    Weight management and smoking cessation are well-documented and publicised in their positive impact on fertility, often improving the chances of conception and creating a healthier environment for pregnancy. The data highlights that even in most motivated group there is a need of further intervention to facilitate lifestyle modifications as a proactive part of preconception care.
    This qualitative project aims to interview patients seeking fertility treatment (where 100% come for preconception care and are most motivated group) to explore what factors influence their modifiable lifestyle behaviours. We will recruit patients referred to the fertility centre. We plan to conduct interviews with couples or individuals (each participant only participating in one session). Audio recordings will be transcribed verbatim and data will be analysed using thematic analysis (Braun and Clarke, 2022). Findings will be discussed with Scottish preconception Network and widely disseminated.

  • REC name

    North of Scotland Research Ethics Committee 1

  • REC reference

    26/NS/0024

  • Date of REC Opinion

    9 Mar 2026

  • REC opinion

    Favourable Opinion