The Effect of Online Resilience Training on Stress Reduction and Self-Efficacy Enhancement in Women Undergoing IVF Treatment

Determining the effect of online training on perceived stress and increased self - efficacy in women undergoing ivf treatment .

This clinical trial was a randomized controlled study with parallel groups.

The statistical population of the study consisted of women undergoing IVF treatment who attended infertility centers in Birjand. Participants meeting the inclusion and exclusion criteria were recruited through convenience sampling and were randomly allocated into intervention and control groups using the block randomization method.

Inclusion Criteria:married women aged 20 to 40 years, diagnosed with infertility and currently undergoing an IVF treatment cycle, reading and writing skills, having access to a smartphone with the proficiency to utilize the Eita messaging application, and providing signed informed consent. Exclusion Criteria: having a diagnosis of severe psychiatric disorders, current use of psychotropic medications, receiving concurrent psychotherapy

Intervention Group:The intervention group will participate in a 4 week online resilience training program conducted via the Eitaa messenger. The training content, provided in both text and video formats, consists of eight sessions. The curriculum covers the following topics: Introduction of resilience,Stress management,Cognitive restructuring, Emotion regulation,Effective communication and social support,Meaning-making and growth through challenges,Problem-solving and flexibility, and Consolidation and future planning.The control group received only routine care provided by the infertility center and did not participate in the online resilience training sessions.

Perceived Stress, Self-Efficacy

Eligible subjects were selected via convenience sampling from patients attending infertility clinics in Birjand. To achieve balanced allocation and control for potential confounders, a permuted block randomization technique was applied. Fixed-size blocks of four were defined, ensuring an equal distribution of participants between the intervention group (A) and the control group (B) within each block. The randomization process involved six possible block arrangements (AABB, ABAB, BBAA, BABA, ABBA, and BAAB). The specific sequence of these blocks was determined using the RANDBETWEEN(1,6) command in Microsoft Excel, tailored to the study’s required sample size. Following this generated sequence, participants were allocated to the two groups in a 1:1 ratio. This methodology was adopted to mitigate selection bias and ensure a balanced distribution of subjects, providing each participant with an equal and fair probability of assignment to either study arm.

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