Restorative Reproductive Medicine NaProTechnology

The effect of a video intervention on knowledge, awareness and perception of Natural Procreative Technology (NaProTechnology) among pharmacy undergraduate students in Nigeria

Mosanya AU, Ezenkwele EP, Emegoakor FCJ, Okeh M, Isah A

Published June 2023
DOI 10.1101/2023.05.29.23290690

RRM Academy Synopsis

A video raised NaProTechnology knowledge in Nigerian pharmacy students

In a questionnaire survey at the University of Nigeria, Nsukka, pharmacy students showed better knowledge, awareness and positive perception of NaProTechnology after a video. The share giving its full name correctly rose from about 14 out of 100 to about 81 out of 100.

Study at a glance, questionnaire survey of 410 students: A video raised NaProTechnology knowledge in pharmacy students
Study at a glance, questionnaire survey of 410 students: A video raised NaProTechnology knowledge in pharmacy students. Source: Mosanya AU et al., 2023, DOI 10.1101/2023.05.29.23290690.

Key Findings

  • The baseline survey included 410 students and the post-intervention survey 350 students, a response rate of approximately 85%, with 207 women and 203 men at baseline.
  • Correct answers rose on all five knowledge questions (p < 0.0001); giving the full name of NaProTechnology went from 57 of 410 (13.9%) to 284 of 350 (81.1%).
  • On the awareness questions, correct answers about pharmacist involvement in NaProTechnology rose from 113 of 410 (27.6%) to 296 of 350 (84.6%), and all five items improved (p < 0.0001).
  • Positive responses on career usefulness rose from 155 of 410 (37.8%) to 320 of 350 (91.4%), and on opting for NaProTechnology if needed from 138 (33.7%) to 308 (88.0%).
  • Agreement that religious barriers could impede nationwide deployment fell from 290 of 410 (70.7%) to 93 of 350 (26.6%).

Interpretation

The study is a questionnaire survey with a baseline phase and a post-intervention phase. Participants were second- to fifth-year pharmacy students at the University of Nigeria, Nsukka. An eighteen-minute video circulated in class WhatsApp groups for one week, and the follow-up questionnaire went to students who had watched it. The authors conclude that the video improved short-term knowledge, awareness and positive perception. They note that the shares of students with good knowledge, good awareness and positive perception did not reach 100%, which they suggest may reflect low engagement among some students.

RRM Context

NaProTechnology, developed by Dr. Thomas W. Hilgers, builds on the Creighton Model FertilityCare System. In this system, a woman's charted cycle observations guide evaluation and treatment of the underlying cause of infertility. The paper's introduction describes the roles of physicians, FertilityCare practitioners and pharmacy consultants in this care. Teaching pharmacy students about the method reaches one of those professions, and the authors propose well-designed courses and curriculum implementation to achieve long-term effects.

Abstract

Background

Natural Procreative Technology (NaProTechnology) is a system of management of infertility and other reproductive health issues which requires the application of a woman’s observation and record of key events throughout her menstrual cycle.

Objectives

The study assessed the knowledge, awareness, and perception of NaProTechnology as well as the effect of an educational intervention among pharmacy undergraduate students at University of Nigeria, Nsukka.

Methods

It was a cross-sectional, questionnaire-based study. The ethical approval was obtained from the research ethics committee of the Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka. At baseline, the knowledge, awareness and perception of the students were assessed. Followed by the administration of an educational video on NaProTechnology. Then a post intervention survey was done to assess the effect of the educational intervention.

Key Findings

There were 410 and 350 students in the pre- and post-intervention surveys respectively with relatively equal number of males and females. Majority were between 18 and 29 years old. Less than 5% were married while the highest proportion of the respondents were from 300 level The knowledge, awareness, and positive perception of NaProTechnology among the pharmacy students prior to intervention were poor but improved markedly post intervention (P < 0.001).

Conclusion

A video intervention was effective in improving the short-term knowledge, awareness and positive perception of NaProTechnology among pharmacy students.

What Is Known Already

Natural Procreative Technology (NaProTechnology) is a system of management of infertility based on the observation and record of fertility biomarkers by a woman.

What This Study Adds

The level of knowledge, awareness, and positive perception of NaProTechnology among the pharmacy undergraduates students were poor prior to a video intervention but improved markedly afterwards

How this study might affect research, practice or policy?: This study would lead to the public health system approach of informing, educating and communicating NaProTechnology to pharmacy students to achieve long-term effects by using well-designed courses and curriculum implementation.

Read the guides

  • What Is NaProTechnology? A Guide for Patients Looking for a NaPro Doctor

    NaProTechnology diagnoses and treats the underlying conditions driving infertility, menstrual disorders, and early pregnancy loss. This guide covers how the method works, published outcomes data, how to find a qualified provider, and what to expect on cost and insurance.

    18 min read

  • Fertility Awareness Methods Compared

    Clinician-reviewed comparison of fertility awareness-based methods (Billings, Creighton, Sensiplan, Marquette, Standard Days, apps). Every effectiveness figure cited and labeled by metric.

    30 min read

Topics

Related research

Restorative Reproductive Medicine › NaProTechnology › Program Outcomes · Fertility Awareness › Effectiveness › Fertile Window Estimation
Eziamaka Pauline Ezenkwele, Abdulmuminu Isah, Adaobi Uchenna Mosanya, Mmaduabuchi Okeh
E Ezenkwele, A Isah, A Mosanya, M Okeh
DOI 10.1101/2023.05.29.23290690 10.1101/2023.05.29.23290690 Mosanya et al. 2023, Mosanya 2023