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049 Women’s interest, knowledge, and a>tudes towards an@-mullerian hormone tes@ng: a randomised trial
  1. Tessa Copp1,
  2. Tom van Nieuwenhoven2,
  3. Kirsten McCaffery1,
  4. Karin Hammarberg3,
  5. Jenny Doust4,
  6. Sarah Lensen5,
  7. Michelle Peate5,
  8. Devora Lieberman6,
  9. Ben W Mol7,
  10. Jesse Jansen2
  1. 1Faculty of Medicine and Health, School of Public Health, The University of Sydney, NSW, Australia
  2. 2School of Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
  3. 3School of Public Health and PrevenEve Medicine, Monash University, VIC Australia
  4. 4Centre of Longitudinal and Life Course Research, School of Public Health, The University of Queensland, QLD Australia
  5. 5Department of Obstetrics and Gynaecology, Royal Women’s Hospital, The University of Melbourne, VIC Australia
  6. 6City FerElity Centre Pty Ltd, Sydney, NSW Australia
  7. 7Department of Obstetrics and Gynaecology, Monash University, VIC Australia

Abstract

Introduction Online informaGon about AMH tesGng oIen has unfounded claims about its ability to predict ferGlity and concepGon, and evidence suggests women seek out and are recommended the AMH test as a measure of their ferGlity potenGal. This study aimed to co-design evidence-based informaGon about the AMH test and examine its impact on women’s interest in having the test, and their knowledge about and aOtudes towards it.

Methods AIer co-designing evidence-based informaGon with women of reproducGve age, we conducted a two-arm online randomised trial in November-December 2022. A community sample of women in Australia and the Netherlands (aged 25–40 years) were recruited through Dynata (an online market research company specialising in panel sampling) and randomised to view either the co-designed evidence-based informaGon about the AMH test or informaGon taken from a company’s website which sells the AMH test direct-to-consumers. Main outcomes included interest in geOng an AMH test, knowledge about and aOtudes towards the test.

Results A total of 967 women were randomised and included in the final analysis. Women who viewed the evidence-based informaGon about the AMH test had lower interest in having an AMH test (MD=1.05, 95%CI=0.83–1.30), less posiGve aOtudes towards (MD=1.29, 95%CI=4.57–5.70), and higher knowledge about the test than women who viewed the control informaGon (MD=0.75, 95%CI=0.71–0.82).

Discussion Despite previous studies suggesGng women are enthusiasGc about AMH tesGng to learn about their ferGlity potenGal, we demonstrate that this enthusiasm does not hold when they are informed about the test’s limitaGons.

Conclusion Women have lower interest in geOng an AMH test and higher knowledge when given evidence-based informaGon about the test and its limitaGons.

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