Skip to main content

Determining the content and needs assessment a mobile-based self-care program in infertile men



Infertility is a public health problem in the world, using new technology, such as mobile phones, is increasing in the field of health. This study aimed to determine the Necessity of self-care training contents by performing a needs analysis among men with infertility problems to design a mobile phone-based application.


Followed by reviewing the related literature, a questionnaire including 40 educational items and seven software features was designed in three general sections and distributed among 30 specialists in nutrition (n = 18) and infertility (n = 12). The validity of the questionnaire was confirmed by a panel of experts in nutrition, infertility, and medical informatics. The questionnaire’s reliability was also corroborated by Cronbach’s alpha of 86.4.


All items related to the software features and most items in the questionnaire were deemed necessary by participants. However, the items: “Occupation and history of chronic diseases” in the demographic information section and “Effects of infertility and food allergy” in the educational section were not confirmed.


The present findings could not only highlight the patients’ roles in managing their disease but also increase the healthcare workers’ awareness in designing the hospital information system.

Peer Review reports


Infertility is a medical condition, referring to the inability to conceive after one year of regular unprotected intercourse without using contraceptive methods, which is recognized as a global public health problem [1]. According to various studies, about 50 to 80 million people suffer from infertility and eight to 12% of couples are affected by infertility and its related complications worldwide [2]. In developing countries, the prevalence of infertility is higher than the global statistics; for instance, more than two million couples suffer from infertility in Iran [3]. Although infertility is reported almost equally between men and women and no significant difference is observed between the two genders in this regard, this problem has often been attributed to women, so that men’s characteristics of fertility behavior have been ignored or considered similar to those of women [4, 5].

However, the causes of male infertility are widely various, including obesity, older age, DNA damage caused by common medical conditions such as cancer, diabetes, obesity, varicocele and genital tract infections, lifestyle factors such as smoking, consumption of alcohol, and abuse of drugs (cocaine and anabolic steroids) [6,7,8,9]. Regular physical activity not only aids individuals to maintain and improve their body fitness but also plays a significant role in fertility [10, 11]. Obesity, along with high blood pressure and diabetes, is known as a risk factor for male infertility. Given the global prevalence of obesity, special attention has been paid to the relationship between infertility and obesity [12, 13]. In this regard, varicocele (with a prevalence of 40%) has been introduced as one of the most prevalent but preventable and curable causes of infertility followed by congenital and genetic factors among men [14].

Age (especially in women), black race, low education, single status, and rural residence were determined as effective demographic factors affecting infertility. Among social factors, economic uncertainty, lack of family support policies, job security, as well as access to quality and affordable childcare affect the treatment process [6, 15,16,17].

Infertility and its treatment stages are deemed stressful challenges with significant negative social impacts on the lives of infertile couples causing them to experience feelings and challenges, such as depression, emotional stress, anxiety, violence, social stigma, low self-esteem, and even divorce. In some cases, the fear of infertility has even caused couples to abandon contraceptive methods in order to prove their fertility from a social point of view [18,19,20].

Infertility treatment entails a long-term process that may take months or even years without any guarantee of success. In this regard, the lack of access to reliable information and the low quality of the available information are among the greatest challenges in most countries, including Iran in dealing with infertility [18, 21]. Based on the literature [22,23,24], only half of the couples have enough information about infertility and men are at lower levels of information than women. Due to cultural and social conditions, men usually refuse to receive information from health professionals. To meet this problem, using online resources and e-health can be beneficial for men due to their anonymity and accessibility.

In a randomized controlled trial study, Schick et al. investigated the role of supporting couples undergoing infertility treatment using mobile phones. In this study, the intervention group was sent daily messages with a positive attitude. Considering the stress of these couples and the unavailability of counselors in every place, the use of mobile phone training was useful and the results and consequences were reported to be effective and useful [25].

Malekpour et al. conducted a study with the aim of investigating the effectiveness of a lifestyle for couples undergoing assisted reproductive technology (ART). The results of the study showed that the lifestyle training program including diet, physical activity, sleep disorders, sleep hygiene, meal planning, stress and anxiety management methods is effective among patients [26].

Information technology and applications are desirable tools for improving awareness and educational levels in meeting the extensive needs of health services for specialized groups [21]. Electronic health has provided health information online and led to meeting the information needs of patients in populations that have difficulty accessing treatment [27]. The popularity of smartphones is increasing worldwide and this rate is higher among young and middle-aged people than the elderly [28, 29]. Since infertile couples are often from the young age group, the use of mobile health (mHealth) can be of great importance for this group by reducing health inequality [30]. Such educational interventions have improved the quality of life in patients with cancer and diabetes [31,32,33].

Given the scarcity of information on the educational content related to infertility among men and the fact that educational courses have mainly been focused on women, men are at lower levels of knowledge of fertility. Moreover, men are more inclined to obtain their fertility information needs from available and anonymous sources to reduce their feelings of worthlessness and inadequacy (a threat to their sense of masculinity). Due to the increase and popularity of mobile phones as well as the unavailability of sufficient and reliable information, the present study was carried out to determine the minimum educational requirement of a mobile phone-based self-care program for men with infertility problems. Since no study has ever tackled this topic in Iran, However, there are studies in other countries [25, 26, 34] that are in line with the purpose of the study and consider the necessity of this work in view of the culture and manners of each nation. the findings can be helpful in maintaining the spirit and sense of masculinity in male patients with infertility.


This study was conducted in two phases (Fig. 1).

Fig. 1
figure 1

Workflow diagram of study

In the first phase, the related literature was searched to find articles and publications related to the research questions. As a result, a researcher-made questionnaire was designed.

To determine the important and decisive educational content needed for the application, previous articles and publications were navigated using the keywords “self-care, needs assessment, male infertility, and minimum data” in scientific databases of PubMed, Scopus, Science Direct, and Medline from 2000 to 2020. Considering the research environment and the impact of genetic and geographical location on infertility, reliable Iranian databases (Meg Iran, Jihad Academic) were also investigated. Later, a questionnaire was designed based on the obtained results and the research advisor’s opinions. The respondents were supposed to read each item and rate its necessity on a 5-point Likert scale from very low (1 score), low (2 scores), moderate (3 scores), high (4 scores), to very high (5 scores). This questionnaire includes the participants’ demographic information (5 questions), patient’s demographic information (9 questions), required educational contents to be included in the application (40 questions), and features of the application software (7 questions) and Suggestions section.

The educational content section covered topics on the main disease concepts (6 questions), clinical information (5 questions), additional-complementary treatments (2 questions), nutrition management (15 questions), physical activities (4 questions), personal activities (4 questions), and male reproductive structure (4 questions). At the end of this questionnaire, an essay-type question was also included to provide the respondents with the opportunity to maintain their opinions and suggestions not covered by the questionnaire. The validity of the questionnaire was confirmed by a group of experts in medical informatics (n = 2), infertility (n = 2), and nutrition (n = 1). According to Cronbach’s test (alpha = 86.4), the questionnaire’s reliability was corroborated.

The target population of this research contained all men suffering from infertility and the research community included all nutrition and infertility specialists working at Yazd Shahid Sadoughi Infertility Center (one of the most equipped centers in Iran geographically located in the central area of the country that provides easier access for patients from different cities with various customs and cultures) and Rouyesh Red Crescent Clinic (another well-known and well-equipped center in the capital of Iran, Tehran).

Of the research community, 35 specialists (20 in infertility and 15 in nutrition) were purposefully selected. The criteria for entering the study were having at least seven years of experience working with infertile men and full cooperation with the above-mentioned centers. The exclusion criteria included lack of full cooperation, incomplete questionnaire, and lack of access to the participant due to lack of time, illness, and travel.

In the second phase, the designed questionnaire was administered and data were analyzed. Followed by designing and distributing the questionnaire among the experts, they were provided with clear explanations about the research purpose, confidentiality of information, as well as voluntary participation in the study to increase the rate of participation and compliance with the ethical standards. After obtaining the participants’ consent, questionnaires were distributed and collected after one week.

Data analysis was performed using descriptive statistics (mean and standard deviation) via SPSS version 24. The scores obtained from each item were added and the item was considered essential if it could receive 70% of the mean score (3.5 ≥ scores).


Of 35 distributed questionnaires, a total of 30 experts in the fields of infertility (n = 18) and nutrition (n = 12) completed and submitted the questionnaires. Table 1 illustrates the participants’ demographic information.

According to the collected data, 60% of the participants were nutritionists and 53% of them were employed in Rouyesh Red Crescent Clinic. Most participants were male (66%), were in the age range of 50 years and higher (46%), and had 10–12 years of work experience (43%).

The researcher-made questionnaire was designed in three main sections of the patient’s demographic information, educational content, and features of the designed application software (Tables 2, 3 and 4). According to Table 2, all items included.

in the questionnaire, except job experience and history of chronic diseases were confirmed and deemed necessary.

Table 1 Demographic information of the experts taking part in the study
Table 2 Frequency distribution of participants’ responses regarding patients’ demographic information

Table 3 is related to the educational items consisting of seven sections. All items related to clinical information sub-sections, additional-complementary treatments, physical activities, personal activities, and male reproductive structure were deemed necessary. However, only two items of ‘infertility effects’ from the main disease concepts section and ‘food allergy’ from the nutrition management section were not considered necessary by the participants.

Based on Table 4, all items related to the necessary features of the application software were approved and recognized as necessary by the experts.

Table 3 Frequency distribution of participants’ responses regarding educational items
Table 4 The frequency of the participants’ answers on the application features

In the final essay-type questions (asking for further suggestions), the participants mentioned some points summarized and categorized as the psychological dimensions, the social and religious dimensions, and the introduction of reliable infertility centers near the patient’s residential area.


Improvement of the patients’ educational knowledge and awareness will provide them with the opportunity to pay more attention to and develop a better understanding of their conditions to manage their disease and behavior more efficiently. In this study, based on the Literature review and guidelines, the items obtained after summarizing were prepared in the form of a researcher-made questionnaire, and after determining the validity and reliability, they were given to experts to confirm their necessity. The results showed that 39 cases were confirmed in the form of 7 categories (main disease concepts, clinical information, additional-complementary treatments, nutritional management, physical activities, personal activities and male reproductive structure). Also, all the features of the application program were recognized as necessary.


Hammarberg et al. [35]evaluated the desirable and necessary information regarding the factors affecting the chance of pregnancy in Australia and found that the participants neither perceived the factors affecting fertility nor paid much attention to the effect of age on fertility problems.

Harper et al. [36]also evaluated the effect of awareness on the chance of fertility and conception. To this end, a group of experts from different fields established an International Fertility Education Initiative (IFEI) entailing Asian countries and more than 20 European countries. Their findings clarified that the couples’ level of awareness about factors affecting infertility was very low and the need for education was vital. According to these scholars, the increase in age (especially in developed and high-income countries), the social and economic status (gender equality, lack of support policies, the family, increasing women’s education, etc.), and the chance of fertility through IVF were among the influential factors. In a cross-sectional descriptive study, Nagórska et al. [37] investigated health-related behaviors of infertile patients undergoing treatment in three clinics in southeastern Poland. They concluded that infertility decreased life satisfaction but deteriorated mental and emotional disorders among couples.

Ebrahimzadeh-Zagami et al [38]. conducted a review study with the aim of identifying the needs of infertile couples after unsuccessful treatment with assisted reproductive methods., which was in line with the present study, but the needs of support and counseling, psychology and social support, etc., were not mentioned in the present study.

In the United Kingdom, Stevenson et al. [22]studied the impact of male factors on infertility and noted that only half of the study population had sufficient information about the concept of fertility, which can be attributed to the complex clinical condition of infertility as a disease. They also found that women had more detailed and higher levels of information compared with men. These findings were in line with our results highlighting the need for infertility education, especially among men, according to the culture and geographical location of the patients’ residential area.

Aghdak, et al. [39] Conducted a study with the aim of determining the educational needs related to infertility. The results of this study were reported in the form of 21 priorities, which included the general sections of education about pregnancy, various diseases, prevention methods and various complications, and lifestyle, etc., which were considered in the present study.

Leisegang and Dutta [40] investigated the effect of lifestyle on male infertility and noted obesity and metabolic syndrome, alcohol and tobacco use, exposure to extreme heat, occupation and its location, inactivity, metabolic and endocrine disorders, drug abuse, exposure to radiation, and mental stress as effective factors on male’s infertility. These findings emphasized recording the patient’s history of the disease and lifestyle in the clinical treatment of infertility in order to determine and modify the patients’ inappropriate lifestyles.

Pedro et al. [41] conducted a systematic review to examine fertility awareness. They classified the effective factors on infertility into two categories of individual risk factors (such as obesity, lifestyle factors, drug abuse, and age) and non-individual factors (such as environmental factors and workplace conditions). They asserted the role of education and awareness, especially in the category of “personal related risk factors”.

All these studies reported almost similar effective factors on male infertility while the variety in the findings can be related to the number of participants, research design, research environment, the participants’ race, and geographical location of the study.

Among the limitations of this study was the lack of cooperation on the part of some experts due to their busy schedules or lack of personal interest. In this regard, the researcher tried to talk to these experts to explain the study’s aim and significance. Furthermore, a one-week deadline was considered for the respondents to submit their questionnaires. Due to the conditions of the coronavirus epidemic, only two infertility centers were considered, which is another limitation of this study.


The rate of infertility, as a threat to the lives of couples, is increasing all over the world and Iran is no exception. In this vein, individuals with infertility need appropriate educational training, especially men. So, the present study was conducted with the aim of determining the required self-care training information for men with infertility in order to design a mobile phone-based application. The educational contents were categorized under seven areas, which can also be employed in designing other information systems such as decision support systems, and registry preparation. In addition, these educational contents are beneficial for the health care treatment staff and even the community members to increase their awareness.

Data Availability

The data used and analyzed during the current study are not publicly available due Shahid Sadoughi University of Medical Sciences policy but are available from the corresponding author on reasonable request.


  1. Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, De Mouzon J, Sokol R, et al. The international glossary on infertility and fertility care, 2017. Hum Reprod. 2017;32(9):1786–801.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Vander Borght M, Wyns C. Fertility and infertility: definition and epidemiology. Clin Biochem. 2018;62:2–10.

    Article  PubMed  Google Scholar 

  3. Aflakseir A, Mahdiyar M. The role of religious coping strategies in predicting depression among a sample of women with fertility problems in Shiraz. J Reprod Infertility. 2016;17(2):117.

    Google Scholar 

  4. Rezvani F, Vaziri S, Lotfi Kashani F. Structural equation modelling of infertility stress based on emotional schemas, marital conflict, self-compassion, social support as a mediation. Iran J Psychiatric Nurs. 2019;7(4):74–83.

    Google Scholar 

  5. Ventimiglia E, Capogrosso P, Boeri L, Serino A, Colicchia M, Ippolito S, et al. Infertility as a proxy of general male health: results of a cross-sectional survey. Fertil Steril. 2015;104(1):48–55.

    Article  PubMed  Google Scholar 

  6. Glazer CH, Eisenberg ML, Tøttenborg SS, Giwercman A, Flachs EM, Bräuner EV, et al. Male factor infertility and risk of death: a nationwide record-linkage study. Hum Reprod. 2019;34(11):2266–73.

    PubMed  Google Scholar 

  7. Craig JR, Jenkins TG, Carrell DT, Hotaling JM. Obesity, male infertility, and the sperm epigenome. Fertil Steril. 2017;107(4):848–59.

    Article  PubMed  Google Scholar 

  8. Tvrda E, Agarwal A, Alkuhaimi N. Male reproductive cancers and infertility: a mutual relationship. Int J Mol Sci. 2015;16(4):7230–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Langarizadeh M, Nadjarzadeh A, Maghsoudi B, Fatemi Aghda SA. The nutritional content required to design an educational application for infertile women. BMC Womens Health. 2023;23(1):1–7.

    Article  Google Scholar 

  10. Ibanez-Perez J, Santos-Zorrozua B, Lopez-Lopez E, Matorras R, Garcia-Orad A. An update on the implication of physical activity on semen quality: a systematic review and meta-analysis. Arch Gynecol Obstet. 2019;299:901–21.

    Article  PubMed  Google Scholar 

  11. Ring JD, Lwin AA, Köhler TS. Current medical management of endocrine-related male infertility. Asian J Androl. 2016;18(3):357.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Rastrelli G, Lotti F, Reisman Y, Sforza A, Maggi M, Corona G. Metabolically healthy and unhealthy obesity in erectile dysfunction and male infertility. Expert Rev Endocrinol Metabolism. 2019;14(5):321–34.

    Article  CAS  Google Scholar 

  13. Sharma R, Harlev A, Agarwal A, Esteves SC. Cigarette Smoking and semen quality: a new meta-analysis examining the effect of the 2010 World Health Organization laboratory methods for the examination of human semen. Eur Urol. 2016;70(4):635–45.

    Article  PubMed  Google Scholar 

  14. Salonia A, Bettocchi C, Carvalho J, Corona G, Jones T, Kadioglu A, et al. EAU guidelines on sexual and reproductive health. European association of urology guidelines; 2020.

  15. Glazer CH, Tøttenborg SS, Giwercman A, Bräuner EV, Eisenberg ML, Vassard D, et al. Male factor infertility and risk of multiple sclerosis: a register-based cohort study. Multiple Scler J. 2018;24(14):1835–42.

    Article  Google Scholar 

  16. Bräuner EV, Nordkap L, Priskorn L, Hansen ÅM, Bang AK, Holmboe SA, et al. Psychological stress, stressful life events, male factor infertility, and testicular function: a cross-sectional study. Fertil Steril. 2020;113(4):865–75.

    Article  PubMed  Google Scholar 

  17. Agarwal A, Baskaran S, Parekh N, Cho C-L, Henkel R, Vij S, et al. Male infertility. The Lancet. 2021;397(10271):319–33.

    Article  Google Scholar 

  18. Lemoine M-E, O’Connell SBL, Grunberg PH, Gagné K, Ells C, Zelkowitz P. Information needs of people seeking fertility services in Canada: a mixed methods analysis. Health Psychol Behav Med. 2021;9(1):104–27.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Durairajanayagam D. Lifestyle causes of male infertility. Arab J Urol. 2018;16(1):10–20.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Glazyrine V, Stephens D, Wentzell E, Wallace-Young K, Nangia AK. Emotional consequences of male infertility. Psychological and medical perspectives on fertility care and sexual health. Elsevier; 2022. pp. 23–44.

  21. Passet-Wittig J, Greil AL. Factors associated with medical help-seeking for infertility in developed countries: a narrative review of recent literature. Soc Sci Med. 2021;277:113782.

    Article  PubMed  Google Scholar 

  22. Stevenson EL, Ching-Yu C, Chia-Hao C, McEleny KR. Men’s perception and understanding of male-factor infertility in the UK. Br J Nurs. 2021;30(9):8–S16.

    Article  Google Scholar 

  23. Hammarberg K, Collins V, Holden C, Young K, McLachlan R. Men’s knowledge, attitudes and behaviours relating to fertility. Hum Reprod Update. 2017;23(4):458–80.

    Article  PubMed  Google Scholar 

  24. Panner Selvam MK, Ambar RF, Agarwal A, Henkel R. Etiologies of sperm DNA damage and its impact on male infertility. Andrologia. 2021;53(1):e13706.

    Article  CAS  PubMed  Google Scholar 

  25. Schick M, Roesner S, Germeyer A, Moessner M, Bauer S, Ditzen B, et al. Smartphone-supported positive Adjustment coping intervention (PACI) for couples undergoing fertility treatment: a randomised controlled trial protocol. BMJ open. 2019;9(7):e025288.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Malekpour P, Javedani Masroor M, Chaman R, Motaghi Z. Effectiveness of a mixed lifestyle program in couples undergoing assisted reproductive technology: a study protocol. Reproductive Health. 2023;20(1):1–8.

    Article  Google Scholar 

  27. Lugones-Sanchez C, Recio-Rodriguez JI, Agudo-Conde C, Repiso-Gento I, Adalia G, Ramirez-Manent E. Long-term effectiveness of a smartphone app combined with a smart band on weight loss, physical activity, and caloric intake in a population with overweight and obesity (Evident 3 study): Randomized controlled trial. J Med Internet Res. 2022;24(2):e30416.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Olson JA, Sandra DA, Colucci ÉS, Al Bikaii A, Chmoulevitch D, Nahas J, et al. Smartphone addiction is increasing across the world: a meta-analysis of 24 countries. Comput Hum Behav. 2022;129:107138.

    Article  Google Scholar 

  29. Langarizadeh M, Moghbeli F, Ahmadi S, Langarizadeh MH, Sayadi M, Sarpourian F, et al. Design and evaluation of an educational mobile program for liver transplant patients. BMC Health Serv Res. 2023;23(1):974.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Langarizadeh M, Fatemi Aghda SA, Nadjarzadeh A. Design and evaluation of a mobile-based nutrition education application for infertile women in Iran. BMC Med Inf Decis Mak. 2022;22(1):58.

    Article  Google Scholar 

  31. Salas-Groves E, Galyean S, Alcorn M, Childress A. Behavior Change Effectiveness using Nutrition apps in people with chronic Diseases: scoping review. JMIR mHealth and uHealth. 2023;11(1):e41235.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Langarizadeh M, Rahmati P, Yousefpour Azari S, Sarpourian F, Sayadi MJ, Langarizadeh MH, et al. Identifying and validating the educational needs to develop a Celiac Self-Care System. BMC Prim Care. 2023;24(1):1–8.

    Article  Google Scholar 

  33. Langarizadeh M, Sadeghi M, As’habi A, Rahmati P, Sheikhtaheri A. Mobile apps for weight management in children and adolescents; an updated systematic review. Patient Educ Couns. 2021;104(9):2181–8.

    Article  PubMed  Google Scholar 

  34. Hamidzadeh A, Salehin S, Naseri Boori Abadi T, Chaman R, Mogharabian N, Keramat A. The effect of e-health interventions on meeting the needs of individuals with infertility: a narrative review. Middle East Fertility Society Journal. 2023;28(1):1–15.

    Article  Google Scholar 

  35. Hammarberg K, de Silva R. Parenthood aspirations and understanding of factors that affect the chance of achieving them: a population survey. Reproductive Biomed Soc Online. 2022;14:265–70.

    Article  Google Scholar 

  36. Harper JC, Hammarberg K, Simopoulou M, Koert E, Pedro J, Massin N, et al. The International Fertility Education Initiative: research and action to improve fertility awareness. Hum Reprod Open. 2021;2021(4):hoab031.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Nagórska M, Lesińska-Sawicka M, Obrzut B, Ulman D, Darmochwał-Kolarz D, Zych B. Health related behaviors and life satisfaction in patients undergoing infertility treatment. Int J Environ Res Public Health. 2022;19(15):9188.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Ebrahimzadeh-Zagami S, Latifnejad Roudsari R, Janghorban R, Mousavi-Bazaz SM, Amirian M. The needs of infertile couples after unsuccessful treatment with assisted Reproductive technologies: a systematic review of literature. J Isfahan Med School. 2019;37(531):695–707.

    Google Scholar 

  39. Pejman A, Fereshteh M, Hojjat Z, Hassan Eftekhan A. Reproductive health and educational needs among pre-marriage couples. 2009.

  40. Leisegang K, Dutta S. Do lifestyle practices impede male fertility? Andrologia. 2021;53(1):e13595.

    Article  PubMed  Google Scholar 

  41. Pedro J, Brandão T, Schmidt L, Costa ME, Martins MV. What do people know about fertility? A systematic review on fertility awareness and its associated factors. Ups J Med Sci. 2018;123(2):71–81.

    Article  PubMed  PubMed Central  Google Scholar 

Download references


Authors appreciate great cooperation of the experts who participated in this.

research and the staff of Yazd Shahid Sadoughi Infertility Center and Rouyesh Red Crescent Clinic.


the author(s) received no financial support for the research, authorship, or/.

and publication of this article.

Author information

Authors and Affiliations



Study concept and design: AN, HF, AF, SAFA. Acquisition of data: AA, MMP, AF.Analysis and interpretation of data: AN, HF, SAFA. Drafting of the manuscript: HF, AA, AF, SAFA. Critical revision of the manuscript for important intellectual content: AN, HF, AF, MMP, SAFA. Statistical analysis: AF, MMP, SAFA. All authors contributed to the article and approved the submitted version.

Corresponding author

Correspondence to Seyed Ali Fatemi Aghda.

Ethics declarations

Ethics approval and consent to participate

This study was reviewed and approved by the review board and the ethics committee of Shahid Sadoughi University of Medical Sciences (IR.SSU.SPH REC.1400.235). Written informed consent was obtained from the all participants after they were completely informed of the study purpose and procedures. All methods were carried out in accordance with relevant guidelines and regulations.

Consent for publication

Not applicable.

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nadjarzadeh, A., Fallahzadeh, A., Abasi, A. et al. Determining the content and needs assessment a mobile-based self-care program in infertile men. BMC Med Inform Decis Mak 23, 258 (2023).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: