Table 2 Summary of methodology and approach

 Health professionals’ perceptions and satisfaction toward obesity and fertility management

Questionnaire

At the end of the study

Retrospectively

Focus groups

 Patients’ perceptions and satisfaction toward weight management and fertility care

Questionnaire

At 18 months or 24–28 weeks pregnant

At the end of the study

Focus groups

 Live-birth rate

Review of patient medical record

Throughout the study

Retrospectively

 Lifestyle and anthropometric outcomes^a

Baseline, 6 months, 12 months, and 18 months. Among women who become pregnant: beginning of the pregnancy and 24–28 weeks pregnant.

N/A

  ∙ Anthropometric measures

Standard calibrated scale and standing electric bioimpedance

  ∙ Vital signs

Automatic blood pressure monitor

  ∙ Metabolic markers related to insulin secretion, androgen, lipid profile and OGTT

Blood sample

  ∙Lifestyle habits (diet, exercise, sleep, alcohol, and tobacco)

Questionnaire adapted from the one used by Statistics Canada for the latest Canadian Health Survey

  ∙ Physical fitness level

Six-minute walk test

  ∙ Daily energy expenditure from physical activities, time spent in various physical activity intensities and step count

Tri-axial accelerometer

  ∙ Readiness for change

Questionnaire (WLRT [75])

  ∙ Quality of life

Questionnaire (FertiQoL [76])

 Fertility outcomes

Throughout the study

Retrospectively

  ∙ Pregnancy rate

Positive β-hCG level in the serum

  ∙ Others

Review of patient medical record

 Pregnancy adverse outcomes

Review of patient medical record

Throughout the study

Retrospectively

 Neonatal outcomes

Review of patient medical record

Throughout the study

Retrospectively

 Costs of the interdisciplinary lifestyle intervention^a

Questionnaires

Throughout the intervention

N/A

Administrative data

 Costs of fertility treatments

Review of patient medical record

Throughout the study

Retrospectively

Questionnaires

Administrative data

 Costs of adverse events or complications

Review of patient medical record

Throughout the study

Retrospectively

Questionnaires

Administrative data

 Scientific meeting presentations

ASRM, CSEM, ENDO and other annual meetings

 Publication in scientific journals

Human reproduction, Fertility and sterility, Journal of clinical endocrinology & metabolism, etc.

 Presentations to decision-makers and knowledge users

Solicited and unsolicited invitations

 Diffusion to stakeholders

Conduit, letters, e-mails

 Executive summary