Advanced International Journal for Research

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Volume 7 Issue 4
July-August 2026

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Beyond Biomedicine: A Conceptual Framework for Rapid Psychological First Aid and Strategic Counselling in Infertility Care

Author(s) JEEVA GEORGE, SAHELI DEBNATH, TUSHARA T, PAWAN KUMAR
Country India
Abstract Abstract
Infertility affects approximately one in six adults worldwide and is increasingly understood as a psychosocial crisis as much as a biomedical condition. Anxiety, depressive symptoms, chronic stress, grief and perceived stigma are highly prevalent among people undergoing fertility evaluation and assisted reproductive technology (ART), yet most fertility services remain organised around medical intervention, with psychological care fragmented, delayed or absent. This concept paper defines and justifies a model of Rapid Psychological First Aid (rPFA) for infertility care and situates it within a stepped-care pathway that culminates in a structured strategic counselling programme. Drawing on concept-analysis methodology, the paper delineates the antecedents (crisis trigger points such as diagnostic disclosure, treatment failure and pregnancy loss), the defining attributes (a brief, protocolised LOOK–LISTEN–LINK intervention operationalising the five empirically supported elements of early psychosocial intervention – safety, calming, self-efficacy, connectedness and hope) and the consequences (emotional stabilisation, strengthened coping, improved treatment adherence and enhanced fertility-related quality of life) of the proposed concept. A conceptual framework and a four-step implementation model are presented, together with an evaluation approach and policy implications. Embedding rPFA and strategic counselling within routine fertility services offers a scalable, low-cost and culturally adaptable strategy for integrating mental health into reproductive healthcare, consistent with World Health Organization guidance and Sustainable Development Goal 3.
Keywords: infertility; psychological first aid; counselling; conceptual framework; stepped care; fertility quality of life; reproductive mental health
Keywords Keywords: infertility; psychological first aid; counselling; conceptual framework; stepped care; fertility quality of life; reproductive mental health
Published In Volume 7, Issue 4, July-August 2026
Published On 2026-07-09
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E-ISSN 3048-7641
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