Women's Health Behaviors Stages of Change (Transtheoretical Model) in Preconception Period

NCT03893084 | Completed

• 1 other identifier: 0000-0002-7453-1205
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

H0: Preconceptional preparatory training period between pregnancies with and without women is no difference in terms of changes in health behavior. H1: Preconceptional preparatory training period between pregnancies with and without women there is a difference in terms of changes in health behavior.

Conditions

Pregnancy; Women; Education

Keywords

preconception; period; education; midwfiery

Outcome Measures

Primary Outcomes (3)

• Women's behavior change phase

  The research was conducted by the researcher to evaluate the stages of behavior change related to the topics covered in preconceptional care. With the response to the questions, it is possible to determine which behavior change stage of the individuals. Women's behavioral changes were evaluated according to the five change stages on the transtheventional model. For the detailed evaluation of the individuals who are in the process of moving and maintaining, open-ended questions specific to each subject were asked.

  eight weeks

• Healthy Lifestyle Behavior Scale-II

  Walker et al. (1987) developed a scale to evaluate health-promoting behaviors related to the individual's healthy lifestyle. Validity and reliability study was conducted by Bahar et al. (2008). The scale consists of 52 items and all items are positive. The rating is in the form of a four-point likert (1), sometimes (2), often (3), regularly (4). The lowest score is 52 and the highest score is 208. The total score of the scale determines the healthy lifestyle behavior score. The scale consists of six sub-dimensions: Health responsibility, Physical activity, Nutrition, Spiritual development, Interpersonal relations, Stress management.

  eight weeks

• General Self-Efficacy Scale

  The scale was developed by Ralf Schwarzer and Mattihias Jerusalem (1995) in order to make a general assessment of perceived self-efficacy. The validity and reliability study of the scale was conducted by Aypay (2010). The scale applied to individuals aged 12 years or older consisted of 10 items. Self-sufficiency scale scores vary from 1 to 4 each. The lowest total score obtained from the scale is 10 and the highest score is 40. The high score from the self-efficacy scale indicates that the self-efficacy level is high.

  eight weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Preconception guidance prepared by reference to the guidelines published in the literature, women were given pre-pregnancy training.

Other: Pregnancy preparation training

Control

NO INTERVENTION

The women in the control group were not given training, and routine practice was performed.

Interventions

Pregnancy preparation training OTHER

Pregnancy preparation education; folic acid use, physical activity, nutrition, addictions counseling issues are included.

Intervention

Eligibility Criteria

• Age: 18 Years - 65 Years
• Gender Eligibility Details: Pregnancy education was given to women.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Accept to participate in the research and have signed the informed consent form,
• Being over 18 years old,
• To be literate,
• Lack of a psychological diagnosis,
• To be married,
• Having no pregnancy,
• Pregnancy is thought.

Sponsors & Collaborators

• Ege University: lead

Study Sites (1)

17 Number Family Health Center

Konya, 42250, Turkey (Türkiye)

Location

Related Publications (7)

• ACOG Committee Opinion No. 442: Preconception and prenatal carrier screening for genetic diseases in individuals of Eastern European Jewish descent. Obstet Gynecol. 2009 Oct;114(4):950. doi: 10.1097/AOG.0b013e3181bd12f4.

  PMID: 19888064 BACKGROUND

• Committee on Obstetric Practice. ACOG Committee Opinion No. 521: Update on immunization and pregnancy: tetanus, diphtheria, and pertussis vaccination. Obstet Gynecol. 2012 Mar;119(3):690-1. doi: 10.1097/AOG.0b013e31824e1327.

  PMID: 22353979 BACKGROUND

• Atrash HK, Johnson K, Adams M, Cordero JF, Howse J. Preconception care for improving perinatal outcomes: the time to act. Matern Child Health J. 2006 Sep;10(5 Suppl):S3-11. doi: 10.1007/s10995-006-0100-4. Epub 2006 Jun 14. No abstract available.

  PMID: 16773452 BACKGROUND

• Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, Sankar MJ, Blencowe H, Rizvi A, Chou VB, Walker N; Lancet Newborn Interventions Review Group; Lancet Every Newborn Study Group. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014 Jul 26;384(9940):347-70. doi: 10.1016/S0140-6736(14)60792-3. Epub 2014 May 19.

  PMID: 24853604 BACKGROUND

• de Weerd S, Steegers EA. The past and present practices and continuing controversies of preconception care. Community Genet. 2002;5(1):50-60. doi: 10.1159/000064631.

  PMID: 14960900 BACKGROUND

• Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81.

  PMID: 3644262 BACKGROUND

• Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy scale. J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user's portfolio. Causal and control beliefs (pp. 35-37.).

  BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: The women who came to the institution were evaluated in terms of sample criteria and randomized sampling was divided into two groups. In order to be able to perform randomized sampling, random number table was obtained automatically by means of programs on internet sites by specifying the number of samples. The selection of the groups to the intervention and control group was determined by throwing a coin. In the data collection phase of the study, 218 women were evaluated in terms of sampling criteria. 10 women (who did not meet the criteria or refused to participate) were excluded from the study. 208 randomized women were divided into two groups as intervention and control group. During the follow-up, 15 women in the intervention group and 13 women in the control group were excluded from the study or were excluded because of pregnancy.

Study Record Dates

• First Submitted: March 7, 2019
• First Posted: March 28, 2019
• Study Start: June 1, 2018
• Primary Completion: June 1, 2019
• Study Completion: July 16, 2019
• Last Updated: August 30, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)