Effects of Solution-Oriented Approach on Psychosocial Health, Fear of Childbirth and Postnatal Senses of Security

NCT04820296 | Completed DMC

• 1 other identifier: Necmettin EU
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned as a randomized controlled experimental study with posttest and control group in order to evaluate the effect of the solution focused approach method applied to primigravidas on psychosocial health, fear of childbirth and postnatal security sensations

Conditions

Fear of Childbirth; Psychosocial Health; Pregnancy; Postpartum; Childbirth

Keywords

Solution-oriented approach; Fear of childbirth; Psychosocial health; mothers; Feelings of security; Pregnancy

Outcome Measures

Primary Outcomes (4)

• Wijma Birth Expectancy / Experience Scale (W-DEQ) Version A

  It is a Likert-type scale consisting of 33 items and 6 sub-dimensions that measure stress and fear during birth. The validity and reliability study of the scale was conducted by Körükcü et al. (2012). The first sub-dimension will determine the thoughts about childbirth contractions and how the birth will be in general, the second sub-dimension will determine the characteristics of childbirth contractions and the characteristics of contractions felt during childbirth, the third sub-dimension will determine what the woman will feel during childbirth, the fourth sub-dimension will determine what the woman will be when the contractions are most intense. The fifth sub-dimension consists of questions about the emotions imagined at the birth of the baby, and the sixth dimension consists of questions for evaluating the woman's thoughts about childbirth and delivery in the last month. Answers in the scale are scored between 0 and 5. Higher item total score indicates high level of fear.

  First assessment will be made at the baseline (pre-intervention).

• Wijma Birth Expectancy / Experience Scale (W-DEQ) Version A

  It is a Likert-type scale consisting of 33 items and 6 sub-dimensions that measure stress and fear during birth. The validity and reliability study of the scale was conducted by Körükcü et al. (2012). The first sub-dimension will determine the thoughts about childbirth contractions and how the birth will be in general, the second sub-dimension will determine the characteristics of childbirth contractions and the characteristics of contractions felt during childbirth, the third sub-dimension will determine what the woman will feel during childbirth, the fourth sub-dimension will determine what the woman will be when the contractions are most intense. The fifth sub-dimension consists of questions about the emotions imagined at the birth of the baby, and the sixth dimension consists of questions for evaluating the woman's thoughts about childbirth and delivery in the last month. Answers in the scale are scored between 0 and 5. Higher item total score indicates high level of fear.

  The second assessment will take place 4 weeks after the first assessment (after the program is completed).

• Wijma Birth Expectancy / Experience Scale (W-DEQ) Version A

  It is a Likert-type scale consisting of 33 items and 6 sub-dimensions that measure stress and fear during birth. The validity and reliability study of the scale was conducted by Körükcü et al. (2012). The first sub-dimension will determine the thoughts about childbirth contractions and how the birth will be in general, the second sub-dimension will determine the characteristics of childbirth contractions and the characteristics of contractions felt during childbirth, the third sub-dimension will determine what the woman will feel during childbirth, the fourth sub-dimension will determine what the woman will be when the contractions are most intense. The fifth sub-dimension consists of questions about the emotions imagined at the birth of the baby, and the sixth dimension consists of questions for evaluating the woman's thoughts about childbirth and delivery in the last month. Answers in the scale are scored between 0 and 5. Higher item total score indicates high level of fear.

  Third assessment will take place average 3 weeks after the second assessment.

• Wijma Birth Expectancy / Experience Scale (W-DEQ) Version B

  W-DEQ version B was developed by Klaas and Barbro Wijma (1998) to measure the experiences of women with fear of childbirth in the postpartum period. Körükcü et al. (2014), the scale, which was adapted to Turkish and valid and reliable, consists of 32 items and six sub-dimensions. The sub-dimensions of the scale are, respectively, anxiety about labor pain, inadequacy of positive behavior, loneliness, inadequate positive emotions, anxiety about delivery, and anxiety about the baby. Answers in the scale are scored between 0 and 5. While the minimum score in the scale is 0, the maximum score is 160. As the score increases, the fear of childbirth that women experience increases.

  The W-DEQ scale version B (only posttest) will be administered within the first 24 hours of postpartum.

Secondary Outcomes (4)

• Psychosocial Health Assessment Scale During Pregnancy

  First assessment will be made at the baseline (pre-intervention).

• Psychosocial Health Assessment Scale During Pregnancy

  The second assessment will take place 4 weeks after the first assessment (after the program is completed).

• Psychosocial Health Assessment Scale During Pregnancy

  Third assessment will take place average 3 weeks after the second assessment.

• Mother's Postnatal Senses of Security Scale

  At the end of the 7th postpartum day, follow-up counseling will be provided by telephone and the Postpartum Sense of Security Scale (posttest only) will be filled.

Study Arms (2)

Experimental group

EXPERIMENTAL

Pregnant women in the experimental group will be given 4 sessions Solution-Oriented Approach program, starting at the 32th week of pregnancy. Pregnants in the experimental group will be administered the Wijma Birth Expectation/Experience Scale (W-DEQ-A) and Pregnancy Psychosocial Health Assessment Scale (PPHAS) before the intervention. After the program is completed, a training booklet will be provided for pregnant women and (W-DEQ-A) and PPHAS will be applied again. With pregnant women, 37-40. between gestational weeks, they will be contacted again, face-to-face interview method (W-DEQ-A) and PPHAS again will be evaluated. The pregnant women will inform the researcher by phone after the delivery and the researcher will visit the hospital within the first 24 hours after the delivery to evaluate the mothers' birth fear levels Scale (W-DEQ-B). At the end of the first postpartum week, the postnatal senses of security of the mothers will be evaluated by telephone follow-up counseling.

Other: Solution-Oriented Approach

Control group

NO INTERVENTION

Pregnant women in the control group will only receive routine care. Pregnant women in the control group will be administered the same scales simultaneously with the experimental group.

Interventions

Solution-Oriented Approach OTHER

First Session: Sharing thoughts about perception of childbirth, Creating positive goals, Informing about Birth, Birth Process, Basic Breathing Exercises and Deep Relaxation Exercises, Homework Second Session: Evaluating homework, Sharing thoughts about fear of childbirth, Miracle Question Technique, Evaluating with the Rating Questions Technique, Reframing the problem, Briefing on 'Body-Mind Connection at Birth, Fear-Tension-Pain Cycle, Hormones of Birth' and Breathing exercises, Homework Third session: Evaluating homework, Sharing thoughts about positive birth story, Information on symptoms indicating that the childbirth is approaching, pushing techniques, delivery positions, endorphin massage and breathing exercises (4/8 breaths, full breath when baby moves), Homework Fourth Session: Evaluating homework, Mother Baby Friendly Caesarean and Breathing exercises (3 candles a feather breath), Sharing feelings about the counseling process

Experimental group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Pregnant Women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• At least primary education graduate
• Speaking and understanding Turkish
• Pregnant women between the ages of 18-35
• Residing at the provincial border of Konya
• Primigravidas
• Women who got pregnant without treatment pregnancy,
• Have no barriers to vaginal birth,
• Pregnant women who are at the 32nd gestational week according to their last menstrual week
• Pregnant women with a single and healthy fetus

You may not qualify if:

• Pregnant women with any risky pregnancy history (Placenta previa, preeclampsia, oligohydramnios and polyhydramnios, gestational diabetes etc.),
• Pregnant women with any systemic and neurological disease,
• Pregnant women with chronic and/or psychiatric health problems (based on self-report and clinical diagnosis),
• Pregnant women with cesarean indication,
• Pregnant women participating in any birth preparation training program.

Sponsors & Collaborators

• Necmettin Erbakan University: lead

Study Sites (1)

Necmettin Erbakan University

Konya, 42080, Turkey (Türkiye)

Location

Study Officials

• YEŞİM ANIK, MSc

  Necmettin Erbakan University

  PRINCIPAL INVESTIGATOR

• KAMİLE ALTUNTUĞ, PhD

  Necmettin Erbakan University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Single
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Posttest and control grouped randomized controlled clinical trial

Study Record Dates

• First Submitted: March 23, 2021
• First Posted: March 29, 2021
• Study Start: September 20, 2021
• Primary Completion: May 27, 2022
• Study Completion: March 1, 2023
• Last Updated: April 25, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: The study protocol will be published in a peer-reviewed journal within 6 months.
• Access Criteria: After the study protocol is published, the name and link of the journal in which the publication was published will be shared.

Locations

TU (1)