Childbirth Preparation Program Developed Based on Health Belief Model

NCT04833842 | Unknown

• 1 other identifier: SİVAS CUMHURİYET ÜNİVERSİTESİ
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

Pregnants who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews, had a higher perception of birth self-efficacy than those who did not pass. Pregnant women who underwent a web-based preparation for labor program, which was developed based on a health belief model and supported by motivational interviews, had a more positive perception of birth than those who did not pass. The level of fear experienced at birth is lower in pregnant women who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews. The frequency of voluntary cesarean delivery is lower in pregnant women who undergo a web-based preparation for labor program, which is developed based on the health belief model and supported by motivational interviews. The frequency of episiotomy is lower in pregnant women who undergo a web-based preparation for labor program, which is developed based on a health belief model and supported by motivational interviews. Induction frequency is lower in pregnant women who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews, than those who did not pass. Pregnants who underwent a web-based preparation program for labor, which was developed based on the health belief model and supported by motivational interviews, had a shorter delivery period than those who did not pass.

Conditions

Fear of Childbirth; Self-efficacy

Keywords

motivational interviewing; childbirth training; fear of childbirth,; self-efficacy; primigravida women

Outcome Measures

Primary Outcomes (3)

• has an effect on the fear of childbirth fear of birth birth self-efficacy

  Wijma Birth Expectation / Experience Scale Version A: It is a scale consisting of 33 items. The answers in the scale are numbered from 0 to 5, and are in six-point Likert type. Zero is expressed as "completely" and 5 as "nothing". While the minimum score on the scale is 0, the maximum score is 165. A high item total score indicates a high level of fear. Eighty-five and above points indicate clinical level fear.

  3 months

• has an impact on birth self-efficacy

  Short Version of the Self-Efficacy Scale in Labor: Each sub-dimension of the scale consists of two sub-dimensions, and consists of 16 questions. The lowest score to be obtained from the scale sub-dimensions is 16 and the highest score is 160. The lowest total score that can be obtained from the scale is 32, and the total highest score is 320. High scores to be obtained from the scale indicate that pregnant women have high levels of self-efficacy in labor.

  3 months

• has an effect on birth health belief

  Birth Health Belief Scale: The scale consists of 34 items and has five sub-dimensions. According to the subscales of the scale, the average "self-efficacy and motivation perception" is high 3.810 ± 1.409 (Min = 1; Max = 5), the average "benefit and motivation perception" is very high 4.368 ± 0.909 (Min = 1.75; Max = 5), "sensitivity perception of perception high 3,500 ± 1,502 (Min = 1; Max = 5), "caring / seriousness perception" average high 3,441 ± 1,600 (Min = 1; Max = 5), average "obstacle perception" 3,071 ± 1,508 (Min = 1; Max = 5).

  3 months

Study Arms (2)

Web-based birth preparation program supported by motivational interview

EXPERIMENTAL

A web-based childbirth preparation program prepared based on the Health Belief Model and supported by motivational interviews will be applied to primigravida women in the initiative group.

Other: Web-based childbirth preparation program developed based on health belief model and supported by motivational interview

web-based birth preparation program

EXPERIMENTAL

A web-based birth preparation program based on the Health Belief Model will be applied to primigravida women in the control group.

Other: Web-based childbirth preparation program based on health belief model

Interventions

Web-based childbirth preparation program developed based on health belief model and supported by motivational interview OTHER

In the three-month study, primigravida women in the initiative group will be given a web-based childbirth preparation program, which is prepared based on the Health Belief Model and supported by motivational interviews. Before starting the training program, pre-test will be applied to pregnant women and a five-week program will be implemented. A final test will be applied at the end of the program. The birth process will be evaluated immediately after the pregnant women give birth.

Web-based birth preparation program supported by motivational interview

Web-based childbirth preparation program based on health belief model OTHER

In the three-month study, a web-based childbirth preparation program based on the Health Belief Model will be applied to primigravida women in the control group. Before starting the training program, pre-test will be applied to pregnant women and a five-week program will be implemented. A final test will be applied at the end of the program. The birth process will be evaluated immediately after the pregnant women give birth.

web-based birth preparation program

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: primigravida pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Between the ages of 18-35,
• At least a primary school graduate,
• According to the last menstrual period or the results of ultrasonography of pregnant women who do not know the last menstrual period, who are in the 28-30 weeks of pregnancy,
• Primigravida,
• Live single pregnancy,
• Without any obstacle to give birth through normal vaginal way,
• No specified cesarean indication or risk factors that would adversely affect normal delivery (Heart disease, placenta previa, oligohydramnios, preeclampsia, anhydramnios, diabetes, epilepsy),
• Not pregnant as a result of infertility treatment,
• The state anxiety scale average score is below 60,
• Edinburgh Postpartum Depression Scale average score of 12 or below,
• Residing within the provincial borders of Sivas,
• Internet at home,
• Able to use a computer or mobile phone,
• They are pregnant women who agree to participate in the research.

You may not qualify if:

• Participants in the birth preparation class

Sponsors & Collaborators

• Cumhuriyet University: lead

Study Sites (1)

Sivas Cumhuriyet Üniversitesi

Sivas, 58100, Turkey (Türkiye)

Location

Related Publications (4)

• Artieta-Pinedo I, Paz-Pascual C, Grandes G, Remiro-Fernandezdegamboa G, Odriozola-Hermosilla I, Bacigalupe A, Payo J. The benefits of antenatal education for the childbirth process in Spain. Nurs Res. 2010 May-Jun;59(3):194-202. doi: 10.1097/NNR.0b013e3181dbbb4e.

  PMID: 20421842 BACKGROUND

• Munkhondya BMJ, Munkhondya TE, Chirwa E, Wang H. Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi. BMC Pregnancy Childbirth. 2020 Jan 21;20(1):48. doi: 10.1186/s12884-019-2717-5.

  PMID: 31964346 BACKGROUND

• Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a Mindfulness-Based Childbirth Education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Womens Health. 2014 Mar-Apr;59(2):192-7. doi: 10.1111/jmwh.12075. Epub 2013 Dec 10.

  PMID: 24325752 BACKGROUND

• Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, Ryding EL. A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth. 2014 Dec;41(4):384-94. doi: 10.1111/birt.12136. Epub 2014 Oct 9.

  PMID: 25303111 BACKGROUND

Study Officials

• BİRNUR YEŞİLDAĞ ÇELİK, Lecturer

  SİVAS CUMHURİYET UNIVERSITY

  PRINCIPAL INVESTIGATOR

• ZEHRA GÖLBAŞI, Prof. Dr

  LOKMAN HEKİM UNIVERSITY

  STUDY DIRECTOR

Central Study Contacts

BİRNUR YEŞİLDAĞ ÇELİK, Lecturer

CONTACT

05336815923; nurumbirnur@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In the study, the single blinding method, in which the participants are blinded, will be used. A placebo-controlled approach will be used in the control group (website training group) so that the participants in the groups do not know which group they are in. In the research, the statistician who also evaluates the outputs and performs data analysis will be blinded.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer

Model Details: This study is a randomized controlled trial.

Study Record Dates

• First Submitted: March 31, 2021
• First Posted: April 6, 2021
• Study Start: April 15, 2021
• Primary Completion: June 15, 2021
• Study Completion: July 30, 2021
• Last Updated: April 6, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: starts 1 month after broadcast
• Access Criteria: all people have access.

Locations

TU (1)