Effect of Motivational Interviews on Childbirth Perception and Childbirth Self-Efficacy

NCT05216783 | Completed

• 1 other identifier: 2019/451
• Study Type: interventional
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The aim of this study to determine the effect of motivational interviews on the perception and self-efficacy of birth in nullipars with a perception of traumatic birth. Materials and Methods: The study was conducted in a randomized controlled, between November 2019 and November 2020 in the obstetrics outpatient clinics of Elazig Fethi Sekin City Hospital. In the power analysis, the sample size was calculated as at least 83 pregnant women for each group (83 experiment, 83 control). Data were collected with Descriptive Information Form, Traumatic Childbirth Perceptions Scale (TCPS) and Childbirth of Self-Efficacy Scale-Short From (CBSE). Pregnant women in the experimental group were held with four sessions of motivational interviews one week a part. No intervention was made for the pregnant women in the control group. Descriptive statistics, chi-square test, t test for dependent and independent groups were used in data analysis

Conditions

Trauma; Childbirth; Self Efficacy

Keywords

Childbirth; Motivational Interviewing; Self-Efficacy; Perception; nullipara

Outcome Measures

Primary Outcomes (1)

• Traumatic Childbirth Perception Scale (TCPS)

  It is used to evaluate the traumatic childbirth perception levels of the women at reproductive age. The scale has a total of 13 questions that cover thoughts and emotions such as anxiety, fear, and worry felt by the women while thinking about the concept of childbirth. Each question is scored from 0 (I am not afraid at all) to 10 points (I am very afraid). The mean of scores obtained from the scale indicates the traumatic childbirth perception level. The minimum and maximum scores to be obtained from the scale are successively 0 and 130 points. A high score obtained from the scale demonstrates that the pregnant woman has high-level traumatic childbirth perception. The scores ranging from 0 to 26, from 27 to 52, from 53 to 78, from 79 to 104, and from 105 to 130 consecutively refer to very low, low, moderate, high, and very high levels of traumatic childbirth perception

  Change from Traumatic Childbirth Perception at 4 weeks

Secondary Outcomes (1)

• Short-Form Childbirth Self-Efficacy Inventory (CBSEI-32)

  Change from Short-Form Childbirth Self-Efficacy at 4 weeks

Study Arms (2)

Experimental

EXPERIMENTAL

The Personal Information Form, the Traumatic Childbirth Perception Scale (TCPS), and the short-form Childbirth Self-Efficacy Inventory (CBSEI-32) were utilized for the collection of research data. First of all, the TCPS was applied to the pregnant women, and the pregnant women who obtained a score above 53 points (moderate-level traumatic childbirth perception) from the TCPS were invited to the research. Next, the Personal Information Form and the CBSEI-32 were applied to the pregnant women who agreed to participate in the research. The motivational interviews were held with the pregnant women in the experimental group once a week for four weeks. No initiative was applied to the pregnant women in the control group. The TCPS and CBSEI-32 were applied to all participant pregnant women after four weeks following the first application. The application of the measurement tools took 10-15 minutes.

Behavioral: Motivational Interviews

Control

NO INTERVENTION

The researchers applied no initiative to the control group, and the pregnant women in the control group solely had the routine checks performed at the city hospital. At the end of the study, the questions of pregnant women in the cotrol group about childbirth were answered. Before applying the initiative to the experimental group, the researcher (SB) had had training about motivational interview techniques.

Interventions

Motivational Interviews BEHAVIORAL

The qualitative research studies performed on the traumatic childbirth experiences indicated that the pregnant women's interaction and communication with the midwives were more effective than the medical intervention methods that were applied.

Experimental

Eligibility Criteria

• Age: 28 Weeks - 36 Weeks
• Gender Eligibility Details: Nullipars woman
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• having the ability to communicate,
• being within 28-36 weeks of pregnancy,
• being aged 18 or above,
• having a live singleton fetus,
• having no pregnancy-related risk (pre-eclampsia, diabetes, cardiac disease, placenta previa, oligohydramnios, and so on),
• having no problem about the fetus's health (fetal anomaly, intrauterine growth restriction, and so on),
• having a medium or a higher level of traumatic childbirth perception according to the Traumatic Childbirth Perception Scale (≥53 points).

You may not qualify if:

• The criterion for being excluded from the research was to have a condition that would prevent the woman from having a normal birth

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

Fırat University

Elâzığ, Province, 23119, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Sümeyye barut, PhD

  Firat University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: This study was designed as a randomized controlled trial

Study Record Dates

• First Submitted: December 16, 2021
• First Posted: February 1, 2022
• Study Start: November 12, 2019
• Primary Completion: November 1, 2020
• Study Completion: February 12, 2021
• Last Updated: February 1, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)