Investigation of the Effect of Attachment-Based Support Given in the Perinatal Period

NCT05676996 | Completed

• 1 other identifier: Attachment-Based Support
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

It is important that effective intervention programs are developed and implemented in our country by identifying risk factors in the early period. In this aspect, the work is unique. Unlike the studies in the literature, it is a unique study in terms of determining the risky population that needs to be questioned and strengthened during the prenatal attachment of expectant mothers during pregnancy, and creating a program where mothers can receive uninterrupted support for 24 hours.

Conditions

Attachment Disorder

Outcome Measures

Primary Outcomes (4)

• Prenatal attachment of pregnant women who participated in the attachment-based support program in the perinatal period compared to those who did not participate is higher.

  prenatal attachment scale; There are a total of 19 items in the scale, which focuses on the pregnant woman's feelings, attitudes and behaviors towards the fetus. The scale is in a 5-point Likert type and each item is scored between 1 and 5 (5=represents very strong feelings towards the fetus; 1=represents the absence of feelings towards the fetus). A high score from the scale indicates a high degree of attachment.

  22.-26. pre-test between weeks

• Pregnant women who participated in the Attachment-Based Support Program during the perinatal period showed more early mother-infant attachment symptoms than those who did not.

  The scale of early mother-infant attachment indicators is an observational scale consisting of 13 items. The lowest 0 and the highest 26 points are taken from the scale. As the scores obtained from the scale increase, attachment increases.

  this scale will be administered to mothers on postpartum day 0.

• Pregnant women who participated in Attachment-Based Support Program in the perinatal period had higher maternal attachment than those who did not.

  The maternal attachment scale is a scale applied at the earliest postpartum 1st month. The lowest score to be obtained from the scale varies between 26 and the highest score between 104. A high score from the scale indicates a high level of maternal attachment.

  postpartum 1st month

• Prenatal attachment of pregnant women who participated in the attachment-based support program in the perinatal period compared to those who did not participate is higher.

  prenatal attachment scale; There are a total of 19 items in the scale, which focuses on the pregnant woman's feelings, attitudes and behaviors towards the fetus. The scale is in a 5-point Likert type and each item is scored between 1 and 5 (5=represents very strong feelings towards the fetus; 1=represents the absence of feelings towards the fetus). A high score from the scale indicates a high degree of attachment.

  post-test at 36 weeks

Study Arms (2)

attachment-based support group

EXPERIMENTAL

In addition to the routine follow-ups and trainings that the pregnant women in the intervention group can receive from the hospital, they will be included in the "Attachment Based Support Program". Within the scope of the 1st stage of this support; A mobile application. There are 12 videos on connecting in the mobile application. These videos were shot by the researcher in a professional studio. 22nd-26th of pregnancy. The participants included in the study during the weeks of participation installed this mobile application on their phones during participation. It was requested to complete watching the videos by 36 weeks. In the second phase of Attachment-Based Support, breastfeeding and skin-to-skin contact support are provided to mothers on postpartum day 0.

Other: attachment-based support

routine follow-up control group

NO INTERVENTION

The control group pregnants were left to the routine follow-up of the hospitals during their pregnancy and postpartum period. In this follow-up; When pregnant women apply to the outpatient clinic services of the hospital, appointments are made for their monthly routine follow-up. Information and practices that support mother-infant attachment in attachment-based support modules are not included in these trainings.

Interventions

attachment-based support OTHER

attachment-based support application; It includes video-based trainings on attachment via mobile application and breastfeeding and skin-to-skin contact support for mothers on postpartum day 0.

attachment-based support group

Eligibility Criteria

• Age: 19 Years+
• Gender Eligibility Details: pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• be 19 years or older 21 and 26. Primigravida at gestational week Having had a normal delivery Watching all the videos within the scope of Attachment-Based Support Program by the pregnant women in the intervention group Being literate Pregnancy with only one baby The baby is at term Being the mother of the primary caregiver Volunteering to participate in the research The absence of any health problems of the mother and the baby Absence of a physician-diagnosed psychiatric disease in the mother Having a smart phone and wireless internet Pregnant women who answered "No" to Question 34 on the Pregnant Introductory Information Form and did not get a full score from the "Maternal Antenatal Attachment Scale"

You may not qualify if:

• The development of a situation that prevents the mother from participating in education during pregnancy
• Unwillingness to continue working
• A situation that prevents the mother and baby from staying in the same room in the postpartum period
• Severe trauma or loss of the mother during pregnancy

Sponsors & Collaborators

• Sakarya University: lead

Study Sites (1)

Sakarya University Training and Research Hospital

Adapazarı, Sakarya, 54050, Turkey (Türkiye)

Location

Study Officials

• Nursan CİNAR, PhD

  Sakarya University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 30, 2022
• First Posted: January 9, 2023
• Study Start: June 1, 2021
• Primary Completion: November 30, 2022
• Study Completion: February 28, 2024
• Last Updated: December 2, 2024

Record last verified: 2024-11

Locations

TU (1)