The Effect of Motivational Interviewing Method on Birth Self-efficacy

NCT06082895 | Completed

• 1 other identifier: TOGU-HEM-TS-02
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Birth enables women to assume the role of parent, but experiencing labor pain is seen as a very stressful event. Birth pain is described as one of the most severe pains women experience throughout their lives. Different pharmacological and non-pharmacological methods are used to cope with labor pain. Non-pharmacological coping includes physiological coping (such as breathing techniques, relaxation, postural changes, and movement during labor), psychological coping (including social support, increasing self-efficacy, and increasing self-confidence), and cognitive coping (including distraction, illustration). , and focus). Birth self-efficacy refers to the mother's confidence or perception in her own ability to give birth, which may influence her future birth choices. Women with high efficacy expectations (i.e., high confidence regarding childbirth) may use cognitive coping behaviors to cope with labor pain and therefore reduce the likelihood of medical intervention.It has been found that a woman's confidence in her ability to cope with childbirth contributes significantly to her perception of pain during labor and can foster a positive perception of birth. Pregnant women with low self-efficacy also have low self-confidence during birth, which negatively affects their ability to take an active role during birth and causes an increase in cesarean delivery rates. Various approaches such as antenatal training, cognitive behavioral approach, and psychoeducation program are used to reduce the negative consequences that fear of birth may cause and to help pregnant women cope with the fear of birth and increase birth self-efficacy. One of the approaches that include these strategies is seen as the motivational interviewing method. The motivational interviewing method is a goal-oriented and more participant-centered counseling approach that aims to facilitate and activate participants' intrinsic motivation to change their behavior. Motivational interviewing is a method that encourages the participant to think about changes that can be made, rather than the counselor offering suggestions. The basic concepts of motivational interviewing are that the participant recognizes and accepts the need to make changes in their lives; This approach encourages participants to consider whether they are ready to change their behavior.

Conditions

Self Efficacy

Keywords

birth self-efficacy; motivational interview; pregnancy

Outcome Measures

Primary Outcomes (1)

• The Childbirth Self-Efficacy Scale-Short Form (CBSEI-SF)

  The short version of the Birth Self-Efficacy Scale consists of 32 items. This scale was developed to measure the self-efficacy level of pregnant women in labor. The validity and reliability of the scale in Turkish was conducted. The scale consists of two sub-dimensions: outcome expectation and competence expectation. Each sub-dimension of the scale consists of 16 items. A high score from each subscale indicates that pregnant women have high expectations of adequacy and outcome regarding labor. High scores from the scale indicate that pregnant women have high self-efficacy levels in labor.

  each participant pregnant will be evaluated for outcome measure for four weeks

Study Arms (2)

intervention group

EXPERIMENTAL

This group will consist of 45 pregnant women. The training program based on the motivational interviewing method will continue once a week for a total of 4 weeks.

Behavioral: Birth self-efficacy enhancement training based on motivational interviewing method

control group

NO INTERVENTION

This group will consist of 45 pregnant women. This group will not be given any training program and routine pregnancy follow-ups will continue.

Interventions

Birth self-efficacy enhancement training based on motivational interviewing method BEHAVIORAL

Birth self-efficacy enhancement training based on motivational interviewing method

intervention group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Since there is a training program on pregnant women, female gender was preferred.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years or older,
• Being at least a primary school graduate,
• Being between 20-34 weeks in the calculations made according to the last menstrual date or with USG data for pregnant women who do not know the last menstrual date,
• Having a fear of birth,
• Having a single and live pregnancy,
• Agreeing to participate in the research,
• Having no difficulty in communicating,
• Without infertility treatment,
• No contraindications for vaginal birth

You may not qualify if:

• Pregnant women with medical indications,
• Those with risky pregnancies

Sponsors & Collaborators

• Tuğba Sarı: lead

Study Sites (1)

Yozgat City Hospital

Yozgat, 66000, Turkey (Türkiye)

Location

Study Officials

• Tuğba Sarı, Nurse

  Yozgat City Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: sponsor-investigator

Model Details: Two groups, intervention and control groups, will be created by randomization method for pregnant women who have fear of birth and are determined to have low birth self-efficacy. Pregnant women in the intervention group will be given a 4-session motivational interview program. The control group will continue routine monitoring. After the training, birth self-efficacy levels will be compared between the two groups.

Study Record Dates

• First Submitted: October 9, 2023
• First Posted: October 13, 2023
• Study Start: October 5, 2023
• Primary Completion: March 6, 2024
• Study Completion: March 10, 2024
• Last Updated: April 17, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: starting 6 months after publication
• Access Criteria: Only the collected data will be shared for analysis.

Locations

TU (1)