The Effect Of Health Development Behavıour Traınıng In Pregnancyon Sleep Qualıty And Physıcal Actıvıty Levels

NCT07315971 | Completed

• 2 other identifiers: E-21347915-050.04.04-264603lRandomızed Controlled Experıme
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine the effect of health-promoting behavior education on the sleep quality and physical activity levels of pregnant women. 1.2. The research hypotheses are as follows: H0 hypotheses:

• Ho (1): Education on healthy lifestyle behaviors during pregnancy does not affect sleep quality in pregnant women.
• Ho (2): Education on healthy lifestyle behaviors during pregnancy does not affect physical activity levels in pregnant women. H1 hypotheses:
• H1 (1): Education on healthy lifestyle behaviors during pregnancy improves sleep quality in pregnant women.
• H1 (2): Education on healthy lifestyle behaviors during pregnancy increases physical activity levels in pregnant women. The study group received health promotion training for six weeks. Data were collected by administering the scales three times: before, immediately after, and one month later. The control group received no training and only underwent routine pregnancy examinations and follow-up at the family health center. The scales were administered at the same times as the pregnant women in the study group.

Conditions

Health Behavior; Physical Activity; Sleep Quality

Keywords

Exercise; Education; Pregnancy; Nursing; Sleep

Outcome Measures

Primary Outcomes (2)

• Physical Activity Questionnaire for Pregnant Women

  Physical Activity Questionnaire for Pregnant WomenThe Turkish validity and reliability of the scale, developed by Chasan Taber et al. in 2004, was determined by Çırak et al. It consists of 36 questions that determine the level of physical activity and exercise in pregnant women. This scale evaluates 32 activities performed by pregnant women: housework and care activities (n=13), occupational activities (n=5), sports and exercise activities (n=8), transportation (n=3), and sedentary lifestyle (n=3). The intensity of physical activity is expressed in METs (metabolic equivalents). In open-ended questions, the MET value of the activity is determined by referring to the Review. Activity intensities are grouped as sedentary (0.6 MET). Activity types are classified as housework/care activities, occupational activities, and sports/exercise. In this study, the Cronbach's alpha coefficient of the scale was found to be 0.65.

  28th week of pregnancy

• The Pittsburgh Sleep Quality Index

  PSQI developed by Buysse et al. has been shown to have sufficient internal consistency (Cronbach's alpha = 0.80), test-retest reliability, and validity (Buysse et al. It was adapted into Turkish by Ağargün et al. The PSQI is a 19-item self-report scale that assesses sleep quality and disturbance over the past month. It consists of 24 questions: 19 self-report questions and 5 questions to be answered by a spouse or roommate. The 18 scored questions comprise 7 components: Subjective Sleep Quality, Sleep Latency, Sleep Duration, Habitual Sleep Efficiency, Sleep Disturbance, Sleep Medication Use, and Daytime Dysfunction. Each component is scored on a scale of 0-3. The total score of the 7 components gives the total scale score. The total score ranges from 0-21. A total score greater than 5 indicates "poor sleep quality". Permission was obtained for the scale's use. Cronbach's alpha coefficient of the scale was found to be 0.71.

  28th week of pregnancy

Secondary Outcomes (2)

• Physical Activity Questionnaire for Pregnant Women

  33th week of pregnancy

• The Pittsburgh Sleep Quality Index

  33th week of pregnancy

Other Outcomes (2)

• Physical Activity Questionnaire for Pregnant Women

  38th gestational weeks

• The Pittsburgh Sleep Quality Index

  38th gestational weeks

Study Arms (2)

experimental group

EXPERIMENTAL

The study group received training on health promotion during pregnancy in addition to usual care provided by health professionals.

Behavioral: HEALTH PROMOTION BEHAVIOR TRAINING

Control group

NO INTERVENTION

The control group continued to receive the routine care

Interventions

HEALTH PROMOTION BEHAVIOR TRAINING BEHAVIORAL

Exercise During Pregnancy When Should Exercise Be Started During Pregnancy? Which Exercises Are Recommended/Not Recommended During Pregnancy? How Intense Should Exercise Be During Pregnancy? How Long Should Exercise Last? Points to Consider When Exercising Exercise Examples Health Responsibility Pregnancy Monitoring Smoking During Pregnancy, Alcohol, and Substance Use During Pregnancy Sexuality During Pregnancy Hygiene and General Care During Pregnancy Sleep During Pregnancy Sleep Problems During Pregnancy Recommendations for Quality Sleep During Pregnancy Interpersonal Relationships Effective Communication Skills Stress Management Factors That Can Cause Stress During Pregnancy Positive Methods for Coping with Stress During Pregnancy The intervention group received 6 weeks of face-to-face training.

experimental group

Eligibility Criteria

• Age: 18 Years - 49 Years
• Gender Eligibility Details: Pregnant women
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women who were: • in the early third trimester,
• had at least a primary school education,
• had no communication barriers were included.

You may not qualify if:

• Incomplete completion of the data collection tools used in the study,
• Having a psychiatric diagnosis (major depression, psychotic disorders, intellectual disability),
• Being pregnant under the age of 18,
• Having a chronic disease (such as diabetes, heart disease, hypertension, cancer),
• Not following the training programs included in the study (at least two trainings),

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydın Adnan Menderes Üniversitesi

Aydin, 09100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Health Behavior; Motor Activity; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Behavior; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Officials

• Safiye Özvurmaz, Phd

  Aydın Adnan Menderes University, Faculy of Nursing, Division Public Health Nursing

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Ph.D.

Model Details: Following recruitment, the pregnant women were divided into a study and a control group by randomization (1:2 randomization)

Study Record Dates

• First Submitted: November 20, 2025
• First Posted: January 5, 2026
• Study Start: August 1, 2023
• Primary Completion: August 1, 2024
• Study Completion: January 1, 2025
• Last Updated: January 7, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: 6 months after publication
• Access Criteria: relevance to the topic of the study and approval of all co-authors within 1 month of receiving the request.

Locations

TU (1)