"Educational Intervention for Tokophobia in Pregnant Women"

NCT07522814 | Completed

• 1 other identifier: DU-TOKO-2025-01
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This quasi-experimental study aims to evaluate the effectiveness of structured educational sessions on tokophobia among pregnant women. Tokophobia, defined as an intense fear of pregnancy and childbirth, can negatively affect maternal psychological well-being, coping abilities, and overall quality of life. A purposive sample of 50 pregnant women attending antenatal clinics at Soad Kafafi Hospital, October City, Egypt, participated in the study. Participants received a structured educational intervention consisting of five sessions addressing knowledge about tokophobia, psychological coping strategies, and lifestyle modifications to enhance well-being during pregnancy. Data were collected before and after the intervention using validated tools, including the Tokophobia Awareness Questionnaire, Tokophobia Assessment Scale, Jalowiec Coping Scale, and WHOQOL-BREF. The study evaluates changes in awareness levels, severity of tokophobia, coping strategies, and quality of life following the intervention. The findings are expected to provide evidence on the role of educational interventions in reducing fear of childbirth and improving maternal psychological outcomes.

Conditions

Fear of Childbirth; Anxiety Disorders; Pregnancy-Related Anxiety

Keywords

Tokophobia; Maternal Mental Health; Quality of Life Coping Strategies; Pregnant Women; Educational Intervention

Outcome Measures

Primary Outcomes (1)

• Change in Tokophobia Severity Score Measured by Tokophobia Assessment Scale (TAS)

  Change in tokophobia severity scores measured using the Tokophobia Assessment Scale (TAS). The total score ranges from \[MIN\] to \[MAX\], with higher scores indicating greater severity of fear of childbirth.

  Baseline and immediately after completion of the intervention (approximately 2.5 months)

Secondary Outcomes (3)

• Change in Tokophobia Awareness Score Measured by Tokophobia Awareness Questionnaire

  Baseline and immediately after intervention

• Change in Coping Strategies Score Measured by Jalowiec Coping Scale (JCS)

  Baseline and immediately after intervention

• Change in Quality of Life Score Measured by WHOQOL-BREF

  Baseline and immediately after completion of the educational sessions

Study Arms (1)

Educational Intervention Group

EXPERIMENTAL

Pregnant women who received a structured educational intervention consisting of five sessions (three theoretical and two practical) focusing on increasing awareness of tokophobia, reducing fear of childbirth, and improving coping strategies and psychological well-being.

Behavioral: Educational Sessions on Tokophobia

Interventions

Educational Sessions on Tokophobia BEHAVIORAL

A structured educational program designed to provide information about tokophobia, its causes, symptoms, and management, along with training on psychological coping strategies and supportive techniques to enhance maternal well-being.

Also known as: Tokophobia Education Program

Educational Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Pregnant women attending antenatal clinics Age 18 years and above Willing to participate and provide informed consent

You may not qualify if:

• Pregnant women with diagnosed acute psychological disorders Pregnant women who are unable to participate in educational sessions Refusal to participate in the study

Sponsors & Collaborators

• Delta University for Science and Technology: lead

Study Sites (1)

Soad Kafafi Hospital

Cairo, Giza Governorate, 12566, Egypt

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Basma W Elrefay, phd

  Delta University for Science and Technology, Egypt

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: No masking was applied in this study due to the nature of the educational intervention
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A single-group quasi-experimental pretest-posttest design was used to evaluate the effect of educational sessions on tokophobia among pregnant women.

Study Record Dates

• First Submitted: April 4, 2026
• First Posted: April 13, 2026
• Study Start: February 20, 2025
• Primary Completion: May 10, 2025
• Study Completion: May 15, 2025
• Last Updated: April 14, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)