The Effect of Affirmation During Non-Stress Test on Pain, Anxiety, Fear, and Stress

NCT07667920 | Completed

• 2 other identifiers: 2025/111919B012401664
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This study will examine whether positive affirmations used during the Non-Stress Test (NST) can help reduce pain, anxiety, fear, and stress in pregnant women. The NST is a routine test used during pregnancy to assess fetal well-being. In this randomized controlled study, 90 pregnant women will participate. Some participants will repeat affirmation statements during the NST, while others will receive standard care. Pain, anxiety, fear, and stress levels will be measured before and after the NST. The goal of the study is to understand whether affirmations can make the NST experience more comfortable for pregnant women.

Conditions

Pregnancy; Pain; Anxiety; Fear; Stress

Keywords

Non-Stress Test; Pregnancy; Pain; Fear; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

• Anxiety Level

  Anxiety level will be assessed using the State Anxiety Inventory before and after the Non-Stress Test. Higher scores indicate higher anxiety levels.

  Before and immediately after the Non-Stress Test

Study Arms (3)

Affirmation Group 1

EXPERIMENTAL

Pregnant women with a normal pregnancy process will receive affirmation practice during the Non-Stress Test. During the NST procedure, participants will repeat positive affirmation statements to support relaxation and reduce pain, anxiety, fear, and stress.

Behavioral: Affirmation Practice During Non-Stress Test

Affirmation Group 2

EXPERIMENTAL

Pregnant women who require a repeated Non-Stress Test due to decreased fetal movements or pain will receive affirmation practice during the Non-Stress Test. During the NST procedure, participants will repeat positive affirmation statements to support relaxation and reduce pain, anxiety, fear, and stress.

Behavioral: Affirmation Practice During Non-Stress Test

Control Group

NO INTERVENTION

Participants in this arm did not receive the affirmation intervention during NST.

Interventions

Affirmation Practice During Non-Stress Test BEHAVIORAL

Pregnant women in the affirmation groups will repeat positive affirmation statements during the Non-Stress Test. The affirmation practice will be applied during the NST procedure to support relaxation and reduce pain, anxiety, fear, and stress.

Affirmation Group 1; Affirmation Group 2

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women admitted to the clinic for the Non-Stress Test
• Pregnant women between 32 and 41 weeks of gestation
• Turkish citizens
• Women aged 20 to 35 years
• Women who voluntarily agree to participate in the study and provide informed consent
• Women who have emptied their bladder immediately before the NST
• Women who have eaten at least two hours before the NST

You may not qualify if:

• High-risk pregnancy, such as preeclampsia or multiple pregnancy
• Inability to read and write Turkish
• Any health problem in the mother or fetus
• Known psychiatric disorder

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

Esenler Maternity and Child Diseases Hospital

Istanbul, 34668, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

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: PhD Student

Study Record Dates

• First Submitted: June 4, 2026
• First Posted: June 25, 2026
• Study Start: November 10, 2025
• Primary Completion: May 5, 2026
• Study Completion: May 5, 2026
• Last Updated: June 25, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)