Effect of the Pecha-Kucha Method on the Discharge Readiness and Anxiety Levels

January 4, 2021 updated by: Aysegul Durmaz

The Effect of Pecha-Kucha Method on the Discharge Readiness and Anxiety Levels: A Randomized Controlled Trial

H1a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the discharge readiness levels.

H1b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is a statistically significant difference in the anxiety levels.

H0a: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the discharge readiness levels.

H0b: Between the women receiving discharge training with the PechaKucha method by using smartphones and the women taking the routine discharge training in the early postpartum period, there is no statistically significant difference in the anxiety levels.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The research was conducted as a single-blind controlled study with simple random sampling. It was carried out at a tertiary-level hospital in Turkey in February-August 2019.

The research population was composed of the mothers who had cesarean delivery at the maternity service of a tertiary-level hospital in Turkey. The size of the research sample was calculated with power analysis. Considering the likelihood that some participants would later be excluded from the research or leave it, a total of 156 mothers who met the inclusion criteria for the research were assigned to the experimental group (78) and control group (78).

Both the experimental and control groups each had 78 mothers, and hence, a total of 156 mothers were included in the study. The postpartum discharge training in which the PechaKucha method was applied via the smartphones was offered to the mothers in the experimental group whereas the mothers in the control group had solely the routine discharge training. The research was completed with the participation of 140 mothers, namely, 70 mothers in the experimental group and 70 mothers in the control group. The discharge training which was comprised of 20 slides created as per the PechaKucha method was offered to the mothers in the experimental group via smartphones. Each slide was displayed for 20 seconds. The presentation took 6 minutes 40 seconds in total. The Q&A session was performed after the presentation. While care was provided and the follow-up activities were performed in the process following the discharge training, feedback about the discharge training topics was received from both groups, discharge training topics were reminded to both groups and the questions of the mothers in both groups were answered.

The 'Personal Information Form', the 'Readiness for Hospital Discharge Scale - New Mother Form', and the 'State-Trait Anxiety Inventory' were used for gathering the research data.

In the statistical analysis, the SPSS (Statistical Package for Social Science) 22.0 software was utilized. Descriptive statistics (mean, standard deviation, frequency, percentage) were used in the evaluation of the findings. Kolmogorov-Smirnov test was employed for identifying whether the research data were normally distributed.

Study Type

Interventional

Enrollment (Actual)

140

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Kutahya, Turkey, 43000
        • Kutahya Health Science University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • To receive postpartum discharge training with PechaKucha method
  • To have cesarean birth
  • To have singleton birth
  • To be within the early postpartum period (the first 48 hours)
  • Not have complications at childbirth
  • Not have chronic diseases or mental disorders
  • Older than 18 years
  • To voluntary to participate
  • To know how to read, write and speak in Turkish
  • To stay within this study until the end
  • To fully complete questionnaire
  • To have a newborn with no complications
  • To have a healthy baby

Exclusion Criteria:

  • To receive routine postpartum discharge training
  • Not have cesarean birth
  • Having multiple birth
  • Not to be within the early postpartum period (the first 48 hours)
  • Having complications at childbirth
  • Having chronic diseases or mental disorders
  • Younger than 18 years
  • To refuse to participate
  • Not knowing how to read, write and speak Turkish
  • To leave early this study
  • Not fill the questionnaire
  • Having a newborn with complications
  • Having a baby in need of medical care

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group
The mothers in the experimental group (70) were given the postpartum discharge education with PechaKucha Method.
Behavioral: The postpartum discharge education with PechaKucha Method.
The postpartum discharge training in which the PechaKucha method was applied via the smartphones was offered to the mothers in the experimental group whereas the mothers in the control group had solely the routine discharge training. The postpartum training was offered as per the Postpartum Care Management Guideline of the Ministry of Health of Turkey. The discharge training was offered to the experimental group by using the PechaKucha presentation technique.
No Intervention: Control Group
The mothers in the control group (70) were given the routine postpartum discharge education.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pre-Test Readiness for Postpartum Discharge
Time Frame: the pretest was applied in the first 8-12 hours in the postpartum period.
Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM); This is a scale assessing the readiness for discharge by mothers' perceptions. It consists of four subdimensions and 23 items. The first item is answered dichotomously (yes/no). The items between 2 and 23 are calculated through the Likert type points ranging from 0 to 10. The subdimensions consisted of 1. Care skills, 2. Expected support; 3. Strength and ability to cope; 4. Stress control and knowledge of accessing help. The lowest and highest scores are 0 and 220. High scores indicate women's readiness for discharge.
the pretest was applied in the first 8-12 hours in the postpartum period.
Pre-Test Anxiety Level
Time Frame: the pretest was applied in the first 8-12 hours in the postpartum period.
State-Trait Anxiety Inventory (STAI): The scale which was developed in 1970 by Spielberger, Gorsuch, and Lushene is comprised of two parts for measuring state anxiety and trait anxiety. Each part has 20 items. The STAI-State is scored as per the severity level of the emotions and behaviors (1: Not at all, 2: Somewhat, 3: Moderately so, and 4: Very much so). In the STAI-State, there are ten reverse-scored items (Items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20). The items of the STAI-Trait are scored as per the expression frequency of the emotions and behaviors (1: Almost never, 2: Sometimes, 3: Often, and 4: Almost always). In the STAI-Trait, there are seven reverse-scored items (Items 21, 26, 27, 30, 33, 36, and 39). In the scoring, two separate keys are prepared for identifying the total weighted values of the straight-scored and reverse-scored items. These constant values are 50 and 35 respectively for the STAI-State and STAI-Trait.
the pretest was applied in the first 8-12 hours in the postpartum period.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Post-Test Readiness for Postpartum Discharge
Time Frame: the post-test was applied in the first 36-40 hours in the postpartum period.
Perceived Readiness for Discharge After Birth Scale-Form for New Mothers (PRDABS-FNM); This is a scale assessing the readiness for discharge by mothers' perceptions. It consists of four subdimensions and 23 items. The first item is answered dichotomously (yes/no). The items between 2 and 23 are calculated through the Likert type points ranging from 0 to 10. The subdimensions consisted of 1. Care skills, 2. Expected support; 3. Strength and ability to cope; 4. Stress control and knowledge of accessing help. The lowest and highest scores are 0 and 220. High scores indicate women's readiness for discharge.
the post-test was applied in the first 36-40 hours in the postpartum period.
Post-Test Anxiety Level
Time Frame: the post-test was applied in the first 36-40 hours in the postpartum period.
State-Trait Anxiety Inventory (STAI): The scale which was developed in 1970 by Spielberger, Gorsuch, and Lushene is comprised of two parts for measuring state anxiety and trait anxiety. Each part has 20 items. The STAI-State is scored as per the severity level of the emotions and behaviors (1: Not at all, 2: Somewhat, 3: Moderately so, and 4: Very much so). In the STAI-State, there are ten reverse-scored items (Items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20). The items of the STAI-Trait are scored as per the expression frequency of the emotions and behaviors (1: Almost never, 2: Sometimes, 3: Often, and 4: Almost always). In the STAI-Trait, there are seven reverse-scored items (Items 21, 26, 27, 30, 33, 36, and 39). In the scoring, two separate keys are prepared for identifying the total weighted values of the straight-scored and reverse-scored items. These constant values are 50 and 35 respectively for the STAI-State and STAI-Trait.
the post-test was applied in the first 36-40 hours in the postpartum period.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Aysegul Durmaz

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 4, 2019

Primary Completion (Actual)

June 15, 2019

Study Completion (Actual)

August 31, 2019

Study Registration Dates

First Submitted

January 4, 2021

First Submitted That Met QC Criteria

January 4, 2021

First Posted (Actual)

January 6, 2021

Study Record Updates

Last Update Posted (Actual)

January 6, 2021

Last Update Submitted That Met QC Criteria

January 4, 2021

Last Verified

January 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P-K Met. Dis. and Anx.

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

all IPD that underlie results in a publication

IPD Sharing Time Frame

Starting 6 months after publication

IPD Sharing Access Criteria

If study' IPD are used, my article should be cited.

IPD Sharing Supporting Information Type

  • Study Protocol
  • Statistical Analysis Plan (SAP)
  • Informed Consent Form (ICF)
  • Clinical Study Report (CSR)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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