Childbirth Preparation Program Developed Based on Health Belief Model

April 2, 2021 updated by: Bi̇rnur Yeşi̇ldağ Çeli̇k, Cumhuriyet University

The Effect of Pre-Birth Program Developed Based on Health Belief Model on Fear of Birth, Birth Self-Efficacy, Birth Process and Perception in Primigravida Pregnant Women

Pregnants who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews, had a higher perception of birth self-efficacy than those who did not pass.

Pregnant women who underwent a web-based preparation for labor program, which was developed based on a health belief model and supported by motivational interviews, had a more positive perception of birth than those who did not pass.

The level of fear experienced at birth is lower in pregnant women who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews.

The frequency of voluntary cesarean delivery is lower in pregnant women who undergo a web-based preparation for labor program, which is developed based on the health belief model and supported by motivational interviews.

The frequency of episiotomy is lower in pregnant women who undergo a web-based preparation for labor program, which is developed based on a health belief model and supported by motivational interviews.

Induction frequency is lower in pregnant women who underwent a web-based preparation for labor program, which was developed based on the health belief model and supported by motivational interviews, than those who did not pass.

Pregnants who underwent a web-based preparation program for labor, which was developed based on the health belief model and supported by motivational interviews, had a shorter delivery period than those who did not pass.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

In the three-month study, a web-based childbirth preparation program will be applied to primigravida women in the initiative group, based on the Health Belief Model and supported by motivational interviews. Training will take five weeks. Beginning from the 30th week of pregnancy, pregnant women will be asked to read the first part of the website and a suitable time will be determined for a motivational interview by calling the phone within that week. All applications of pregnant women related to the website will be evaluated. At the specified time, pregnant women will be taken to motivational interview training based on the Health Belief Model and the trainings will be carried out individually and online. A web-based birth preparation program based on the Health Belief Model will be applied to primigravida women in the control group. Training will take five weeks. Beginning from the 30th week of pregnancy, pregnant women will be asked to read the first part of the website. All applications of pregnant women related to the website will be evaluated.

Study Type

Interventional

Enrollment (Anticipated)

74

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 Contact

Study Locations

  • Turkey
      • Sivas, Turkey, 58100
        • Sivas Cumhuriyet Üniversitesi

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 to 35 years (Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Between the ages of 18-35,
  • At least a primary school graduate,
  • According to the last menstrual period or the results of ultrasonography of pregnant women who do not know the last menstrual period, who are in the 28-30 weeks of pregnancy,
  • Primigravida,
  • Live single pregnancy,
  • Without any obstacle to give birth through normal vaginal way,
  • No specified cesarean indication or risk factors that would adversely affect normal delivery (Heart disease, placenta previa, oligohydramnios, preeclampsia, anhydramnios, diabetes, epilepsy),
  • Not pregnant as a result of infertility treatment,
  • The state anxiety scale average score is below 60,
  • Edinburgh Postpartum Depression Scale average score of 12 or below,
  • Residing within the provincial borders of Sivas,
  • Internet at home,
  • Able to use a computer or mobile phone,
  • They are pregnant women who agree to participate in the research.

Exclusion Criteria:

  • Participants in the birth preparation class

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Web-based birth preparation program supported by motivational interview
A web-based childbirth preparation program prepared based on the Health Belief Model and supported by motivational interviews will be applied to primigravida women in the initiative group.
Other: Web-based childbirth preparation program developed based on health belief model and supported by motivational interview
In the three-month study, primigravida women in the initiative group will be given a web-based childbirth preparation program, which is prepared based on the Health Belief Model and supported by motivational interviews. Before starting the training program, pre-test will be applied to pregnant women and a five-week program will be implemented. A final test will be applied at the end of the program. The birth process will be evaluated immediately after the pregnant women give birth.
Experimental: web-based birth preparation program
A web-based birth preparation program based on the Health Belief Model will be applied to primigravida women in the control group.
Other: Web-based childbirth preparation program based on health belief model
In the three-month study, a web-based childbirth preparation program based on the Health Belief Model will be applied to primigravida women in the control group. Before starting the training program, pre-test will be applied to pregnant women and a five-week program will be implemented. A final test will be applied at the end of the program. The birth process will be evaluated immediately after the pregnant women give birth.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
has an effect on the fear of childbirth fear of birth birth self-efficacy
Time Frame: 3 months
Wijma Birth Expectation / Experience Scale Version A: It is a scale consisting of 33 items. The answers in the scale are numbered from 0 to 5, and are in six-point Likert type. Zero is expressed as "completely" and 5 as "nothing". While the minimum score on the scale is 0, the maximum score is 165. A high item total score indicates a high level of fear. Eighty-five and above points indicate clinical level fear.
3 months
has an impact on birth self-efficacy
Time Frame: 3 months
Short Version of the Self-Efficacy Scale in Labor: Each sub-dimension of the scale consists of two sub-dimensions, and consists of 16 questions. The lowest score to be obtained from the scale sub-dimensions is 16 and the highest score is 160. The lowest total score that can be obtained from the scale is 32, and the total highest score is 320. High scores to be obtained from the scale indicate that pregnant women have high levels of self-efficacy in labor.
3 months
has an effect on birth health belief
Time Frame: 3 months
Birth Health Belief Scale: The scale consists of 34 items and has five sub-dimensions. According to the subscales of the scale, the average "self-efficacy and motivation perception" is high 3.810 ± 1.409 (Min = 1; Max = 5), the average "benefit and motivation perception" is very high 4.368 ± 0.909 (Min = 1.75; Max = 5), "sensitivity perception of perception high 3,500 ± 1,502 (Min = 1; Max = 5), "caring / seriousness perception" average high 3,441 ± 1,600 (Min = 1; Max = 5), average "obstacle perception" 3,071 ± 1,508 (Min = 1; Max = 5).
3 months

Collaborators and Investigators

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

Sponsor

Cumhuriyet University

Investigators

  • Principal Investigator: BİRNUR YEŞİLDAĞ ÇELİK, Lecturer, Sivas Cumhuriyet University
  • Study Director: ZEHRA GÖLBAŞI, Prof. Dr, Lokman Hekim University

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 (Anticipated)

April 15, 2021

Primary Completion (Anticipated)

June 15, 2021

Study Completion (Anticipated)

July 30, 2021

Study Registration Dates

First Submitted

March 31, 2021

First Submitted That Met QC Criteria

April 2, 2021

First Posted (Actual)

April 6, 2021

Study Record Updates

Last Update Posted (Actual)

April 6, 2021

Last Update Submitted That Met QC Criteria

April 2, 2021

Last Verified

April 1, 2021

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • SİVAS CUMHURİYET ÜNİVERSİTESİ

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

All IPD collected will share

IPD Sharing Time Frame

starts 1 month after broadcast

IPD Sharing Access Criteria

all people have access.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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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