The Effect of Social Media-Based Education on the Knowledge and Attitudes of Women of Childbearing Age in the Preconception Period and on Healthy Lifestyle Behaviors

In order to determine the effect of education provided through social media on the knowledge and attitudes of women of childbearing age during the preconceptional period and its relationship with healthy lifestyle behaviors, a randomized controlled pre-test and post-test design and control group was planned. The research universe will consist of women of childbearing age who applied to Ümraniye Education and Research Hospital, agreed to participate in the study and met the inclusion criteria (N: 80). In this randomized controlled pre-test and post-test design and control group study, in order to determine the sample size; the data were normally distributed, the standard deviation of the main mass was estimated as 1 and the effect size (difference) was estimated as 0.8. For the analysis to be conducted, it was calculated that the highest power value of the study would be 0.942182 if two independent n₁=40, n₂=40 samples were taken at a significance level of 5%. The G-power analysis result is given below. In addition, after the data collection, the adequacy of the sample size in the study will be evaluated with a post hoc power analysis. Women who volunteer to participate in the study will be assigned to the intervention and control groups using a computer-aided simple random sampling method. Computer-aided randomization will be used in the study, and the number of cases will be entered through the program with the URL address https://www.randomizer.org and random assignment will be made to the intervention and control groups. Preconceptional period education will be provided to the women in the intervention group via social media. No application will be made to the control group.

Study Overview

• Status: Not yet recruiting
• Conditions: Social Media Based Education
• Intervention / Treatment: Other: Social media based education

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Yasemin AYDIN KARTAL, PhD; Phone Number: +90 543 287 00 29; Email: yasemin.aydin@sbu.edu.tr
• Study Contact Backup: Name: Aleyna Bulut, Msc; Phone Number: 05365626184; Email: aleyna.bulut@sbu.edu.tr

Study Locations

• Turkey
  • Istanbul, Turkey
    • University of Health Sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being willing to participate in the study.
• Being a woman of childbearing age
• Planning to get pregnant within 1 year
• Using Instagram and WhatsApp

Exclusion Criteria:

- Being pregnant

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention group (n:40); Participants in the intervention group will be required to follow the Instagram account created specifically for the training. The Instagram account will be made private to prevent women in the control group from accessing Instagram posts. The training provided via Instagram will last 2 weeks, including the process of sharing all posts and videos. After the completion of the training, the "Healthy Lifestyle Behaviors Scale" and the "Preconceptional Knowledge and Attitude Scale" will be applied as a post-test.	Other: Social media based education; Participants in the intervention group will be required to follow the Instagram account created specifically for the training. The Instagram account will be made private to prevent women in the control group from accessing Instagram posts. The training provided via Instagram will last 2 weeks, including the process of sharing all posts and videos. After the completion of the training, the "Healthy Lifestyle Behaviors Scale" and the "Preconceptional Knowledge and Attitude Scale" will be applied as a post-test.
No Intervention: Control group (n:40; No application will be made. After all stages of the research are completed, training will be applied to the control group participants. After the research is completed, all participants will be given a brochure containing the information in the training content.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Introductory Information Form	This form, created by researchers based on literature, includes questions about the participants' age, obstetric history, healthy lifestyle behaviors, etc.	10 minutes
Healthy Lifestyle Behaviors Scale (HLBS-II)	The scale, whose validity and reliability study was conducted in our country by Bahar et al. in 2008, was developed by Walker et al. in 1996 to measure the health-enhancing behaviors of the individual in relation to a healthy lifestyle. The scale has six sub-dimensions: health responsibility (3,9,15,21,27,33,39,45,51), physical activity (4,10,16,22,28,34,40,46), nutrition (2,8,14,20,26,32,38,44,50), spiritual development (6,12,18,24,30,36,42,48,52), interpersonal relations (1,7,13,19,25,31,37,43,49) and stress management (5,11,17,23,29,35,41,47) and consists of a total of 52 items. The interpersonal relations scale sub-dimension evaluates the relationships between the individual and the environment. Communication is necessary in a healthy relationship.	10 minutes
Preconceptional Knowledge and Attitude Scale	It was developed by Gökdemir and Eryılmaz in 2022. The original language of the scale is Turkish and it is a 5-point Likert type. The scale can be applied to married and single women between the ages of 18-45 who are of childbearing age. The Preconceptional Knowledge and Attitude Scale consists of a total of 43 items, 42 positive (straight) and 1 negative (reverse) item, and 7 sub-dimensions (factors). The distribution of the items in the scale to the factors is as follows. Factor 1 (Attitudes Towards Preconceptional Health Protection and Development): There are a total of 10 items in this dimension, consisting of items 10, 15, 17, 18, 19, 21, 23, 25, 26, and 31. Factor 2 (Attitudes Towards Fertility Planning): This dimension consists of items 28, 30, 32, 34, 38, 39, and 40, and has a total of 7 items. Factor 3 (Attitudes Towards Living Conditions Before Having Children): This dimension consists of items 27, 29, 41, 35, and 42, and has a total of 5 items.	10 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Introductory Information Form	This form, created by researchers based on literature, includes questions about the participants' age, obstetric history, healthy lifestyle behaviors, etc.	10 minutes
Healthy Lifestyle Behaviors Scale (HLBS-II)	The scale, whose validity and reliability study was conducted in our country by Bahar et al. in 2008, was developed by Walker et al. in 1996 to measure the health-enhancing behaviors of the individual in relation to a healthy lifestyle. The scale has six sub-dimensions: health responsibility (3,9,15,21,27,33,39,45,51), physical activity (4,10,16,22,28,34,40,46), nutrition (2,8,14,20,26,32,38,44,50), spiritual development (6,12,18,24,30,36,42,48,52), interpersonal relations (1,7,13,19,25,31,37,43,49) and stress management (5,11,17,23,29,35,41,47) and consists of a total of 52 items. The interpersonal relations scale sub-dimension evaluates the relationships between the individual and the environment. Communication is necessary in a healthy relationship.	10 minutes
Preconceptional Knowledge and Attitude Scale	It was developed by Gökdemir and Eryılmaz in 2022. The original language of the scale is Turkish and it is a 5-point Likert type. The scale can be applied to married and single women between the ages of 18-45 who are of childbearing age. The Preconceptional Knowledge and Attitude Scale consists of a total of 43 items, 42 positive (straight) and 1 negative (reverse) item, and 7 sub-dimensions (factors). The distribution of the items in the scale to the factors is as follows. Factor 1 (Attitudes Towards Preconceptional Health Protection and Development): There are a total of 10 items in this dimension, consisting of items 10, 15, 17, 18, 19, 21, 23, 25, 26, and 31. Factor 2 (Attitudes Towards Fertility Planning): This dimension consists of items 28, 30, 32, 34, 38, 39, and 40, and has a total of 7 items. Factor 3 (Attitudes Towards Living Conditions Before Having Children): This dimension consists of items 27, 29, 41, 35, and 42, and has a total of 5 items.	10 minutes

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Study record dates

Study Major Dates

• Study Start (Estimated): October 5, 2025
• Primary Completion (Estimated): December 5, 2025
• Study Completion (Estimated): February 5, 2026

Study Registration Dates

• First Submitted: December 7, 2024
• First Submitted That Met QC Criteria: July 21, 2025
• First Posted (Actual): July 24, 2025

Study Record Updates

• Last Update Posted (Actual): July 24, 2025
• Last Update Submitted That Met QC Criteria: July 21, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: SBU-AYDINKARTAL-012

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No