Impact of the Model Health Behaviour Mother 1000 Days of Life Health Online-Based on Prenatal, Intranatal, and Postnatal

March 6, 2026 updated by: Siti Saidah Nasution

The goal of this quasi-experimental interventional study is to learn whether an online-based Health Behavior Mother intervention during the first 1000 days of life can improve maternal care behavior in third-trimester pregnant women in the working area of the Pematang Jaya Community Health Center, Langkat Regency, Indonesia. The main questions it aims to answer are:

  • Does the online Health Behavior Mother intervention improve maternal knowledge regarding prenatal, intranatal, and postnatal care during the first 1000 days of life?
  • Does the online Health Behavior Mother intervention improve maternal attitudes regarding prenatal, intranatal, and postnatal care during the first 1000 days of life?
  • Does the online Health Behavior Mother intervention improve maternal practices regarding prenatal, intranatal, and postnatal care during the first 1000 days of life?

Participants will be third-trimester pregnant women who live in the working area of the Pematang Jaya Community Health Center and agree to participate in the study.

Participants will:

  • Complete a pre-test questionnaire measuring maternal knowledge, attitudes, and practices regarding care during the first 1000 days of life.
  • Receive eight sessions of online health education related to prenatal care, childbirth preparation, and postnatal care.
  • Participate in online discussions and monitoring through digital communication platforms.
  • Complete a post-test questionnaire to evaluate changes in knowledge, attitudes, and practices after the intervention.

The intervention includes educational materials on:

  • Prenatal care (ANC visits, high-risk screening, maternal and fetal nutrition, psychological preparation for childbirth)
  • Intranatal care (pain management, early breastfeeding initiation, emergency management)
  • Postnatal care (maternal health, lactation counseling, family planning, and newborn care)

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

108

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

  • Indonesia
    • North of Sumatera
      • Medan, North of Sumatera, Indonesia
        • Universitas Sumatera Utara

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Pregnant women in their third trimester.
  • Residing in the working area of Pematang Jaya Community Health Center.
  • Willing to participate and provide informed consent.

Exclusion Criteria:

  • Pregnant women not in their third trimester
  • Not residing in the working area of Pematang Jaya Community Health Center.
  • Unwilling to participate or unable to provide informed consent

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: Screening
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Model Health Behaviour Mother 1000 Days of Life Health
Behavioral: the Model Health Behaviour Mother 1000 Days of Life Health Online-Based on Prenatal, Intranatal, and Postnatal
The Health Behavior Mother 1000 Days of Life intervention is an online-based health education program targeting mothers in Langkat during prenatal, intranatal, and postnatal periods. It includes eight structured sessions delivered and monitored online, covering prenatal care (ANC, high-risk screening, fetal nutrition, psychological preparation, childbirth), intranatal care (pain management, early breastfeeding, emergency management), and postnatal care (maternal health, lactation counseling, family planning, newborn care). Trained community leaders assist in delivering content on stunting prevention and maternal-child health. Maternal knowledge, attitudes, and skills are assessed through questionnaires and observational tools. The intervention aims to improve maternal health behaviors and reduce stunting risk in children during the first 1000 days of life.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from Baseline in Maternal Knowledge, Attitudes, and Practices on Prenatal, Intranatal, and Postnatal Care
Time Frame: From enrollment (third trimester of pregnancy) to 1 month postpartum, during which 8 online counseling sessions were delivered and monitored.
Changes in maternal knowledge, attitudes, and practices regarding prenatal to postnatal periods care before and after the eight-session online Health Behavior Mother 1000 Days of Life intervention. Knowledge is assessed using True/False items (correct =1, incorrect =0) and converted to a percentage score (0-100), where higher scores indicate better knowledge. Knowledge is categorized as good (76-100%), fair (65-75%), and poor (≤56%). Attitudes are measured using a five-point Likert scale (1-5) and converted to percentages (0-100); higher scores indicate more positive attitudes (>50% positive, ≤50% negative). Practices related to antenatal care, birth preparation, postpartum care, and breastfeeding are assessed by interview and categorized as practice or not practice. The instrument showed good reliability (Cronbach's alpha = 0.855) and content validity through expert review. The primary outcome is the change between baseline (third trimester) and post-intervention.
From enrollment (third trimester of pregnancy) to 1 month postpartum, during which 8 online counseling sessions were delivered and monitored.

Collaborators and Investigators

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

Sponsor

Siti Saidah Nasution

Collaborators

Universitas Sumatera Utara

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)

April 30, 2025

Primary Completion (Actual)

December 31, 2025

Study Completion (Actual)

December 31, 2025

Study Registration Dates

First Submitted

March 2, 2026

First Submitted That Met QC Criteria

March 6, 2026

First Posted (Actual)

March 10, 2026

Study Record Updates

Last Update Posted (Actual)

March 10, 2026

Last Update Submitted That Met QC Criteria

March 6, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • No: 611/KEPK/USU/2025
  • Talenta and Langkat (Other Identifier: University of North Sumatera)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

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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