Affirmation-Based Podcast Education for Fear of Childbirth and Rumination in Pregnant Women

May 12, 2026 updated by: Istinye University

The Effect of Affirmation-Based Podcast Education on Fear of Childbirth and Ruminative Thoughts in Pregnant Women

This study examined the effect of affirmation-based podcast training on fear of childbirth and ruminative thoughts among pregnant women. A randomized controlled design was used, and the study sample consisted of 120 pregnant women (60 in the intervention group and 60 in the control group) who applied to a Family Health Center in Istanbul between February and April 2025. Data were collected through face-to-face interviews using the Pregnant Woman Information Form, the Visual Analog Score, the Fear of Childbirth Scale, and the Positive-Negative Rumination Score. The intervention group listened to affirmation-based podcast recordings for 21 days, while no intervention was applied to the control group. The primary objective was to evaluate the effect of podcast training on fear of childbirth and ruminative thoughts.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

120

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 (Türkiye)
    • Esenyurt
      • Istanbul, Esenyurt, Turkey (Türkiye), 34510
        • Esenyurt Kıraç Family Health Center
      • Istanbul, Esenyurt, Turkey (Türkiye), 34510
        • Kıraç Family Health Center, Esenyurt

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

  • Adult

Accepts Healthy Volunteers

Yes

Description

İnclusion Criteria:

Pregnant women Aged 18-45 years Turkish citizens Having a fear of childbirth score ≥5 on the Visual Analog Scale (VAS) Having access to a device to listen to the podcast and download audio files Willing to participate in the study

Exclusion Criteria:

History of abortion or miscarriage Currently undergoing or previously underwent in vitro fertilization (İVF) treatment Presence of chronic diseases (e.g., cardiovascular diseases, diabetes mellitus, hypertension) Presence of psychiatric disorders (e.g., major depression, psychosis) İnability to complete the intervention or follow-up assessments

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group
Pregnant women in this group receive a 21-day affirmation-based podcast education program as a supplementary intervention alongside routine care.
Behavioral: Affirmation-based podcast training
Participants listened to the affirmation-based podcast training for 10 minutes each day for 21 days. The podcast recordings were uploaded to the Spotify interface. In addition, they were converted into an HTML link, and a QR code was generated. The podcast was shared with participants via the QR code and the Spotify link. A daily reminder message was sent to encourage listening.
No Intervention: Control Group
Participants receive only standard routine care provided at the health center with no additional intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Childbirth Fear Scale
Time Frame: Baseline and 21 days post-intervention.
The total ranges from 20 to 100. Higher scores indicate higher levels of fear of childbirth.
Baseline and 21 days post-intervention.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Positive and Negative Rumination Scale
Time Frame: Baseline and 21 days post-intervention.
The total ranges from 23 to 115. Higher scores indicate higher levels of rumination.
Baseline and 21 days post-intervention.

Collaborators and Investigators

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

Sponsor

Istinye University

Investigators

  • Study Director: REFİKA GENÇ KOYUCU, DOÇ. DR., Istinye University, Republic of Turkey

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 14, 2025

Primary Completion (Actual)

April 30, 2025

Study Completion (Actual)

April 30, 2025

Study Registration Dates

First Submitted

March 16, 2026

First Submitted That Met QC Criteria

May 12, 2026

First Posted (Actual)

May 15, 2026

Study Record Updates

Last Update Posted (Actual)

May 15, 2026

Last Update Submitted That Met QC Criteria

May 12, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 24-174

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The data will be anonymized in accordance with ethical guidelines and shared only with researchers who request them for scientific research purposes. Requesters must sign a data use agreement. The data will be shared after the completion of the study.

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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