The Effect of Web-Based Compassion-Focused Structured Writing Programs on Well-Being in Midwives Working in Delivery Rooms
2026年7月11日 更新者：Gozde Gokce Isbir、Mersin University
The Effect of Web-Based Compassion-Focused Writing Program and Reflective Writing Program on Psychological Outcomes in Midwives Working in Delivery Rooms: A Randomized Controlled Trial
This randomized controlled trial aims to compare the effects of a web-based compassion-focused writing program and a reflective writing program on psychological well-being, self-compassion, postpartum trauma-related stress symptoms, and post-traumatic growth in midwives working in delivery rooms.
調査の概要
状態
まだ募集していません
詳細な説明
This study is planned as a single-blind, parallel-group randomized controlled trial to evaluate the effects of two different writing-based interventions on psychological outcomes in midwives working in delivery rooms.
During the childbirth process, midwives may occasionally witness traumatic events, which may lead to secondary traumatic stress, burnout, and various psychological difficulties.
The literature indicates that expressive writing, reflective writing, and compassion-focused writing approaches contribute to individuals' ability to make sense of traumatic experiences, enhance emotional regulation skills, and support psychological well-being.
Accordingly, this study aims to examine the effects of writing-based interventions that may support the psychological resilience of midwives.
A total of 90 midwives who meet the inclusion criteria will be included in the study and randomly assigned to two groups using a computer-generated random number sequence.
One group will receive a web-based compassion-focused writing program, while the other group will receive a web-based reflective writing program.
Both programs will consist of five sessions conducted once per week via an online platform.
Data will be collected using a Personal Information Form, Psychological Well-Being Scale, Self-Compassion Scale, City Birth Trauma Scale, and Post-Traumatic Growth Scale - Short Form.
Measurements will be conducted before the intervention, immediately after the completion of the program, and during the follow-up period.
Additionally, after each session, participants will complete a brief questionnaire to evaluate their writing experience.
The collected data will be analyzed using appropriate statistical methods to compare the effects of both writing programs on psychological well-being, self-compassion, post-traumatic growth, and trauma-related stress symptoms.
研究の種類
介入
入学 (推定)
90
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Gözde Gökçe İsbir
- 電話番号：+905057782319
- メール：gozdegokce@gmail.com
研究連絡先のバックアップ
- 名前：Zehra Yıldırım
- 電話番号：+905464313760
- メール：ebezehrayldrm@gmail.com
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
はい
説明
Inclusion Criteria:
- Working as a midwife in a delivery room between November 1, 2025, and February 15, 2027
- Native Turkish speaker
- Female
- Aged between 18-65 years
- Having at least a bachelor's degree in midwifery
- Having at least three years of delivery room experience
- No diagnosed psychological or psychiatric disorder
- Having the technical infrastructure to use a web-based program
- Ability to use a smartphone, tablet, or computer
- Voluntary agreement to participate in the study
Exclusion Criteria:
- Not working in a delivery room during the specified dates
- Not a native Turkish speaker
- Under 18 or over 65 years of age
- Male
- Changing clinical unit during the study
- Not completing all five intervention sessions
- Working less than 40 hours per week in the delivery room due to leave or reassignment
- Voluntary withdrawal from the study at any stage
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Compassion-Focused Writing Program
Participants assigned to this group will complete a five-week web-based compassion-focused writing program consisting of structured writing exercises aimed at enhancing self-compassion, increasing empathy, supporting emotional awareness, and strengthening coping skills related to challenging birth experiences.
Sessions will be conducted once per week via an online platform.
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The web-based compassion-focused writing program consists of five structured writing sessions designed to enhance self-compassion, empathy, emotional awareness, and coping skills related to challenging birth experiences.
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プラセボコンパレーター：Reflective Writing Program
Participants in this group will complete a five-week web-based reflective writing program consisting of structured writing exercises designed to encourage reflection on professional experiences, emotional responses, and thoughts related to delivery room practices.
Sessions will be conducted once per week via an online platform.
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The web-based reflective writing program consists of structured online writing exercises designed to facilitate reflective thinking, emotional expression, and self-awareness.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Psychological Well-Being
時間枠：Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
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Participants' psychological well-being will be assessed using the Psychological Well-Being Scale developed by Diener et al. (2010) to measure socio-psychological well-being.
The scale consists of 8 items rated on a 7-point Likert scale ranging from 1 ("Strongly disagree") to 7 ("Strongly agree").
Total scores range from 8 to 56, with higher scores indicating greater psychological well-being and stronger psychological resources.
The Turkish version of the scale demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.80 (Telef, 2013).
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Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
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Self-Compassion
時間枠：Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
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Participants' self-compassion will be assessed using the Self-Compassion Scale developed by Neff (2003).
The scale measures individuals' levels of self-kindness, acceptance, and compassion toward themselves.
The Turkish version consists of 24 items rated on a 5-point Likert scale.
It includes six subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identification.
Total scores range from 24 to 120, with higher scores indicating greater self-compassion.
The Turkish version demonstrated good reliability, with a Cronbach's alpha coefficient of 0.89 and a test-retest reliability coefficient of 0.83 (Deniz, Kesici, & Sümer, 2008).
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Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
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Birth-Related Traumatic Stress Symptoms
時間枠：Within 24 hours before the intervention and 6-8 weeks after the intervention
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Participants' birth-related traumatic stress symptoms will be assessed using the City Birth Trauma Scale - Maternal Health Professional Version, developed by McInnes et al. (2025).
The scale is based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for post-traumatic stress disorder and is designed to assess birth-related traumatic stress symptoms among maternal healthcare professionals providing care during the antenatal, intrapartum, and postpartum periods.
Total PTSD symptom scores range from 0 (minimum) to 60 (maximum), with higher scores indicating more severe birth-related post-traumatic stress disorder symptoms.The scale consists of 29 items, with higher total scores indicating more severe birth-related post-traumatic stress disorder symptoms.
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Within 24 hours before the intervention and 6-8 weeks after the intervention
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Posttraumatic Growth
時間枠：Within 24 hours before the intervention and 6-8 weeks after the intervention
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Participants' posttraumatic growth will be assessed using the Posttraumatic Growth Inventory-Short Form, developed by Platte et al. (2023).
The scale consists of 10 items rated on a 6-point Likert scale, with total scores ranging from 0 to 50.
Higher scores indicate greater positive psychological growth following a traumatic or highly stressful experience.
The original version demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.88.
The Turkish version also demonstrated good reliability, with a Cronbach's alpha coefficient of 0.81 (Türk et al., 2025).
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Within 24 hours before the intervention and 6-8 weeks after the intervention
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Uddin N, Ayers S, Khine R, Webb R. The perceived impact of birth trauma witnessed by maternity health professionals: A systematic review. Midwifery. 2022 Nov;114:103460. doi: 10.1016/j.midw.2022.103460. Epub 2022 Aug 13.
- Hajiesmaello M, Hajian S, Riazi H, Majd HA, Yavarian R. Secondary traumatic stress in iranian midwives: stimuli factors, outcomes and risk management. BMC Psychiatry. 2022 Jan 24;22(1):56. doi: 10.1186/s12888-022-03707-7.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年10月1日
一次修了 (推定)
2026年11月1日
研究の完了 (推定)
2027年2月15日
試験登録日
最初に提出
2026年7月7日
QC基準を満たした最初の提出物
2026年7月7日
最初の投稿 (実際)
2026年7月13日
学習記録の更新
投稿された最後の更新 (実際)
2026年7月14日
QC基準を満たした最後の更新が送信されました
2026年7月11日
最終確認日
2026年7月1日
詳しくは
本研究に関する用語
その他の研究ID番号
- ZYildirim
個々の参加者データ (IPD) の計画
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いいえ
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いいえ
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いいえ
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