Effectiveness Web-based Training on Perinatal Loss

Not Applicable

Completed

• Conditions: Pregnancy Loss; Psychological Distress; Depression
• Interventions: Other: Web-Based Education Program; Other: Control

• Registration Number: NCT06605274
• Lead Sponsor: Abant Izzet Baysal University

Brief Summary

The study was conducted in a randomized controlled parallel group experimental design to determine the effect of web-based supportive care provided to women who experienced perinatal loss on perinatal grief, depression, hopelessness and coping with stress.

Detailed Description

Loss, which includes many complex emotions, is the loss of a person or object that is valuable to the individual after having it. Perinatal loss is the most painful situation that pregnancy can potentially result in. With perinatal loss, parents may show behavioral (shock, anger and loneliness) and physical (crying, loss of appetite or overeating, insomnia, irritability, inability to concentrate, forgetfulness, pain, etc.) reactions. However, emotional problems such as grief and depression after loss are more common than physical and behavioral problems. While the prevalence of major depression in society is 3-10%, this rate varies between 10-51% in those who experience perinatal loss. Loss can become a life crisis with biopsychosocial and spiritual dimensions for parents and especially for women.

Study Timeline

• Study Start: 2023-07-01
• Primary Completion: 2023-12-01
• Study Completion: 2023-12-31
• Status Verified: 2024-09
• Study First Submitted: 2024-09-18
• Study First Submitted QC: 2024-09-18
• Last Update Submitted: 2024-09-18
• Study First Posted: 2024-09-20
• Last Update Posted: 2024-09-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 80

Inclusion Criteria

• spoke Turkish, had at least primary school level education
• did not have a psychiatric disease diagnosis
• could use and access the internet and information technologies
• did not have vision and hearing problems
• experienced pregnancy loss of 12 weeks or more
• were hospitalized in the perinatology clinic

Exclusion Criteria

• Women who did not accept to participate in the study
• did not use the internet and information technologies and could not access them
• applied to psychological support units during the training process
• started using psychiatric medication during the training process were not included in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Web-Based Education Group	Web-Based Education Program	The technology-based education program prepared for women experiencing perinatal loss was prepared based on current literature and care theories related to perinatal loss. The program consisted of five modules, namely "What I am experiencing, I am ready to learn", "I have a loss and I am ready to experience my mourning process", "I am experiencing my loss and I do not have to be alone", "I am ready to look back and explore", and "create a memory, move on". Expert opinions were obtained for the content of the program. Necessary adjustments were made to the program in line with expert opinions.
Control Group	Control	A conventional post discharge follow up was performed on control group no other intervention was applied.

Primary Outcome Measures

Name	Time	Method
Perinatal Grief Scale (PGS)	six weeks	The scale that evaluates the grief experienced after perinatal loss was developed by Toedter et al. The validity and reliability of the Turkish version of the scale was performed by Köneş et al. PGS consists of three sub-dimensions and is a 5-point Likert type.
Edinburgh Postnatal Depression Scale (EPDS)	six weeks	The scale was developed by Cox and Hodden to determine the risk of postnatal depression. Its Turkish adaptation was made by Engindeniz et al. EPDS consists of 10 items and is a 4-point Likert type. The items are scored between 0-3.
Beck Hopelessness Scale (BHS)	six weeks	It was developed by Beck, Trexler and Lester to determine individuals' hopelessness about the future. Its Turkish validity and reliability study was conducted by Seber et al. The scale consists of 20 items and three sub-dimensions. Scale items are scored between 0-1.
Stress Coping Styles Scale (SCSS)	six weeks	The scale was created by Folkman and Lazarus to determine individuals' coping with stress. It was adapted to Turkish by Şahin and Durak. The scale consists of 30 items, five sub-dimensions, and is a 4-point Likert-type scale. The items in the scale are scored between 0 and 3. The sub-dimensions of the scale are "self-confident approach", "optimistic approach", "submissive approach", "helpless approach" and "seeking social support". The score obtained from the relevant sub-dimensions indicates that the individual uses the mentioned approach more

Trial Locations

Locations (1)

Bolu Abant Izzet Baysal University; 🇹🇷 Bolu, Merkez, Turkey