Effects of Health Education Programs on the Health of Rural Pregnant Women in China

Not Applicable

Completed

• Conditions: Health Literacy
• Interventions: Other: health education; Behavioral: individual counsel

• Registration Number: NCT05784649
• Lead Sponsor: University of Malaya

Brief Summary

The aim of this study is to design, introduce, conduct, and evaluate health education programs to improve maternal health literacy, health-promoting behaviors, and empowerment of pregnant women in China.

Detailed Description

After being informed about the study and potential risks, the quasi-experimental study will be conducted. All the pregnant women who meet the inclusion criteria will be marked as numbers in the first inspection time of the second trimester. And then the odd number will be assigned to an intervention group, while the even number will be distributed to the control group which ensures that they have an equal chance of receiving the intervention.The interventions of the control group will receive the routine health education proposed by relevant experts in China which are chosen by the Chinse Medical Association. The interventions of the intervention group will receive routine health education and individual counsel on health-promoting behaviours based on the health promotion model .

Study Timeline

• Study First Submitted: 2023-02-28
• Study First Submitted QC: 2023-03-13
• Study First Posted: 2023-03-27
• Study Start: 2023-05-01
• Primary Completion: 2023-10-30
• Status Verified: 2024-05
• Study Completion: 2024-05-06
• Last Update Submitted: 2024-05-07
• Last Update Posted: 2024-05-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 105

Inclusion Criteria

1. Adult pregnant women;
2. Basic reading and comprehension skills;
3. Can use WeChat app;
4. Can complete all evaluations;
5. Willing to receive guidance and change.
6. The home address shown on the identification card is in a rural area.

Exclusion Criteria

1. Threatened abortion;
2. Premature rupture of membranes;
3. Serious complication;
4. Be absent from health education more than 2 times;
5. Have psychic or mental problems.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control group	health education	The interventions of the control group will receive the routine health education proposed by relevant experts in China which are chosen by the Chinese Medical Association.
intervention group	individual counsel	The interventions of the intervention group will include routine health education. And then the participants will have individual counsel about health-promoting behaviors with a midwife and a doctor. The counseling will be based on the procedure of the health promotion model.

Primary Outcome Measures

Name	Time	Method
Change from Baseline scores of maternal health literacy at 3 months and 5 months	The changes in the scores will be evaluated before the first month (6 to 13+6 weeks), after 3 months (25 to 28 weeks), and 5 months (33 to 36 weeks) of the intervention.	The health literacy scale for perinatal pregnant women was used to measure the level of maternal health literacy among Chinese pregnant women.It consists of 55 items accompanied by a 5-point Likert scale. The option of forward scoring items ranges from 5= strongly agree, 4 = agree, 3= uncertain, 2 = not agree, and 1 = strongly not agree. The option of reversed rescoring items ranges from 1= strongly agree, 2 = agree, 3= uncertain, 4 = not agree, and 5 = strongly not agree. The score is collected by calculating the participant's responses that form the total score from 51 to 255. The eligibility criteria were the ratio of personal score over total score is over 80% (204 points) .Based on the previous studies, the outcomes of similar interventions were tested before the first implementation of the intervention, at three months, and at the end of the intervention.
Change from Baseline scores of health-promoting behaviors at 3 months and 5 months	The changes in the scores will be evaluated before the first month (6 to 13+6 weeks), after 3 months (25 to 28 weeks), and 5 months (33 to 36 weeks) of the intervention.	Health Promotion Lifestyle Profile-II (HPLP-II) was widely chosen to evaluate the health behaviors of pregnant women. The Chinese version of HPLP-II was formed with 40 items with scores ranging from 1 to 4. The total scores range from 40 to 160. The higher scores , the better health-promoting behaviors.Based on the previous studies, the outcomes of similar interventions were tested before the first implementation of the intervention, at three months, and at the end of the intervention.

Secondary Outcome Measures

Name	Time	Method
Change from Baseline scores of empowerment at 3 months and 5 months	The changes in the scores will be evaluated before the first month (6 to 13+6 weeks), after 3 months (25 to 28 weeks), and 5 months (33 to 36 weeks) of the intervention.	The Empowerment Scale for Pregnant Women was used to evaluate the empowerment of pregnant women. This scale consists of 27 items with scores ranging from 1 to 4. The total scores range from 27 to 108. The higher scores, the better empowerment. Based on the previous studies, the outcomes of similar interventions were tested before the first implementation of the intervention, at three months, and at the end of the intervention.

Trial Locations

Locations (1)

Faculty of medicine; 🇲🇾 Kuala Lumpur, None Selected, Malaysia