The Efficacy of a Mindfulness-Based Childbirth and Parenting Education on Pregnant Women's Childbirth Self-efficacy, Psychological Health and Maternal Outcomes: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 104
- 主要终点
- change of prenatal and postnatal stress
研究概览
简要总结
The purpose of this study is to explore the differences between stress, depression, childbirth self-efficacy, mindfulness and postnatal maternal outcomes in pregnant women with Mindfulness-Based Childbirth and Parenting education program.
详细描述
Being a mother is a huge change for women, and she will undergo a high degree of change and a strong threat in this transformation process. The purpose of this study is to explore the efficacy of a Mindfulness-Based Childbirth and Parenting(MBCP) Education Program on prenatal stress, depression, mindfulness, childbirth self-efficacy, and postnatal maternal outcomes.
Randomized Controlled Trial comparing two education programs with health and singleton pregnant women is run by the Random Allocation Software (Saghaei, 2004). Use the G-Power 3.1.9 windows: repeated measures and between factors among two groups to calculate the number of samples, and setting the power = .8, α = .05, effect size = .25. The estimated number of samples may be lost 20%, total 104 samples ( 52 samples in each group).
The protocol for the study used MBCP education, this program helps participants practice in the present moment, so that they may develop more confidence and well-being during pregnancy. The MBCP course is held for 3 hrs once a week for 8 weeks. They also had the home practice of 30 minutes a day with a DVD for the experimental group. The control group attending a hospital-based antenatal education program for 2 hrs once a month for 2 months from hospital staff nurses in all aspects of pregnancy, childbirth and postpartum. This study uses a standard verbal script to the eligible participants who were volunteers of pregnant women in the waiting room of metropolitan hospital in Taiwan.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Subjects were pregnant from 13th to 28th weeks gestation with a singleton pregnancy
- •Subjects were at the age over 20
- •Could speak and read Chinese fluently
- •Willing and be able to attend the education program
- •Determined to have a vaginal birth
排除标准
- •Taking medication for diagnosing mental illness
- •With complicated or high-risk pregnancies
研究组 & 干预措施
MBCP education
The intervention includes 3-hour classes per week during the duration of eight weeks and a 7- hour silent meditation practice as well.
干预措施: MBCP education (Behavioral)
Hospital-based antenatal education
Hospital-based antenatal education program will be held 2 hrs once a month for 2 months.
干预措施: Hospital-based antenatal education (Behavioral)
结局指标
主要结局
change of prenatal and postnatal stress
时间窗: Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth
Self reported the perception of stress change from baseline to 6 months after childbirth using The Perceived Stress Scale
次要结局
- change of mindfulness(Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth)
- postpartum medical records(After the childbirth within 24 hours will be collected)
- change of the childbirth self-efficacy(Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth)
- change of symptoms with depression and anxiety(Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth)
研究者
Wan-Lin Pan
Nursing department
National Taipei University of Nursing and Health Sciences