The Effect of Motivational Interviewing Method on Birth Self-efficacy and Birth Satisfaction: A Randomized Controlled Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- The Childbirth Self-Efficacy Scale-Short Form (CBSEI-SF)
研究概览
简要总结
Birth enables women to assume the role of parent, but experiencing labor pain is seen as a very stressful event. Birth pain is described as one of the most severe pains women experience throughout their lives. Different pharmacological and non-pharmacological methods are used to cope with labor pain. Non-pharmacological coping includes physiological coping (such as breathing techniques, relaxation, postural changes, and movement during labor), psychological coping (including social support, increasing self-efficacy, and increasing self-confidence), and cognitive coping (including distraction, illustration). , and focus). Birth self-efficacy refers to the mother's confidence or perception in her own ability to give birth, which may influence her future birth choices. Women with high efficacy expectations (i.e., high confidence regarding childbirth) may use cognitive coping behaviors to cope with labor pain and therefore reduce the likelihood of medical intervention.It has been found that a woman's confidence in her ability to cope with childbirth contributes significantly to her perception of pain during labor and can foster a positive perception of birth. Pregnant women with low self-efficacy also have low self-confidence during birth, which negatively affects their ability to take an active role during birth and causes an increase in cesarean delivery rates. Various approaches such as antenatal training, cognitive behavioral approach, and psychoeducation program are used to reduce the negative consequences that fear of birth may cause and to help pregnant women cope with the fear of birth and increase birth self-efficacy. One of the approaches that include these strategies is seen as the motivational interviewing method. The motivational interviewing method is a goal-oriented and more participant-centered counseling approach that aims to facilitate and activate participants' intrinsic motivation to change their behavior. Motivational interviewing is a method that encourages the participant to think about changes that can be made, rather than the counselor offering suggestions. The basic concepts of motivational interviewing are that the participant recognizes and accepts the need to make changes in their lives; This approach encourages participants to consider whether they are ready to change their behavior.
详细描述
Type of Research: The research will be conducted as a randomized controlled, experimental study to increase birth self-efficacy in pregnant women using the motivational interviewing method.
Population of the Research: The population of the research consists of pregnant women who came to the Gynecology and Obstetrics outpatient clinic between October 2023 and December 2023.
The sample of the Research G*Power version 3.1.9.7 program was used to calculate the research sample size and power value. It was calculated by taking a study as a reference in the sample size calculation. According to G power analysis, 5% margin of error, 95% power (representing the universe) and effect size were calculated as 70 in total, 35 in both groups. In the sample selection, pregnant women who have fear of childbirth and low self-efficacy will be selected as the main parameter of the study. In the literature review, it is seen that the fear of birth begins from the 20th week of pregnancy and increases throughout pregnancy. Therefore, pregnant women at or above the 20th week of pregnancy were included in the study. Pregnant women after 34 weeks were not included so that the training program was 4 weeks long and the participating pregnant women could complete the prenatal education. Taking into account the loss of pregnant women who met the research criteria and agreed to participate in the study, the sample size was determined as 90 participants, 45 for both groups. Creation of the Control and Experimental Group: After meeting the pregnant women who came for routine pregnancy examination and evaluating their suitability according to the research criteria, the Personal Information Form and the Short Version of the Self-Efficacy Scale in Labor were filled out by the pregnant women who met the inclusion criteria and volunteered to participate in the study. Pregnant women who had fear of childbirth and low self-efficacy were informed about the study and their written and verbal consent was obtained from the voluntary consent form. In addition, a list was prepared containing the name, surname, estimated date of birth based on the last menstrual period and contact information of the pregnant women.
Randomization Randomization technique was used to assign participants to groups. Stratification randomization technique will be used to ensure homogeneity according to the data obtained from the pregnant women (educational status, age and gestational week).
Blinding: Double blinding is not appropriate because the researcher included in the study provided training according to the motivational interviewing method, collected data on fear of birth, prenatal attachment and anxiety, and took part in the analysis of these data. However, pregnant women were assigned to the experimental and control groups by randomization, and one-sided blinding would be applied because the individuals did not interact with each other and did not know which group they were in.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Being 18 years or older,
- •Being at least a primary school graduate,
- •Being between 20-34 weeks in the calculations made according to the last menstrual date or with USG data for pregnant women who do not know the last menstrual date,
- •Having a fear of birth,
- •Having a single and live pregnancy,
- •Agreeing to participate in the research,
- •Having no difficulty in communicating,
- •Without infertility treatment,
- •No contraindications for vaginal birth
排除标准
- •Pregnant women with medical indications,
- •Those with risky pregnancies
结局指标
主要结局
The Childbirth Self-Efficacy Scale-Short Form (CBSEI-SF)
时间窗: each participant pregnant will be evaluated for outcome measure for four weeks
The short version of the Birth Self-Efficacy Scale consists of 32 items. This scale was developed to measure the self-efficacy level of pregnant women in labor. The validity and reliability of the scale in Turkish was conducted. The scale consists of two sub-dimensions: outcome expectation and competence expectation. Each sub-dimension of the scale consists of 16 items. A high score from each subscale indicates that pregnant women have high expectations of adequacy and outcome regarding labor. High scores from the scale indicate that pregnant women have high self-efficacy levels in labor.
次要结局
未报告次要终点
研究者
Tuğba Sarı
sponsor-investigator
Tokat Gaziosmanpasa University