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IRCT20200202046339N1 IRCT 2020-02-17 Arak University of Medical Sciences Examining the Effectiveness of solution-focused brief consolation on mothers with gestational diabetes under insulin treatment Examining the Effectiveness of solution-focused brief consulation with emphasis on self-efficacy on stress and depression and anexity of mothers with gestational diabetes under insulin treatment 2019-10-23 anticipated 56 Complete https://irct.ir/trial/45512 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Urn RandomizationUrn method was used to allocate individuals in each study group A research assistant who was not involved in the recruitment of participants prepared the 56 papers, back of 56 paper was written control or intervention group,He mixed it up, provided one of the relevant papers for every one . Participants allocated to the control group (n = 28) received standard care. Participants assigned to the intervention group (n = 28) also received standard care plus solution-focused brief consolation , The intervention consisted of 6 solution-based counseling sessions that were held weekly before the intervention questionnaires were completed by two group .6 weeks and 16 weeks after the intervention, the post test was conducted for both experimental and control groups to evaluate the effect of the intervention after the intervention and 16 weeks after the intervention, Blinding description: due to nature of intervention participants and resercher was not blind but Outcome assessors and analyzer were blind. 3 stress,anexity,depression, in mothers with gdm. Intervention 1: Intervention group: prenatal care + intervention ,Intervention consist of 6session: In the first session, introduction, After that, mothers were provided with the content of Principles of solution-focused brief consultation , the mothers were provided with information about diabetes and help them , identification of the problem, clearly , How does gestational diabetes affect mother and her child?2- In the second session setting the goals of consultation in gdm In this session participants were Helped understand their abilities, participants were educated to understand each other's perspectives, motivating each other, who is at risk for pregnancy complications , creation of alternative solutions, the participants were taught about the effect of the diabet on pregnancy and self-care (nutrition, physical activity, prevention of infection, vaccination, drug, etc.). 3 In the third session,--Change viewpoint and highlight self-efficacy In this session, the participants were taught about the effect of the diabet on pregnancy and self-care (nutrition, physical activity prevention of infection, vaccination, drug, etc assessment of consequences, selection of the solution , how to treat gestational diabetes, diet and exercise in gestational diabetes and self care, daydreaming.). Principles of self-care- 4In the forth session- use of Practical Techniques in problem solving and the Nutritionist's Guide and exercise and treatment In Gestational Diabetes were taught, the interventionist emphasized understanding one’s own thoughts and feelings and modifying self-dialogue towards more positive messaging. Therefore, the patients were taught to reflect on their thinking and respond to situations, solved the problems, and used their thoughts to help follow through with the decision they made previously, and evaluation of the outcomes Using a miracle question by a consultant And consulting with the person who understands the good and the bad moments is the result of his thoughts and behavior , Blood glucose monitoring, use of Glucometer, Assignment . 5In fifth session,Use Principles of problem solving consultation (miracle and scale questions) and monitor blood sugar Pregnancy with normal gestational diabetes, Relaxation,normal delivery or c/section in gdm , 6-In the last session( final) the interventionist summarizing the content and emphasize postpartum blood glucose monitor, the intervention were evaluated. Moreover, the interventionist answered the mothers’ questions Use the word instead to experience new emotions Highlighting responses to postpartum maternal hyperglycemia, relaxation,. Intervention 2: Control group:just take routinize prenatal care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is there is not more information
public Rafiee Zahra
Apt Naqshe Gahan,No15 Edalat,Ensegam,QOM
Qom Iran (Islamic Republic of) 3713436969 +98 25 3289 6264 Zrfyy475@gmail.com Arak University of Medical Sciences scientific Vakilian Katayon
Medical University, Basij Squre, Arak
Arak Iran (Islamic Republic of) 38481-7-6941 +908634173638 cattyv2002@yahoo.com Arak University of Medical Sciences Iran (Islamic Republic of) Mothers at10-38 week gestational age Mothers Have at least a fifth grade(primary) education non-smoking and no addiction to psychological drug or alcohol,... no history of medical illnesses, such as, cardiovascular diseases, hypertension, epilepsy, migraine, thyroid disease, connective tissue disease, asthma, respiratory disorders, kidney failure, anemia, and stroke, no histotry of hospitalization due to mental illnesses or abuse of psychological drugs under insulin treatment singleton pregnancy no limit no limit Female individuals who were unwilling to continue the research absent more than one session, of 6 consultation sessions. who experienced pregnancy-related complications, including bleeding, hypertension, early delivery, and surgery or hospitalization for current pregnancy, as well as delivery or abortion during the study severe psychiatric disorders or disaster, happened in pregnancy occurrence of major stressful events during the study O24.41 Gestational diabetes mellitus in pregnancy Lifestyle Prevention Intervention group: prenatal care + intervention ,Intervention consist of 6session: In the first session, introduction, After that, mothers were provided with the content of Principles of solution-focused brief consultation , the mothers were provided with information about diabetes and help them , identification of the problem, clearly , How does gestational diabetes affect mother and her child?2- In the second session setting the goals of consultation in gdm In this session participants were Helped understand their abilities, participants were educated to understand each other's perspectives, motivating each other, who is at risk for pregnancy complications , creation of alternative solutions, the participants were taught about the effect of the diabet on pregnancy and self-care (nutrition, physical activity, prevention of infection, vaccination, drug, etc.). 3 In the third session,--Change viewpoint and highlight self-efficacy In this session, the participants were taught about the effect of the diabet on pregnancy and self-care (nutrition, physical activity prevention of infection, vaccination, drug, etc assessment of consequences, selection of the solution , how to treat gestational diabetes, diet and exercise in gestational diabetes and self care, daydreaming.). Principles of self-care- 4In the forth session- use of Practical Techniques in problem solving and the Nutritionist's Guide and exercise and treatment In Gestational Diabetes were taught, the interventionist emphasized understanding one’s own thoughts and feelings and modifying self-dialogue towards more positive messaging. Therefore, the patients were taught to reflect on their thinking and respond to situations, solved the problems, and used their thoughts to help follow through with the decision they made previously, and evaluation of the outcomes Using a miracle question by a consultant And consulting with the person who understands the good and the bad moments is the result of his thoughts and behavior , Blood glucose monitoring, use of Glucometer, Assignment . 5In fifth session,Use Principles of problem solving consultation (miracle and scale questions) and monitor blood sugar Pregnancy with normal gestational diabetes, Relaxation,normal delivery or c/section in gdm , 6-In the last session( final) the interventionist summarizing the content and emphasize postpartum blood glucose monitor, the intervention were evaluated. Moreover, the interventionist answered the mothers’ questions Use the word instead to experience new emotions Highlighting responses to postpartum maternal hyperglycemia, relaxation, Control group:just take routinize prenatal care Stress score in dass21 scale. Timepoint: Before intervention, 6 week and 16 week after intervention. Method of measurement: dass21 scale. Anexity score in dass21 scale. Timepoint: Before intervention,6 week and 16 week after intervention. Method of measurement: dass21 scale. Depression score in dass21 scale. Timepoint: Before intervention,6 week and 16 week after intervention. Method of measurement: dass21 scale. Behavioral sterategies for coping with steress. Timepoint: Before intervention,6 week and 16 week after intervention. Method of measurement: ciss scale. Self efficacy. Timepoint: Before intervention,6 week ,16 week after intervention. Method of measurement: Dmses scale. Arak University of Medical Sciences Approved 2019-12-15 Ethics committee of Arak University of Medical Sciences Naghshe jahan Apt,No. 15, EDALATAvenu, Ensegam street , Qom Town Qom Ghoum Iran (Islamic Republic of)