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IRCT20200404046943N1 IRCT 2020-09-09 Oroumia University of Medical Sciences Comparison of face-to-face training and mobile phone training on fear of childbirth Comparative effect of peer-based education using mobile phone and face-to-face education on fear of childbirth in primigravia women in comprehensive health centers 2020-04-20 anticipated 66 Complete https://irct.ir/trial/46966 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In the study groups, Random allocation will be made with blocking methods. First, all possible combinations of AABBCC blocks will be listed, one code will assign to each of them, and then 11 codes will be select randomly. They will be Blind to ensure that there is no bias. After selecting them, go to the blocks corresponding to each code, and then according to the available combinations, people will enter the study groups. N/A Fear of childbirth. Intervention 1: Intervention group 1: Face to face training: 6 training sessions held once a week, and the time of face-to-face training will be 90 minutes. The first sessions Content is Introducing peers and getting acquainted with each other, educating clients about the reproductive system and reproduction of women and the names and functions of some organs involved in childbirth, common complaints during pregnancy, and how to deal with them. Stretching exercises, summarizing the first session and Assignment, and get feedback (feedback on mobile education will be self-reported by mothers). The second session's content is a group discussion on anxiety and stress-related to pregnancy and ways to deal with it, including relaxation methods and breathing techniques, the importance of prenatal care, danger symptoms, personal health, final summary, and assigning feedback. The third session's content is a Review of homework, and a brief review of the previous session, self-control of emotions, nutrition and maintenance of a proper diet, childbirth and pain relief methods, gaining the support of a spouse or a loved one, final summary, Assignment, and provide feedback. The fourth session's content is a Review of homework and a brief review of the previous session, training to introduce common mental errors in childbirth, the importance of vaginal delivery, final summary, homework assignment, and feedback. The fifth sessions Content is a Review of homework and a brief review of the previous session, description of labor stages, labor and delivery process, familiarity with hospital routine, application of distracting behavioral techniques, deep breathing, muscle relaxation, expression of peer experiences of labor and labor stages, summary, Assignment and provides feedback. The sixth session's content is a review of homework and a brief review of the previous session. It teaches people how to use methods to reduce pain and stretch and to breathing exercises to people, teaching breastfeeding, and caring for the baby. Intervention 2: Intervention group2: Intervention group via mobile phone Educational content in WhatsApp program in 4 groups of 6-5 people through group chat, sending an audio file and educational video by peers to mothers and questions and answers with group members and discussing training presentations Based on the experience of delivery, the counterparts will be presented. The sessions will be weekly for 90 minutes. Intervention 3: Control group،The routine care will receive to the control group during pregnancy, and no intervention will accrue. 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 much information
public Fereshteh Rostami
The first floor of Sadra building, sub-street 1, Khayyam street, Meshginshahr city, Ardabil province, Iran
Meshginshahr Iran (Islamic Republic of) 5661844518 +98 45 3252 8948 Za.sa.rostame@gmail.com Oroumia University of Medical Sciences scientific Roqia Bayrami
School of Nursing and Midwifery, Nazloo Campus,Urmia University of Medical Sciences,UrmiaWest Azerbaijan Province,Iran
Orumieh Iran (Islamic Republic of) 5756115111 0098 44327549614 rozabayrami@yahoo.com Oroumia University of Medical Sciences Iran (Islamic Republic of) Reading and writing Persian literacy Age range 18 to 35 years Singleton primigravia women Pregnancy age 24 to 32 weeks No history of infertility Lack of stressful events in the last 6 months Lack of medical indications for cesarean section Lack of mental illness Having a mobile phone with Android operating system, the ability to connect to the Internet, the ability to use WhatsApp Get a score of 85 or higher on the Vijma Questionnaire 18 years 35 years Female Any disease added to the pregnancy that requires a cesarean section for the mother Having any complications during pregnancy such as high blood pressure during pregnancy, decompression, fetal death, premature rupture of the bladder, preterm delivery Mental illness No contact information Other Other Other Intervention group 1: Face to face training: 6 training sessions held once a week, and the time of face-to-face training will be 90 minutes. The first sessions Content is Introducing peers and getting acquainted with each other, educating clients about the reproductive system and reproduction of women and the names and functions of some organs involved in childbirth, common complaints during pregnancy, and how to deal with them. Stretching exercises, summarizing the first session and Assignment, and get feedback (feedback on mobile education will be self-reported by mothers). The second session's content is a group discussion on anxiety and stress-related to pregnancy and ways to deal with it, including relaxation methods and breathing techniques, the importance of prenatal care, danger symptoms, personal health, final summary, and assigning feedback. The third session's content is a Review of homework, and a brief review of the previous session, self-control of emotions, nutrition and maintenance of a proper diet, childbirth and pain relief methods, gaining the support of a spouse or a loved one, final summary, Assignment, and provide feedback. The fourth session's content is a Review of homework and a brief review of the previous session, training to introduce common mental errors in childbirth, the importance of vaginal delivery, final summary, homework assignment, and feedback. The fifth sessions Content is a Review of homework and a brief review of the previous session, description of labor stages, labor and delivery process, familiarity with hospital routine, application of distracting behavioral techniques, deep breathing, muscle relaxation, expression of peer experiences of labor and labor stages, summary, Assignment and provides feedback. The sixth session's content is a review of homework and a brief review of the previous session. It teaches people how to use methods to reduce pain and stretch and to breathing exercises to people, teaching breastfeeding, and caring for the baby. Intervention group2: Intervention group via mobile phone Educational content in WhatsApp program in 4 groups of 6-5 people through group chat, sending an audio file and educational video by peers to mothers and questions and answers with group members and discussing training presentations Based on the experience of delivery, the counterparts will be presented. The sessions will be weekly for 90 minutes. Control group،The routine care will receive to the control group during pregnancy, and no intervention will accrue. Childbirth Fear Score in the Vijma Birth Fear Questionnaire. Timepoint: Pre-test (before the start of the intervention), post-test (immediately after the intervention), follow-up (one month after the intervention). Method of measurement: General score obtained from the Vijma A Fear of Childbirth Questionnaire. Pregnancy Anxiety Score in Shortened Questionnaire Pregnancy Anxiety Wendenberg. Timepoint: Pre-test (before the start of the intervention), post-test (immediately after the intervention), follow-up (one month after the intervention). Method of measurement: The total score obtained from the abbreviated questionnaire of Wendenberg. Fear of childbirth. Timepoint: Follow-up test (one month after the last intervention session). Method of measurement: The overall score obtained from the Vijma Birth Fear Questionnaire. Pregnancy Anxiety. Timepoint: Follow-up test (one month after the last intervention session). Method of measurement: The overall score obtained in the shortened Wondenberg Pregnancy Anxiety Questionnaire. Oroumia University of Medical Sciences Approved 2020-03-17 Ethics Committee of Urmia University of Medical Sciences Khayyam Street Meshginshahr Ardabil Iran (Islamic Republic of)