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IRCT20210221050437N1 IRCT 2021-09-28 Iran University of Medical Sciences "The effect of midwifery counseling in Gamble's method on the women's self-efficacy and their coping with first abortion" Evaluation of the effect of midwifery counseling based on Gamble approach on coping strategies and self-efficacy of women with the first abortion 2021-03-27 anticipated 100 Complete https://irct.ir/trial/54591 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The randomization method was done using the website https://www.sealedenvelope.com, so that the samples are identified by block randomization method with 4 blocks and using random numbers table of under the web (online randomization). The control group was randomly assigned with the letter A and the intervention group with the letter B. N/A Abortion. Intervention 1: Intervention group: Self-efficacy and coping strategies questionnaires will be administered to patients within 72 hours after first abortion and then they will undergo midwifery counseling by Gamble's method. Gamble counseling strategy includes: Therapeutic connection between midwife and woman,accept and work with women’s perceptions,support the expression of feelings, filling in the missing pieces,connect the event with emotions and behaviors,review the abortion management,enhance social support,Reinforce positive approaches to coping and explore solutions. Intervention group undergo counseling in two 45-75 minutes sessions.The first session is done in person during the first 72 hours and the second session is done by phone 4-6 weeks after the abortion. After one month, patients will undergo counseling by telephone and will fill the self-efficacy and coping strategies questionnaires through online platforms. These questionnaires will be filled again two months after the second counseling session for the third time, through online platforms. Patients in intervention group will receive educations upon breast examination and necessity of pap smear test within 72 hours, one month and three months after the first abortion. Intervention 2: Control group: Patients in control group will receive educations upon breast examination and necessity of pap smear test within 72 hours, one month and three months after the first abortion. Yes - There is a plan to make this available What will be shared: Information about the main outcome is shared When: Access period starts 6 months after the results are published To whom: Researchers, midwives, doctors Conditions: Documentary researchers can be used for scientific advancement. It is possible to access the data by sending an email to the supervisor. Email: Shivakheirkhah1345@gmail.com Where to obtain: Scientific party of the study Masoumeh Kheirkhah Email:Shivakheirkhah1345@gmail.com Mobile:09124787691 How to obtain: After approval by the research assistant by email to the supervisor Email:Shivakheirkhah1345@gmail.com Comments:
public Masoume Kheirkhah
Nursing and Midwifery Faculty, Rashid Yasmi St, Vanak Square, Valiasr St, Teheran
Tehran Iran (Islamic Republic of) 3186754384 +98 26 3330 8904 Hasanzadefarzaneh1990@gmail.com Iran University of Medical Sciences scientific Masoumeh Kheirkhah
Nursing and Midwifery Faculty, Rashid Yasmi St, Vanak Square, Valiasr St, Teheran
Tehran Iran (Islamic Republic of) 3186754384 +98 912 478 7691 shivakheirkhah1345@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) Women with spontaneous abortion and therapeutic abortion Taking no antidepressants or psychotropic drugs before and after abortion No history of attending counseling classes, based on the patient's testimony No experience of tragic event in the last 6 months, based on the patient's testimony Having a smartphone and messenger software and the ability to work with it Living with spouse Ability to read and write in Farsi Iranian Nationality no limit no limit Female Attend any previous counseling sessions History of infertility History of repeated abortion Suffering from any physical or mental illnesses predisposing to abortion O03 Spontaneous abortion Other Other Intervention group: Self-efficacy and coping strategies questionnaires will be administered to patients within 72 hours after first abortion and then they will undergo midwifery counseling by Gamble's method. Gamble counseling strategy includes: Therapeutic connection between midwife and woman,accept and work with women’s perceptions,support the expression of feelings, filling in the missing pieces,connect the event with emotions and behaviors,review the abortion management,enhance social support,Reinforce positive approaches to coping and explore solutions. Intervention group undergo counseling in two 45-75 minutes sessions.The first session is done in person during the first 72 hours and the second session is done by phone 4-6 weeks after the abortion. After one month, patients will undergo counseling by telephone and will fill the self-efficacy and coping strategies questionnaires through online platforms. These questionnaires will be filled again two months after the second counseling session for the third time, through online platforms. Patients in intervention group will receive educations upon breast examination and necessity of pap smear test within 72 hours, one month and three months after the first abortion. Control group: Patients in control group will receive educations upon breast examination and necessity of pap smear test within 72 hours, one month and three months after the first abortion. Coping strategies. Timepoint: During 72 hours after abortion up to 3 months after abortion. Method of measurement: Coping Inventory questionnaire. Self-efficacy. Timepoint: During 72 hours after abortion up to 3 months after abortion. Method of measurement: Schwartzer General Self-efficacy Questionnaire. Iran University of Medical Sciences Approved 2020-11-08 Ethics committee of Iran University of Medical Sciences No. 1, 2 Hades Alley, East 4th St, Eram Boul, Mehrshahr Karaj Tehran Iran (Islamic Republic of)