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IRCT20200122046228N7 IRCT 2025-03-27 Babol University of Medical Sciences Investigating the effectiveness of counseling with a motivational interviewing approach on marital quality and satisfaction in couples with poor marital relationship quality referring to comprehensive health centers in Sari city Investigating the effectiveness of couple counseling with a motivational interviewing approach on marital quality and satisfaction in women referring to comprehensive health centers in Sari city 2025-04-03 anticipated 70 Complete https://irct.ir/trial/82164 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this parallel randomized controlled trial study, given that not all individuals enter the study at the same time and that the researchers cannot predict in advance which group each patient entering the study will belong to, the block randomization method will be used to assign each sample to one of the two groups. In order to conceal the random assignment, the codes generated by the software will be placed in opaque envelopes so that it is not clear which group the next person will be placed in. In this study, eligible participants will be allocated to one of the two control and intervention groups in a 1:1 ratio and in blocks of six, according to the block randomization protocol (generated by Random Allocation Software), in such a way that the researcher cannot predict which intervention group the next person will be placed in. The codes will be placed in the opaque envelopes, and with each new person entering the study, the envelope will be opened and the person's belonging to the relevant group will be determined. N/A Marital quality. Intervention 1: Intervention group: In the intervention group, participants will receive couple counseling using a motivational interviewing approach, in addition to the routine care provided for individuals of reproductive age. Educational sessions will be conducted over six consecutive weeks, each lasting 60 minutes. Specifically, the first, third, and fifth sessions will be held in person, while the remaining sessions will consist of 60 minutes of online counseling conducted weekly via video conferencing on platforms such as WhatsApp and Eitaa.To ensure that participants engage with the material, follow-up calls will be made two days after the content is shared. This will provide the researcher with the opportunity to offer individual counseling to each participant.In-person sessions will also occur individually for 60 minutes in designated rooms at the sampling centers, adhering to guidelines that ensure a conducive counseling environment, including appropriate physical conditions, minimal client traffic, and reduced noise levels.It is important to note that prior to the commencement of this work, the midwifery counseling student will be trained in the motivational interviewing approach under the supervision of a psychology counselor. Following proficiency in this approach and subsequent approval from relevant faculty members, the sampling process will initiate under their guidance. Additionally, weekly telephone supervision will be implemented throughout the duration of the trial.The content of the couple counseling sessions will include principles of couple counseling, stages of change in marital lifestyles and behaviors, ambivalences related to marital adjustment, effective verbal and nonverbal communication strategies to enhance marital quality of life, advantages and disadvantages of changes in marital lifestyles and behaviors, reconstruction techniques, values and goals for improving marital lifestyles and behaviors, temptations to revert to pre-change behaviors, and strategies for preventing relapse. Intervention 2: Control group: The control group will receive routine care for women of reproductive age. Routine care for women in this demographic at a health center typically includes a range of health services and screenings designed to support reproductive health and overall well-being. The main components of this care include:Health Assessments: Comprehensive evaluations that include medical history, physical examinations, and vital sign measurements.Screening Tests: This includes Pap smears for the detection of cervical cancer and precancerous conditions. Mammograms are performed for breast cancer screening, typically for women aged 40 and older.Family Planning Services: Provision of necessary counseling on family planning options.Support and Management for Chronic Conditions: Assistance for women with chronic illnesses that may impact reproductive health, such as diabetes and hypertension.Lifestyle Counseling: Guidance for clients on maintaining a healthy lifestyle, including physical activity, dietary habits, and stress management.Referral Services: Referral to specialists as needed for any identified issues or conditions. 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 Its release schedule is not yet known.
public Fatemeh Nasiri-Amiri
Medical School, Ganjafrooze street
Babol Iran (Islamic Republic of) 47745-47176 +98 11 3219 0597 nasiri_fa@yahoo.com Babol University of Medical Sciences scientific Fatemeh Nasiri- Amiri
Department of Midwifery, School of Medicine, Babol University of Medical Sciences, Ganj Afrooz St., Babol, Iran
Babol Iran (Islamic Republic of) 4717647745 +98 11 3219 0597 nasiri_fa@yahoo.com Babol University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Being married Having lived together for at least one year and a maximum of 20 years Having a stable sexual relationship Not having a spouse with sexual disorders or chronic diseases according to the individual's own statements Not having acute conflict to the extent of being on the verge of divorce Not taking hormone replacement therapy in women and testosterone in men. Not participating in any educational-counseling classes before or during the study Obtaining a score of less than 2.84 on the marital quality of life questionnaire 18 years 45 years Both The occurrence of unfortunate life events such as the death of relatives and incurable diseases in family members in the last month Death of spouse F68.8 Other specified disorders of adult personality and behavior Lifestyle Lifestyle Intervention group: In the intervention group, participants will receive couple counseling using a motivational interviewing approach, in addition to the routine care provided for individuals of reproductive age. Educational sessions will be conducted over six consecutive weeks, each lasting 60 minutes. Specifically, the first, third, and fifth sessions will be held in person, while the remaining sessions will consist of 60 minutes of online counseling conducted weekly via video conferencing on platforms such as WhatsApp and Eitaa.To ensure that participants engage with the material, follow-up calls will be made two days after the content is shared. This will provide the researcher with the opportunity to offer individual counseling to each participant.In-person sessions will also occur individually for 60 minutes in designated rooms at the sampling centers, adhering to guidelines that ensure a conducive counseling environment, including appropriate physical conditions, minimal client traffic, and reduced noise levels.It is important to note that prior to the commencement of this work, the midwifery counseling student will be trained in the motivational interviewing approach under the supervision of a psychology counselor. Following proficiency in this approach and subsequent approval from relevant faculty members, the sampling process will initiate under their guidance. Additionally, weekly telephone supervision will be implemented throughout the duration of the trial.The content of the couple counseling sessions will include principles of couple counseling, stages of change in marital lifestyles and behaviors, ambivalences related to marital adjustment, effective verbal and nonverbal communication strategies to enhance marital quality of life, advantages and disadvantages of changes in marital lifestyles and behaviors, reconstruction techniques, values and goals for improving marital lifestyles and behaviors, temptations to revert to pre-change behaviors, and strategies for preventing relapse. Control group: The control group will receive routine care for women of reproductive age. Routine care for women in this demographic at a health center typically includes a range of health services and screenings designed to support reproductive health and overall well-being. The main components of this care include:Health Assessments: Comprehensive evaluations that include medical history, physical examinations, and vital sign measurements.Screening Tests: This includes Pap smears for the detection of cervical cancer and precancerous conditions. Mammograms are performed for breast cancer screening, typically for women aged 40 and older.Family Planning Services: Provision of necessary counseling on family planning options.Support and Management for Chronic Conditions: Assistance for women with chronic illnesses that may impact reproductive health, such as diabetes and hypertension.Lifestyle Counseling: Guidance for clients on maintaining a healthy lifestyle, including physical activity, dietary habits, and stress management.Referral Services: Referral to specialists as needed for any identified issues or conditions. Marital quality. Timepoint: Before the intervention, two months after the intervention. Method of measurement: Revised Dyadic Adjustment Scales (RDAS) of Sexual Quality of Couples. Marital satisfaction. Timepoint: Before the intervention, two months after the intervention. Method of measurement: Enrich Marital Satisfaction Questionnaire. Babol University of Medical Sciences Approved 2025-03-11 Health Research Institute Babol University of Medcal Sciences Ganj Afrooz St., Babol University of Medical Sciences Babol Mazandaran Iran (Islamic Republic of)