Journal of Education and Health Promotion

The effect of couple supportive counseling on self‑efficacy in women with insulin‑treated gestational diabetes: A randomized clinical trial

. Sahar Rostampour; . Fatemeh Erfanian Araghvanian; . Masoumeh Kordi; . Farideh Akhlaghi; . Seyyed Mohsen Asghari Nekah; . Mohammad Taghi Shakeri

Volume 13, Issue 2 , February 2023, , Pages 1-7

Abstract

BACKGROUND: Gestational diabetes is the most common medical complication and a commonmetabolic disorder during pregnancy. Increasing people’s self‑efficacy is one of the best ... Read More BACKGROUND: Gestational diabetes is the most common medical complication and a commonmetabolic disorder during pregnancy. Increasing people’s self‑efficacy is one of the best ways tocontrol this disease. As there is a lag of intervention in this regard, the purpose of this study was todetermine the effect of couple supportive counseling on self‑efficacy in women with insulin‑treatedgestational diabetes.MATERIALS AND METHODS: In this randomized clinical trial, 64 women with gestational diabeteswho referred to diabetes clinic of Mashhad Ommolbanin Hospital were divided into intervention andcontrol groups through block randomization during 2019. Their gestational age was in 26–30 weeks.For the couples in the intervention group, three couple supportive counseling session was held. Eachsession lasted 1 h and was held one time per week. The instruments were diabetes self‑efficacyquestionnaire, fasting and 2‑h postprandial checklist and Cassidy social support, which were assessedbefore and 4 weeks after intervention in both groups. Data was analyzed by SPSS software version 25through Mann–Whitney and Wilcoxon test. P values of < 0.05 were reported to be significant.RESULTS: In the preintervention, the diabetes self‑efficacy score had no significant differencein the intervention (30/6 ± 38/50) and control groups (09/8 ± 56/51) (P = 515/0). However, inthe postintervention, the diabetes self‑efficacy score was significantly higher in the interventiongroup (58/6 ± 41/71) compared to the control group (15/7 ± 31/51) (P < 001/0). Also, before theintervention, there was no significant difference between the intervention (30/2 ± 72/10) and controlgroup (87/1 ± 63/11) (P = 137/0) regarding social support. However, after the intervention, there wasa significant difference between the intervention and control groups (879/0 ± 53/13, 03/2 ± 41/11,P < 0/001 respectively). Also, data analysis showed a significant correlation between self‑efficacyand social support (r = 0.451, P < 0.001), self‑efficacy and fasting blood sugar (P < 0.001, r = ‑0.577),and 2 h post prandial (r = ‑0.778, P < 0.001).CONCLUSION: Couple supportive counseling leads to increased self‑efficacy and social supportin pregnant women with gestational diabetes. Therefore, it is recommended to use this counselingas an effective method in the management of diabetic pregnant women during their prenatal careto have a healthier pregnancy.

Effect of maternal role training program based on Mercer theory on maternal self‑confidence of primiparous women with unplanned pregnancy

. Maryam Fasanghari; . Masoumeh Kordi; . Negar Asgharipour

Volume 9, Issue 1 , January 2019, , Pages 1-8

Abstract

INTRODUCTION: Maternal confidence is an extremely important factor in playing the mother’s roleand her identity formation. Loss of self‑confidence occurs in primiparous women ... Read More INTRODUCTION: Maternal confidence is an extremely important factor in playing the mother’s roleand her identity formation. Loss of self‑confidence occurs in primiparous women due to the lack ofmaternal skills. Obtaining the behaviors of maternal role and self‑confidence, the mother providesbetter care for her child. Hence, the aim of this study was to examine the effect of maternal roletraining program based on Mercer theory on maternal self‑confidence of primiparous women withunplanned pregnancy.METHODOLOGY OF THE RESEARCH: This clinical trial was performed on 67 primiparouswomen referring to Mashhad health centers. Individuals were randomly divided into interventionand control groups. A maternal role training program based on Mercer theory was carried out forintervention group (three sessions of group training in the 34th, 35th, and 36th weeks of pregnancyand one individual training session before discharge from the hospital and then, weekly follow‑upover the phone for 4 weeks). The control group received the normal pregnancy care. The researchtools were questionnaires of demographic characteristics, London, DASS 21, Edinburgh PostnatalDepression Scale, Parenting Sense of Competence, General Impressions on Infant TemperamentQuestionnaire, and Six Simple Questions. Maternal self‑confidence was measured before training,4 weeks after delivery, and 4 months after delivery. Data analysis was carried out using independentt‑test, Chi‑square test, paired t‑test, Mann–Whitney test, one‑way ANOVA, and Wilcoxon test. P < 0.05was considered statistically significant.RESULTS: There was a significant difference between mean maternal self‑confidencechanges (before training and 4 weeks after delivery (P = 0.003) and before training and 4 monthsafter delivery (P = 0.001) in both groups. After eliminating the effect of interventional variables, themean scores of maternal self‑confidence after training in the intervention group had a statisticallysignificant difference with that in the control group (P = 0.001).CONCLUSIONS: Maternal role training program based on Mercer theory increases maternalself‑confidence in primiparous women with unplanned pregnancy. Teaching maternal role isrecommended to all health‑care providers.

Comparing the effects of simulation‑based training, blended, and lecture on the simulated performance of midwives in preeclampsia and eclampsia

. Maryam Tabatabaeian; . Masoumeh Kordi; . Salameh Dadgar; . Habibollah Esmaeily; . Talat Khadivzadeh

Volume 8, Issue 9 , September 2018, , Pages 1-8

Abstract

INTRODUCTION: Preeclampsia is the most common medical complication in pregnancy; alongwith bleeding and infection, it is one of the three causes of death in pregnant women. Most of ... Read More INTRODUCTION: Preeclampsia is the most common medical complication in pregnancy; alongwith bleeding and infection, it is one of the three causes of death in pregnant women. Most of thesedeaths were due to delays in the diagnosis and improper midwifery management and care. Onthe other hand, the quality of midwifery education has a profound effect on the proper provision ofservices. Therefore, the present study has been done to compare the effect of simulation‑, blended‑,and lecture‑based education on simulated midwife performance in the management of preeclampsiaand eclampsia.MATERIALS AND METHODS: This three‑group clinical trial study was performed on 90 midwivesof selected hospitals in Mashhad in 2016. Midwives were divided into three groups of simulation‑,blended‑, and lecture‑based education using the random number table. The simulation group wastrained for 6 h at the Center for Clinical Skills, the blended group was trained for 4 h by lecture, and6 weeks through the educational website, and the lecture group was trained for 6 h through lecture.An objective structured clinical test was performed before and 2 weeks after the intervention. Datawere analyzed using SPSS Version 16 software and descriptive statistics, paired t‑test, one‑wayANOVA, and Wilcoxon and Kruskal–Wallis tests. Significance level was considered to be P < 0.05in all cases.RESULTS: The mean score of midwives’ performance was not statistically significant before educationin all three groups (P < 0.05). The mean score of midwives’ performance was significantly increasedin all three groups 2 weeks after education (P < 0.001), and the results of intergroup comparisonshowed that the mean score of performance in the simulation group was significantly higher than theblended group and the lecture group (P < 0.001), and it was higher in the blended group comparedto the lecture group (P < 0.001).CONCLUSION: Education increased the midwives’ simulated performance in preeclampsia andeclampsia. The performance of the management of preeclampsia and eclampsia in the simulationeducational group is more than that of the blended and lecture groups, so we can use the simulationeducation which is a self‑centered method.

A comparison of face to face and group education on informed choice and decisional conflict of pregnant women about screening tests of fetal abnormalities

. Masoumeh Kordi; . Sahar Riyazi; . Marziyeh Lotfalizade; . Mohammad Taghi Shakeri; . Hoseyn Jafari Suny

Volume 8, Issue 1 , January 2018, , Pages 1-8

Abstract

BACKGROUND AND GOAL: Screening of fetal anomalies is assumed as a necessarymeasurement in antenatal cares. The screening plans aim at empowerment of individuals tomake the informed ... Read More BACKGROUND AND GOAL: Screening of fetal anomalies is assumed as a necessarymeasurement in antenatal cares. The screening plans aim at empowerment of individuals tomake the informed choice. This study was conducted in order to compare the effect of group andface‑to‑face education and decisional conflicts among the pregnant females regarding screeningof fetal abnormalities.METHODS: This study of the clinical trial was carried out on 240 pregnant women at <10‑weekpregnancy age in health care medical centers in Mashhad city in 2014. The form ofindividual‑midwifery information and informed choice questionnaire and decisional conflict scalewere used as tools for data collection. The face‑to‑face and group education course were heldin two weekly sessions for intervention groups during two consecutive weeks, and the usualcare was conducted for the control group. The rate of informed choice and decisional conflictwas measured in pregnant women before education and also at weeks 20–22 of pregnancy inthree groups. The data analysis was executed using SPSS statistical software (version 16), andstatistical tests were implemented including Chi‑square test, Kruskal–Wallis test, Wilcoxon test,Mann–Whitney U‑test, one‑way analysis of variance test, and Tukey’s range test. The P < 0.05was considered as a significant.RESULTS: The results showed that there was statically significant difference between three groupsin terms of frequency of informed choice in screening of fetal abnormalities (P = 0.001) in sucha way that at next step of intervention, 62 participants (77.5%) in face‑to‑face education group,64 members (80%) in group education class, and 20 persons (25%) in control group had the informedchoice regarding screening tests, but there was no statistically significant difference between twoindividual and group education classes. Similarly, during the postintervention phase, there was astatistically significant difference in mean score of decisional conflict scale among pregnant womenregarding screening tests in three groups (P = 0.001).DISCUSSION AND CONCLUSION: With respect to effectiveness of group and face‑to‑faceeducation methods in increasing the informed choice and reduced decisional conflict in pregnantwomen regarding screening tests, each of these education methods may be employed accordingto the clinical environment conditions and requirement to encourage the women for conducting thescreening tests.

The effect of individual counseling program by a midwife on fear of childbirth in primiparous women

. Nafise Andaroon; . Masoumeh Kordi; . Seyed Ali Kimiaei; . Habibollah Esmaeily

Volume 7, Issue 6 , December 2017, , Pages 1-7

Abstract

INTRODUCTION: Fear of childbirth is a common problem in pregnant women, which in many casesleads to maternal requested cesarean. A midwife, as a responsible person, plays an important ... Read More

Does maternal and fetal health locus of control predict self‑care behaviors among women with gestational diabetes?

. Masoumeh Kordi; . Mahsima Banaei Heravan; . Negar Asgharipour; . Farideh Akhlaghi; . Seyed Reza Mazloum

Volume 7, Issue 4 , July and August 2017, , Pages 1-8

Abstract

INTRODUCTION: Gestational diabetes is the most common metabolic disorder in pregnancy, andlack of self‑care is the most important reason for mortality in diabetic patients. Since ... Read More

The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy

. Masoumeh Kordi; . Maryam Fasanghari; . Negar Asgharipour; . Habibollah Esmaily

Volume 7, Issue 4 , July and August 2017, , Pages 1-8

Abstract

INTRODUCTION: The maternal role is one of the most basic and important roles played bywomen during their lifetime. The process of the maternal role starts during pregnancy andto continue ... Read More INTRODUCTION: The maternal role is one of the most basic and important roles played bywomen during their lifetime. The process of the maternal role starts during pregnancy andto continue and develop after postpartum with the growth of suckling. However, unplannedpregnancy may jeopardize achieving the maternal role and reduce maternal role satisfaction.Therefore, the researcher conducted the present study to determine the impact of maternalrole training program on attainment of role and role satisfaction in nulliparous women withunplanned pregnancy.METHODOLOGY OF THE RESEARCH: In this clinical trial, the researcher divided 67 nulliparouswomen with unplanned pregnancies into two groups at random by drawing lots. For theintervention group, in addition to the usual pregnancy care, the researcher conducted 3 grouptraining sessions at weeks 34, 35, and 36 of pregnancy and an individual training session in the1st day after delivery before release; then, during the next 4 weeks, the researcher made follow‑upphone calls each week. The control group received the usual pregnancy care. The researchtools included London questionnaire to measure unplanned pregnancy, Myself‑As‑MotherScale (SD‑Self), My‑Baby Scale (SD‑Baby), Perceived Competence Scale to measure maternalrole attainment, and Parenting Sense of Competence Scale to measure maternal role satisfaction.The researcher measured the maternal role attainment and maternal role satisfaction beforetraining and 4 weeks after delivery. The researcher analyzed the data using SPSS softwareversion 21 and statistical tests such as independent t‑test, Chi‑square, paired sample t‑test,Mann–Whitney, one‑way analysis of variance, and Wilcoxon. The amount of P was supposedto be <0.05.RESULTS: The mean age of research units was 24.10 ± 4.3. Twenty‑one persons (60%) in theintervention group and ten persons (31.3%) in the control group attained the maternal role (P = 0.019)and changes to achieve the maternal role in intervention group were significantly more than the controlgroup (P = 0.002). Changes in the mean scores of maternal role satisfaction in the intervention groupwere significantly more than the control group (P = 0.023).CONCLUSION: Maternal role training for nulliparous women with unplanned pregnancy duringpregnancy and postpartum period can help them in maternal role attainment and maternal rolesatisfaction.

The comparison the effect of training by means of simulation and oral method on midwives’ skill in management of shoulder dystocia

. Masoumeh Kordi; . Fatemeh Erfanian; . Farzaneh Rashidi Fakari; . Fatemeh Dastfan; . Keivan Shariati Nejad

Volume 7, Issue 3 , May and June 2017, , Pages 1-6

Abstract

INTRODUCTION: Shoulder dystocia is one of the obstetric emergencies that are accompanied toserious risks for mother and fetus. It necessitates making the method of training of shoulder ... Read More INTRODUCTION: Shoulder dystocia is one of the obstetric emergencies that are accompanied toserious risks for mother and fetus. It necessitates making the method of training of shoulder dystociamanagement more efficient, i.e., better management and giving services with higher quality. Thus,this study was carried out to compare the impact of training by simulation and oral technique onthe skill of the employed midwives in obstetric clinics at Mashhad city (Iran) in shoulder dystociamanagement during 2012.METHODS: The current research is a double‑group clinical trial that was conducted on 51 members ofthe employed midwives in the obstetric clinic at Mashhad city in 2012. The questionnaire of personalspecification and awareness about shoulder dystocia and practical examination (objective‑structuredclinical examination) were employed as tools for data collection. The learners were divided into twogroups by randomized allocation. Training was done by the presentation of lecture in the oral contentgroup and a short movie was displayed at the end of it. The shoulder dystocia management techniquewas simulated in another group and through role‑playing of instructor application of moulage (station)training was conducted. The period of the training course (4 h) and content of the educationalworkshop was identical for both groups. The practical examination was held for the learnersbefore and immediately after training course. The given data were analyzed by means of statisticaldescriptive tests including Mann–Whitney U‑test and Wilcoxon test via SPSS software (version 16).The significance level was considered as (P < 0.05) in all cases.RESULTS: The total mean score was significantly increased for the variable of shoulderdystocia management skill after intervention in both groups (P < 0.0001). Similarly, the results ofMann–Whitney U‑test statistical tests indicated that total mean score for the variable of shoulderdystocia management skill after the intervention was significantly greater in simulation group thanin an oral group (P = 0.040).CONCLUSION: Training in simulated delivery room by means of role‑playing is an efficient methodfor training shoulder dystocia management skill, so it is recommended to use this program in thetraining of this skill.

Comparison of the effect of web‑based, simulation‑based, and conventional training on the accuracy of visual estimation of postpartum hemorrhage volume on midwifery students: A randomized clinical trial

. Masoumeh Kordi; . Farzaneh Rashidi Fakari; . Seyed Reza Mazloum; . Talaat Khadivzadeh; . Farideh Akhlaghi; . Mahmoud Tara

Volume 6, Issue 1 , 2016, , Pages 1-7

Abstract

Introduction: Delay in diagnosis of bleeding can be due to underestimation of the actualamount of blood loss during delivery. Therefore, this research aimed to compare the efficacyof ... Read More

The relationship between multi‑dimensional self‑compassion and fetal‑maternal attachment in prenatal period in referred women to Mashhad Health Center

. Soheila Mohamadirizi; . Masoumeh Kordi

Volume 6, Issue 1 , 2016, , Pages 1-5

Abstract

Background: Multi‑dimensional self‑compassion is one of the important factors predictingfetal‑maternal attachment which vary among different cultures and countries. So the aim ... Read More

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Author = . Masoumeh Kordi

The effect of couple supportive counseling on self‑efficacy in women with insulin‑treated gestational diabetes: A randomized clinical trial

Abstract

Effect of maternal role training program based on Mercer theory on maternal self‑confidence of primiparous women with unplanned pregnancy

Abstract

Comparing the effects of simulation‑based training, blended, and lecture on the simulated performance of midwives in preeclampsia and eclampsia

Abstract

A comparison of face to face and group education on informed choice and decisional conflict of pregnant women about screening tests of fetal abnormalities

Abstract

The effect of individual counseling program by a midwife on fear of childbirth in primiparous women

Abstract

Does maternal and fetal health locus of control predict self‑care behaviors among women with gestational diabetes?

Abstract

The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy

Abstract

The comparison the effect of training by means of simulation and oral method on midwives’ skill in management of shoulder dystocia

Abstract

Comparison of the effect of web‑based, simulation‑based, and conventional training on the accuracy of visual estimation of postpartum hemorrhage volume on midwifery students: A randomized clinical trial

Abstract

The relationship between multi‑dimensional self‑compassion and fetal‑maternal attachment in prenatal period in referred women to Mashhad Health Center

Abstract