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.

The effect of hypnosis on perceived stress in women with preeclampsia

. Sedighe Vahdat; . Mahdi Fathi; . Zhaleh Feyzi; . Mohammad Taghi Shakeri; . Mahin Tafazoli

Volume 12, Issue 3 , March 2022, , Pages 1-7

Abstract

BACKGROUND: Perceived stress is one of the causes of preeclampsia; one of the ways to manage mental stress is hypnosis. The aim of this study was to determine the effect of hypnosis ... Read More

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.

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Author = . Mohammad Taghi Shakeri

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

Abstract

The effect of hypnosis on perceived stress in women with preeclampsia

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