Journal of Education and Health Promotion

Effect of positive psychology interventions on psychological well‑being of midwives: A randomized clinical trial

Document Type : Original Article

Authors

. Fatemeh Shaghaghi 1
. Zahra Abedian 2
. Mohammad Forouhar 3
. Habibollah Esmaily 4
. Elnaz Eskandarnia 5

1 Department of Midwifery, Faculty of Nursing and Midwifery of Mashhad University of Medical Sciences, Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad,

2 Department of Midwifery, School of Nursing and Midwifery, Evidence‑Based Care Research Centre, Mashhad University of Medical Sciences

3 Department of Psychology and Educational Sciences, University of Isfahan, Isfahan, Iran

4 Department of Epidemiology and Biostatistics, University of Medical Sciences

5 Department of Clinical Psychology, Ebne Sina Hospital, Mashhad University of Medical Sciences, Mashhad

Abstract
BACKGROUND: The psychological well‑being of midwives is very important in the context of providing
health services to two vulnerable groups of society, namely, mothers and infants. Therefore, the
present study was conducted aiming to investigate the effect of positive psychological interventions
on the psychological well‑being of midwives.
MATERIALS AND METHODS: The present study was a randomized clinical trial with pretest‑posttest
design along with a control group. The statistical population of the study included all midwives working
in community health centers of Mashhad City, Iran, which were first selected through cluster sampling
method from five health centers of the city, i.e. centers 1 and 3. Then, all centers and subsidiary
bases of these centers were listed, and the centers and bases were divided into two groups of
intervention and control by simple random allocation method. Sixty respondents were randomly
assigned to two equal intervention and control groups and responded to the Ryff’s Psychological
Well‑being questionnaire in two stages of pretest and posttest. Educational interventions based on
interventions, including Seligman’s PERMA model, in which psychological well‑being is defined in
terms of five domains namely positive emotions (P), engagement (E), relationships (R), meaning (M),
and accomplishment (A), were conducted in eight sessions of 2 h (two sessions per week). Data
were analyzed using independent t‑test, paired t‑test, Mann–Whitney test, and Wilcoxon test.
RESULTS: There was a significant difference between the posttest scores of the two intervention
and control groups in the total psychological well‑being variable (P < 0.001).
CONCLUSION: Given the findings of the study, it is suggested to use the Seligman’s PERMA model
to improve the psychological well‑being of midwives in health centers.

Keywords

Midwife
positive psychological interventions
psychological well‑being
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Journal of Education and Health Promotion
Volume 9, Issue 8
August 2019
Pages 1-8

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