Document Type : Original Article


1 MSc of Midwifery, Larestan University of Medical Sciences, Larestan, Iran Graduate, Master of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor in Reproductive Health, Manager of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Ph.D in Biostatistics, Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran


INTRODUCTION: Due to the significant decrease in fertility in recent decades and the important role
of health workers and health‑care providers in providing healthy reproductive counseling, their training
is necessary using effective educational methods. Webinar and group discussion (GD) are effective
in this regard. This study was conducted to determine the most effective method and with the aim
of comparing the effect of two training methods (webinar and GD) on the attitude and performance
of health workers in providing counseling with fertility promotion approach in comprehensive health
centers in Mashhad.
METHODS: In this randomized trial study with a control group, 108 health workers working in health
centers no. 2–3 and 5 of Mashhad entered the study and were randomly divided into three groups of
training by webinar, GD, and control. Intervention groups received healthy fertility counseling skills
in three training sessions. Research tools were demographic information questionnaires, fertility
attitudes, and performance measurement checklists for fertility counseling. The questionnaires were
completed in three groups at the beginning and after the completion of the interventions. Data analysis
was performed by Chi‑square test and one‑way analysis of variance using SPSS software version 16.
RESULTS: The analysis of variance test showed that before the intervention, there was no statistically
significant difference between the three groups in terms of average scores of fertility attitude and
performance scores of fertility counseling. After the interventions, the difference between the fertility
attitude scores (P < 0.001) and the performance scores of fertility counseling (P < 0.001) was significant
in the three groups. There was no significant relationship between demographic characteristics and
attitude and performance.
CONCLUSION: Teaching by webinar and GD promotes the attitude and performance of health
workers in providing counseling with a fertility promotion approach. Therefore, it is recommended to
use new educational methods such as webinar and GD to promote childbearing counseling, which
has been emphasized in the country’s population policies. Since the mean score difference for
the webinar training method was the highest due to the mean scores, this method could be more
effective than the GD method.


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