Determining the effect of mindfulness-based counseling on fear of childbirth in primiparous women
Design
In this study, the participants were selected using convenience sampling, and were assigned into the intervention (Chewing gum) and control groups with a ratio of 1:1 by blocked randomization using Random Allocation Software (RAS) with a block size of 4.However, blinding was not possible due to the nature of the treatment modalities in the two groups, so the study used an open-label design.
Settings and conduct
Sampling will be done in an easy way among people from the research community who meet the entry criteria. The sampling location of public and private sector health centers of Qaemshahr city will be covered by Mazandaran University of Medical Sciences. By using random method with blocks of 4 (ABAB), the study subjects will be divided into two groups, A and B. Due to the intervention methods of the two groups, blinding is not possible and the study is open label and sampling is available.
Participants/Inclusion and exclusion criteria
1 Informed consent of expectant mothers
2. Pregnant women 20 to 28 weeks
3. Pregnant women aged 18 to 42 years
4. No previous history of childbirth
5. Without serious complications in pregnancy (pre-eclampsia, gestational diabetes, disorders Pair)
6. No history of known mental disorders (problems).
7. Absence of pregnancy by medicinal or laboratory method
8. Pregnant mothers equipped with smartphones
9. Absence of unwanted pregnancy
10 points less than 85 from the Wijma questionnaire
11. Participation in childbirth preparation classes
Intervention groups
One face-to-face group counseling session based on mindfulness will be sent to the intervention group by the project manager and 7 sessions through social network for 90 minutes once a week.
Main outcome variables
The fear of childbirth in primiparous women
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20100510003902N4
Registration date:2024-07-31, 1403/05/10
Registration timing:prospective
Last update:2024-07-31, 1403/05/10
Update count:0
Registration date
2024-07-31, 1403/05/10
Registrant information
Name
Farideh Mohsenzadeh
Name of organization / entity
Babol university of medical sciences
Country
Iran (Islamic Republic of)
Phone
+98 11 1229 8582
Email address
f.mohsenzadeh@mubabol.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2024-08-22, 1403/06/01
Expected recruitment end date
2025-08-23, 1404/06/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of mindfulness-based counseling on fear of delivery in primiparous women:Randomized controlled trial
Public title
The effect of mindfulness-based counseling on fear of childbirth in women
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Informed consent of expectant mothers
Pregnant women 20 to 28 weeks
Pregnant women aged 18 to 42 years
No previous history of childbirth
Without serious complications in pregnancy (pre-eclampsia, gestational diabetes, disorders Pair)
No history of known mental disorders (problems).
Absence of pregnancy by medicinal or laboratory method
Pregnant mothers equipped with smartphones
Absence of unwanted pregnancy
points less than 85 from the Wijma questionnaire
Participation in childbirth preparation classes
Exclusion criteria:
Pregnant women undergoing psychological or drug treatment
Age
From 18 years old to 42 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
72
Randomization (investigator's opinion)
Randomized
Randomization description
The method of allocating the samples to the groups will be randomly block in two equal intervention and control groups, in blocks of four. As a result, we will have 18 different blocks (18 quadruple blocks) (72 people in two groups, 36 intervention and control). Randomization is done by generating random numbers and random list using Random Allocation Software. The random sequence of people in the intervention or control groups is done through block building with a ratio of 1:1, and the researcher cannot predict the placement of the next person in any of the two groups. For the random sequence on study participants, from concealment (Allocation Concealment (random allocation) will be used, that is, before assigning a person in a group, that assigned group will not be known. Without allocation concealment of the random sequence, it is possible that the random sequence will be revealed and the randomization process will be weakened. The statistician will prepare the random list with Allocation Random Software and only the supervisor will be aware of the coding of intervention and control groups, the statistician responsible for data analysis is not aware of the coding of the two groups. Send feedback
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research Ethics Committees of Health Research Institute -Babol University of Medical Sciences
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
babol
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Approval date
2024-07-14, 1403/04/24
Ethics committee reference number
IR.MUBABOL.HRI.REC.1403.058
Health conditions studied
1
Description of health condition studied
stress
ICD-10 code
F43.8
ICD-10 code description
Other reactions to severe stress
2
Description of health condition studied
Anxiety
ICD-10 code
F41.9:
ICD-10 code description
Anxiety disorder, unspecified
3
Description of health condition studied
Worry
ICD-10 code
Z71.1:
ICD-10 code description
Person with feared health complaint in whom no diagnosis is made
4
Description of health condition studied
the fear
ICD-10 code
F40.9
ICD-10 code description
Phobic anxiety disorder, unspecified
Primary outcomes
1
Description
Fear of childbirth in primiparous women
Timepoint
Once at the beginning of the study and the second time after the end of the sessions, it will be evaluated by both intervention and control groups.
Method of measurement
using Wijma Fear of Childbirth Questionnaire (WA-DEQ)
Secondary outcomes
1
Description
Anxiety, stress and worry in primiparous pregnant women
Timepoint
At the beginning of the study and then at the end of the intervention,
Method of measurement
that by questionnaires of fear of childbirth, vijma and anxiety related to pregnancy
Intervention groups
1
Description
Intervention group: 8 sessions, in which one face-to-face group counseling session of 6-12 people (face-to-face group counseling based on mindfulness) for the intervention group will be conducted by the project manager (student) in collaboration with a psychiatrist in the lecture method, and the rest of the sessions (7 sessions) will be conducted through the link It will be sent through the social network (ITA) and using the Alcom platform, which is for 90 minutes once a week. During the implementation of the sessions, exercises will be given to the pregnant mothers of the intervention group at home every week. Feedback will be taken from expectant mothers through social media.
Category
Other
2
Description
Control group: Routine pregnancy care After the end of the intervention, educational links will also be sent to the control group.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Public and private health centers in Qaemshahr city
Full name of responsible person
Farideh Mohsenzadeh Ledari
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
Qaemshahr
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Phone
+98 11 3219 5323
Email
mohsenzadeh2008@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Mehdi Rajabnia
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
babol
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Phone
+98 11 3219 7667
Email
ramazan69@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Babol University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Farideh Mohsenzadh Ledari
Position
Assistant Professor of Reproductive Health
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
babol
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Phone
+98 11 3219 5323
Email
Mohsenzadh2008@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Farideh Mohsenzadh Ledari
Position
Assistant Professor of Reproductive Health
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
babol
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Phone
+98 11 3219 5323
Email
Mohsenzadh2008@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Babol University of Medical Sciences
Full name of responsible person
Faridah Mohsenzadeh Ledari
Position
Assistant Professor of Reproductive Health
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Babol University of Medical Sciences, Ganj Afrooz St, Babol, Mazandaran
City
babol
Province
Mazandaran
Postal code
۴۷۱۷۶۴۷۷۴۵
Phone
+98 11 3219 5323
Email
Mohsenzadh2008@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available