Shirzad Mahboubeh, Shakibazadeh Elham, Sheikhatari Payam, Foroushani Abbas Rahimi, Poursharifi Hamid
Department of Health, Behavior & Society Bloomberg School of Public Health Johns Hopkins University, Baltimore, MD, USA.
Department of Health Education and Health Promotion School of Public Health Tehran University of Medical Sciences, Tehran, Iran.
Obstet Gynecol Int. 2024 Sep 30;2024:3071183. doi: 10.1155/2024/3071183. eCollection 2024.
To investigate the impact of counseling interventions, using face-to-face training vs. mobile app for choosing mode of delivery.
A four-armed, randomized, controlled parallel-design trial. . Ebnesina Private Hospital in Tehran, Iran. . Pregnant women, between 24 and 32 weeks of gestation ( = 120).
Pregnant women were randomly assigned in three psycho-educational intervention groups: (1) motivational interviewing via face-to-face training, (2) information, motivation, and behavioral skills model via face-to-face training, (3) the same model via a mobile application, and (4) usual antenatal care (control group). To assess the face-to-face and mobile app training method on women's self-efficacy and intention in choosing a mode of delivery. . Mode of delivery (Cesarean section).
While all three intervention groups showed significant increases in women's self-efficacy and intentions to choose vaginal delivery, the increase was particularly noticeable among those using mobile applications: Before the intervention, self-efficacy and intention Mean ± SD were 77.1 ± 38.6 (CI-95%: [62.72, 91.60]) and 1.10 ± 0.305 (CI-95%: [0.99, 1.21]), respectively. After the intervention, these scores increased to 99.7 ± 30.7 (CI-95%: [88.27, 111.20]) for self-efficacy and 1.70 ± 0.466 (CI-95%: [1.53, 1.87]) for intention. Although 56.7% of women in the intervention groups expressed a preference for vaginal delivery, only 37.5% ultimately pursued this birthing method.
Brief psycho-educational interventions, particularly technology-driven interventions (mobile apps) can increase the likelihood of women choosing vaginal delivery. To enhance the effectiveness of such interventions, they can be conducted in conjunction with interventions for doctors and healthcare providers. This trial is registered with IRCT20151208025431N7.
探讨面对面培训与移动应用程序两种咨询干预方式对分娩方式选择的影响。
一项四臂随机对照平行设计试验。地点为伊朗德黑兰的埃布内西纳私立医院。研究对象为妊娠24至32周的孕妇（n = 120）。
孕妇被随机分配到三个心理教育干预组：（1）通过面对面培训进行动机性访谈；（2）通过面对面培训采用信息、动机和行为技能模式；（3）通过移动应用程序采用相同模式；（4）常规产前护理（对照组）。评估面对面和移动应用程序培训方法对女性选择分娩方式的自我效能感和意愿的影响。观察指标为分娩方式（剖宫产）。
虽然所有三个干预组女性选择阴道分娩的自我效能感和意愿均显著提高，但使用移动应用程序的女性中这一提高尤为明显：干预前，自我效能感均值±标准差为77.1±38.6（95%置信区间：[62.72, 91.60]），意愿均值±标准差为1.10±0.305（95%置信区间：[0.99, 1.21]）。干预后，自我效能感得分提高到99.7±30.7（95%置信区间：[88.27, 111.20]），意愿得分提高到1.70±0.466（95%置信区间：[1.53, 1.87]）。尽管干预组中56.7%的女性表示倾向于阴道分娩，但最终只有37.5%的女性选择了这种分娩方式。
简短的心理教育干预，尤其是技术驱动的干预（移动应用程序）可增加女性选择阴道分娩的可能性。为提高此类干预的有效性，可与针对医生和医疗服务提供者的干预措施联合进行。本试验已在伊朗临床试验注册中心注册，注册号为IRCT20151208025431N7。
