Yousefi Setareh, Montazeri Simin, Javadifar Nahid, Ghanbari Saeed
Student Research Committee, Midwifery Department, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reprod Health. 2025 Jun 27;22(1):119. doi: 10.1186/s12978-025-02060-8.
Adolescent pregnancy remains a critical global health issue, with the World Health Organization reporting a prevalence of 10.3%. Pregnant adolescents aged 10 to 19 face elevated risks of mental health challenges, including depression, anxiety, and stress. Despite these vulnerabilities, there is a notable lack of effective psychosocial interventions, particularly in low- and middle-income countries. This study aims to develop and evaluate a culturally tailored psychosocial support intervention to improve mental health outcomes among pregnant adolescents in Iran.
This mixed-methods study comprises three sequential phases. First, a qualitative study will explore the experiences and perceptions of pregnant adolescents regarding psychosocial support. Second, insights from the qualitative phase will inform the development of a targeted intervention, guided by expert consensus using the Nominal Group Technique. Third, a quantitative phase will assess the intervention's effectiveness through a randomized controlled trial involving 84 pregnant adolescents. Key outcomes will include levels of social support, anxiety, depression, and stress, measured using validated instruments. Data collection will involve semi-structured interviews, expert panels, and pre- and post-intervention assessments.
The study is expected to advance understanding of the psychosocial needs of pregnant adolescents and provide evidence for culturally sensitive interventions. The findings aim to inform clinical practice and health policy, contributing to improved mental health and overall well-being among this high-risk population.
This study has been approved by the Ethics Committee of Ahvaz Jundishapur University of Medical Sciences (IR.AJUMS.REC.1402.140) and registered with the Iranian Registry of Clinical Trials on June 26, 2023 (IRCT20190129042544N1).
青少年怀孕仍然是一个关键的全球健康问题，世界卫生组织报告其患病率为10.3%。10至19岁的怀孕青少年面临心理健康挑战的风险更高，包括抑郁、焦虑和压力。尽管存在这些脆弱性，但明显缺乏有效的心理社会干预措施，特别是在低收入和中等收入国家。本研究旨在开发和评估一种针对文化定制的心理社会支持干预措施，以改善伊朗怀孕青少年的心理健康结果。
这项混合方法研究包括三个连续阶段。首先，一项定性研究将探索怀孕青少年对心理社会支持的经历和看法。其次，定性阶段的见解将为有针对性的干预措施的开发提供信息，该干预措施由专家共识指导，采用名义小组技术。第三，一个定量阶段将通过一项涉及84名怀孕青少年的随机对照试验来评估干预措施的有效性。关键结果将包括使用经过验证的工具测量的社会支持水平、焦虑、抑郁和压力水平。数据收集将包括半结构化访谈、专家小组以及干预前和干预后的评估。
该研究有望增进对怀孕青少年心理社会需求的理解，并为具有文化敏感性的干预措施提供证据。研究结果旨在为临床实践和卫生政策提供信息，有助于改善这一高危人群的心理健康和整体幸福感。
本研究已获得阿瓦士贾undishapur医科大学伦理委员会的批准（IR.AJUMS.REC.1402.140），并于2023年6月26日在伊朗临床试验注册中心注册（IRCT20190129042544N1）。
