Ignite Creation Date:
2024-05-06 @ 8:10 PM
Last Modification Date:
2024-10-26 @ 3:21 PM
Study NCT ID:
NCT06272188
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-02-22
First Post:
2024-01-10
Brief Title:
Preconception Care for Couples Planning Pregnancy
Sponsor:
Yuzuncu Yıl University
Organization:
Yuzuncu Yıl University
Study Overview
Official Title:
The Effect of Online Preconception Counseling on Information and Care Practices for Couples Planning Pregnancy for Healthy Beginnings
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Preconception care is to optimize health address modifiable risk factors and eliminate or reduce health-threatening factors for the woman fetus and newborn by working with couples to achieve a healthy pregnancy Preconception care is the best way to protect against risks in pregnancy and plan risk management Preconception care offers women and their partners the opportunity to gain healthy lifestyle behaviors make conscious choices and gain awareness of factors that threaten health before during and after pregnancy However the rate of receiving preconception care is only 123 in our country
The aim of this project is to examine the effect of online preconception counseling on information and care practices for couples planning pregnancy for healthy starts
Materials and Methods
The randomized controlled experimental study will be conducted between February 1 2024 and February 1 2026 in the provinces of Istanbul Izmir Kastamonu Ankara and Van The population of the research will consist of all couples who applied to the marriage offices in the above provinces between February 1 2024 and February 1 2026 In the sample calculation it was calculated that at least 80 couples experimental group 40 couples control group 40 couples should be included in the study Couples that meet the sampling criteria will be assigned to the experimental or control group according to the random numbers table Online preconception care counseling will be provided to couples in the experimental group 1 month after their wedding date Preconception care counseling consisting of 17 titles was prepared in line with the relevant literature and standardized by the researchers After the counseling the couples will be introduced to the preconception care website which they can use if they need it and will be given login information
Data will be obtained before and in the 3rd month after counseling with the Introductory Information Form TBF Preconceptional Period Risk Assessment Form Preconceptional Care Health Literacy Scale and Preconceptional Period Health Behavior Scale The data will be transferred to the SPSS 22 program and evaluated by the researchers Chi-square test t-test Mann Whitney-U Test Wilcoxon test and paired simple t test will be used to analyze the data
The aim of this project is to examine the effect of online preconception counseling on information and care practices for couples planning pregnancy for healthy starts
Materials and Methods
The randomized controlled experimental study will be conducted between February 1 2024 and February 1 2026 in the provinces of Istanbul Izmir Kastamonu Ankara and Van The population of the research will consist of all couples who applied to the marriage offices in the above provinces between February 1 2024 and February 1 2026 In the sample calculation it was calculated that at least 80 couples experimental group 40 couples control group 40 couples should be included in the study Couples that meet the sampling criteria will be assigned to the experimental or control group according to the random numbers table Online preconception care counseling will be provided to couples in the experimental group 1 month after their wedding date Preconception care counseling consisting of 17 titles was prepared in line with the relevant literature and standardized by the researchers After the counseling the couples will be introduced to the preconception care website which they can use if they need it and will be given login information
Data will be obtained before and in the 3rd month after counseling with the Introductory Information Form TBF Preconceptional Period Risk Assessment Form Preconceptional Care Health Literacy Scale and Preconceptional Period Health Behavior Scale The data will be transferred to the SPSS 22 program and evaluated by the researchers Chi-square test t-test Mann Whitney-U Test Wilcoxon test and paired simple t test will be used to analyze the data
Detailed Description:
The subject of the study is preconceptional care counseling Preconception care is a health care offered for the early detection and prevention of factors that may cause morbidity and mortality in the mother and baby during pregnancy birth and postnatal period A healthy pregnancy and birth need to determine the risks by interviewing couples in the planning stage of pregnancy to planimplement interventions to reduce risks and to provide healthy life behaviors to couples Preconceptional care counseling is a subject that has become increasingly important in recent years The project is based on this issue
Organizations such as WHO CDC and ACOG have reported that all couples in the preconception period should be evaluated by health professionals and women who smokedrink alcohol have chronic diseases diabetes hypertension hypothyroidism epilepsy etc are infected with Rubella and Hepatitis-B have genetic diseases have folic acid and nutritional deficiencies are overweight and obese should be considered in the risk group in terms of maternal and fetal morbidity and mortality It has been reported that it is essential for the protection of maternal and fetal health that all women especially women in the risk group receive PCC For example the incidence of neural tube defects such as sipina bifida and anencephaly decreases in the babies of women who start taking folic acid at least 1 month before pregnancy Similarly maintaining the womans blood glucose level at normal levels during the PC period has been reported to reduce maternal morbidity spontaneous abortion fetal malformations fetal macrosomia and neonatal morbidity Other PCC practices that protect maternal and fetal health include healthy nutrition physical exercise weight control alcohol and smoking cessation diagnosis and treatment of chronic diseases detection of genetic diseases prevention of exposure to occupational and environmental agents prevention of over-the-counter drug use immunization screening and prevention of infectious diseases breast examination dental examination and cervical evaluation
In recent years there have been significant developments in the provision of preconceptional care One of these is online preconception counseling which is proposed to be used in this project
Today with the advancement of technology and the increasing importance given to education it has become inevitable to utilize technological opportunities in solving educational problems Written audio and video communication and interaction can be provided over the Internet The education provided by using internet facilities is called online education Functionally distance education provides the opportunity to learn at any time place amount and speed for those who are working busy and want to learn what they need immediately and as much as necessary Although there are countries in the world that have been providing online education for many years this technology has only recently started to be used in Turkey Internet-based education is independent of time and space can respond to fast or slow learning needs provides fast access to expert information and the opportunity to work with experts provides learning opportunities that appeal to multiple senses with multimedia opportunities and reduces the cost of education The disadvantages of online education are that the internet and computers are required transportation is difficult in rural areas and it may prevent socialization
Online education is most often used in health education Online preconception counselling is important in raising awareness of couples and helping them to develop positive health behaviors It makes a difference in couples understanding of their current situation For example in Yenals study the effect of web-based counseling on the activities of daily living of pregnant women was examined and 7-week training was given to pregnant women over the internet In the study the daily living activities scores of pregnant women gradually increased In the study it was found that the pregnant women continued to use the information after the end of the training
Within the scope of the project
1 The relevant literature was examined and it was decided to prepare and implement an online preconception care counseling program consisting of 17 topics in line with the relevant literature
2 A website will be prepared in which information material video pictures and question and answer forms will be added in parallel with the information given in online counseling
3 To objectively evaluate the effectiveness of the online training the Preconceptional Period Risk Assessment Form planned to be used in the project was prepared by the researchers and the Turkish validity and reliability of the Preconceptional Care Health Literacy Scale was carried out
4 The researchers interviewed the marriage offices where the study was planned to be carried out and obtained verbal consent The permission letters of the institutions have been written and the response is awaited
Organizations such as WHO CDC and ACOG have reported that all couples in the preconception period should be evaluated by health professionals and women who smokedrink alcohol have chronic diseases diabetes hypertension hypothyroidism epilepsy etc are infected with Rubella and Hepatitis-B have genetic diseases have folic acid and nutritional deficiencies are overweight and obese should be considered in the risk group in terms of maternal and fetal morbidity and mortality It has been reported that it is essential for the protection of maternal and fetal health that all women especially women in the risk group receive PCC For example the incidence of neural tube defects such as sipina bifida and anencephaly decreases in the babies of women who start taking folic acid at least 1 month before pregnancy Similarly maintaining the womans blood glucose level at normal levels during the PC period has been reported to reduce maternal morbidity spontaneous abortion fetal malformations fetal macrosomia and neonatal morbidity Other PCC practices that protect maternal and fetal health include healthy nutrition physical exercise weight control alcohol and smoking cessation diagnosis and treatment of chronic diseases detection of genetic diseases prevention of exposure to occupational and environmental agents prevention of over-the-counter drug use immunization screening and prevention of infectious diseases breast examination dental examination and cervical evaluation
In recent years there have been significant developments in the provision of preconceptional care One of these is online preconception counseling which is proposed to be used in this project
Today with the advancement of technology and the increasing importance given to education it has become inevitable to utilize technological opportunities in solving educational problems Written audio and video communication and interaction can be provided over the Internet The education provided by using internet facilities is called online education Functionally distance education provides the opportunity to learn at any time place amount and speed for those who are working busy and want to learn what they need immediately and as much as necessary Although there are countries in the world that have been providing online education for many years this technology has only recently started to be used in Turkey Internet-based education is independent of time and space can respond to fast or slow learning needs provides fast access to expert information and the opportunity to work with experts provides learning opportunities that appeal to multiple senses with multimedia opportunities and reduces the cost of education The disadvantages of online education are that the internet and computers are required transportation is difficult in rural areas and it may prevent socialization
Online education is most often used in health education Online preconception counselling is important in raising awareness of couples and helping them to develop positive health behaviors It makes a difference in couples understanding of their current situation For example in Yenals study the effect of web-based counseling on the activities of daily living of pregnant women was examined and 7-week training was given to pregnant women over the internet In the study the daily living activities scores of pregnant women gradually increased In the study it was found that the pregnant women continued to use the information after the end of the training
Within the scope of the project
1 The relevant literature was examined and it was decided to prepare and implement an online preconception care counseling program consisting of 17 topics in line with the relevant literature
2 A website will be prepared in which information material video pictures and question and answer forms will be added in parallel with the information given in online counseling
3 To objectively evaluate the effectiveness of the online training the Preconceptional Period Risk Assessment Form planned to be used in the project was prepared by the researchers and the Turkish validity and reliability of the Preconceptional Care Health Literacy Scale was carried out
4 The researchers interviewed the marriage offices where the study was planned to be carried out and obtained verbal consent The permission letters of the institutions have been written and the response is awaited
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None