Web-based Preconceptional Care and Counseling, Risk Awareness, Healthy Lifestyle Behavior
Condition: Web
Study type: Interventional

Summary: 
      Preconceptional (pre-pregnancy) care; It is a primary care preventive health service that
      aims to prepare individuals for pregnancy, to maintain and result in a healthy pregnancy
      process, and thus to contribute to the formation of new generations from healthier
      individuals. The purpose of preconceptional care; identifying the risk factors present in the
      woman is to eliminate or reduce the adverse effects of these risk factors in the pregnancy
      process, improve health, improve mother and child health in the short and long term.
      Preconception counseling (PC), on the other hand, is to provide training on the best way to
      achieve a healthy pregnancy by addressing women's existing health problems and modifiable
      risk factors. When performing PC and care, it is necessary to maintain a system based on
      evidence and to assess women's holistic and create risk awareness. The creation of risk
      awareness in women should begin with the determination of the risk factors present before
      pregnancy. It is also very important to identify pre-pregnancy risk factors and to provide
      healthy lifestyle behaviors. Today, web-based training is known to be used to adapt
      individuals to new situations and to improve the health of individuals, to improve positive
      behavior changes.This research was conducted to determine the effect of web-based
      preconceptional care and counseling on risk awareness and healthy lifestyle behavior in
      women.
    

Detailed description: 
      Planning fertility with evidence-based management while providing preconceptional care and
      counseling; advanced maternal and paternal age; family history, genetic history and diseases;
      physical activity, body mass index; nutrition; vaccination; sexually transmitted infections;
      chronic diseases; drugs ;harmful habits and exposure; Psychosocial sub-dimensions of women
      should be evaluated holistically and risk awareness should be created.As a matter of fact,
      creating risk awareness in women should start with the identification of risk factors that
      exist before pregnancy. It is possible to gain healthy lifestyle behaviors with the
      determination of these risk factors and taking the necessary precautions.Studies have shown
      that preconception care and counseling services provide cost-effectiveness while improving
      maternal and child health; It is emphasized that health institutions that are inadequate in
      providing this service should develop strategies to encourage preconceptional care and
      counseling at the community level, especially for women.Recommendations of reputable
      organizations such as CDC, ACOG, WHO; It has been concluded that preconceptional care and
      counseling services should be expanded more effectively and quickly in line with the results
      and recommendations of the researches; It is thought that this widespread effect can be
      achieved by using the internet and web-based trainings, which are a part of our lives.It is
      reported in the literature that web-based trainings are seen as an appropriate intervention
      area in reaching women of childbearing age who need preconceptional care and
      counseling.Although there are studies in the world that web-based PC and care services are
      provided and that they affect health positively; No studies on web-based PC and maintenance
      services have been found in our country.The results obtained from this study; establishing a
      comprehensive evidence-based standard PC and maintenance program; improving risk awareness
      and healthy lifestyle behaviors of women of childbearing age; It is thought that it will lead
      to the encouragement of the use of modern technology areas in the field of PC and care
      services, to the development of all health personnel, especially midwives, who want to
      provide comprehensive services in this field, to use web-based PC and maintenance program in
      field applications, and to contribute to the midwifery literature in the planning of advanced
      studies. .
    

Intervention name(s): WEB-BASED PRECONCEPTİONAL CARE AND COUNSELİNG
Intervention type(s): Behavioral
Intervention description(s): A web-based preconceptional care and consultancy training platform has been developed. In line with the literature, a comprehensive preconceptional care and counseling training content was prepared for women between the ages of 18-49. Web-based training consists of a total of 9 modules.The videos created for uploading to the website were shot in a professional studio environment with professional equipment.Each video was shot and recorded by dividing the training content according to its subsections, with an average of at least 6 minutes and a maximum of 16 minutes. Each of the module videos is based on giving the main messages in line with the purpose and objectives of the presentation.women were allowed to watch all the videos within 2 weeks. A dialog box is opened on the website where women can communicate with their midwives 24/7. During and after the training, preconceptional care and counseling training was given in this area for a total of 10 weeks.
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Risk Awareness; Web-based; Preconceptional Care; Preconceptional Counselling; Innovation; Midwifery; Training; Healthy Lifestyle