The Effect of Mindfulness-Based Pregnancy Education Program on Stress, Birth Fear and Birth Self-Efficacy in Pregnants
Condition: Mindfulness; Pregnancy; Stress; Childbirth; Midwife
Study type: Interventional

Summary: 
      The research will be carried out to determine the effect of mindfulness-based pregnancy
      education program on stress, fear of childbirth and birth self-efficacy in pregnant women.
      The study was designed as a randomized controlled trial. The universe of the research will
      consist of pregnant women who applied to Gaziantep Cengiz Gökçek Gynecology and Pediatrics
      Hospital Pregnancy training class. The sample of the research, on the other hand, was
      determined by power analysis, at least the number of individuals to be included in the sample
      of the research. Sample size when power analysis is done; Assuming that the method applied
      with 5% error level, bidirectional significance level, 95% confidence interval and 80%
      ability to represent the universe, would reduce the anxiety score averages (30.53±6.49) by 4
      points, a total of 84 pregnant women (42 experimental, 42 control) were calculated.
      Introductory Information Form", "Prenatal Distress Scale (PBL)-Revised Version", "Birth
      Attitude Scale" and "Birth Self-Efficacy Scale short form" will be used.

      It is predicted that the research will contribute to the literature in line with its
      originality and results.
    

Detailed description: 
      The research will be carried out to determine the effect of mindfulness-based pregnancy
      education program on stress, fear of childbirth and birth self-efficacy in pregnant women.
      The study was designed as a randomized controlled trial. The universe of the research will
      consist of pregnant women who applied to Gaziantep Cengiz Gökçek Gynecology and Pediatrics
      Hospital Pregnancy training class. The sample of the research, on the other hand, was
      determined by power analysis, at least the number of individuals to be included in the sample
      of the research. Sample size when power analysis is done; Assuming that the method applied
      with 5% error level, bidirectional significance level, 95% confidence interval and 80%
      ability to represent the universe, would reduce the anxiety score averages (30.53±6.49) by 4
      points, a total of 84 pregnant women (42 experimental, 42 control) were calculated.
      Introductory Information Form", "Prenatal Distress Scale (PBL)-Revised Version", "Birth
      Attitude Scale" and "Birth Self-Efficacy Scale short form" will be used.

      Pregnant Information Form: It is a form consisting of 21 questions developed by the
      researchers in line with the literature in order to determine the socio-demographic,
      obstetric and health characteristics of women.

      Prenatal Distress Scale (PBL)- Revised Version The "Prenatal Distress Scale" was developed by
      Yali and Lobel in 1999 to assess women's social relations, physical and emotional symptoms,
      and concerns about themselves and their baby during pregnancy (14). The first 12-item scale
      was developed by Lobel in 2008 and a 17-item Prenatal Distress - Revised version was created
      (15). The Turkish validity and reliability study was performed by Yüksel et al. in 2011 (16).
      In the internal consistency analysis of the scale (n=522), the Cronbach's alpha internal
      consistency coefficient was 0.85, and the item 36 total score correlation coefficients (r)
      ranged from 0.20 to 0.78 (p<0.001). The scale is in 3-point Likert type. The participants are
      asked to read the statement in the scale and choose the one that suits them from the
      sequential statements "Not at all" (0), "A little" (1) and "Too much" (2). The minimum score
      that can be obtained from the scale is "0" and the maximum score is "34", and as the score
      obtained from the scale increases, prenatal distress levels also increase. The scale has no
      breakpoints.

      Birth Attitude Scale Birth attitude scale is a scale developed by Lowe to measure fear of
      birth. This scale is a four-point Likert scale consisting of 16 items, with a high score
      indicating high anxiety. 1= No worries; no fear, 2= Low anxiety; not enough to be called
      fear, 3= moderate anxiety; distressing but enough to affect feelings of well-being 4 = high
      anxiety; It is evaluated as very worrying and affecting the sense of well-being. The Cronbach
      alpha coefficient of the scale, which was performed by Dönmez et al. in 2012, was found to be
      0.82.

      Birth Self-Efficacy Scale Short form The Birth Self-Efficacy Scale, consisting of 28 items,
      has two sub-dimensions as result expectation and self-efficacy expectation, scored from 1 to
      10, 1 = 'I'm NOT SURE' 10 = 'TOTALLY SURE'. The lowest score that can be obtained from the
      scale is 28, the lowest The high score is 280, and it is accepted that as the score
      increases, birth self-efficacy increases, and as the score decreases, it decreases. Its
      Turkish validity and reliability were evaluated in 2021 by Aydın et al. The Cronbach alpha
      coefficient of the scale was found to be 0.82.

      Data Collection: The data will be interviewed and invited by the researchers to the pregnant
      women who applied to the pregnant training class at Gaziantep Cengiz Gökçek Gynecology and
      Childhood Hospital between July 2022 and December 2022. Pregnant women who accept to
      participate in the study and meet the criteria will be filled by the researchers by
      face-to-face interview method. As a pre-test, "Descriptive Information Form", "Prenatal
      Distress Scale (PBL) - Revised Version", "Birth attitude scale" and "birth self-efficacy
      scale - short form" will be applied to the pregnants in the experimental and control groups.
      After the conscious awareness-based pregnancy education program was applied to the
      experimental group, 2 sessions a week for 4 weeks (1 month), a total of 8 sessions, the
      "Prenatal Distress Scale (PBL) - Revised Version", "Birth Attitude Scale" was applied to the
      experimental group and simultaneously to the control group. and 'birth self-efficacy
      scale-short form' will be applied. They will receive the pregnant training given in the
      routine pregnant class.

      It is predicted that the research will contribute to the literature in line with its
      originality and results.
    

Intervention name(s): mindfulness-based pregnancy education program.
Intervention type(s): Behavioral
Intervention description(s): Pregnant education program based on mindfulness is planned as 2 sessions per week for 4 weeks, in total 8 sessions. Each session is planned to last 40-60 minutes on average. Sessions will continue as individu
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized
Masking: None (Open Label)
Primary purpose: Prevention