The Effects of Angel Sounds and Guided Imagery Technique Played to Expectant Couples

Study Overview
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Brief Summary
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The sample consisted of the pregnant women who applied to the pregnant class at the time of the study and met the inclusion criteria. The pregnant women and their spouses constituting the sample will be divided into 3 groups. Only fetal heartbeat will be listened to (Group-FHB) in Group 1, each of which consisted of 40 couples, guided imagery technique will be applied to group 2 (Group-GIT), and A control group will formed for group 3.

Detailed Description
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Aim: The research was planned to determine the effect of angel sounds listened with guided imagery technique on attachment, anxiety and sleep quality. Methods: The research was planned in a randomized controlled experimental design. The sample will consist of the pregnant women who applied to the pregnant class at the time of the study and met the inclusion criteria. The pregnant women and their spouses constituting the sample will be divided into 3 groups. Only fetal heartbeat will be listened to (Group-FHB) in Group 1, each of which consist of 40 couples, guided imagery technique will be applied to group 2 (Group-GIT), and A control group will be formed for group 3.

Official Title
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The Effects of Angel Sounds and Guided Imagery Technique Played to Expectant Couples on Attachment, Anxiety and Sleep Quality

Conditions
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Listen to Fetal Heartbeat

Intervention / Treatment
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* Other: Group-FHB
* Other: Group-GIT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: No communication problem, Having a single and live pregnancy, 27-38. in gestational week, Not having any diagnosed risk of pregnancy (such as preeclampsia, diabetes, heart disease, placenta previa, oligohydramnios), Not having any problems (such as fetal anomaly, intrauterine growth retardation) related to the health of the fetus, All pregnant women and their spouses without a psychiatric diagnosis (from patient records). Exclusion Criteria: Having a risky pregnancy, Previous miscarriage, abortion history, Having multiple pregnancy, Does not live with his/her spouse, Pregnant with assisted reproductive techniques, Pregnant women and their spouses with communication difficulties or mental disabilities

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group-FHB<br>Written and verbal consent will be obtained by explaining the purpose of the study at the first interview with the couples in the pregnant outpatient clinic. Then, from the couples, Personal Information Form-Female (PIF-F), Personal Information Form-Male (PIF-M), Antenatal Mother Attachment Scale (PAAS), Antenatal Father Attachment Scale (PABB), Pre-test data will be obtained through the Richard Campbell Sleep Quality Scale (RCAS) and State Anxiety Inventory (DQS). After the attempt to imagine the baby by listening to the fetal heart beats for 5 consecutive nights, the measurement tools will be obtained at the end of the 5th night by re-measurements. A total of 2 measurements, one pre-test and one post-intervention post-test, will be performed, and it is planned to take approximately 15 minutes for each couple to apply the measurement tools. | Other: Group-FHB<br>* This is the group where pregnant women and their spouses listen to the fetal heartbeat.<br>|
| Experimental: Group-GIT<br>Written and verbal consent will be obtained by explaining the purpose of the study at the first interview with the couples in the pregnant outpatient clinic. Then, from the couples, Personal Information Form-Female (PIF-F), Personal Information Form-Male (PIF-M), Antenatal Mother Attachment Scale (PAAS), Antenatal Father Attachment Scale (PABB), Pre-test data will be obtained through the Richard Campbell Sleep Quality Scale (RCAS) and State Anxiety Inventory (DQS). After the attempt to imagine the baby with the guided imagery technique performed for 5 consecutive nights with the measurement tools, the data will be obtained by re-measurements at the end of the 5th night. A total of 2 measurements, one pre-test and one post-intervention post-test, will be performed, and it is planned to take approximately 15 minutes for each couple to apply the measurement tools. | Other: Group-GIT<br>* This is the group in which the guided imagery technique is applied to pregnant women and their spouses.<br>|
| No Intervention: Control group<br>It is planned to conduct two interviews in total with the couples included in the control group. Written and verbal consent will be obtained by explaining the purpose of the research at the first interview to be held in the pregnant outpatient clinics with the couples to be included in the control group. Later on, Personal Information Form-Female (PIF-F), Personal Information Form-Male (PIF-M), Antenatal Mother Attachment Scale (PAPAS), Antenatal Father Attachment Scale BABI, Richard Campbell Sleep Scale Pre-test data will be obtained by means of the State Anxiety Scale and the State Anxiety Scale. Measurement tools will be repeated at the end of the 5th night in parallel with the experimental groups and a total of 2 measurements will be obtained together with the pre-test measurements. It is planned that the application of the measurement tools will take approximately 15 minutes for each couple. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Prenatal Mother Attachment Scale | Each item of The Prenatal Mother Attachment Scale (PMAS), which has a total of 19 items, focuses on the pregnant woman's feelings, attitudes and behaviors towards the fetus. The scale is likert-type and each item is scored between 1 and 5 (5=represents very strong feelings towards the fetus; 1=represents the absence of feelings towards the fetus). A high score indicates a high degree of attachment. 11 items in the scale are scored in the opposite direction (1, 3, 5, 6, 7, 9, 10, 12, 15, 16, 18). | Change in Prenatal Attachment Levels of Expectant Mothers in 5 Days | 
| The Paternal Prenatal Attachment Scale | The Paternal Prenatal Attachment Scale are based on the fathers' experiences in the last two weeks and measure the father's feelings and thoughts towards the developing fetus in the mother's womb. Increasing score indicates higher degree of attachment. The scale is in 5-point Likert type and consists of 16 items and two sub-dimensions. Sub dimensions; quality of attachment [2, (3), (7), 9, 11, (12), (15), 16] in which the emotional experience of the father is measured while thinking about the baby in the womb, time spent on attachment [( 1), 4, (5), (6), (8), 10, (13), 14]. 9 items are reverse scored in the scale. Cronbach's alpha reliability coefficient of the scale was 0.82; the Cronbach's alpha of the quality of attachment sub-dimension was 0.80; The alpha of the time spent connecting sub-dimension is 0.67. | Change in Prenatal Attachment Levels of Expectant Fathers in 5 Days | 
| Richard Campbell Sleep Quality Scale | This scale is a 6-item scale that measures the depth of night sleep, the time to fall asleep, the frequency of awakening, the time to stay awake when awakened, the quality of sleep, and the noise level in the environment. Each of the items is evaluated on a chart with numbers from 0 to 100. According to the scale scoring, 0-25 points indicate very bad sleep, while 76-100 points indicate very good sleep. The 6th item, which evaluates the noise level in the environment, is excluded from the scale total score evaluation, and the total score is evaluated over 5 items. As the score of the scale increases, the sleep quality of the patients also increases. The scale's Cronbach α value is 0.91. | Change in Couples Sleep Quality in 5 Days | 
| State Anxiety Inventory | The scale is a self-evaluation type scale consisting of short statements. It is used to determine how an individual feels in a certain situation and in a certain area. The emotions or behaviors expressed in the State Anxiety Scale items are answered by marking one of the options such as (1) not at all, (2) a little, (3) a lot, (4) completely, depending on the severity of the emotion or behavior. There are two types of expressions in the scale. These are reversed or straight forward expressions. reversed expressions; positive feelings express, direct expressions express negative feelings. When scoring reverse expressions, those with a weight of 1 are converted to 4, and those with a weight of 4 are converted to 1. In the State Anxiety Scale; There are ten reversed statements, items 1, 2, 5, 8, 10, 11, 15, 16, 19 and 20. When scoring, the reversed and direct statements are summed. | Change in Couples State Anxiety in 5 Days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fetal heartbeat, Imagination, Attachment, Anxiety, Sleep