The Effect of Tele-Health Education Provided in the Postpartum Period in the Covid 19 Pandemic

Study Overview
=================
Brief Summary
-----------------
In the planned study, it was aimed to examine the effect of tele-education offered in the postpartum period in the covid 19 pandemic on the levels of depression, attachment and anxiety of women.

Detailed Description
-----------------
In the planned study, it was aimed to examine the effect of tele-education offered in the postpartum period in the covid 19 pandemic on the levels of depression, attachment and anxiety of women.

Official Title
-----------------
Investigation of the Effect of Tele-Health Education Provided in the Postpartum Period in the Covid 19 Pandemic on the Depression, Attachment and Anxiety Levels of Women: A Randomized Controlled Study

Conditions
-----------------
Postpartum Depression, Anxiety State

Intervention / Treatment
-----------------
* Behavioral: Experimental


Participation Criteria
=================
Eligibility Criteria
-----------------
inclusion Criteria literate Giving birth at term (between 38-42 weeks of gestation) Being on the 7th Postpartum Day, Participation in the study is voluntary, Absence of any psychiatric illness, Women who have characteristics such as not using any psychiatric medication. Baby with normal birth weight and APGAR score of 8 and above Those who have not developed postpartum complications Speaks and understands Turkish Exclusion Criteria: women who do not meet the sample selection criteria -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental<br>The mothers in this group will be given telehealth training for 4 weeks. | Behavioral: Experimental<br>* education group<br>|
| No Intervention: Control<br>Mothers in this group will not be given telehealth education, they will receive care within the scope of routine care. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postpartum depression | The Edinburgh Postnatal Depression Scale (EPDS) was used to detect depressive symptoms during the postpartum period [30]. EPDS is a 10-item questionnaire assessing the interviewee's depressive feelings from the seven days before the interview. The response of the questions is scored from 0-3, with higher scores indicating higher levels of depressive symptoms. The total EPDS score of a respondentcan range from 0 to 30. | postpartum 6 weeks | 
| postpartum depression | The Edinburgh Postnatal Depression Scale (EPDS) was used to detect depressive symptoms during the postpartum period [30]. EPDS is a 10-item questionnaire assessing the interviewee's depressive feelings from the seven days before the interview. The response of the questions is scored from 0-3, with higher scores indicating higher levels of depressive symptoms. The total EPDS score of a respondentcan range from 0 to 30. | postpartum 3 months | 
| postpartum mother-baby attachment | Postpartum Attachment Scale: Early diagnosis of problems in mother-infant relationship Developed to provide and maternal filling4. The scale is a six-digit It has a Likert scale. Scale always, Postpartum attachment scales in mothers 247 Very often, often, sometimes, rarely, no It has been defined as time. Items 0-5 It is rated as. Scale 17 is reverse It consists of 25 graded items. Scale attachment disorder (12 items), Rejection and irritability (seven items), care tension about (four items), abuse four sub-categories with risk (two substances) It consists of units. Pathology in mother-infant relationship cut point specified for four subscales 4'18 The cut-off point of four subscales attachment disorder (subscale 1), respectively> 12, rejection and irritability (subscale 2)> 17, anxiety in infant care (subscale 3)> 10, the risk of abuse (subscale 4) is> 3. | postpartum 6 weeks a | 
| postpartum mother-baby attachment | Postpartum Attachment Scale: Early diagnosis of problems in mother-infant relationship Developed to provide and maternal filling4. The scale is a six-digit It has a Likert scale. Scale always, Postpartum attachment scales in mothers 247 Very often, often, sometimes, rarely, no It has been defined as time. Items 0-5 It is rated as. Scale 17 is reverse It consists of 25 graded items. Scale attachment disorder (12 items), Rejection and irritability (seven items), care tension about (four items), abuse four sub-categories with risk (two substances) It consists of units. Pathology in mother-infant relationship cut point specified for four subscales 4'18 The cut-off point of four subscales attachment disorder (subscale 1), respectively> 12, rejection and irritability (subscale 2)> 17, anxiety in infant care (subscale 3)> 10, the risk of abuse (subscale 4) is> 3. | postpartum 3 months | 
| anxiety state | State Anxiety Scale (STAI-I) in 1970 Turkish form developed by Spielberger Oner N et al. Its validity and reliability study has been carried out by adapting it. Anxiety level In STAI-I, (1) not at all, (2) a little, (3) a lot and (4) completely While it is scored as, the options in STAI-II are (1) almost never, (2) sometimes, (3) a lot of time, and (4) it is almost always. 2 kinds of scales Scores obtained from both scales theoretically it ranges from 20 to 80. High score indicates high anxiety level | postpartum 6 weeks | 
| anxiety state | State Anxiety Scale (STAI-I) in 1970 Turkish form developed by Spielberger Oner N et al. Its validity and reliability study has been carried out by adapting it. Anxiety level In STAI-I, (1) not at all, (2) a little, (3) a lot and (4) completely While it is scored as, the options in STAI-II are (1) almost never, (2) sometimes, (3) a lot of time, and (4) it is almost always. 2 kinds of scales Scores obtained from both scales theoretically it ranges from 20 to 80. High score indicates high anxiety level | postpartum 3 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
postpartum depression, mother-baby attachment, anxiety