The Effect of Emotional Freedom Technique on Mental Well-Being and Stress Level in Pregnant Women

Study Overview
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Brief Summary
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Emotional freedom technique will be applied to women with risky pregnancy. Emotional freedom technique group and control groups each consisted of 60 pregnant women.

Detailed Description
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Objective In this experimental study, it was aimed to examine the effect of emotional freedom technique applied to women with risky pregnancy on mental well-being and stress levels. Materials and Methods: This randomized controlled study will be conducted between February 2024 and August 2024 in Kahramanmaraş Necip Fazıl City Hospital Obstetrics and Gynecology Annex Building Obstetrics Outpatient Clinics with a total of 120 risk pregnant women (60 EFT, 60 control). EFT will be applied in the study. Women in the EFT group will receive EFT four times at one-week intervals. Pretest data will be obtained by filling out the Personal Information Form, Warwick-Edinburgh Mental Well-Being Scale (WEMWB), Prenatal Distress Scale - Revised Version before the Emotional Freedom Technique application. After the interventions, post-test data will be obtained by completing the Warwick-Edinburgh Mental Well-Being Scale (WEMWB), Prenatal Distress Scale - Revised Version. In addition, the Subjective Units of Experience (SUE) scale will be administered before and after each EFT intervention.

Official Title
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The Effect of Emotional Freedom Technique Applied to Women With Risky Pregnancy on Mental Well-Being and Stress Level

Conditions
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Pregnant at Risk

Intervention / Treatment
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* Behavioral: Emotional freedom technique group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older, Graduated from at least primary school Volunteering to participate in the research, Primiparous, Pregnant women who do not have conditions such as infection, wound, scar in the tapping areas. Pregnant women who meet any of the criteria in the Ministry of Health Risk Assessment Form for Pregnancy. Exclusion Criteria: Pregnant women who participated in EFT or other antenatal classes/programs during the study period. Those who did not want to continue participating in the study, Those with a psychological problem according to the pregnant women's statements.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Emotional freedom technique group<br>Emotional freedom technique will be applied to risky pregnant women in the emotional freedom technique group. | Behavioral: Emotional freedom technique group<br>* Control group<br>* Other names: No Intervention;|
| No Intervention: Control group<br>Pregnant women in the control group will not receive any intervention other than routine hospital care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of the level of Mental Well-Being | The scale is a 14-item, self-report style scale. The scale consists of positive items including hedonic and eudaimonic dimensions of mental well-being, optimism, feeling useful, relaxation, interest in other people, being energetic and lively, coping with problems, clear thinking, feeling good, feeling close to other people, self-confidence, decision-making, love, interest in new things and being cheerful. The scale covers psychological well-being and subjective well-being and deals with the positive mental health of individuals. The scale is a five-point Likert scale with a minimum score of 14 and a maximum score of 70. Scoring of the scale is as follows: strongly disagree (1), disagree (2), somewhat agree (3), agree (4), strongly agree (5). All items of the scale are positive. High scores on the scale indicate high mental well-being. | The Warwick-Edinburgh Mental Well-Being Scale will be administered to two groups of pregnant women on day one (first interview) | 
| Assessment of the level of Mental Well-Being | The scale is a 14-item, self-report style scale. The scale consists of positive items including hedonic and eudaimonic dimensions of mental well-being, optimism, feeling useful, relaxation, interest in other people, being energetic and lively, coping with problems, clear thinking, feeling good, feeling close to other people, self-confidence, decision-making, love, interest in new things and being cheerful. The scale covers psychological well-being and subjective well-being and deals with the positive mental health of individuals. The scale is a five-point Likert scale with a minimum score of 14 and a maximum score of 70. Scoring of the scale is as follows: strongly disagree (1), disagree (2), somewhat agree (3), agree (4), strongly agree (5). All items of the scale are positive. High scores on the scale indicate high mental well-being. | The Warwick-Edinburgh Mental Well-Being Scale will be administered to three groups of menopausal women at the last interview (after the 4th intervention at one week interval). | 
| Assessment of prenatal distress level | The scale determines pregnant women's social relationships, their physical and emotional symptoms during pregnancy, and their level of anxiety about themselves and their babies. The scale items have options ranging from Not at all (0), A little (1) and Very much (2), and the total score is obtained by summing the scores of the answers given to the scale items. A minimum score of 0 and a maximum score of 34 points are obtained from the scale. An increase in the total score obtained from the scale indicates an increase in the level of prenatal distress perceived by pregnant women. | The Prenatal Distress Scale - Revised Version will be administered to two groups of pregnant women on day one (first interview) | 
| Assessment of prenatal distress level | The scale determines pregnant women's social relationships, their physical and emotional symptoms during pregnancy, and their level of anxiety about themselves and their babies. The scale items have options ranging from Not at all (0), A little (1) and Very much (2), and the total score is obtained by summing the scores of the answers given to the scale items. A minimum score of 0 and a maximum score of 34 points are obtained from the scale. An increase in the total score obtained from the scale indicates an increase in the level of prenatal distress perceived by pregnant women. | The Prenatal Distress Scale - Revised Version will be administered to three groups of menopausal women at the last interview (after the 4th intervention at one week interval). | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | The Subjective Units of Experience (SUE) scale will be administered to two groups of pregnant women on day one (first interview) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | One hour after the first interview, all pregnant women in all two groups will be administered the SUE (second measure) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | Seven days after the first interview, all pregnant women in all two groups will be administered the SUE (third measurement) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | One hour after the third measurement, all pregnant women in all two groups will be administered the SUE (fourth measurement) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | Seven days after the fourth measurement, all pregnant women in all two groups will be administered the SUE (fifth measurement) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | : One hour after the fifth measurement, all pregnant women in all two groups will be administered the SUE (sixth measurement) | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | Seven days after the sixth measurement, all pregnant women in all two groups will undergo the SUE (seventh measurement). | 
| Determining the level of anxiety | Subjective Units of Experience (SUE) will be applied to determine the anxiety level of pregnant women. The SUE is used to determine the intensity of one's emotions at the beginning and end of the therapy. The scale is scored between -10 and +10, with negative numbers indicating negative/unpleasant experiences and positive numbers indicating positive/pleasant experiences. | One hour after the seventh measurement, all pregnant women in all two groups will be administered the SUE (eighth measurement) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnant at risk, Well-being, Mental health, Stress, Emotional Freedom Technique