Attachment-Based, Attachment, Prenatal

Study Overview
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Brief Summary
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This randomized controlled study was conducted in the pregnant outpatient clinics of a public hospital in Turkey. The sample of the study consisted of a total of 154 pregnant women (77 experiments, 77 controls). An attachment-based intervention program (ABIP) was applied to pregnant women in the experimental group. The ABIP included five interventions; (1) Perceiving/counting fetal movements, (2) Music therapy, (3) Preparation for the baby, (4) Writing notes/letters to the baby, and (5) Watching images of the fetus/pregnancy.

Detailed Description
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This study aimed to determine the effect of attachment-based intervention program on attachment, prenatal expectation and stress level in pregnant women. This randomized controlled study was conducted in the pregnant outpatient clinics of a public hospital in Turkey. The sample of the study consisted of a total of 154 pregnant women (77 experiments, 77 controls). An attachment-based intervention program (ABIP) was applied to pregnant women in the experimental group. The ABIP included five interventions; (1) Perceiving/counting fetal movements, (2) Music therapy, (3) Preparation for the baby, (4) Writing notes/letters to the baby, and (5) Watching images of the fetus/pregnancy. The program was completed in a total of 5 days, one session per day.

Official Title
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The Effect of Attachment-Based Intervention Program on Attachment, Prenatal

Conditions
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Attachment Disorder

Intervention / Treatment
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* Behavioral: Attachment-Based Intervention Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria:Communicating, Over the age of 18, Pregnancy week between 24-40 weeks Exclusion Criteria: Pregnant women with psychological diagnosis according to records
Sexes Eligible for Study
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Female

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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental (ABIP group)<br>The ABIP was created by the researchers in line with the literature and consisted of interventions that affect and increase prenatal attachment Gölbaşı et al., 2015; Güney & including perceiving /counting fetal movements, music therapy, preparation for the baby, writing notes/letters to the baby, watching images of the fetus/pregnancy. The program was completed in a total of five days, with one intervention per day. An ABIP kit, which contained the materials to be used by pregnant women during ABIP interventions, was provided to them by the researchers at the first meeting. ABIP intervention materials were included in the ABIP kit, using five different colored envelopes (Appendix 1). Pregnant women were also informed about the interventions and materials of ABIP by the researchers at the first meeting. | Behavioral: Attachment-Based Intervention Program<br>* Attachment-Based Intervention Program<br>|
| No Intervention: control groups<br>No Intervention: Control group standard care group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal Antenatal Attachment | It has a total of 19 items, focusing on pregnant women's feelings, attitudes and behaviors towards the fetus. This is a 5-point Likert type scale, scoring between 1 (the absence of feelings toward the fetus) and 5 (strong emotions toward the fetus). | one week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prenatal Maternal Expectations | This is a 5-point Likert type scale, scoring from 1 (strongly agree) to 5 (strongly disagree). It consists of 34 items and two subscales: (1) Unrealistic Positive Prenatal Expectations (21 items measuring the mother's positive expectations about childbirth and motherhood role), (2) Unrealistic Negative Prenatal Expectations (13 items measuring the mother's negative expectations about childbirth and motherhood role). | one week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prenatal distress, pregnancy, Midw,ifery