Clinical trial NCT05894681: Psychoeducation in Preventing Postpartum Depression According to Watson
Official title: Based on the Watson Model for the Prevention of Postpartum Depression Impact of Psychoeducational Intervention
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pregnancy Related
Keywords: Postpartum depression,
Psychoeducation,
Watson model
Lead sponsor: Eskisehir Osmangazi University
Sponsor class: OTHER
First posted: 2023-06-08
Enrollment: 90
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 32
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: THE EFFECT OF WATSON MODEL-BASED PSYCOEDUCATIONAL INTERVENTIONS ON PREVENTION OF POSTPARTITION DEPRESS
Primary purpose: PREVENTION

Brief summary: The postpartum period is marked by significant changes in a woman's priorities, roles, and responsibilities. It is a stressful transition period in which one faces physical and emotional challenges. This stressful transition period. It can seriously affect women's mental health and psychosocial well-being. postpartum depression (PPD) is a common complication in women. PPD in about one in seven women can develop. In addition, PPD is one of the leading causes of maternal morbidity and mortality. Preventive psychosocial and psychological practices are effective in reducing the incidence of PPD. cognitive behavioralist therapy, interpersonal psychotherapy and psychoeducational interventions are among these practices. Counseling, which is traditionally considered as a psychological intervention, is very useful for midwives and nurses. supports a number of theoretical applications and perspectives. Therefore, in order to achieve effective and beneficial results, education should be based on defined and organized theories and models. midwifery and nursing Implementation of care based on a model increases the success of care outcomes. health education Some models in the field allow us to explain the occurrence of behavior and its effect on a particular behavior. Helps us run the health education program to evaluate So about PPD A model selection is necessary for the conceptual framework of knowledge. The model chosen is the change in behavior.

should explain their predictive factors and their effects on PPD. Health education in midwifery and nursing and One of the most frequently used models in the promotion of human care is Watson's Theory of Human Care (IBT). This model is love, It consists of the concepts of compassion, respect, trust and people and is a care that evaluates the individual as a whole provides. When the literature is examined, although there are a few studies aimed at preventing PPD, it is seen that PPD is It has been observed that there is no study on model-based psychoeducational intervention in the prevention of In our study, Watson model applied to pregnant women in the prevention of PPD was used to eliminate this deficiency aimed to evaluate the effect of a psychoeducational intervention based on

Detailed description: The postpartum period is marked by significant changes in a woman's priorities, roles, and responsibilities.

It is a stressful transition period in which physical and emotional difficulties are encountered. This stressful transition period can seriously affect women's mental health and psychosocial well-being.

can affect. Postpartum depression (PPD) is a common complication in women. PPD can develop in approximately one in seven women. In addition, PPD, maternal morbidity and is one of the leading causes of mortality. Preventive psychosocial and psychological practices are effective in reducing the incidence of PPD. Cognitive behavioral therapy, interpersonal psychotherapy, and psychoeducational interventions are among the applications. These interventions have traditionally been face-to-face, individual and group.

format, by phone, online, with peer support, and by trained professionals. can be done. In the meta-analysis results of the randomized controlled trial, psychosocial and psychological interventions It has been found to be effective in preventing PPD. prevalence of PPD 37 randomized and semi-randomized controls evaluated the efficacy of preventive interventions in reducing In this study, it was found that depressive symptoms were significantly lower in the intervention group.

Education given in the perinatal period; mother and family, physical, emotional and mental preparation, health development and by focusing on improved lifestyle behaviors. These trainings are It is of great importance in helping them learn about pregnancy, birth and parenthood. The application of midwifery and nursing care based on a model increases the success of the results. Some models in the field of health education, the formation of behaviors health education program to evaluate our explanation and its impact on a particular behavior.

helps us run. Therefore, a model for the conceptual framework of knowledge about PPD selection is required. The selected model includes the predictive factors of behavioral changes and the impact on PPD.

should explain its effects. Health in midwifery and nursing One of the most frequently used models in education and promotion is Watson's Theory of Human Care (IBT). This The model consists of the concepts of love, compassion, respect, trust and human, and includes the individual as a whole.

provides an evaluative care. Watson's theory suggested that nurses use artistic, encourages the use of aesthetic, spiritual, empirical, political and ethical ways of knowing. their care reach a greater level of awareness of their various physical and non-physical dimensions.

Watson model for nursing practice, 10 important factors in his theory and supports the concept. These factors (10 Healing Processes) are defined as follows:

1. Humanitarian-devotional value system: Adopting values such as humanitarianism and devotion, approach the individual with love and compassion.
2. Instilling faith-hope, honoring the other: Positive health between nurse and patient facilitates promotion.
3. Sensitivity: Developing sensitivity towards oneself and others, through accepting others.

   is the recognition of self-actualization.
4. Help-trust relationship: Developing helping-trusting human care relationship, interpersonal care and is essential for the expression of both positive and negative emotions in the nurse-patient relationship. This is the person effective communication to express emotions and to acknowledge and perceive the emotions of others requires the use of skills.
5. Expression and acceptance of emotions: Encouraging the expression of positive and negative emotions and acceptance is defined as a risk-taking experience for both the patient and the nurse. Nurse and the patient must be prepared for positive or negative feedback.
6. Systematic use of scientific problem solving method in decision making, Scientific contribution to nursing care The nursing process is used to bring a problem-solving approach.
7. Enabling teaching and learning: Promoting interpersonal teaching-learning, care and treatment is an important distinguishing factor. This takes the responsibility from the nurse and puts it on the patient. This concept the nurse to provide the patient with the necessary information and then the responsibility of following up to the patient.

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8. Establishing a suitable environment for recovery: Supportive, protective or corrective mental, physical, Providing the sociocultural and spiritual environment

Eligibility criteria: Inclusion Criteria:

* 20-32 weeks of pregnancy,

  * Voluntarily,
  * over 18 years,
  * Literate,
  * Women with a healthy fetus on ultrasonography

Exclusion Criteria:

* • Diagnosed with depression and other mental illness by a physician,

  * Using drugs related to mental illness,
  * Premature birth,
  * Those who did not attend more than one interview

Primary outcomes:
measure: Patient Satisfaction Evaluation Form According to Watson Improvement Processes
timeFrame: up to the fourth week postpartum
measure: Edinburgh Postpartum Depression Scale
timeFrame: from the 20th week of pregnancy to the fourth postpartum
measure: Multidimensional Scale of Perceived Social Support
timeFrame: from the 20th week of pregnancy to the fourth postpartum
measure: Personal Information Form
timeFrame: up to 32 weeks of pregnancy
Secondary outcomes:
Other outcomes:
Locations:
city: Eskişehir
country: Turkey
facility: Eskisehir Osmangazi University
state: Odunpazarı
Study officials:
affiliation: Eskisehir Osmangazi University
name: Nebahat Özerdoğan
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chow R, Huang E, Li A, Li S, Fu SY, Son JS, Foster WG. Appraisal of systematic reviews on interventions for postpartum depression: systematic review. BMC Pregnancy Childbirth. 2021 Jan 6;21(1):18. doi: 10.1186/s12884-020-03496-5.
citation: Forster DA, McLachlan HL, Rayner J, Yelland J, Gold L, Rayner S. The early postnatal period: exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia. BMC Pregnancy Childbirth. 2008 Jul 22;8:27. doi: 10.1186/1471-2393-8-27.
citation: Cristescu T, Behrman S, Jones SV, Chouliaras L, Ebmeier KP. Be vigilant for perinatal mental health problems. Practitioner. 2015 Mar;259(1780):19-23, 2-3.
citation: Lau Y, Htun TP, Wong SN, Tam WSW, Klainin-Yobas P. Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis. J Med Internet Res. 2017 Apr 28;19(4):e138. doi: 10.2196/jmir.6712.
citation: Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD001134. doi: 10.1002/14651858.CD001134.pub3.
citation: Sockol LE, Epperson CN, Barber JP. Preventing postpartum depression: a meta-analytic review. Clin Psychol Rev. 2013 Dec;33(8):1205-17. doi: 10.1016/j.cpr.2013.10.004. Epub 2013 Oct 21.
citation: Moshki M, Kharazmi A, Cheravi K, Beydokhti TB. The prediction of postpartum depression: The role of the PRECEDE model and health locus of control. J Family Med Prim Care. 2015 Jul-Sep;4(3):454-60. doi: 10.4103/2249-4863.161354.
citation: Turkel MC, Watson J, Giovannoni J. Caring Science or Science of Caring. Nurs Sci Q. 2018 Jan;31(1):66-71. doi: 10.1177/0894318417741116.