Volume 9, Issue 1 (2021)
Health Educ Health Promot 2021, 9(1): 61-66 |
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Soheili B, Mirzaei A, Sayehmiri K, Montazeri A, Araban M, Ghazanfari Z. A Randomized Controlled Trial of a Theory-Based Health Education on Prevention of Elective Cesareans in Iran. Health Educ Health Promot 2021; 9 (1) :61-66
URL: http://hehp.modares.ac.ir/article-5-47306-en.html
URL: http://hehp.modares.ac.ir/article-5-47306-en.html
1- Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran
2- Department of Biostatistics, School of Health, Ilam University of Medical Sciences, Ilam, Iran
3- Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
4- Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran ,ghazanfari-z@medilam.ac.ir
2- Department of Biostatistics, School of Health, Ilam University of Medical Sciences, Ilam, Iran
3- Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
4- Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
5- Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran ,
Abstract: (2333 Views)
Aims: The high prevalence of Cesarean section (CS) is a global health concern globally, especially in Iran. The current study aimed to evaluate the effect of a Theory of Planned Behavior (TPB) based educational intervention on preventing elective cesareans.
Materials & Methods: An interventional study (NCT02929875) was conducted on a sample of 100 nulliparous pregnant women attending health care centers in Kermanshah, Iran, 2016. Women were randomly selected and assigned into either intervention or control groups on a 1:1 basis. The intervention group received a theory-based (Theory of Planned Behavior) health education intervention, while the control group received only standard care. A questionnaire containing items on TPB constructs, including attitude, subjective norms, perceived behavioral control, and intention, was used to collect baseline and 1-month follow-up assessments. Each woman also received a phone call after childbirth to record their delivery method. Data were analyzed using SPSS version 15 at a significance level of p<0.05. The paired t-test, the independent t-test, the chi-square, and ANCOVA were used for data analysis.
Findings: The results revealed significant differences in scores of attitude, subjective norms, perceived behavioral control, and behavioral intention in the intervention group before and after the intervention (p<0.05). Additionally, the intervention group chose elective cesarean less than the control group (p<0.05). The risk of having an elective cesarean section in the intervention group was about one-fifth of the control group (RR= 0.21; CI=0.4197 to 0.0018).
Conclusion: According to this randomized control trial results, the TPB-based education improved the TPB constructs and NVD rates by providing education to women and their close friends or relatives during pregnancy.
Materials & Methods: An interventional study (NCT02929875) was conducted on a sample of 100 nulliparous pregnant women attending health care centers in Kermanshah, Iran, 2016. Women were randomly selected and assigned into either intervention or control groups on a 1:1 basis. The intervention group received a theory-based (Theory of Planned Behavior) health education intervention, while the control group received only standard care. A questionnaire containing items on TPB constructs, including attitude, subjective norms, perceived behavioral control, and intention, was used to collect baseline and 1-month follow-up assessments. Each woman also received a phone call after childbirth to record their delivery method. Data were analyzed using SPSS version 15 at a significance level of p<0.05. The paired t-test, the independent t-test, the chi-square, and ANCOVA were used for data analysis.
Findings: The results revealed significant differences in scores of attitude, subjective norms, perceived behavioral control, and behavioral intention in the intervention group before and after the intervention (p<0.05). Additionally, the intervention group chose elective cesarean less than the control group (p<0.05). The risk of having an elective cesarean section in the intervention group was about one-fifth of the control group (RR= 0.21; CI=0.4197 to 0.0018).
Conclusion: According to this randomized control trial results, the TPB-based education improved the TPB constructs and NVD rates by providing education to women and their close friends or relatives during pregnancy.
Keywords: Health Behavior [MeSH], Health Education [MeSH], Natural Childbirth [MeSH], Cesarean Section [MeSH]
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2020/12/2 | Accepted: 2021/01/20 | Published: 2021/05/10
Received: 2020/12/2 | Accepted: 2021/01/20 | Published: 2021/05/10
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