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EFFECT OF AN EDUCATIONAL PROGRAM BASED ON HEALTH BELIEF MODEL ON PREVENTION OF PRETERM BIRTH AMONG NEWLY PREGNANT WOMEN
Abstract
The birth of a preterm infant has a greater risk of developmental disabilities health, and growth problems than infants born at full term. The aim of the present study was toexamine the effect of an educational program based on health belief model on prevention of preterm birth among newly pregnant women
Design: A quasi-experimental study design was used (time series design) pre/post-test, two groups are studied.
Sample: A purposivesample of 100 women was included in the present study. Setting: The present study was conducted at Antenatal Outpatient Clinic in Benha University Hospitals
... [20][21] Additionally, family support plays a critical role in facilitating knowledge among high-risk pregnant women. 22 An intervention study aimed at preventing preterm labor and premature birth revealed that a comprehensive approach involving knowledge and self-care education for pregnant women at risk of preterm birth, 20-23 the dissemination of knowledge through mobile and media applications, [20][21][22][23][24] the expansion of communication channels, 24 including telephone monitoring, 20,22 regular follow-up, monitoring symptoms and uterine contraction and family support 22 had the potential to mitigate the occurrence of preterm birth. Following previous studies, it is evident that factors influencing self-care behaviors among high-risk pregnant women encompass critical elements such as robust social support networks, the aptitude to recognize the onset of premature labor pain, and a comprehensive understanding of issues related to premature birth. ...
... 36 Similarly, promoting perceived seriousness based on health-related knowledge and information can be facilitated by focusing on personal beliefs concerning the hardships of having a disease. 20,23 Regardless, perceived risks, seriousness and benefits alone are unlikely to trigger behavior change. Therefore, obstacles must be minimized in combination with education concerning easy access to education and counseling, which can be provided through informative applications and/or online/phone consultation, leading to the successful prevention of preterm labor in pregnant women in high-risk groups. ...
Preterm labor significantly impacts premature birth, influencing infant development and health outcomes. This randomized controlled trial aimed to develop and test the effectiveness of the Preterm Labor Prevention Program on primary outcomes (knowledge, attitudes, self-care practices) and secondary outcomes (preterm labor, preterm birth rates). Sixty-six high-risk participants aged 15-49 attending antenatal care clinics in Northeastern Thailand were selected using multi-stage random sampling. They were randomly assigned to either the experimental group (n = 32) receiving the Preterm Labor Prevention Program in addition to routine care or the control group (n = 34) receiving routine care. Data collection employed questionnaires on knowledge, attitude, self-care practice, preterm labor, and preterm birth rates. Data were analyzed using one-way repeated measures ANOVA for knowledge, attitudes, and self-care practice scores across three-time points at baseline before the intervention, immediately and four weeks after program completion, and chi-square tests for comparing preterm labor and premature birth rates across groups. Results indicated that the mean score of knowledge, attitude, and self-care practice in the experiment group was significantly increased over time immediately and four weeks after program completion and significantly higher than that of the control group at both time points. Furthermore, the incidence of preterm labor and the preterm birth rate in the experiment group were 6.25% and 3.10%, respectively. However, the incidence of preterm labor and the preterm birth rate in the control group were equal at 20.60%. Nurses and midwives can apply this program to increase knowledge, more positive attitudes, and practice to reduce preterm labor and preterm birth in high-risk pregnancies, but first, testing of the program is required with an increased number of participants.
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