The Effect of a Training Intervention Based on Self-efficacy and Health Literacy on Pregnancy Outcomes

Document Type : Original Article

Authors

1 دانشگاه علوم پزشکی کرمان

2 Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran

3 Master student of community education in community nursing health system, School of Nursing, Kerman University of Medical Sciences, Kerman, Iran

4 Department of Medical Library and Information, School of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran

5 Assistant Professor of Clinical Toxicology, Medicine & Religion Research Center, Kerman University of Medical Sciences, Kerman, Iran

10.34172/JHAD.92404

Abstract

Background: Prenatal care is the correct implementation of principles that aim to maintain the health of the mother and her baby. The failure to provide effective prenatal care will lead to an increase in premature birth, low birth weight infants, and maternal and infant mortality. Accordingly, this study aimed to investigate the effect of a training intervention based on self-efficacy and health literacy on pregnancy outcomes in pregnant women.
Methods: This interventional study adopted a pre-test and post-test design with a control group. The participants in the study were 49 women who visited Bahrabad Healthcare Center in Mehrestan County and were placed into the intervention group (25 persons) and the control group (24 persons) in 2022. The inclusion criteria were having literacy, not completing any medical education course or programs, and a gestational age of less than 20 weeks. The data in this study were collected using the Health Literacy Scale, the Pregnancy Outcome Questionnaire, and the Sherer’s General Self-Efficacy Scale. After administering the pre-test to the participants in both groups, the training intervention was conducted in eight face-to-face sessions for the participants in the intervention group. The data collected in the pre-intervention and post-intervention phases were analyzed using paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) at a significance level of P < 0.05 to assess differences between groups.
Results: The data from this study indicated that the training intervention significantly improved the self-efficacy (t = -2.466; P = 0.021) and health literacy (t = -2.163; P = 0.041) of the participants in the intervention group. The findings also showed a significant difference in pregnancy outcomes between the intervention and control groups (t = -7.180; P < 0.001). These results indicated that the training intervention had a positive impact on participants’ pregnancy experiences and outcomes.
Conclusion: This study revealed that training interventions are effective in promoting self-efficacy and health literacy, which in turn lead to improved pregnancy outcomes. The findings also highlighted the importance of incorporating training programs into routine prenatal care to improve maternal and newborn health. Future research should focus on long-term follow-up and examine the impact of different educational strategies on larger populations.

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References

  1. Kharazi SS, Peyman N, Esmaily H. Effect of an educational intervention based on self-efficacy theory and health literacy strategies on pregnancy outcomes: a randomized clinical trial. Iran J Obstet Gynecol Infertil. 2018;21(5):33-46. doi: 10.22038/ijogi.2018.11383. [Persian ].
  2. Fallah Khalilabad F, Emadzade A, Tabesh H, Hoseini SM, Bagherian F. The effect of need-based education on women’s self-efficacy in prenatal care. Nurs Midwifery J. 2021;18(10):821-31. [Persian].
  3. Rhoades GK, Allen MOT, Peña R, Hyer J, Mazzoni SE. Relationship education for women during pregnancy: the impact of MotherWise on birth outcomes. Fam Process. 2022;61(3):1134-43. doi: 1111/famp.12756.
  4. Putri AP, Lu YY. Maternal health literacy in pregnant women: a concept analysis. Matern Child Health J. 2024;28(8):1272-82. doi: 1007/s10995-024-03945-z.
  5. Ramezani T, Dashti Z, Hozoori M, Mohebi S. Relationship between perceived self-efficacy and compliance of the recommended diet in menopausal women with hypertension in Qom city, 2014. Journal of Prevention and Health. 2016;4(2):72-81. [Persian.
  6. Mousavi A, Shakibazadeh E, Sadeghi R, Tol A, Rahimi Foroushani A, Mohebbi B. The effect of educational intervention on physical activity self-efficacy and knowledge about benefits and safety among pregnant women. Razi J Med Sci. 2020;26(11):98-111. [Persian].
  7. Aslantekin Özçoban F, Erkal Aksoy Y, Dereli Yılmaz S. The effects and related factors of health literacy status and self-efficacy of pregnant women. Int J Caring Sci. 2019;12(3):1815-24.
  8. Gani NF, Kadar K, Kaelan C. Health literacy and self-care management of pregnant women at level 1 health service in Makassar. Indonesian Contemporary Nursing Journal. 2017;1(2):94-100. doi: 20956/icon.v1i2.3592.
  9. Kharazi SS, Peyman N, Esmaily H. An evaluation of the validity and reliability of the maternal health literacy and pregnancy outcome questionnaire. J Health Syst Res. 2017;12(4):512-9. doi: 22122/jhsr.v12i4.2828. [Persian].
  10. Soliemanifar O, Shabani F. The relation of self-efficacy and achievement motivation with academic adjustment of first year undergraduate students of Shahid Chamran University Ahvaz. Journal of Educational Psychology Studies. 2013;10(17):83-104. doi: 22111/jeps.2013.1448. [Persian].
  11. Vaezfar SS, Azadi MM, Akbari Balootbangan A, Rahimi M. The role of coping styles and self-efficacy in nurses job stress in hospital. Iranian Journal of Psychiatric Nursing. 2014;2(2):22-32. [Persian].
  12. Ghanbari S, Majlessi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University. Daneshvar Medicine. 2020;19(97):1-13. [Persian].
  13. Zainali M, Asadpour M, Aghamolaei T, Esmaeili Nadimi A, Farshidi H, Ghanbarnejad A. Effect of educational intervention based on health belief model to promote preventive behaviors of cardiovascular disease in people with normal angiographic results. J Prevent Med. 2014;1(2):1-12. [Persian].
  14. Tahira T, Fatima D. Literacy on pregnancy complications: causal factors and prevention. Adv Healthc Res. 2024;2(2):116-29. doi: 60079/ahr.v2i2.374.
  15. Zibellini J, Muscat DM, Kizirian N, Gordon A. Effect of health literacy interventions on pregnancy outcomes: a systematic review. Women Birth. 2021;34(2):180-6. doi: 1016/j.wombi.2020.01.010.
  16. Tavananezhad N, Bolbanabad AM, Ghelichkhani F, Effati-Daryani F, Mirghafourvand M. The relationship between health literacy and empowerment in pregnant women: a cross-sectional study. BMC Pregnancy Childbirth. 2022;22(1):351. doi: 1186/s12884-022-04686-z.
  17. Nawabi F, Krebs F, Vennedey V, Shukri A, Lorenz L, Stock S. Health literacy in pregnant women: a systematic review. Int J Environ Res Public Health. 2021;18(7):3847. doi: 3390/ijerph18073847.
  18. Molla Mahmoudzadeh M, Kheirkhah M, Sadeghi Avvalshahr H, Haghani S. The effect of role-playing educational intervention on the expectation of childbirth experience in primiparous pregnant women. Journal of Modern Medical Information Sciences. 2021;7(1):9-18. doi: 52547/jmis.7.1.9. [Persian].
Health and Development Journal
Volume 13, Issue 3
September 2024
Pages 144-149

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History

  • Receive Date: 26 July 2024
  • Revise Date: 13 September 2024
  • Accept Date: 07 October 2024

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