Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial

Introduction:Maternal health literacy during pregnancy can refer to the socio-cognitive skills, which determine the motivation and ability of mothers to understand and use beneficial information in order to maintain and promote health of themselves and their children. The present study aimed to dete...

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Main Authors: Seyedeh Sara Kharazi, Nooshin Peyman, Habibolah Esmaily
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2018-07-01
Series:Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
Subjects:
Online Access:https://ijogi.mums.ac.ir/article_11383_f0a16d01f91acfb8fa8054665d3c82a7.pdf
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author Seyedeh Sara Kharazi
Nooshin Peyman
Habibolah Esmaily
author_facet Seyedeh Sara Kharazi
Nooshin Peyman
Habibolah Esmaily
author_sort Seyedeh Sara Kharazi
collection DOAJ
description Introduction:Maternal health literacy during pregnancy can refer to the socio-cognitive skills, which determine the motivation and ability of mothers to understand and use beneficial information in order to maintain and promote health of themselves and their children. The present study aimed to determine the effects of an educational program based on self-efficacy theory and health literacy strategies on pregnancy outcomes at healthcare centers affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Methods: This randomized clinical trial was performed on 76 pregnant women, who referred to the healthcare centers of Mashhad for routine pregnancy period checkups in 2015. The participants were assigned to the two groups of intervention and control. Data collection tools included a demographic questionnaire, maternal health literacy and pregnancy outcome questionnaire (MHLAPQ), and perceived dietary self-efficacy questionnaire. The questionnaires were completed by the participants, followed by implementation of the educational intervention for the test group according to a pilot study. Afterwards, the questionnaires were again completed immediately post-intervention, as well as within a three-month interval (follow-up). All the data were statistically analyzed by t-test, Chi-square, one-way analysis of variance (ANOVA), and repeated measures ANOVA using SPSS version 15. For all tests, P < 0.05 was considered as significant. Results: The findings of this study demonstrate that no significant difference was observed between the intervention and control groups in terms of maternal health literacy, self-efficacy, and pregnancy period cares pre-intervention (P>0.001). On the other hand, we reported a significant difference post-intervention regarding the mean scores of maternal health literacy and self-efficacy in the test group (P ≥ 0.001). Conclusion: According to the results of this study, the designed educational intervention based on self-efficacy theory might improve maternal health literacy and promote normal birth weight in newborns.
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spelling doaj.art-63f84d4f6f3343d59a9da007236dad242022-12-22T02:41:18ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632018-07-01215334610.22038/ijogi.2018.1138311383Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical TrialSeyedeh Sara Kharazi0Nooshin Peyman1Habibolah Esmaily2M.Sc. Student of Health Education and health promotion, Social Determinants of Health Research Center, Student Research Committee, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.Associate Professor, Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.Professor, Department of Biostatistics and Epidemiology, Social Determinants of Health Research Center, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction:Maternal health literacy during pregnancy can refer to the socio-cognitive skills, which determine the motivation and ability of mothers to understand and use beneficial information in order to maintain and promote health of themselves and their children. The present study aimed to determine the effects of an educational program based on self-efficacy theory and health literacy strategies on pregnancy outcomes at healthcare centers affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Methods: This randomized clinical trial was performed on 76 pregnant women, who referred to the healthcare centers of Mashhad for routine pregnancy period checkups in 2015. The participants were assigned to the two groups of intervention and control. Data collection tools included a demographic questionnaire, maternal health literacy and pregnancy outcome questionnaire (MHLAPQ), and perceived dietary self-efficacy questionnaire. The questionnaires were completed by the participants, followed by implementation of the educational intervention for the test group according to a pilot study. Afterwards, the questionnaires were again completed immediately post-intervention, as well as within a three-month interval (follow-up). All the data were statistically analyzed by t-test, Chi-square, one-way analysis of variance (ANOVA), and repeated measures ANOVA using SPSS version 15. For all tests, P < 0.05 was considered as significant. Results: The findings of this study demonstrate that no significant difference was observed between the intervention and control groups in terms of maternal health literacy, self-efficacy, and pregnancy period cares pre-intervention (P>0.001). On the other hand, we reported a significant difference post-intervention regarding the mean scores of maternal health literacy and self-efficacy in the test group (P ≥ 0.001). Conclusion: According to the results of this study, the designed educational intervention based on self-efficacy theory might improve maternal health literacy and promote normal birth weight in newborns.https://ijogi.mums.ac.ir/article_11383_f0a16d01f91acfb8fa8054665d3c82a7.pdfhealth literacypregnancy outcomespregnant motherself-efficacy theory
spellingShingle Seyedeh Sara Kharazi
Nooshin Peyman
Habibolah Esmaily
Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
health literacy
pregnancy outcomes
pregnant mother
self-efficacy theory
title Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
title_full Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
title_fullStr Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
title_full_unstemmed Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
title_short Effect of an Educational Intervention Based on Self-efficacy Theory and Health Literacy Strategies on Pregnancy Outcomes: A Randomized Clinical Trial
title_sort effect of an educational intervention based on self efficacy theory and health literacy strategies on pregnancy outcomes a randomized clinical trial
topic health literacy
pregnancy outcomes
pregnant mother
self-efficacy theory
url https://ijogi.mums.ac.ir/article_11383_f0a16d01f91acfb8fa8054665d3c82a7.pdf
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AT habibolahesmaily effectofaneducationalinterventionbasedonselfefficacytheoryandhealthliteracystrategiesonpregnancyoutcomesarandomizedclinicaltrial