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Psychoeducation in Preventing Postpartum Depression According to Watson

Primary Purpose

Pregnancy Related

Status
Active
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
THE EFFECT OF WATSON MODEL-BASED PSYCOEDUCATIONAL INTERVENTIONS ON PREVENTION OF POSTPARTITION DEPRESS
Sponsored by
Yasemin Ozhuner
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pregnancy Related focused on measuring Postpartum depression,, Psychoeducation,, Watson model

Eligibility Criteria

20 Weeks - 32 Weeks (Child)FemaleAccepts Healthy Volunteers

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

Sites / Locations

  • Eskisehir Osmangazi University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

intervention group

control group

Arm Description

To the intervention group; Training and Care Guide psychoeducation program based on Watson Human Care Theory, prepared for the prevention of postpartum depression, will be implemented as six interviews and each interview will be 90 minutes. Before the psychoeducation, the pregnant women were asked to fill out the Personal Information Form, Edinburgh Postpartum Depression Scale, and the Multidimensional Scale of Perceived Social Support. After the diagnosis with a detailed anamnesis, the Training and Care Guide for the Prevention of Postpartum Depression was applied to the pregnant women with the psychoeducation program and a guide booklet was given to them. The interview was done face to face. Pregnant women were given counseling over the phone when they had questions about education. In the last interview, pregnant women were asked to fill out the Patient Satisfaction Evaluation Form according to Watson Improvement Processes.

Personal Information Form, Edinburgh Postpartum Depression Scale, and Multidimensional Scale of Perceived Social Support were filled in to the control group during the interview. Pregnant women were given routine care applied to pregnant women who applied for antenatal controls in FHCs. The interview was done face to face.

Outcomes

Primary Outcome Measures

Patient Satisfaction Evaluation Form According to Watson Improvement Processes
It is a form developed to evaluate nursing care based on Watson theory. This is a form of satisfaction.
Edinburgh Postpartum Depression Scale
Edinburgh Postpartum Depression Scale Edinburgh Postpartum Depression Scale, This scale was used to identify women with postpartum depression
Multidimensional Scale of Perceived Social Support
The scale was made to determine the adequacy of social support.
Personal Information Form
It was prepared to determine the socio-demographic, obstetric history and postpartum depression-related characteristics of the individuals included in the study.

Secondary Outcome Measures

Full Information

First Posted
February 16, 2023
Last Updated
July 12, 2023
Sponsor
Yasemin Ozhuner
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1. Study Identification

Unique Protocol Identification Number
NCT05894681
Brief Title
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

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 1, 2022 (Actual)
Primary Completion Date
February 16, 2023 (Actual)
Study Completion Date
July 20, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Yasemin Ozhuner

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

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: Humanitarian-devotional value system: Adopting values such as humanitarianism and devotion, approach the individual with love and compassion. Instilling faith-hope, honoring the other: Positive health between nurse and patient facilitates promotion. Sensitivity: Developing sensitivity towards oneself and others, through accepting others. is the recognition of self-actualization. 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. 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. 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. 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. focus on scrolling. Establishing a suitable environment for recovery: Supportive, protective or corrective mental, physical, Providing the sociocultural and spiritual environment

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pregnancy Related
Keywords
Postpartum depression,, Psychoeducation,, Watson model

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
THE EFFECT OF WATSON MODEL-BASED PSYCOEDUCATIONAL INTERVENTIONS ON PREVENTION OF POSTPARTITION DEPRESS
Masking
Investigator
Allocation
Randomized
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Arm Title
intervention group
Arm Type
Experimental
Arm Description
To the intervention group; Training and Care Guide psychoeducation program based on Watson Human Care Theory, prepared for the prevention of postpartum depression, will be implemented as six interviews and each interview will be 90 minutes. Before the psychoeducation, the pregnant women were asked to fill out the Personal Information Form, Edinburgh Postpartum Depression Scale, and the Multidimensional Scale of Perceived Social Support. After the diagnosis with a detailed anamnesis, the Training and Care Guide for the Prevention of Postpartum Depression was applied to the pregnant women with the psychoeducation program and a guide booklet was given to them. The interview was done face to face. Pregnant women were given counseling over the phone when they had questions about education. In the last interview, pregnant women were asked to fill out the Patient Satisfaction Evaluation Form according to Watson Improvement Processes.
Arm Title
control group
Arm Type
Experimental
Arm Description
Personal Information Form, Edinburgh Postpartum Depression Scale, and Multidimensional Scale of Perceived Social Support were filled in to the control group during the interview. Pregnant women were given routine care applied to pregnant women who applied for antenatal controls in FHCs. The interview was done face to face.
Intervention Type
Other
Intervention Name(s)
THE EFFECT OF WATSON MODEL-BASED PSYCOEDUCATIONAL INTERVENTIONS ON PREVENTION OF POSTPARTITION DEPRESS
Intervention Description
THE EFFECT OF WATSON MODEL-BASED PSYCOEDUCATIONAL INTERVENTIONS ON PREVENTION OF POSTPARTITION DEPRESS
Primary Outcome Measure Information:
Title
Patient Satisfaction Evaluation Form According to Watson Improvement Processes
Description
It is a form developed to evaluate nursing care based on Watson theory. This is a form of satisfaction.
Time Frame
up to the fourth week postpartum
Title
Edinburgh Postpartum Depression Scale
Description
Edinburgh Postpartum Depression Scale Edinburgh Postpartum Depression Scale, This scale was used to identify women with postpartum depression
Time Frame
from the 20th week of pregnancy to the fourth postpartum
Title
Multidimensional Scale of Perceived Social Support
Description
The scale was made to determine the adequacy of social support.
Time Frame
from the 20th week of pregnancy to the fourth postpartum
Title
Personal Information Form
Description
It was prepared to determine the socio-demographic, obstetric history and postpartum depression-related characteristics of the individuals included in the study.
Time Frame
up to 32 weeks of pregnancy

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
20 Weeks
Maximum Age & Unit of Time
32 Weeks
Accepts Healthy Volunteers
Accepts Healthy Volunteers
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nebahat Özerdoğan
Organizational Affiliation
Eskisehir Osmangazi University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Eskisehir Osmangazi University
City
Eskişehir
State/Province
Odunpazarı
ZIP/Postal Code
26000
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33407226
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.
Results Reference
background
PubMed Identifier
18644157
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.
Results Reference
background
PubMed Identifier
26062269
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.
Results Reference
background
PubMed Identifier
28455276
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.
Results Reference
background
PubMed Identifier
23450532
Citation
Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013 Feb 28;(2):CD001134. doi: 10.1002/14651858.CD001134.pub3.
Results Reference
background
PubMed Identifier
24211712
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.
Results Reference
background
PubMed Identifier
26288792
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.
Results Reference
background
PubMed Identifier
29235958
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.
Results Reference
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Psychoeducation in Preventing Postpartum Depression According to Watson

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