The impact of motivational interviewing on behavior stages of nulliparous pregnant women preparing for childbirth: a randomized clinical trial

Rasouli, Masoumeh; Mousavi, Seyed Abbas; Khosravi, Ahmad; Keramat, Afsaneh; Fooladi, Ensieh; Atashsokhan, Giti

doi:10.1080/0167482x.2017.1338266

Cited by 11 publications

(16 citation statements)

References 23 publications

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“…In line with increasing unnecessary CS, Iran's healthcare system was reformed and NVD was on the agenda (19). Many policy interventions have been performed to reduce unnecessary CS rate (39,40,59); however, they were not sustained for a long time. These experiences indicate that the interventions have not been effective enough.…”

Section: Discussionmentioning

confidence: 99%

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Effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing the mode of delivery in pregnant women: A study protocol for a randomized controlled trial

Shirzad¹,

Shakibazadeh²,

Foroushani³

et al. 2020

Preprint

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Background Caesarean Section is an important surgical procedure, when normal vaginal delivery imposes a risk to mother and/or baby. The World Health Organization states the ideal rate for Cesarean section to be between 10% and 15% of all births. Even though, in recent decades, the rate has been increased dramatically worldwide. This paper explains the protocol of a randomized controlled trial that aims to compare the effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing mode of delivery in pregnant women. Methods/design A four-armed, parallel-design randomized controlled trial will be conducted on pregnant women. One hundred and twenty women will be randomly assigned to three intervention and one control groups. The inclusion criteria include being literate, gestational age from 24 to 32 weeks, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the intervention. The most important outcomes of the study include women’s intention to undergo Cesarean section, women’s self-efficacy, and usability of mobile application by the participants, and mode of delivery. Discussion The interventions of this protocol have been programmed to reduce unnecessary Cesarean section. Therefore, after running the protocol, findings may contribute to a rise in normal vaginal delivery. If proven to have an appropriate impact, it may be extended for use in national Cesarean section plans.

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Section: Discussionmentioning

confidence: 99%

“…In recent years, different interventions intended to reduce CS rate in Iran (37)(38)(39)(40). Although these interventions have been effective in short-term, they have not been effective in long-term.…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing the mode of delivery in pregnant women: A study protocol for a randomized controlled trial

Shirzad¹,

Shakibazadeh²,

Foroushani³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Rasouli et al [2] draw on the behavior change theory to enhance pregnant women's preparedness for childbirth. Motivational interviewing (MI) was used to motivate women to engage in healthy behaviors and disinvest in risky behavior.…”

Section: Editorialmentioning

confidence: 99%

“…For example, delivering a stress management package in the home [1] is very challenging for most health systems and alternative forms of delivery need to be tested. Similarly, whilst motivational interviewing [2] moved women towards positive behavior stages, this does not necessarily equate with actual behavior change. In addition, the findings may not be generalizable to multiparous women.…”

Section: Editorialmentioning

confidence: 99%

Working towards developing evidence based psychosocial interventions to promote health and wellbeing in pregnancy

McGowan

Quinlivan

2018

Journal of Psychosomatic Obstetrics & Gynecology

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“…In view of this unprecedented rise of CS in Iran, different interventions have been designed to reduce this trend (33)(34)(35)(36). In Iran, many efforts have been made during last years to reduce CS rate.…”

Section: Introductionmentioning

confidence: 99%

Effect of "Motivational Interviewing" and "Information, Motivation and Behavioral Skills” on Choosing Mode of Delivery in Pregnant Women: A Randomized Controlled Trial

Shirzad

Shakibazadeh

Foroushani

et al. 2020

Preprint

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Background: Cesarean section is an important surgical procedure to save mothers and/or babies’ lives. Current trends show that the rate of Cesarean section is increasing dramatically over the years. The aims of this study were to compare the effects of "motivational interviewing" and "information, motivation and behavioral skills” model on choosing mode of delivery among pregnant women.Methods: In a four-armed, parallel-design randomized controlled trial, 120 women were randomly assigned to three brief interventions and one control groups. We recruited pregnant women referring to Ebnesina hospital, Tehran- Iran from 2019-2020. The intervention groups included: 1) motivational interviewing; 2) face-to-face information, motivation and behavioural skills model; and 3) information, motivation and behavioural skills model provided using a mobile application. The inclusion criteria were being literate, gestational age 24 to 32 weeks, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the study. The most important outcomes of the study included women’s intentions to undergo any mode of delivery, women’s self-efficacy in choosing the mode of delivery, and mode of delivery. Data were analyzed using descriptive statistics (mean, frequency and standard deviation), inferential statistics including independent t-test, paired t-test, Chi-squared and One-way ANOVA tests and logistic regression.Results: Following the interventions, significant differences were found in the mode of delivery (P < 0.05) and women’s self-efficacy and intention (P < 0.05). Women who had used the mobile application had more improvements in the self-efficacy and intention than the face-to-face intervention groups.Conclusions: Our study showed positive significant effects of various types of brief interventions to reduce unnecessary Cesarean section rate among the participant women. Providing the intervention using mobile application showed even better results. Our findings may contribute to a rise in normal vaginal delivery; and these simple, non-expensive, tailored to women, and culture-oriented brief interventions can be considered as appropriate strategies to reduce Cesarean section rate in local, national, and/or regional levels.Trial registration: This study has been registered in Iran Randomized Clinical Trial Center (IRCT20151208025431N7). Registered October 07, 2018.

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The impact of motivational interviewing on behavior stages of nulliparous pregnant women preparing for childbirth: a randomized clinical trial

Abstract: Motivational interviewing was effective in guiding nulliparous mothers toward positive behavior stages.

Cited by 11 publications

References 23 publications

Effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing the mode of delivery in pregnant women: A study protocol for a randomized controlled trial

Effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing the mode of delivery in pregnant women: A study protocol for a randomized controlled trial

Working towards developing evidence based psychosocial interventions to promote health and wellbeing in pregnancy

Effect of "Motivational Interviewing" and "Information, Motivation and Behavioral Skills” on Choosing Mode of Delivery in Pregnant Women: A Randomized Controlled Trial

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