Effectiveness of Interactive Learning via Multimedia Technology with Family Support Program among Pregnant Women with Anemia: A Quasi-Experimental Study

Authors

  • Soifah Pinsuwan RN, Master’s degree student, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
  • Warangkana Chatchawet RN, PhD, Assistant Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
  • Sopen Chunuan RN, PhD, Associate Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.

Keywords:

Anemia, Family support, Hematocrit values, Interactive learning, Pregnancy, Self-care behaviors

Abstract

           Anemia is a common health problem during pregnancy and has a major impact on pregnant women, their babies, and the economy. Thus, interventions to alleviate anemia are necessary. This quasi-experimental study aimed to determine the effects of interactive learning via multimedia technology with a family support program involving self-care behaviors and hematocrit values among pregnant women with anemia. Participants were 50 pregnant women who attended the antenatal unit at a regional hospital in Southern Thailand and met inclusion criteria. The experimental group (n = 25) received interactive learning via multimedia technology with a family support program for four weeks in addition to routine care, while the control group (n = 25) received only routine care. The research instruments to collect the data were the Demographic Characteristics and Obstetrical Questionnaire and the Self-care Behavior Questionnaire. Data were analyzed using descriptive statistics, Chi-square test, independent t-test, paired t-test, Wilcoxon signed ranks test, and Mann-Whitney U test.
          The results showed that after completion of the intervention program, the participants in the experimental group had a significantly higher mean score on self-care behaviors and hematocrit values than before the intervention. When comparing the two groups after completion of the program, only the mean score on self-care behaviors in the experimental group was significantly higher than those of the control group, whereas the hematocrit values were not significantly different between the two groups. The results of this study suggest that interactive learning via multimedia technology with a family support program can help pregnant women with anemia improve their self-care behaviors. However, the program should be tested with different groups of pregnant women with anemia before it is widely used in practice.

References

World Health Organization. Anemia [Internet]. Geneva: WHO; 2021 [cited 2022 March 12]. Available from: https:/www.who.int/healthtopics/anaemia#tab=tab

Ministry of Health. Pregnancy anemia [Internet]. Thailand: MOH; 2021 [cited 2022 June 22]. Available from: https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=4652 2b5bd1e06d24a5bd81917257a93c&id=9024b8ee 2bd07548c8f12517eb3021 (in Thai)

Cunningham FG, Leneovo JK, Bloom LS, Dashe SJ, Hoffman L B, Casey LB, Spong YC. William obstetrics. 26th ed. New York: McGraw-Hill; 2022.

Tongsong T. Obstetrics. 6th ed. Bangkok: Laxmirung. 2021 (in Thai).

Zhang Q, Lu X, Zhang M, Yang C, Lu S, Li S, et al. Adverse effects of iron deficiency anemia on pregnancy outcome and offspring development and intervention of three iron supplements. Sci Rep. 2021;11:1347. doi:10.1038/s41598 -020-79971-y.

Helmy ME, Elkhouly NI, Ghalab RA. Maternal anemia with pregnancy and its adverse effects. Menoufia Med J. 2018;31:7-11. doi:10.4103/1110-2098.234258.

Janbek J, Sarki M, Specht IO, Berit LH. A systematic literature review of the relation between iron status anemia in pregnancy and offspring neurodevelopment. EJCN. 2019;73:1561-78. doi:10.1038/s4 1430-019-0400-6.

Badfar G, Shohani M, Soleymani A, Azami M. Maternal anemia during pregnancy and small for gestational age: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2019;32:1728-34. doi:10.1080/14767058.2017.1411477.

Soudabe E, Maryam N, Fateme R, Ehsan KL. A comparative study on adverse pregnancy outcomes in pregnant women with different age. J Holist Nurs Midwifery. 2021;31(1):9-16. doi:10.32598/jhnm.31.1.2017.

Sookdee J, Krutdilaganunt P. Nurses’s roles in caring for teenage pregnancy with iron deficiency anemia. Nurs Health Sci. 2020;14(2):1-11 (in Thai).

Adaji JA, Isha AY, Agida ET, Otu T, Abdullahi HI. Daily versus twice daily dose of ferrous sulphate supplementation in pregnant women: a randomized clinical trial. Niger J Clin Pract. 2019;22:1132-39. doi:10.4103/njcp.njcp_211-18.

Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK, Pradhan PMS. Effect of nutrition education on hemoglobin level in pregnant women: a quasi-experimental study. PLOS One. 2019;14 (3):1-12. doi:10.1371/journal.pone. 0213982.

Arefi Z, Sadeghi R, Shojaeizadeh D, Yaseri M, Shahbazi Sighaldeh S. The effect of educational intervention on nutritional behavior in pregnant women based on social cognitive theory. J Matern Fetal Neonatal Med. 2022;13:1-6. doi: 10.1080/14767058.2022.2050901.

Lertmongconsamut A, Kompayak J, Nateetanasombat K. The effects of transactional program by home visit and application line on self-care behaviors in adolescent pregnant women with iron deficiency anemia. JBCN_Bangkok.2019;35:48-58 (in Thai).

Boonyaprapapan T, Sangin S, Siriarunrat S. Effects of the educative supportive program on self-care behavior and hematocrit level among pregnant women with iron deficiency anemia. JFONUBUU. 2018;26:40-50 (in Thai).

Seaharattanapatum B, Sinsuksai N, Phuminsakul S, Chansatiporn N. Effectiveness of balance diet-iron supplement program among pregnant women with anemia: a quasiexperimental study. Pacific Rim Int J Nurs Res. 2021;25:653-65.

Aykan A, Dursun F. The effect of active learning techniques on academic performance and learning retention in science lesson: an experimental study. JSTEI [Internet]. 2022 Mar 25 [cited 2022 May 12];2(1):42-8. Available from: http://www.jstei.com/index.php /jsti/article/ view/28

Cobb, S. Social support as a moderator of life stress. Psychosom Med. 1976;38:890-994.

Sari MH, Ramadanti S. Husband’s knowledge level about the importance of husband’s role and support to wife during pregnancy, childbirth, and postpartum period. JNMS.2021;3. doi: 10.31983/jo misbar.v3i1.7489.

Karalai S, Sriratanaprapat J. Relationships between social support and health promoting behavior among pregnant teenagers. JFONUBUU. 2018;26:1-10 (in Thai).

Hawkin M, Misra D, Zhang L, Pricec M, Dailey R, Giurgescud C. Family involvement in pregnancy and psychological health among pregnant black women. Arch Psych Nurs.2021 Feb;35(1):42-8. doi:10.1016/j.apnu.2020.09.012. Epub 2020 Nov 24.

Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.

Karalai S, Sriratanaprapat J. Relationships between social support and health promoting behavior among pregnant teenagers. JFONUBUU. 2018;26:1-10 (in Thai).

Des Jarlaris DC, Lyles C, Crepaz N. The Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions:the TREND statement. Am J Public Health. 2004;94:361-6.

Sharmar N. Effective integration of digital games in learning in Nepal during the COVID19 pandemic. LBEF. 2021;3:69-79.

Ruipérez JA, Gomez MJ, Martínez PA, Kim YJ. Ideating and developing a visualization dashboard to support teachers using educational games in the classroom. IEEE Access. 2021;9:83467-81. doi:10.1109/ACCESS.2021.3086703.

Janakiraman S, Watson SL, Watson WR, Newby T. Effectiveness of digital games in producing environmentally friendly attitudes and behaviors: a mixed methods study. Comput Edu. 2021;160. doi:10.1016/j.compedu.2020.104043.

All A, Castellar ENP, Looy J. Digital game-based learning effectiveness assessment: reflections on study design. IJELP. 2021;167:104160. doi:0.1016/j.compedu.2021.104160.

Maeda H, Ericson B, Dhillon P. Comparing ebook student interactions with test scores: a case study using CSAwesome. [Internet]. 2022 Mar 25 [cited 2022 May 12]; Available from: http://webcache.googleusercontent.com/search?q=cache: mvntyeYYFqAJ:ceur-ws.org/Vol-3051/

CSEDM_10.pdf+&cd=1&hl=th&ct=cln k&gl=th

Ericson B, Moore S, Morrison B, Guzdial M. Usability and usage of interactive features in an online Ebook for CS teacher 2015. In: Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems. 2021. pp. 1-15.doi:10.1145/2818314.2818335.

Tuma F. The use of educational technology for interactive learning in lectures. Ann Med Surg (Lond). 2021;62:231-5. doi:10.1016/j.amsu.2021.01.051.

Puttisawong W, Chunuan S, Kala S. The effect of self-efficacy enhancement with husband support program on food consumption behavior among pregnant adolescents.PNUJR. 2017; 9(3):12-24 (in Thai).

Srirawong A. Comparison of anemia before and after nutrition promotion in pregnant women receiving antenatal care at

the Chatturat hospital. MJSSBH. 2019;34(3):453-65(in Thai).

Uttaranakhon W. The effectiveness of food item for increase hematocrit in pregnant women who received antepartum care at health promoting hospital, regional health promotion center 7, Khonkaen Province. RDHSJ. 2020;13:475-83 (in Thai).

Ministry of Public Health. The control and prevention of iron deficiency anemia project in 2021. [Internet]. 2021 [cited 2022 March 1]. Available from: https://doc.anamai.moph. go.th/index.php?r=str-project/view&id=4428(in Thai)

Downloads

Published

2022-09-12

How to Cite

1.
Pinsuwan S, Chatchawet W, Chunuan S. Effectiveness of Interactive Learning via Multimedia Technology with Family Support Program among Pregnant Women with Anemia: A Quasi-Experimental Study. PRIJNR [Internet]. 2022 Sep. 12 [cited 2024 Mar. 29];26(4):600-12. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/259265