Effectiveness of a Nurse-led Program to Enhance Self-efficacy of Pregnant Adolescents and Reduce their Fear of Childbirth: A Randomized Controlled Trial

Authors

  • Bussayamas Nooied Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
  • Sopen Chunuan Associate Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
  • Sasitorn Phumdoung Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2023.260325

Keywords:

Application, Childbirth self-efficacy, Fear of childbirth, Nurse-led program, Pregnant adolescents

Abstract

Fear of childbirth is a common feeling experienced by pregnant women, and it can occur before, during, or after childbirth. Intense fear has a detrimental effect on physical and psychological statuses of the pregnant women. The aim of this randomized controlled trial was to examine the effectiveness of a nurse-led program together with the mobile phone application to enhance pregnant adolescents’ childbirth self-efficacy and reduce their fear of childbirth. The sample was pregnant adolescents receiving antenatal care in a regional hospital in Southern Thailand. Using the minimization procedure, pregnant adolescents were assigned to either an experimental group receiving the program (n = 64) or a control group receiving routine care (n = 64). The instruments used for data collection consisted of a demographic characteristics form, the Fear of Childbirth in the Third Trimester Questionnaire, and the Thai Childbirth Self-Efficacy Inventory. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.

The results showed that after completion of the intervention program, the participants in the experimental group had a significantly higher mean score on childbirth self-efficacy and lower fear of childbirth than before the intervention. When comparing the two groups after completion of the program, results showed a significantly higher childbirth self-efficacy mean score, and lower fear of childbirth mean score in the experimental group than those in the control group. The results indicate that application of childbirth self-efficacy enhancement program can increase self-efficacy and reduce fear of childbirth in pregnant adolescents. Therefore, it is a promising program for caring pregnant adolescents but needs to be tested with other samples before implementation in practice.

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Published

2022-12-14

How to Cite

1.
Nooied B, Chunuan S, Phumdoung S. Effectiveness of a Nurse-led Program to Enhance Self-efficacy of Pregnant Adolescents and Reduce their Fear of Childbirth: A Randomized Controlled Trial . PRIJNR [Internet]. 2022 Dec. 14 [cited 2024 Oct. 6];27(1):4-18. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/260325

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