Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women
Background: A woman’s first pregnancy is a significant life event, and anxieties related to pregnancy and childbirth arecommon during this time. This study aimed to evaluate the effect of a stress-management intervention based on self efficacy in primigravida women, as indicated by improvements in s...
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Shiraz University of Medical Sciences
2025-01-01
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| Series: | Journal of Health Sciences and Surveillance System |
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| Online Access: | https://jhsss.sums.ac.ir/article_50664_f6d2b02c7db07085b508a39b2495a38a.pdf |
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| author | Zeinab Alizadeh Farzaneh Noroozi Mohammad Hossein Kaveh Rosanna Cousins Leila Ghahremani |
| author_facet | Zeinab Alizadeh Farzaneh Noroozi Mohammad Hossein Kaveh Rosanna Cousins Leila Ghahremani |
| author_sort | Zeinab Alizadeh |
| collection | DOAJ |
| description | Background: A woman’s first pregnancy is a significant life event, and anxieties related to pregnancy and childbirth arecommon during this time. This study aimed to evaluate the effect of a stress-management intervention based on self efficacy in primigravida women, as indicated by improvements in sleep quality, relationship quality, and marital satisfaction.Methods: A quasi-experimental design with a control group was used. Inclusion criteria included being at 14–18 weeks ofgestation, having no concomitant illness, and attending one of four healthcare centers in South Iran in 2022. Two centers were randomly allocated to the intervention group and the other two to the control group. Of the 128 eligible pregnant women consented to participate, 39 were randomly assigned to each condition. The intervention group completed eight weekly one-hour stress-management training sessions using a blended learning approach. Data were collected using a survey administered before and immediately after the intervention. The survey included demographic information and validated questionnaires measuring self-efficacy, marital satisfaction, relationship quality, and sleep quality. Data were analyzed using independent and paired t-tests to evaluate the efficacy of the intervention by comparing changes in mean scores between the two groups pre-and post-intervention.Results: There were no confounding differences between participants in the two groups at the pre-test. Self-efficacy, sleep quality, marital satisfaction, and relationship quality were significantly improved in the post-test in the intervention group (P<0.01). No meaningful changes were observed in the control group.Conclusion: T he r esults s uggest t hat i ntegrating s tressmanagement workshops into routine prenatal care may be beneficial. Providing facilities and support for such interventions could enhance maternal well-being during pregnancy. |
| format | Article |
| id | doaj-art-3362f9a511154eef904d20dad0c591d7 |
| institution | Kabale University |
| issn | 2345-2218 2345-3893 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Health Sciences and Surveillance System |
| spelling | doaj-art-3362f9a511154eef904d20dad0c591d72025-02-02T06:03:20ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932025-01-01131576710.30476/jhsss.2024.100032.182350664Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida WomenZeinab Alizadeh0Farzaneh Noroozi1Mohammad Hossein Kaveh2Rosanna Cousins3Leila Ghahremani4Research Center for Health Sciences, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, IranDepartment of Health Promotion, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Occupational Health Psychology, Department of Psychology, Liverpool Hope University, Liverpool, UKResearch Center for Health Sciences, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, IranBackground: A woman’s first pregnancy is a significant life event, and anxieties related to pregnancy and childbirth arecommon during this time. This study aimed to evaluate the effect of a stress-management intervention based on self efficacy in primigravida women, as indicated by improvements in sleep quality, relationship quality, and marital satisfaction.Methods: A quasi-experimental design with a control group was used. Inclusion criteria included being at 14–18 weeks ofgestation, having no concomitant illness, and attending one of four healthcare centers in South Iran in 2022. Two centers were randomly allocated to the intervention group and the other two to the control group. Of the 128 eligible pregnant women consented to participate, 39 were randomly assigned to each condition. The intervention group completed eight weekly one-hour stress-management training sessions using a blended learning approach. Data were collected using a survey administered before and immediately after the intervention. The survey included demographic information and validated questionnaires measuring self-efficacy, marital satisfaction, relationship quality, and sleep quality. Data were analyzed using independent and paired t-tests to evaluate the efficacy of the intervention by comparing changes in mean scores between the two groups pre-and post-intervention.Results: There were no confounding differences between participants in the two groups at the pre-test. Self-efficacy, sleep quality, marital satisfaction, and relationship quality were significantly improved in the post-test in the intervention group (P<0.01). No meaningful changes were observed in the control group.Conclusion: T he r esults s uggest t hat i ntegrating s tressmanagement workshops into routine prenatal care may be beneficial. Providing facilities and support for such interventions could enhance maternal well-being during pregnancy.https://jhsss.sums.ac.ir/article_50664_f6d2b02c7db07085b508a39b2495a38a.pdfmaritalpregnancysatisfactionself-efficacystress management |
| spellingShingle | Zeinab Alizadeh Farzaneh Noroozi Mohammad Hossein Kaveh Rosanna Cousins Leila Ghahremani Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women Journal of Health Sciences and Surveillance System marital pregnancy satisfaction self-efficacy stress management |
| title | Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women |
| title_full | Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women |
| title_fullStr | Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women |
| title_full_unstemmed | Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women |
| title_short | Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relationships and Sleep Quality in Primigravida Women |
| title_sort | effect of a stress management intervention based on self efficacy theory for enriching marital relationships and sleep quality in primigravida women |
| topic | marital pregnancy satisfaction self-efficacy stress management |
| url | https://jhsss.sums.ac.ir/article_50664_f6d2b02c7db07085b508a39b2495a38a.pdf |
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