Volume 6, Issue 2 (June 2019)                   J Educ Community Health 2019, 6(2): 119-125 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nasiri R, Ranjkesh F, Olfati F, Mafi M. Effect of Individual Counseling on the Participation Rate of Pregnant Mothers in Decision Making on the Treatment Process: Clinical Trial. J Educ Community Health. 2019; 6 (2) :119-125
URL: http://jech.umsha.ac.ir/article-1-639-en.html
1- Midwifery Department, Nursing & Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
2- Midwifery Department, Nursing & Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran , papoy6olfati@yahoo.com
Abstract:   (492 Views)
Aim: Due to the high Sensitivity of pregnancy and the vulnerability of mothers during this period, their participation in clinical decisions is very important. Therefore, this study aimed to investigate the effect of individual counseling on the participation of pregnant women in decision making on the treatment process.
Methods & Materials: This clinical trial study was carried out on 190 pregnant women who referred to Kosar medical-education center in Qazvin in 2018. The subjects were selected by purposeful sampling method and randomly assigned to the two groups of test and control (n=20 in each group). The intervention was conducted in one 60 minutes individual counseling session for the test group. The research tool was shared decision-making questionnaire (SDM-Q-9). Data were analyzed using SPSS 23 software, through independent t-test, paired t-test, and Chi-squared test.
Findings: There was a significant difference between the mean scores of participation of the pregnant mothers before and after intervention in the test group (p<0.001) but there was no significant difference between the mean scores of the pregnant women involvement before and after intervention in the control group (p>0.05). Also, before the intervention, comparison of the mean scores of the pregnant mothers' involvement in decision making between the two groups showed no significant difference but after the intervention, a significant difference between two groups was observed (p<0.001).
Conclusion: Individual counseling is an effective and appropriate intervention to increase the participation rate of pregnant mothers in decision making in the treatment process.
Persian Full-Text [PDF 827 kb]   (118 Downloads)    
Type of Study: Research Article | Subject: Sexual Health
Received: 2019/01/6 | Accepted: 2019/03/9

1. Joolaee S, Nikbakht-Nasrabadi A, Parsa-Yekta Z,Tschudin V, Mansouri I. An Iranian perspective on patients' rights. Nurs Ethics. 2006;13(5):488-502.
2. Larijani B. Physician and ethical considerations.Tehran: Baraye Farda; 2005. [Persian]
3. Parsapour AR, Bagheri AR, Larijani B. Review ofrevolution of patient’s right charter. Med Ethics Hist Med. 2010;3(1 and 2):39-47. [Persian]
4. Manouchehri H, Zagheri Tafreshi M, Nasiri M, AshrafiH. Patients’ participation in health care decision makingsin hospitals affiliated with Saveh school of medical sciences, 2016. J Health Care. 2018;19(4):251-61.
5. Michie S, Miles J, Weinman J. Patient-centredness inchronic illness: what is it and does it matter? Patient Educ Couns. 2003;51(3):197-206.
6. Edwards A, Elwyn G. Evidence-based patient choice:inevitable or impossible? Oxford: Oxford University Press ; 2001.
7. Mazur DJ. Shared decision making in the patient-physician relationship: challenges facing patients, physicians, and medical institutions. 1st Edition. Washington DC: Amer College of Physician; 2001.
8. O’Connor A, Stacey D. Should patient decision aids (PtDAs) be introduced in the health care system [Internet]. Geneva: World Health Organization; 2005 [cited 2018 Aug 26]. Available from: https://bit.ly/2WTnLA2.
9. Farrell C. Patient and public involvement in health: the evidence for policy implementation: a summary of the results of the Health in Partnership research programme [Internet]. London: Department of Health; 2004 [cited 2018 Aug 26]. Available from: https://bit.ly/2WVFUZa
10. Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among patients with acute myocardial infarction: the influences of patient‐centered care and evidence‐based medicine. Health Serv Res. 2010;45(5p1):1188-204.
11. Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R. Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care. 2011;17(1):41-8.
12. Edgcumbe DP. Patients' perceptions of hospital cleanliness are correlated with rates of meticillin-resistant Staphylococcus aureus bacteraemia. J Hosp Infect. 2009;71(1):99-101.
13. Ministry of Health and Medical Services. Ministry strategic plan 2016-2019 [Internet]. Geneva: World Health Organization; 2015 [cited 2018 May 24]. Available from: https://extranet.who.int/nutrition/gina/en/node/23647.
14. Ertesvåg M, Tselishcheva EG. Elektronisk «Legemidler i bruk»-et blikk inn i fremtiden Evaluering av pilotprosjektet «Legemidler i bruk» i «Reseptformidleren», inkludert elektronisk multidose i e-resept: Universitetet i Agder; Univ Agder. 2015. [Norwegian]
15. Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns. 2006;60(3):301-12.
16. Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, et al. Development and first validation of the shared decision-making questionnaire (SDM-Q). Patient Educ Couns. 2006;63(3):319-27.
17. Hooshmand A, Joolaee S, Mehrdad N, Bahrani N. Nurses’ information and their view points about patient’s rights and practical facilitators in clinics. J Hayat. 2007;;12(4):57-66. [Persian]
18. O'Neill O. Some limits of informed consent. J Med Ethics. 2003;29(1):4-7.
19. Dadashi M, Andarz Habibi R, Habibi Moghaddam A, Jeylani M. Patients’ satisfaction of observing patients' right charter in private clinics. Med Ethics Hist Med. 2010;3(5 and 1):61-8. [Persian]
20. Hendrix M, Van Horck M, Moreta D, Nieman F, Nieuwenhuijze M, Severens J, et al. Why women do not accept randomisation for place of birth: feasibility of a RCT in the Netherlands. BJOG: Int J Obstet Gynaecol. 2009;116(4):537-42.
21. Gamble J, Creedy DK, Teakle B. Women's expectations of maternity services: a community-based survey. Women Birth. 2007;20(3):115-20.
22. Seefat-van Teeffelen A, Nieuwenhuijze M, Korstjens I. Women want proactive psychosocial support from midwives during transition to motherhood: a qualitative study. Midwifery. 2011;27(1):e122-7.
23. Elmir R, Schmied V, Wilkes L, Jackson D. Women’s perceptions and experiences of a traumatic birth: a meta‐ethnography. J Adv Nurs. 2010;66(10):2142-53.
24. Politi MC, Lewis CL, Frosch DL. Supporting shared decisions when clinical evidence is low. Med Care Res Rev. 2013;70(1 Suppl):113S-28S.
25. Hibbard JH, Peters E. Supporting informed consumer health care decisions: data presentation approaches that facilitate the use of information in choice. Ann Rev Public Health. 2003;24(1):413-33.
26. en Zorg Rvd V. De participerende patient [The participating patient]. RVZ: Den Haag; 2013. [Dutch]
27. Härter M, van der Weijden T, Elwyn G. Policy and practice developments in the implementation of shared decision making: an international perspective. Z Evid Fortbild Qual Gesundhwes. 2011;105(4):229-33.
28. Elwyn G, Laitner S, Coulter A, Walker E, Watson P, Thomson R. Implementing shared decision making in the NHS. BMJ. 2010;341:c5146.
29. Baker A. Crossing the quality chasm: a new health system for the 21st century. BMJ. 2001;323(7322):1192.
30. Patel N, Rajasingam D. User engagement in the delivery and design of maternity services. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):597-608.
31. Gee RE, Corry MP. Patient engagement and shared decision making in maternity care. Obstet Gynecol. 2012;120(5):995-7.
32. James DK, Steer PJ, Weiner CP, Gonik B, Crowther CA, Robson SC. High risk pregnancy: management options. 4th Edition. St. Louis: Elsevier Saunderd; 2010.
33. ACOG Committee on Ethics. ACOG Committee Opinion #321: maternal decision making, ethics, and the law. Obstet Gynecol. 2005;106(5 Pt 1):1127-37.
34. Rajabi Naeeni M, Simbar M. Effect of child birth preparation classes on empowering Iranian pregnant women: a systematic review. J Educ Community Health. 2018;5(1):60-71. [Persian]
35. Asadi Janati N, Vahdat S, Yazdanpanah A. Studying patient participation in controlling postoperative infection in orthognathic surgery in BouAli Hospital, Tehran in 2012-2013. Med Sci J. 2014;24(3):189-93. [Persian]
36. Taylor CR, Lillis C, LeMone P, Lynn P. Fundamental of nursing: the art and science of nursing care. 6th Edition. Philadelphia: Lippincott Williams & Wilkins; 2008.
37. Seyed Ahmadinejad FS, Golmakani N, Asgharipour N, Shakeri MT. Effect of progressive muscle relaxation on depression, anxiety, and stress of primigravid women. Evid Based Care J. 2015;5(1):67-76. [Persian]
38. Bekker HL, Hewison J, Thornton JG. Applying decision analysis to facilitate informed decision making about prenatal diagnosis for Down syndrome: a randomized controlled trial. Prenat Diagn. 2004;24(4):265-75.
39. Kriston L, Scholl I, Holzel L, Simon D, Loh A, Harter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010;80(1):94-9.
40. Khamrnia M, Eskandari M, Alinezhad Ranjbar A, Ansari Moghadam A, Peyvand M. Participation rate of cancer patients in treatment decisions: a cross sectional study. J Health Literacy. 2017;2(3):156-63. [Persian]
41. World Health Organization. Process of translation and adaptation of instruments [Internet]. Geneva: World Health Organization; 2009 [cited 2018 May 24]. Available from: http://www who int/substance_abuse/research_tools/translation/en/.
42. Ghiyasvandian S, Mousavizadeh SN, Dehghan Nayeri N, Haghani H. The effect of decision aid's pakage in selected treatment by patients with early stage breast cancer and decision making outcomes. J Fasa Univ Med Sci. 2013;3(3):271-79. [Persian]
43. Vlemmix F, Warendorf JK, Rosman AN, Kok M, Mol BWJ, Morris JM, et al. Decision aids to improve informed decision‐making in pregnancy care: a systematic review. BJOG: Int J Obstet Gynaecol. 2013;120(3):257-66.
44. Raynes-Greenow CH, Nassar N, Torvaldsen S, Trevena L, Roberts CL. Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet. BMC Pregnancy Childbirth. 2010;10(1):15.
45. Olfati F, Asefzadeh S, Changizi N, Keramat A, Yunesian M. Patient involvement in safe delivery: a qualitative study. Glob J Health Sci. 2016;8(6):33-40.

Add your comments about this article : Your username or Email:

Send email to the article author

© 2019 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb