Effects of an Information Program, Motivation Enhancement and Decision-Making Skills Training on Preventive Behaviors for Recurrent Preterm Labor and Decision to Readmit in Pregnant Women with a History of Preterm Labor at Srinagarind Hospital
Keywords:
preterm labor, decision making, Information program, motivation enhancement and decision-making skills trainingAbstract
Background and objective: Preterm labor remains a major public health problem worldwide. It is a leading cause of preterm birth, which is the major cause of perinatal mortality and morbidity. This research aimed to evaluate effects of an information program, motivation enhancement and decision-making skills training on preventive behaviors for recurrent preterm labor and decision –making skills training to readmit among pregnant women with a history of preterm labor at Srinagarind Hospital.
Methods: This quasi-experimental research employed a two groups pretest-posttest design. A total of 68 pregnant women (experiment and control group each group consisted of 34 women) were recruited. They were purposively selected based on inclusion criteria. The experimental group received the program with usual care, while the control group received only usual care. Data were collected using the demographic characteristics and obstetric history interview forms, the preventive behaviors of recurrent preterm labor questionnaires, and decision-making for hospital admission through interviews. Data were analyzed by using the Mann-Whitney U Test, independent t-test, Paired-sample t-test, Chi-square test, and Fisher's exact test.
Results: The experimental group had significantly higher posttest score of preventive behaviors of preterm labor than pretest (p<.001) and significantly higher than the control group (p<.001). Also, the experimental group showed a significantly lower decision-making time during readmission compared to the control group (p<.001).
Conclusion: An Information program, motivation enhancement and decision-making skills training improved pregnant women preventive behaviors for recurrent preterm labor and proper decision making in hospital admission. Thus, this program should be integrated into routine care provision.
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