Document Type : Research articles

Authors

1 PhD student in midwifery, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 MSc, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 MSc, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,

4 PhD teaching English, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

5 Assistant professor, Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

6 PhD Student in Midwifery, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background: Pregnant women need correct information and skills for effective self-care and improved self-efficacy during pregnancy. Maternal training will raise women's awareness of pregnancy and childbirth, leading to higher self-efficacy.Objectives: The present study aimed to assess the impact of telehealth on pregnant women's self-care, self-efficacy, and satisfaction during the COVID-19 pandemic.Methods: This quasi-experimental study involved low-risk pregnant women selected from prenatal public clinics in Ahvaz, Iran. Eligible pregnant women (n=150) were assigned to three groups: WhatsApp training (n=50), phone call training (n=50), and control (n=50). Women in the three groups received four face-to-face prenatal care sessions based on the content recommended by the Iranian Ministry of Health. In addition to these four face-to-face sessions, four more virtual training sessions were held for the WhatsApp and phone call groups.Results: Raising the awareness of pregnant women through telephone counseling was found to not only increase their self-efficacy, self-care, and satisfaction but also reduce the need for in-person visits during the COVID-19 pandemic. Furthermore, a moderate positive correlation was observed between self-efficacy and self-care scores; moreover, they have a relatively negative weak correlation with face-to-face visits.Conclusion: The results of this study suggested that most pregnant women were satisfied with telehealth during the COVID-19 pandemic, and thanks to this type of care provision, their self-efficacy and self-care levels were high. Reduced face-to-face visits during the pandemic are the main advantage of telehealth.

Keywords

  1. Kalhor M, Samiirad F, Barikani A, Safarpoor D, Shirali M. Relationship between self-efficacy with adverse delivery and neonatal outcomes inpregnant women with gestational diabetes admitted to kowsar hospital of Gazvin in 2013. J Clin Care. 2015;2(1):28-38.
  2. McIntyre P, World Health Organization. Pregnant adolescents: delivering on global promises of hope. 2006.
  3. World Health Organization. Making pregnancy safer: the critical role of the skilled attendant: a joint statement by WHO, ICM and FIGO. World health organization; 2004.
  4. Khojasteh F, Eshteharian Dokht Z, Ansari H. Comparison of in-person counseling and telephone support on delivery self-efficacy in primiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21(9):26-34. doi:10.22038/IJOGI.2018.12130.
  5. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19; 2020.
  6. Nguyen E, Engle G, Subramanian S, Fryer K. Telemedicine For Prenatal Care: A Systematic Review. medRxiv. 2021. doi:10.1101/2021.05.14.21257232.
  7. Wu H, Sun W, Huang X, Yu S, Wang H, Bi X, et al. Online antenatal care during the COVID-19 pandemic: opportunities and challenges. J Med Internet Res. 2020;22(7):e19916. doi: 10.2196/19916. [PubMed: 32658860].
  8. Cook C, Tjaden L, Gregory P, Morris H, Helewa ME, Moffatt M, et al. Barriers and facilitators related to use of prenatal care by inner-city women: perceptions of health care providers. BMC Pregnancy Childbirth. 2015;15(2). doi: 10.1186/s12884-015-0431-5.
  9. Mazul MC, Ward TCS, Ngui EM. Anatomy of good prenatal care: Perspectives of low income African-American women on barriers and facilitators to prenatal care. J Racial Ethn Health Disparities. 2017;4(1):79-86. doi: 10.1007/s40615-015-0204-x. [PubMed: 26823064].
  10. DeNicola N, Grossman D, Marko K, Sonalkar S, Tobah YSB, Ganju N, et al. Telehealth interventions to improve obstetric and gynecologic health outcomes: a systematic review. Obstet Gynecol. 2020;135(2):371. doi: 10.1097/AOG.0000000000003646. [PubMed: 31977782].
  11. Abelson R. Doctors and patients turn to telemedicine in the coronavirus outbreak. The New York Times.2020. https://www nytimes com/2020/03/11/health/telemedicine-coronavirus html.
  12. Fryer K, Delgado A, Foti T, Reid CN, Marshall J. Implementation of obstetric telehealth during COVID-19 and beyond. Matern Child Health J. 2020;24(9):1104-10. doi: 10.1007/s10995-020-02967-7. [PubMed: 32564248].
  13. Vogel EW, Gracely EJ, Kwon Y, Maulitz RC. Factors determining the use of personal digital assistants among physicians. Telemed J E Health. 2009;15(3):270-6. doi: 10.1089/tmj.2008.0112. [PubMed: 19382865].
  14. Hashemzahi M, Khayat S, Khazaeian S. Effect of COVID-19 Self-care Training via Telemedicine on Perceived Stress and Corona Disease Anxiety in Pregnant Women: A Quasi-experimental Study. Journal of Midwifery & Reproductive Health. 2022;10(1):3066-3074. doi: 10.22038/JMRH.2021.60589.1728.
  15. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-71. doi:
  16. 2466/pr0.1982.51.2.663.
  17. Mir Mahdi R, Karimi N. The Relationship between Self-Efficacy, Impulsiveness and Social Skills with Substance Abuse. journal of developmental psychology. 2012;9(33):81-73.
  18. Haghani F, Shahidi S, Manoochehri F, Kalantari B, Ghasemi G. The Effect of Distance Learning via SMS on Knowledge & Satisfaction of Pregnant Women. Iranian Journal of Medical Education. 2016;16(0):43-52.
  19. Mohammadzadeh Z, Maserat E, Kariminezhad R. Application of Information Technology Models, Approaches and Tools in Covid-19 Management: Rapid Review. Depiction of Health. 2021;12(1):77-95. doi: 10.34172/doh.2021.09.
  20. Marko KI, Ganju N, Krapf JM, Gaba ND, Brown JA, Benham JJ, et al. A mobile prenatal care app to reduce in-person visits: prospective controlled trial. JMIR Mhealth Uhealth. 2019;7(5):e10520. doi: 10.2196/10520. [PubMed: 31042154].
  21. Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P, et al. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Med. 2013;10(1):e1001362. doi: 10.1371/journal.pmed.1001362. [PubMed: 23349621].
  22. Marko KI, Krapf JM, Meltzer AC, Oh J, Ganju N, Martinez AG, et al. Testing the feasibility of remote patient monitoring in prenatal care using a mobile app and connected devices: a prospective observational trial. JMIR Res Protoc. 2016;5(4):e200. doi: 10.2196/resprot.6167. [PubMed: 27864167].
  23. Rasouli M, Pourheidari M, Gardesh ZH. Effect of self-care before and during pregnancy to prevention and control preeclampsia in high-risk women. Int J Prev Med. 2019;10:21. doi: 10.4103/ijpvm.IJPVM_300_17. [PubMed: 30820308].
  24. Moradi F, Ghadiri Anari A, Enjezab B.COVID-19 and self-care strategies for women with gestational diabetes mellitus. Diabetes Metab Syndr. 2020;14(5):1535-9. doi: 10.1016/j.dsx.2020.08.004. [PubMed: 32947751].
  25. Ming WK, Mackillop LH, Farmer AJ, Loerup L, Bartlett K, Levy JC, et al. Telemedicine technologies for diabetes in pregnancy: a systematic review and meta-analysis. J Med Internet Res. 2016;18(11):e290. doi: 10.2196/jmir.6556. [PubMed:
  26. .
  27. Levin K, Madsen JR, Petersen I, Wanscher CE, Hangaard J. Telemedicine diabetes consultations are cost-effective, and effects on essential diabetes treatment parameters are similar to conventional treatment: 7-year results from the Svendborg Telemedicine Diabetes Project. J Diabetes Sci Technol. 2013;7(3):587-95. doi: 10.1177/193229681300700302. [PubMed: 23759390].
  28. Farrag RE, Metwely S. Effect of tele-nursing services on healthy lifestyle and self-efficacy among gestational diabetes women. International Journal of Novel Research in Healthcare and Nursing. 2016;3(1):129-40.
  29. Homko CJ, Sivan E, Reece EA. The impact of self-monitoring of blood olucose on self-efficacy and pregnancy outcomes in women with diet-controlled gestational diabetes. Diabetes Educ. 2002;28(3):435-43. doi: 10.1177/014572170202800313. [PubMed: 12073958].
  30. Conrad M. Anxiety, Fear, and Self-Efficacy in Pregnant Women in the United States During the COVID-19 Pandemic. Journal of Prenatal & Perinatal Psychology & Health, Spring. 2021;35(1):39-57.
  31. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, et al. A randomized controlled trial of a psycho‐education intervention by midwives in reducing childbirth fear in pregnant women. Birth. 2014;41(4):384-94. doi: 10.1111/birt.12136. [PubMed: 25303111].
  32. Keyvanara M, Jangi M, Sharbafchizadeh N, Samouei R. Prediction of the Iranians self-carein terms of communication pattern of their individual and social characteristics in face of Covid-19 pandemic-2020. Tehran University Medical Journal. 2020;78:589-897.
  33. Vagni M, Maiorano T, Giostra V, Pajardi D. Coping with COVID-19: emergency stress, secondary trauma and self-efficacy in healthcare and emergency workers in Italy. Front Psychol. 2020;11:566912. doi: 10.3389/fpsyg.2020.566912. [PubMed: 33013603].
  34. Orrange S, Patel A, Mack WJ, Cassetta J. Patient satisfaction and trust in telemedicine during the COVID-19 pandemic: retrospective observational study. JMIR Hum Factors. 2021;8(2):e28589. doi: 10.2196/28589. [PubMed: 33822736].