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Article: The effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experiment

TitleThe effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experiment
Authors
KeywordsChildbirth psychoeducation program
Learned resourcefulness
Maternal role competence
Perinatal depression
Issue Date2009
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstu
Citation
International Journal Of Nursing Studies, 2009, v. 46 n. 10, p. 1298-1306 How to Cite?
AbstractBackground: Learned resourcefulness plays a significant role in facilitating maternal coping during the transition to motherhood. Given the growing evidence of perinatal depression and the frequent feeling of incompetence in the maternal role, the implementation of an effective intervention to promote maternal role competence and emotional well-being is essential. Objectives: To determine the impact of a childbirth psychoeducation program based on the concept of learned resourcefulness on maternal role competence and depressive symptoms in Chinese childbearing women. Design: A pretest-posttest, control group quasi-experimental design with repeated measures was used. Setting: The study was conducted in two regional public hospitals in Hong Kong that provide routine childbirth education programs with similar content and structure. One hospital was being randomly selected as the experimental hospital. Participants: A convenience sample of 184 Chinese pregnant women attending the childbirth education was recruited between October 2005 and April 2007. Inclusion criteria were primiparous with singleton and uneventful pregnancy, at gestation between 12 and 35 weeks, and did not have a past or familial psychiatric illness. Methods: The intervention was a childbirth psychoeducation program that was incorporated into the routine childbirth education in the experimental hospital. The experimental group (n = 92) received the childbirth psychoeducation program and the routine childbirth education. The comparison group (n = 92) received the routine childbirth education alone in the comparison hospital. Outcomes were measured by the Self-Control Schedule, Parenting Sense of Competence Scale-Efficacy subscale and Edinburgh Postnatal Depression Scale at baseline, immediately post-intervention, at 6 weeks and 6 months postpartum. Analysis was by intention to treat. Results: Women receiving the childbirth psychoeducation program had significant improvement in learned resourcefulness at 6 weeks postpartum (p = 0.004) and an overall reduction in depressive symptoms (p = 0.01) from baseline to 6 months postpartum compared with those who only received the routine childbirth education after adjusting for baseline group differences on age and social support. No significant group difference was found on maternal role competence. Conclusions: The childbirth psychoeducation program appears to be a very promising intervention for promoting learned resourcefulness and minimizing the risk of perinatal depression in first-time Chinese childbearing women. Future empirical work is required to determine the effectiveness of extending the childbirth psychoeducation program into the early postpartum for the promotion of maternal role competence in Chinese childbearing women. © 2009 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/92625
ISSN
2015 Impact Factor: 3.561
2015 SCImago Journal Rankings: 1.526
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNgai, FWen_HK
dc.contributor.authorChan, SWCen_HK
dc.contributor.authorIp, WYen_HK
dc.date.accessioned2010-09-17T10:52:13Z-
dc.date.available2010-09-17T10:52:13Z-
dc.date.issued2009en_HK
dc.identifier.citationInternational Journal Of Nursing Studies, 2009, v. 46 n. 10, p. 1298-1306en_HK
dc.identifier.issn0020-7489en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92625-
dc.description.abstractBackground: Learned resourcefulness plays a significant role in facilitating maternal coping during the transition to motherhood. Given the growing evidence of perinatal depression and the frequent feeling of incompetence in the maternal role, the implementation of an effective intervention to promote maternal role competence and emotional well-being is essential. Objectives: To determine the impact of a childbirth psychoeducation program based on the concept of learned resourcefulness on maternal role competence and depressive symptoms in Chinese childbearing women. Design: A pretest-posttest, control group quasi-experimental design with repeated measures was used. Setting: The study was conducted in two regional public hospitals in Hong Kong that provide routine childbirth education programs with similar content and structure. One hospital was being randomly selected as the experimental hospital. Participants: A convenience sample of 184 Chinese pregnant women attending the childbirth education was recruited between October 2005 and April 2007. Inclusion criteria were primiparous with singleton and uneventful pregnancy, at gestation between 12 and 35 weeks, and did not have a past or familial psychiatric illness. Methods: The intervention was a childbirth psychoeducation program that was incorporated into the routine childbirth education in the experimental hospital. The experimental group (n = 92) received the childbirth psychoeducation program and the routine childbirth education. The comparison group (n = 92) received the routine childbirth education alone in the comparison hospital. Outcomes were measured by the Self-Control Schedule, Parenting Sense of Competence Scale-Efficacy subscale and Edinburgh Postnatal Depression Scale at baseline, immediately post-intervention, at 6 weeks and 6 months postpartum. Analysis was by intention to treat. Results: Women receiving the childbirth psychoeducation program had significant improvement in learned resourcefulness at 6 weeks postpartum (p = 0.004) and an overall reduction in depressive symptoms (p = 0.01) from baseline to 6 months postpartum compared with those who only received the routine childbirth education after adjusting for baseline group differences on age and social support. No significant group difference was found on maternal role competence. Conclusions: The childbirth psychoeducation program appears to be a very promising intervention for promoting learned resourcefulness and minimizing the risk of perinatal depression in first-time Chinese childbearing women. Future empirical work is required to determine the effectiveness of extending the childbirth psychoeducation program into the early postpartum for the promotion of maternal role competence in Chinese childbearing women. © 2009 Elsevier Ltd. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/ijnurstuen_HK
dc.relation.ispartofInternational Journal of Nursing Studiesen_HK
dc.subjectChildbirth psychoeducation programen_HK
dc.subjectLearned resourcefulnessen_HK
dc.subjectMaternal role competenceen_HK
dc.subjectPerinatal depressionen_HK
dc.titleThe effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experimenten_HK
dc.typeArticleen_HK
dc.identifier.emailNgai, FW: fwngai@hku.hken_HK
dc.identifier.authorityNgai, FW=rp01366en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ijnurstu.2009.03.007en_HK
dc.identifier.pmid19361801en_HK
dc.identifier.scopuseid_2-s2.0-67651214113en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67651214113&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume46en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1298en_HK
dc.identifier.epage1306en_HK
dc.identifier.eissn1873-491X-
dc.identifier.isiWOS:000269275400003-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridNgai, FW=21735039700en_HK
dc.identifier.scopusauthoridChan, SWC=7404256351en_HK
dc.identifier.scopusauthoridIp, WY=35550865400en_HK
dc.identifier.citeulike4997330-

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