The Effect of Esmadem Education Model on Spiritual Coping, Tolerance and Depression of High-Risk Pregnant Women

NCT ID: NCT06799689

Last Updated: 2025-01-29

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 96 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-01
• Study Completion Date: 2025-07-30

Brief Summary

Pregnancy is a normal and natural process in a woman's life. During this process, anatomical, physiological, biochemical and emotional changes are observed. The changes are a period in which social, biophysical and psychological changes are experienced, which also means a journey into the unknown for the woman and her family. Although the scope of prenatal care is high today, the main focus is on the physical aspects of care and medical precautions. Midwives who provide holistic care should also address spiritual care. Therefore, the ESMADEM training model will be conducted to examine the effect of the spiritual coping, prenatal attachment and fear of birth of pregnant women.

Detailed Description

Pregnancy is a normal and natural process in a woman's life. During this process, anatomical, physiological, biochemical and emotional changes are observed. The changes are a period in which social, biophysical and psychological changes occur, which also mean a journey into the unknown for the woman and her family . It has been reported that supporting pregnant women by midwives during this period and encouraging birth as a positive experience reduces fear of birth and increases prenatal attachment . In facilitating adaptation to the changes experienced and increasing the level of health; Complementary practices and education such as exercise, biofeedback, meditation, and prayer are used . One of these practices is spiritual care. Spirituality involves recognizing one's goals in life and the meaning of life. These conceptualizations are not always associated with religious beliefs. The purpose of spiritual care is to help people seek meaning and purpose in life. Spiritual teachings can have behavioral, cognitive, emotional and ethical aspects and can manifest themselves with trust, patience and prayer . One of these prayers is Esmâ-i Hüsnâ. Esmâ-i Hüsnâ is an expression that expresses all the names that are stated to belong to. Esmadem: It is a spiritual support model that provides significant contributions to spiritual development and life skills, where life skills are acquired and psychological and guidance practices are included, and aims at cognitive, emotional and behavioral gains. In this model, the name Şekur is taken as the center for stress. Along with this center name, the names Hallak, Bâki, Melik, Kahhâr and Muntekim are given for depression; Müheymin and Rakib for anxiety; and Halim, Latif, Rezzak, Rahman, Rahim for stress. Although the scope of prenatal care is high today, it is seen that the main focus is on the physical aspects of care and medical precautions. Midwives who provide holistic care should also take spiritual care into consideration. Therefore, the ESMADEM training model will be conducted to examine the effect of the spiritual coping, prenatal attachment and fear of birth of pregnant women.

Conditions

Pregnant Women

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: DOUBLE

Study Groups

Control Group

Group Type: NO_INTERVENTION

No interventions assigned to this group

ESMADEM EDUCATİON

Group Type: ACTIVE_COMPARATOR

esmadem education

Intervention Type: BEHAVIORAL

By providing information about Esma-i Husna, the journey of knowing oneself and character building with Esma-i Husna will be emphasized. It will be carried out with the aim of building on 99 names, namely Allah, Rahman and Rahim, and reducing depressive feelings by benefiting from the guidance of these names.In the second session, it will be explained through the names Esma-i Husna, Celal and Cemal in order to manage depressive feelings and contribute to positive coping. The togetherness of pain as well as happiness, ease along with difficulty, joy along with sadness in a balanced life will be discussed with the name "Zü'l Celâl ve'l İkram" and the study of "Journey to perfection through the names Celal and Cemal". The meaning of existence and life in spirit will be discussed through the name Rab, the life cycle will be explained by establishing a relationship with the names Hafıd-Râfi, Kâbıd-Bâsıt, Muız-Müzil. In addition, it will be carried out within the framework of the name Hakim,

Interventions

esmadem education

By providing information about Esma-i Husna, the journey of knowing oneself and character building with Esma-i Husna will be emphasized. It will be carried out with the aim of building on 99 names, namely Allah, Rahman and Rahim, and reducing depressive feelings by benefiting from the guidance of these names.In the second session, it will be explained through the names Esma-i Husna, Celal and Cemal in order to manage depressive feelings and contribute to positive coping. The togetherness of pain as well as happiness, ease along with difficulty, joy along with sadness in a balanced life will be discussed with the name "Zü'l Celâl ve'l İkram" and the study of "Journey to perfection through the names Celal and Cemal". The meaning of existence and life in spirit will be discussed through the name Rab, the life cycle will be explained by establishing a relationship with the names Hafıd-Râfi, Kâbıd-Bâsıt, Muız-Müzil. In addition, it will be carried out within the framework of the name Hakim,

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Able to speak, understand and write Turkish,
• Ages 18-35,
• Having a spontaneous pregnancy,

• Volunteering to participate in the study,
• According to the last menstrual period (LMS) or ultrasonography (USG) records, in the 24th week of pregnancy,
• No risk factors,
• Having a phone number to contact for educational meetings,
• Participating in a pregnancy school

Exclusion Criteria

• Pregnant women who had fear of childbirth

• Chronic and/or psychiatric health problems
• Failed to attend at least three sessions of the training program Who were at risk during any stage of the study Who could not be interviewed within the first 24 hours after birth were excluded from the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Burdur Mehmet Akif Ersoy University

OTHER

Sponsor Role: lead

Responsible Party

Mine Gokduman Keles

Principal Investigator, PhD midwife

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

MİNE GÖKDUMAN, 248 213 82 50

Role: CONTACT

minegokdumankeles@gmail.com

248 213 82 50

Other Identifiers

08.01.2025/01/21decision no

Identifier Type: -

Identifier Source: org_study_id