Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relations and Sleep Quality in Primigravida Women

Alizadeh, Zeinab and Noroozi, Farzaneh and Kaveh, Mohammad Hossein and Cousins, Rosanna and Ghahremani, Leila (2025) Effect of a Stress-Management Intervention Based on Self-efficacy Theory for Enriching Marital Relations and Sleep Quality in Primigravida Women. Journal of Health Sciences and Surveillance System, 13 (1). pp. 57-67.

Text Alizadeh et al 2025 JHSSS.pdf - Published Version Available under License Creative Commons Attribution. Download (438kB)

Abstract

Background A woman’s first pregnancy is a significant life event, and anxieties associated with the pregnancy and childbirth are common. This study aimed to evaluate the effect of a stress management intervention based on self-efficacy theory in primigravida women, as indicated by sleep quality, relationship quality and marital satisfaction.
Methods A quasi-experimental longitudinal design with a control group was used. Inclusion criteria included being 14-18 weeks of gestation, having no concomitant illness, and attending one of the four healthcare centers in South Iran in 2022. Two centers were randomly allocated as the intervention group and the other two to the control group. Of the 128 eligible pregnant women who consented to participate, 39 were randomly asssigned to each condition. The intervention group completed eight weekly one-hour stress-management training sessions delivered using a blended learning approach. Data were collected using a survey before and immediately after the intervention. The survey included demographic information and validated questionnaires measuring self-efficacy, marital satisfaction, relationship quality, and sleep quality. Data were analyzed using independent and paired t-tests to determine the efficacy of the intervention by comparing changes in mean scores between the two groups pre- and post-intervention.
Results There were no confounding differences between participants in the two groups at the pre-test. Self-efficacy, sleep quality, marital satisfaction, and relationship quality were significantly improved at post-test in the intervention group (P<0.01). No meaningful changes were observed in the control group.
Conclusion The results suggest that integrating stress-management workshops into routine prenatal care may be beneficial. Providing facilities and support for such interventions could enhance maternal well-being during pregnancy.

Item Type:	Article
Keywords:	Marital, Pregnancy, Satisfaction, Self-efficacy, Stress management
Faculty / Department:	Faculty of Human and Digital Sciences > School of Psychology
Depositing User:	Rosanna Cousins
Date Deposited:	03 Feb 2025 11:49
Last Modified:	03 Feb 2025 11:49
URI:	https://hira.hope.ac.uk/id/eprint/4571

Actions (login required)

View Item