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MothersNCT03594526

Efficacy of a Nursing Intervention in First-time Mothers

A study testing Maternal support to become mother in people with Mothers and First Birth, run by University Rovira i Virgili at 1 site in Colombia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Experimental study will determine the efficacy of nursing intervention named Maternal support to become first-time mothers based on the theory of Ramona Mercer. Sequential explanatory design will be used. Read more about this study

Who is it for?
Ages 18 to 54 years, women onlyHealthy volunteers can take part
Conditions the study is for
Mothers, First Birth
What is being tested?
Maternal support to become mother
Could I receive a placebo?
No, everyone receives an active treatment
How many people
76 participants
Where
1 siteColombia
Study dates
2 Nov 2018to 1 Feb 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 54 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Postpartum stage (for vaginal or for cesarean delivery)
  • Mother of a healthy full term newborn.
  • First-time mother.
  • Self-declared support by her couple.
  • Mother living in Bucaramanga metropolitan area

Who cannot join

  • Multiple pregnancy.
  • Mothers who cannot read or write.
  • Diagnosis of postpartum depression, mental disorders, behavioral disorders.
  • Mothers admitted to the intensive care unit after childbirth.
  • Mothers with newborns hospitalized in the intensive care unit, intermediate care or minimal care.

Trial locations and contacts

1 site in 1 country.

Colombia1 site
  • Clinica Materno Infantil San Luis

    Bucaramanga, Santander Department, 680003

Other trials in Colombia

About this study

Official title: Efficacy of a Nursing Intervention in the Process of Becoming a Mother, in First-time Mothers

Experimental study will determine the efficacy of nursing intervention named Maternal support to become first-time mothers based on the theory of Ramona Mercer. Sequential explanatory design will be used. It is a mixed design with approach quantitative and qualitative in order to obtain a better approach of the phenomen. The approach quantitative will be randomized controlled clinical trial. The qualitative analysis of the content will be done according to Bardin.

Read the detailed description

Taking into account the scientific literature related to studies in first-time mothers with healthy newborns, it can be concluded that the limited success of interventions that have been made suggests that the main areas of becoming a mother have not been addressed, either as part of the content or process of the interventions. This study will be conducted in 24 months. The sample size calculated will be 74 first-time mothers in total, which are allocated in two groups, intervention and control. Each group with 37 mothers.

Conditions
Mothers, First Birth
Being tested
Maternal support to become mother, Control Group: usual care
Keywords
Nursing Care, Mothers, Research, Support

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Maternal support to become motherBehavioural

    "AMACOM-PRI": Apoyo Materno para Convertirse en Madre - Primerizas. Maternal support to become first-time mothers is an intervention based on the mid-range nursing theory of Ramona Mercer, whose purpose is to empower first-time mothers in their new maternal role, favoring the mother-child bond, strengthening social support and maternal self-efficacy, consists of.

    1. Four Home visits , in the first week; first month of baby life; at three months; and the fourth postpartum month.
    2. Four Educational sessions and support sessions for maternal empowerment in each home visit.
    3. Telephone follow-up: at 15 days; a month and a half; at two and a half months; and three and a half months postpartum.
  • Control Group: usual careBehavioural

    This intervention is usual care, which consists of:

    1. care of the mother and her newborn during the puerperium
    2. Teaching about breastfeeding.
Study groups in NCT03594526
Study groupRoleWhat they receive
Maternal support to become motherExperimentalMaternal support to become mother: is an intervention based on the mid-range nursing theory of Ramona Mercer, whose purpose is to empower first-time mothers in their new maternal role, favoring the mother-child bond, strengthening social support and maternal self-efficacy, consists of: 1. Four Home visits , in the first week; first month of baby life; at three months; and the fourth postpartum month. 2. Four Educational sessions and support sessions for maternal empowerment in each home visit. 3. Telephone follow-up: at 15 days; a month and a half; at two and a half months; and three and a half months postpartum.
Receives: Behavioral: Maternal support to become mother
Control group: usual CareActive comparatorThe participants will receive the usual education about the care of the mother during the puerperium, the care of the newborn, including breastfeeding.
Receives: Behavioral: Control Group: usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Scale name unabbreviated: "La escala de Adopción del Rol Materno (ARM) de la Doctora María del Carmen Garrido Hidalgo y la Doctora Marleny Marchán Coronado".

    Construct: This scale measures the process of maternal role adoption or "becoming mother" process; such process and this scale was created based in Ramona Mercer's theory. Conformation: It consists of 56 items distributed in 10 dimensions: 1)Interaction with the couple with respect to the baby, 2)baby acceptance, 3 Contact with the role of mother, 4)Stimulation of the baby, 5)Interaction with the family of origin regarding to the baby, 6 Baby care, 7)Maternal expressions of affection for the baby, 8)Well-being of the baby, 9)Concern and protection of the baby, 10)Knowledge and culture related to the baby. Scale Scores and Ranges: The instrument has a Likert scale (from 1 to 4). 1 = totally disagree and 4 = total agreement. The score are from 56 to 224. The classification score ranges are: low 56-180 points, medium 181-202 and high 203-224 points. The higher score across the scale indicate better adoption of the maternal role. The outcome of this scale is the sum of each linker-item.

    Measured: 4 Months

  2. Perceived Maternal Parenting Self-Efficacy (PMP S-E) by Dr. Christopher R. Barnes and Dr. Elvidina N. Adamson-Macedo: measures maternal self-efficacy.

    _this scale measures Perceived Maternal Parenting Self-Efficacy.Conformation: This instrument was created by two psychologists from the University of Wolverhampton, Ireland. It has validity and reliability studies in Ireland and Brazil. It consists of 20 items distributed in 4 dimensions_ 1. Care tasks, 2. Behaviors raised, 3. Reading of behaviors or signals, 4. Situational beliefs. Scale Scores and Ranges_ the instrument has a Likert scale that goes from 1 to 4. There are 1 in totally disagree and 4 in total agreement. The instrument has a minimum score of 20 and a maximum score of 80. The higher the scores indicate greater (better) self-efficacy_

    Measured: 4 months

  3. "Perinatal Infant Care Social Support Scale" (PICSS) by Dr. Patricia Leahy-Warren: Construct: measures social support and has been widely applied in first-time mothers.

    Conformation: This instrument was created by a nurse from the University of College Cork, Ireland. It has validity and reliability tests in Ireland. Consisting of two subscales, the Structural Social Support subscale measures structural social support and the Functional Social Support subscale that measures functional social support. The latter is the one that is consistent with Ramona Mercer's nursing theory. The subscale Functional Social Support consists of 16 items distributed in 4 dimensions: 1) Informative Support, 2) Instrumental Support (Physical), 3) Emotional Support, 4)Valuation Support. Dimensions: Informative support (Minimum score of 7, maximum score of 28). Instrumental support (score range 7-28). Emotional support (score range 4- 16). Valuation support (score range from 4-16). The instrument has a Likert scale from 1 to 4; 1 for totally disagree and 4 for total agreement. Score range: 22-88. As higher the score, greater (better) Structural Social Support.

    Measured: 4 months

  4. "Bond between parents and children of MSc Alix Nathalya Vargas Vásquez and Doctor Myriam Patricia Pardo Torres"

    _measures the affective bond between parents and children. This instrument was created by two nurses from the National University of Colombia, Colombia. It has validity and reliability tests in Colombia and Ecuador. Conformation_ Consists of 24 items distributed in 4 dimensions_ 1. Emotional support, 2. Union - interaction, 3. Informative support, 4. Stress. Score and ranges_ the instrument has a Likert scale that goes from 0 to 5. The instrument has a minimum score_ 24 and maximum score_ 96. The low degree of affective bonding is 85 points or less

    Measured: 4 months

Secondary outcomes (2)
  1. Assessing the experience of motherhood: The Being a Mother Scale (BaM-13) - Spanish adaptation (by Drs. Lucy Marcela Vesga Gualdrón and Maria Mercedes Durán de Villalobos)

    This instrument in its original English version was created by the psychologist Stephen Matthey and subsequently, based on this scale, with prior authorization, the nurses Dr. Vesga and Dr. Durán validated the Spanish scale. It is a self-report scale of 13 items. Cut point recommended is 9, which allows the classification of mothers according to the score obtained: greater than 9 is a risk of stress due to the maternal role and less than 9 is without risk of stress due to the maternal role.

    Measured: 4 months

  2. Edinburgh Postnatal Depression Scale (EPDS) of Doctors J.L. Cox; JM Holden and R. Sagovsky (Spanish)

    Construct: measures postpartum depression. This instrument was created by three doctors from the University of Keele, United Kingdom. It has been widely used in several countries and has validity and reliability tests also in Colombia. It is made up of items 10. The categories of the answers are given points of 0, 1, 2 and 3 according to the increase in the severity of the symptom. The points for questions 3, 5, 6, 7, 8, 9, 10 are noted in reverse order (for example, 3, 2, 1, 0). All points are added to give the total score. Score and range: Score range from 0 to 10. A score of 10+ shows the probability of a depression, but not its severity. Any number that is chosen other than "0" for question number 10, means that it is necessary to do additional evaluations immediately. The EPDS score is designed to assist clinical judgment, do not replace the complete clinical evaluation.

    Measured: 4 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jul 2018
  2. Study start2 Nov 2018
  3. Primary completion20 Sep 2019
  4. Study completion1 Feb 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
The assigment of the mothers to each group will be like that: The allocation will be generated in the Epidat 4.1 program. This will be done by blocks in groups of equal size, randomized 1: 1, control and intervention group. The generation will be given by an statistician who will not perform the intervention, nor the initial or final evaluations.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
76 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03594526
Sponsor's protocol ID
0418
Status last verified
Feb 2020
First submitted
6 Jul 2018
Last updated
5 Feb 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Nakamura Y, Takeishi Y, Ito N, Ito M, Atogami F, Yoshizawa T. Comfort with motherhood in late pregnancy facilitates maternal role attainment in early postpartum. Tohoku J Exp Med. 2015 Jan;235(1):53-9. doi: 10.1620/tjem.235.53.

    PubMed 25744529
  • Maehara K, Mori E, Tsuchiya M, Iwata H, Sakajo A, Ozawa H, Morita A, Maekawa T, Makaya M, Tamakoshi K. Factors affecting maternal confidence among older and younger Japanese primiparae at one month post-partum. Jpn J Nurs Sci. 2016 Oct;13(4):424-436. doi: 10.1111/jjns.12123. Epub 2016 May 11.

    PubMed 27170452
  • Gao LL, Xie W, Yang X, Chan SW. Effects of an interpersonal-psychotherapy-oriented postnatal programme for Chinese first-time mothers: a randomized controlled trial. Int J Nurs Stud. 2015 Jan;52(1):22-9. doi: 10.1016/j.ijnurstu.2014.06.006. Epub 2014 Jun 19.

    PubMed 24994573
  • Shorey S, Chan WC, Chong YS, He HG. A randomized controlled trial of the effectiveness of a postnatal psychoeducation programme on outcomes of primiparas: study protocol. J Adv Nurs. 2015 Jan;71(1):193-203. doi: 10.1111/jan.12461. Epub 2014 Jun 9.

    PubMed 24909836
  • Shorey S, Chan SW, Chong YS, He HG. Perceptions of primiparas on a postnatal psychoeducation programme: the process evaluation. Midwifery. 2015 Jan;31(1):155-63. doi: 10.1016/j.midw.2014.08.001. Epub 2014 Aug 13.

    PubMed 25174540
  • Vargas-Porras C, Roa-Diaz ZM, Hernandez-Hincapie HG, Ferre-Grau C, de Molina-Fernandez MI. Efficacy of a multimodal nursing intervention strategy in the process of becoming a mother: A randomized controlled trial. Res Nurs Health. 2021 Jun;44(3):424-437. doi: 10.1002/nur.22123. Epub 2021 Mar 8.

    PubMed 33682146

Questions about this trial

What is this clinical trial studying?

A study testing Maternal support to become mother in people with Mothers and First Birth, run by University Rovira i Virgili at 1 site in Colombia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Colombia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Scale name unabbreviated: "La escala de Adopción del Rol Materno (ARM) de la Doctora María del Carmen Garrido Hidalgo y la Doctora Marleny Marchán Coronado". (time frame: 4 Months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03594526, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2020.

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