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Social Media in Developing Healthy Lifestyle Behaviours in Pregnant WomenNCT07003971

The Effect of Social Media Support on Healthy Lifestyle Behaviours

A study testing counselling in people with Social Media in Developing Healthy Lifestyle Behaviours in Pregnant Women, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The aim of this study is to examine the effectiveness of a programme to improve healthy lifestyle behaviours based on the Health Belief Model to be offered through Instagram, a social media platform. Read more about this study

Who is it for?
Ages 18 to 49 years, women onlyHealthy volunteers can take part
What is being tested?
counselling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
1 siteTurkey (Türkiye)
Study dates
2 Sep 2025to 30 May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 49 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • First and second trimester pregnancy
  • 18-49 years old
  • With a singleton pregnancy
  • Able to use web and mobile devices
  • Has an account of the determined social media platform and actively uses it
  • Can read and write Turkish
  • Pregnant women with regular internet access were included in the inclusion criteria of this study.

Who cannot join

  • Has a psychiatric problem that prevents communication
  • Have a serious pre-pregnancy condition (heart disease, kidney disease or other chronic disease)
  • Previously used a similar programme or app to change healthy lifestyle habits
  • Risky pregnancies (heart disease, kidney disease or other chronic diseases)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Özlem Taş, PhD. Candidate contact

+90 5065876036

zden.tas@gmail.com

Neslihan Özcan, Prof. Dr. contact

+90 5326341255

neslihan.ozcan@iuc.edu.tr

Turkey (Türkiye)1 site
  • Istanbul University-Cerrahpaşa

    Istanbul

    Özlem Taş, PhD. Candidate, +90 5065876036, zden.tas@gmail.com

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of the Effectiveness of Social Media-Based Support in Developing Healthy Lifestyle Behaviors in Pregnancy

The aim of this study is to examine the effectiveness of a programme to improve healthy lifestyle behaviours based on the Health Belief Model to be offered through Instagram, a social media platform. For this purpose, it is aimed to produce content containing accurate and evidence-based information for pregnant women on social media, to ensure that pregnant women can access the right information quickly and easily, to adopt healthy lifestyle behaviours, to test the effectiveness of the social media platform for the adoption of healthy lifestyle behaviours and to contribute to the formation of a healthier family and society in the long term. In addition, this study is aimed to create a model for the midwifery profession to benefit from the new opportunities created by internet technology outside the clinical field in service delivery.

The population of the study will consist of women with primiparous pregnancies in the first and second trimester. Women who agree to participate in the study will be randomly assigned to the experimental and control groups. In addition to routine care and counselling, pregnant women in the experimental group will receive support for developing healthy lifestyle behaviours through Instagram, while the control group will receive only standard pregnancy care and counselling services approved by the Ministry of Health.

Read more

General Hypothesis of the Study:

H1: The Healthy Lifestyle Behaviours development programme offered through the social media platform Instagram is effective in providing a positive development on healthy lifestyle behaviours in pregnant women.

Read the detailed description

Maternal health covers women's health during pregnancy, childbirth and the postnatal period. Despite significant progress over the last two decades, 287,000 women are reported to die during pregnancy, childbirth and the postnatal period in 2020. Adopting healthy lifestyle habits from pre-pregnancy to the postnatal period is crucial for healthy pregnancies and the prevention of diseases that can occur during pregnancy. Pregnant women are advised to adopt healthy eating habits, consume adequate nutrients, balance the body's extra demands and maintain physical activity to maintain good health and prevent excessive weight gain. The World Health Organisation warns pregnant women about nutrition, physical activity, stress management and avoiding toxic substances. High-quality evidence shows that diet, exercise or both interventions can significantly reduce the risk of excessive pregnancy weight gain compared with routine care. These interventions may reduce maternal hypertension, neonatal respiratory distress syndrome, caesarean section, macrosomia. Today, a large part of our lives is dominated by mobile phones, computers and household appliances that operate over the Internet. In this way, people can communicate with each other and transfer information to each other without time and space barriers. Social media, defined as online networking sites that enable Internet users to communicate through activities such as content sharing and personal comments, has become a widely used term for sharing information and ideas on the Internet or mobile platforms. The literature shows that the use of social media has become widespread in pregnancy care. In a meta-analysis of fifteen randomised controlled trials, social media and mobile health applications were found to be effective in supporting maternal physical health in pregnant women in conditions such as weight management, gestational diabetes control, asthma control. At the same time, it has been observed that it improves maternal mental health and increases women's level of knowledge about the pregnancy process.

With the current study, it is aimed to implement the Healthy Lifestyle Behaviour Development Programme to be created based on the Health Belief Model in pregnant women through the social media platform, which is frequently used today, and to contribute to the development of mother-baby health by providing pregnant women with instant and easy access to the right information.

Being tested
counselling, Control
Keywords
pregnant women, pregnancy, social media, healthy lifestyle

What participants receive

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

  • counsellingBehavioural

    After the participants in the experimental group signed the 'Informed Consent Form', the Instagram addresses actively used by the pregnant women participating in the study will be taken, the Instagram account created by the researcher will be shared with the pregnant women in the experimental group, the participants will be ensured to follow the Instagram address created by the researcher and join the Instagram DM group. After the participation to the platform is completed, the visibility of the participants in the account will be checked. After the visibility of all participants is ensured, pre-tests created in Google Forms and uploaded to WhatsApp and Instagram DM group will be applied.

  • ControlOther

    After the 'Informed Consent Form' is signed by the pregnant women in the control group, the telephone numbers of the participants will be taken and recorded in the directory. Participants will also be asked to save the researcher's phone number. After being registered in the phone book, questionnaires and scales will be shared via WhatsApp and asked to answer the pre-tests prepared in Google Forms. Pregnant women who answer will be asked to return with a WhatsApp message in the form of 'I answered' or 'I sent'. The control group will not be trained on Instagram, but will be provided with standardised medical care established by the Turkish Ministry of Health during the follow-up period.

Study groups in NCT07003971
Study groupRoleWhat they receive
social media participantsExperimentalIn addition to routine care and counseling, pregnant women in the experimental group will be offered support to develop healthy lifestyle behaviors through Instagram. * Creating and naming the Instagram account for the presentation of the programme planned to create Healthy Lifestyle Behaviours, * Creating programme contents for developing Healthy Lifestyle Behaviours, * Transferring the content prepared to develop Healthy Lifestyle Behaviours to the Instagram platform, * Sharing the training on developing Healthy Lifestyle Behaviours with pregnant women in the experimental group via Instagram and trying to create these behaviours in pregnant women, * It is planned to reveal the effect of the content aimed at developing Healthy Lifestyle Behaviours on the acquisition of healthy living habits of pregnant women by presenting them through Instagram with a randomised controlled study.
Receives: Behavioral: counselling
ControlOtherThe control group will not be trained in Instagram, but will be provided with standardised medical care established by the Turkish Ministry of Health during the follow-up period.
Receives: Other: Control

What is being measured

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

  1. Developing healthy lifestyle behaviours in pregnant women

    To ensure the formation of healthy lifestyle behaviours in pregnant women It was developed by Walker et al. (1996) and adapted into Turkish by Bahar et al. (2008). Scale; Health Responsibility (3,9,15,21,27,33,39,45,51), Physical Activity (4,10,16,22,28,34,40,46), Nutrition (2,8,14,20,26,32,38,44,50), Spiritual Development (6,12,18,24,30,36,42,48, 52), Interpersonal Relationships (1,7,13,19,25,25,31,37,43,49), Stress Management (5,11,17,23,29,35,41,47). The scale was used to measure healthy lifestyle behaviors and validity and reliability studies were conducted. The Cronbach Alpha coefficient of the scale is .92 and has a high degree of reliability. The reliability coefficients of the sub-dimensions of the scale were found to be; Health responsibility .77, Physical Activity .79, Nutrition .68, Spiritual Development .79, Interpersonal Relations .80, Stress Management .64. Increasing scores in the total scale and sub-dimensions indicate a positive attitude towards healthy lifestyle beh

    Measured: 8 weeks

  2. Pregnant women who participate in a program to improve healthy lifestyle behaviors offered through Instagram will have better sleep quality.

    Since there is no section evaluating sleep in the Healthy Lifestyle Behaviors Scale, it was found appropriate to use a separate scale. The DSM-5 Sleep Disorder Scale was developed to measure the severity of sleep problems according to DSM-5 criteria (Yu et al. 2012; Yüzeren et al. 2017; https://www.psychiatry.org). The scale, also known as PROMIS (Patient-Reported Outcomes Measurement Information System) Sleep Disorder Scale Short Form, is a well-structured measurement tool (Yüzeren et al. 2017; Ravyts et al. 2021) and has been used in pregnant women (Haas et al. 2016; Bei et al. 2019). The validity and reliability study of the DSM-5 Sleep Disorder Scale Turkish Form (PROMIS-Sleep Disorder Scale-Short Form) (ANNEX-6), which is planned to be used in this study, was conducted by Yüzeren et al. in 2017. The scale, which is suitable for adults, is filled out by taking into account the sleep patterns and quality of people between the ages of 18-75 in the last seven days.

    Measured: 8 weeks

  3. Pregnant women who participate in a program to improve healthy lifestyle behaviors offered through the Instagram platform may have a more positive attitude towards endocrine disruptors.

    Endocrine Disruptors Attitude Scale (EDAS):

    Since the Healthy Lifestyle Behaviors Scale does not have a section evaluating the attitude towards endocrine disruptors, it was found appropriate to use a separate scale. The scale was developed by Miral et al (2022) to determine adults' attitudes towards endocrine disruptors and consists of 21 items. The endocrine disruptors attitude scale has two sub-dimensions: consumer behavior and nutrition and hygiene. The consumer behavior sub-dimension consists of 11 items in total, including items numbered 1,2,7,8,9,9,10,10,11,12,12,13,18,21. The nutrition and hygiene sub-dimension consists of 10 items in total, including items numbered 3,4,5,6,14,15,16,17,19,20. The scale was prepared as a five-point Likert-type scale as "Strongly agree", "Agree", "Neutral", "Disagree", "Strongly disagree". There are no reverse items in the scale. The highest score to be obtained from the scale, which has no cut-off value, is 105 and the lowest score is 21.

    Measured: 8 weeks

Timeline

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

  1. First posted4 Jun 2025
  2. Study start2 Sep 2025 (estimated)
  3. Primary completion1 Apr 2026 (estimated)
  4. Study completion30 May 2026 (estimated)

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 research will be conducted in a prospective pre-test, post-test randomised controlled experimental research design.
Masking
None (open label)
Enrolment
96 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07003971
Sponsor's protocol ID
2025/177
Status last verified
May 2025
First submitted
3 May 2025
Last updated
4 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Stephenson J, Heslehurst N, Hall J, Schoenaker DAJM, Hutchinson J, Cade JE, Poston L, Barrett G, Crozier SR, Barker M, Kumaran K, Yajnik CS, Baird J, Mishra GD. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet. 2018 May 5;391(10132):1830-1841. doi: 10.1016/S0140-6736(18)30311-8. Epub 2018 Apr 16.

    PubMed 29673873
  • Oli N, Vaidya A, Pahkala K, Eiben G, Krettek A. Knowledge, attitude and practice on diet and physical activity among mothers with young children in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal. PLoS One. 2018 Jul 9;13(7):e0200329. doi: 10.1371/journal.pone.0200329. eCollection 2018.

    PubMed 29985946
  • Katenga-Kaunda LZ, Kamudoni PR, Holmboe-Ottesen G, Fjeld HE, Mdala I, Shi Z, Iversen PO. Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial. BMC Pregnancy Childbirth. 2021 Sep 22;21(1):644. doi: 10.1186/s12884-021-04117-5.

    PubMed 34551744
  • Hojeij B, Schoenmakers S, Willemsen S, van Rossem L, Dinnyes A, Rousian M, Steegers-Theunissen RP. The Effect of an eHealth Coaching Program (Smarter Pregnancy) on Attitudes and Practices Toward Periconception Lifestyle Behaviors in Women Attempting Pregnancy: Prospective Study. J Med Internet Res. 2023 Jan 31;25:e39321. doi: 10.2196/39321.

    PubMed 36719733

Questions about this trial

What is this clinical trial studying?

A study testing counselling in people with Social Media in Developing Healthy Lifestyle Behaviours in Pregnant Women, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).

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 7 inclusion and 4 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: opening soon, as of the sponsor's last update on 4 Jun 2025. 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 Turkey (Türkiye). 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Özlem Taş, PhD. Candidate (+90 5065876036, zden.tas@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Developing healthy lifestyle behaviours in pregnant women (time frame: 8 weeks). The study lists 3 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 NCT07003971, which also lists 4 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 4 Jun 2025.

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