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Pregnancy-Related Anxiety (PrA)PCYCARE-RCTNCT07229989

Pregnancy Care Digital Intervention for Maternal Anxiety in the Third Trimester (PCYCARE-RCT)

A study testing PCYCARE Digital Self-Care Program and Routine Antenatal Care in people with Pregnancy-Related Anxiety (PrA) and Anxiety, run by Lincoln University College Malaysia at 1 site in Indonesia.

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

The goal of this clinical trial is to evaluate whether a digital self-care intervention (PCYCARE) can reduce pregnancy-related anxiety and improve biopsychosocial adaptation among third-trimester pregnant women. The main questions it aims to answer are: 1. Read more about this study

Who is it for?
Ages 20 to 35 years, women only
Conditions the study is for
Pregnancy-Related Anxiety (PrA), Anxiety
What is being tested?
PCYCARE Digital Self-Care Program and Routine Antenatal Care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteIndonesia
Study dates
18 Sep 2025to 30 Dec 2025
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 20 to 35 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Pregnant women aged 20-35 years
  • Gestational age between 28 and 35 weeks (third trimester)
  • Primigravida
  • Able to read and understand the language used in the PCYCARE platform
  • Owns a smartphone or digital device with internet access
  • Willing to participate and provide informed consent

Who cannot join

  • High-risk pregnancy requiring intensive medical care
  • Severe psychiatric or cognitive disorders that may interfere with participation
  • Participation in another intervention or educational program that may affect study outcomes

Trial locations and contacts

1 site in 1 country.

Indonesia1 site
  • Primary Health Center

    Semarang, Central Java, 50009

Other trials in Indonesia

About this study

Official title: Effectiveness of a Pregnancy Care Digital Self-Care Intervention on Maternal Anxiety in the Third Trimester Within a Biopsychosocial Adaptation Framework: A Randomized Controlled Trial

The goal of this clinical trial is to evaluate whether a digital self-care intervention (PCYCARE) can reduce pregnancy-related anxiety and improve biopsychosocial adaptation among third-trimester pregnant women.

The main questions it aims to answer are:

Read more
  1. Does the PCYCARE digital program reduce pregnancy-related anxiety in third-trimester pregnant women?
  2. Does the intervention improve maternal knowledge, childbirth preparedness, and sleep quality?

Researchers will compare participants who receive the PCYCARE digital program with those who receive routine antenatal care to determine the effectiveness of the intervention.

Participants will:

  1. Use the PCYCARE mobile-based program for 21 days, which includes educational modules and guided audio relaxation sessions
  2. Complete two sessions per day (education and relaxation), each lasting approximately 10-15 minutes
  3. Complete questionnaires at baseline and after the intervention to assess anxiety, sleep quality, maternal knowledge, and childbirth preparedness
Read the detailed description

Background:

Pregnancy-related anxiety is a common psychological condition during the third trimester and is associated with adverse maternal and neonatal outcomes, including preterm birth, shortened gestation, and impaired maternal-infant adaptation. Unlike generalized anxiety, pregnancy-related anxiety reflects condition-specific concerns related to fetal health, childbirth, and readiness for motherhood. Emerging evidence indicates that pregnancy-related anxiety is influenced by interconnected cognitive, psychosocial, and physiological mechanisms. Maternal knowledge contributes to cognitive appraisal and perceived control, childbirth preparedness reflects psychosocial readiness, and sleep quality represents a key physiological regulator of emotional stability. These domains interact dynamically, suggesting that pregnancy-related anxiety can be understood as a biopsychosocial adaptation process. Despite increasing use of digital health interventions in maternal care, many existing applications focus on single outcomes and lack theoretical integration across these domains. Therefore, there is a need for structured digital interventions that simultaneously address cognitive, psychosocial, and physiological pathways.

Intervention Overview:

This study evaluates PCYCARE, a digital self-care program designed to support integrated maternal adaptation during late pregnancy. The intervention consists of:

  1. educational modules aimed at improving maternal knowledge and childbirth preparedness (cognitive and psychosocial domains), and
  2. guided audio relaxation sessions aimed at supporting emotional regulation and improving sleep quality (physiological domain).

Participants are instructed to complete two sessions per day (education and relaxation), each lasting approximately 10-15 minutes, over a 21-day intervention period.

Study Objectives:

The primary objective of this study is to evaluate the effectiveness of the PCYCARE digital intervention in reducing pregnancy-related anxiety among third-trimester pregnant women.

Secondary objectives are to evaluate improvements in maternal knowledge, childbirth preparedness, and sleep quality, and to examine how these variables interact within a biopsychosocial adaptation model.

Study Design:

This study employs an individual randomized controlled trial (RCT) with a pretest-posttest design. Participants are randomly assigned in a 1:1 ratio to either the intervention group or the control group using stratified block randomization.

Study Population:

The study population consists of primigravida women in the third trimester of pregnancy (28-35 weeks of gestation) recruited from primary health centers.

Comparator:

Participants in the control group receive routine antenatal care without access to the PCYCARE digital intervention.

Outcomes and Biopsychosocial Model:

The study includes four key measured variables:

  1. Pregnancy-related anxiety (primary outcome)
  2. Sleep quality (secondary outcome; physiological domain)
  3. Maternal knowledge (secondary outcome; cognitive domain)
  4. Childbirth preparedness (secondary outcome; psychosocial domain)

All variables are measured at baseline and after the 21-day intervention using validated instruments.

This study is guided by a digital biopsychosocial adaptation model in which:

  1. Cognitive adaptation (maternal knowledge) enhances understanding and perceived control
  2. Psychosocial adaptation (childbirth preparedness) supports readiness and coping
  3. Physiological regulation (sleep quality) stabilizes emotional responses

Within this model, sleep quality is hypothesized to function as a central pathway linking cognitive and psychosocial improvements to reductions in pregnancy-related anxiety.

Significance:

This study provides evidence for a theory-driven digital self-care intervention that integrates cognitive, psychosocial, and physiological mechanisms. The findings are expected to inform scalable strategies for improving maternal mental health and childbirth preparedness, particularly in resource-limited settings.

Being tested
PCYCARE Digital Self-Care Program, Routine Antenatal Care
Keywords
pregnancy-related anxiety, digital self-care intervention, maternal knowledge, childbirth preparedness, sleep quality, biopsychosocial model, mobile health (mHealth)
Medical subject headings
Anxiety Disorders, Sleep Initiation and Maintenance Disorders

What participants receive

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

  • PCYCARE Digital Self-Care ProgramBehavioural

    Also called Pregnancy Care App, Digital Pregnancy Self-Care Intervention

    PCYCARE is a mobile-based digital self-care intervention designed for third-trimester pregnant women. The program integrates two main components: (1) structured educational modules aimed at improving maternal knowledge and childbirth preparedness (cognitive and psychosocial domains), and (2) guided audio relaxation sessions designed to support emotional regulation and improve sleep quality (physiological domain). Participants are instructed to engage with the program twice daily for 21 days, completing both educational and relaxation sessions. Each session lasts approximately 10-15 minutes. The intervention is designed to support integrated biopsychosocial adaptation and reduce pregnancy-related anxiety.

  • Routine Antenatal CareOther

    Participants receive routine antenatal care according to local clinical practice guidelines. Standard care includes regular antenatal check-ups, basic maternal health education, and routine monitoring of pregnancy. No additional digital self-care intervention or structured program is provided during the study period.

Study groups in NCT07229989
Study groupRoleWhat they receive
Intervention GroupExperimentalArm Type: Experimental Arm Name: PCYCARE Intervention Group Description: Participants in this group receive the PCYCARE digital self-care program for 21 days. The program consists of two components: 1. educational modules aimed at improving maternal knowledge and childbirth preparedness, and 2. guided audio relaxation sessions designed to support emotional regulation and improve sleep quality. Participants are instructed to complete two sessions per day (education and relaxation), each lasting approximately 10-15 minutes.
Receives: Behavioral: PCYCARE Digital Self-Care Program
Routine Antenatal Care Group (control)Active comparatorArm Type: Active Comparator Arm Name: Routine Antenatal Care Group Description: Participants in this group receive routine antenatal care without access to the PCYCARE digital intervention. Standard care includes regular antenatal check-ups, health education, and routine maternal monitoring according to local clinical guidelines.
Receives: Other: Routine Antenatal Care

What is being measured

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

  1. Change in Pregnancy-Related Anxiety

    Pregnancy-related anxiety is assessed using the Late Pregnancy Anxiety Scale-Indonesian Version (LPAS-ID), an 8-item Likert-type scale. Each item is rated on a 4-point scale, with higher total scores indicating greater levels of anxiety. The outcome is defined as the change in total score from baseline to post-intervention.

    Measured: Baseline and 21 days (post-intervention)

Secondary outcomes (3)
  1. Change in Sleep Quality

    Sleep quality is assessed using the Maternal Sleep Quality Index for the Third Trimester - Indonesian Version (MSQI-T3-ID), an 8-item self-report instrument. Higher total scores indicate poorer sleep quality. The outcome is defined as the change in total score from baseline to post-intervention.

    Measured: Baseline and 21 days (post-intervention)

  2. Change in Maternal Knowledge

    Maternal knowledge is assessed using the Third Trimester Pregnancy Knowledge Questionnaire (TPKQ), a 10-item multiple-choice instrument. Each correct response is scored as 1 and incorrect responses as 0, with higher scores indicating greater knowledge. The outcome is defined as the change in total score from baseline to post-intervention.

    Measured: Baseline and 21 days (post-intervention)

  3. Change in Childbirth Preparedness

    Childbirth preparedness is assessed using the Childbirth Readiness Questionnaire (CRQ), a 9-item Likert-type scale. Higher total scores indicate greater preparedness for childbirth. The outcome is defined as the change in total score from baseline to post-intervention.

    Measured: Baseline and 21 days (post-intervention)

Timeline

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

  1. First posted17 Nov 2025
  2. Study start18 Sep 2025
  3. Primary completion20 Sep 2025
  4. Study completion30 Dec 2025

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is an individual randomized controlled trial (RCT) with a pretest-posttest design. Participants are randomly assigned in a 1:1 ratio using stratified block randomization into two parallel groups: an intervention group receiving the PCYCARE digital self-care program for 21 days, and a control group receiving routine antenatal care. The study evaluates the effectiveness of the intervention in improving maternal knowledge, childbirth preparedness, sleep quality, and reducing pregnancy-related anxiety.
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07229989
Sponsor's protocol ID
LUC_02_Jannah
Other IDs
LUC_02_Jannah
Acronym
PCYCARE-RCT
Status last verified
Apr 2026
First submitted
29 Sep 2025
Last updated
7 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The individual participant data (IPD) collected during this study will not be shared with other researchers outside the study team. This decision is based on considerations of participant confidentiality, ethical approval limitations, and the scope of the current research. All data will be used solely for the purposes of this study and will remain under the control of the principal investigator and affiliated institution.

Publications

  • Jannah, N., & Selvarajh, G. (2026). Late-pregnancy anxiety as a distinct multidimensional construct: Psychometric evidence from a community-based sample. Science Midwifery, 13(6), 1562-1570

  • Jannah, N., Selvarajh, G., & Lestari, S. (2025). Feasibility and Acceptability of PcyCare: A Self-Directed Digital Platform for Maternal Health Literacy and Emotional Support. International Journal of Nursing Information, 4(2), 12-22.

Questions about this trial

What is this clinical trial studying?

A study testing PCYCARE Digital Self-Care Program and Routine Antenatal Care in people with Pregnancy-Related Anxiety (PrA) and Anxiety, run by Lincoln University College Malaysia at 1 site in Indonesia.

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 6 inclusion and 3 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 7 Apr 2026. 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 Indonesia. 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?

Change in Pregnancy-Related Anxiety (time frame: Baseline and 21 days (post-intervention)). 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 NCT07229989, which also lists 2 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 7 Apr 2026.

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