1. Objective: To evaluate the effectiveness of the Pregnancy Care mobile application in improving maternal knowledge and reducing anxiety in preparation for childbirth, through an educational and holistic therapy-based approach. 2. Key Questions: 1. Can the Pregnancy Care app improve pregnant women's knowledge about pregnancy and childbirth preparation? 2. Is the app effective in reducing anxiety levels among pregnant women before delivery? 3. What are the changes in knowledge and anxiety levels before and after the intervention in the group using the app compared to the control group? 3. Procedure: This study uses a quasi-experimental design with a pre-test and post-test approach involving two groups: 1. Intervention group: Participants will use the Pregnancy Care app for one week. The app includes educational content on physical and emotional changes during pregnancy, nutritional and activity needs, and childbirth preparation. It also features holistic therapy components such as antenatal yoga, acupressure, guided relaxation, meditation, self-hypnosis, mindfulness, deep breathing, journaling, and hope-based affirmations. 2. Control group: Participants will receive standard education without using the app. Measurements will be taken before and after the intervention using validated questionnaires to assess knowledge and anxiety levels. The data will be analyzed to determine the effectiveness of the app in enhancing maternal readiness for childbirth
Background: Anxiety before childbirth is a common issue among pregnant women and can negatively affect the delivery process and maternal-infant health. Adequate knowledge and psychological support are essential to help mothers feel more prepared and confident. Study Purpose: To develop and evaluate the Pregnancy Care mobile application as a digital intervention aimed at improving maternal knowledge and reducing anxiety through educational content and holistic therapy. App Content: The Pregnancy Care app integrates: Educational modules covering: Physical and emotional changes during pregnancy Nutritional and activity needs Stages of labor and delivery Pain management and breathing techniques Postpartum care and breastfeeding Holistic therapy features: Body: Antenatal yoga, acupressure, massage points Mind: Guided relaxation, meditation, self-hypnosis, mindfulness, deep breathing Soul: hope affirmations, spiritual and motivational content Study Design: A quasi-experimental design with two groups: Intervention group: Uses the pcycare for 21 day Control group: Receives standard education without the pcycare Measurement and Analysis: Pre-test and post-test assessments are conducted using validated questionnaires to measure maternal knowledge and anxiety levels. Data are analyzed to determine the effectiveness of the app in improving childbirth preparedness.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
The Pregnancy Care App is a mobile-based self-learning platform designed to improve maternal knowledge and reduce anxiety before childbirth. It includes educational modules on pregnancy and labor preparation, as well as holistic therapy features such as antenatal yoga, acupressure, guided relaxation, meditation, self-hypnosis, mindfulness, deep breathing, journaling, and hope-based affirmations. Participants in the intervention group will use the app for two week.
Disctrict
Semarang, Central Java, Indonesia
Change in maternal knowledge about pregnancy care
Maternal knowledge about pregnancy care will be evaluated as a primary outcome in this study. The assessment will utilize the Pregnancy Knowledge Questionnaire (TPKQ):, a structured instrument consisting of 10 multiple-choice questions that cover essential topics such as nutrition during pregnancy, recognition of danger signs, antenatal care practices, and birth preparedness. Each correct answer is scored as 1, while incorrect answers receive a score of 0, resulting in a total score range of 0 to 10. The questionnaire has been tested for validity, with a Pearson correlation coefficient (r) \> 0.361, indicating all items are valid. Reliability testing using Cronbach's Alpha yielded 0.81, confirming that the instrument is highly reliable.
Time frame: 21 days interventions
Change in maternal anxiety levels during pregnancy
Maternal anxiety during pregnancy will be assessed using the Late Pregnancy Anxiety Scale (LPAS-ID) questionnaire, consisting of 8 items measured on a 4-point Likert scale (1 = Never, 2 = Rarely, 3 = Often, 4 = Very Often), resulting in a total score range of 8 to 32. The PRAS questionnaire demonstrated good validity (r \> 0.361) and high reliability (Cronbach's Alpha = 0.85).
Time frame: Baseline and 21 days intervention
Change in birth preparedness among pregnant women
Birth preparedness will be assessed using the Childbirth Readiness Questionnaire (CRQ), a 8-item questionnaire rated on a 4-point Likert scale (1 = Never, 2 = Rarely, 3 = Often, 4 = Very Often) with total scores ranging from 8 to 32. This instrument assesses the physical, mental, and informational readiness of pregnant women for childbirth. The CRQ questionnaire has strong validity (r \> 0.361) and excellent reliability (Cronbach's Alpha = 0.82).
Time frame: 21 days intervention
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