A Hope-Fostering Counseling Program to Promote Psychological Well-being Among Post-Abortion Primigravida Mothers: A Pilot Intervention Development and Feasibility Study

University of Jordan8 enrolled

Overview

This study aims to investigate the feasibility of a hope-fostering counseling program among post-abortion primigravida mothers. The counseling program is composed of 6 counseling sessions based on individualized discussion. The program's content was built on Snyder's hope theory.

This was a quasi-experimental study with a one-group pretest-posttest design. The researcher assessed the participants' psychological well-being using the Arabic version of the Ryff Psychological Well-Being Questionnaire (PWB-18) and assessed their hope level using the Arabic version of the Adult Dispositional Hope Scale (ADHS) three times across three sittings: at recruitment, after their first session, and at the end of the sixth session. The counseling program was provided by a registered midwife who was qualified through a basic counseling course. Three sessions, the 1st, 3rd, and 5th sessions, were provided for the mothers at the midwife clinic in the selected healthcare centers, and three sessions were a phone calling module with the mothers.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Psychological Well-being Hope Level Post-abortion

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 35 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinical diagnosis of missed or incomplete abortion for the first time with a low-risk pregnancy. * Proficiency in Arabic * A baseline ADHS score below 21 or a baseline PWB-18 score below 36 is required. * Willingness to participate and share personal experiences. Exclusion Criteria: * Clinical diagnosis with various types of abortion. * Mothers deemed mentally incompetent as documented in patient records.

Outcomes

Primary Outcomes

Arabic version of The Ryff's Psychological Well-Being Scale (PWB-18)

PWB-18 consists of 18 items assessing psychological well-being over the previous four weeks across six subscales: autonomy, environmental mastery, self-acceptance, personal growth, positive relations, and purpose in life. Each subscale contains three items rated on a 1-6 Likert scale, which is a common rating system used in surveys where respondents indicate their level of agreement or frequency, with higher scores reflecting greater psychological well-being.

Time frame: • Baseline. • 3rd Week. • 6th week.

The Arabic version of The Adult Dispositional Hope Scale (ADHS)

ADHS measures hope with 12 items, including four distractor items. The scale evaluates two components, agency and pathways, each assessed by four items rated on a 1-8 Likert scale, with higher scores indicating greater hope.