Nursing Intervention "EducaTHE" to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.

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Title: Nursing Intervention "EducaTHE" to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.
Alternate Title: Intervención de enfermería "EducaTHE" para mejorar el conocimiento y los comportamientos de autocuidado ante los trastornos hipertensivos en mujeres embarazadas: un estudio piloto controlado aleatorizado.
Intervenção de enfermagem "EducaTHE" para melhorar o conhecimento e os comportamentos de autocuidado frente aos transtornos hipertensivos em gestantes: Um estudo piloto controlado randomizado.
Authors: Ulloa Sabogal, Iliana Milena1 ulloa@uptc.edu.co, Arias Rojas, Mauricio2 emauricio.arias@udea.edu
Source: Investigación & Educación en Enfermería. Jan-Apr2025, Vol. 43 Issue 1, p1-15. 15p.
Subjects: HEALTH literacy, HEALTH self-care, PATIENT selection, EDUCATIONAL outcomes, STATISTICAL sampling, PILOT projects, HUMAN research subjects, PLANNED behavior theory, NURSING interventions, PREGNANT women, RANDOMIZED controlled trials, HYPERTENSION in pregnancy, PRENATAL care, HEALTH education, PATIENT satisfaction
Geographic Terms: COLOMBIA
Abstract (English): Objective. This work sought to determine the feasibility, acceptability, and potential effect of the nursing intervention "Knowledge and self-care behaviors of pregnant women in the face of hypertensive disorders of pregnancy - EducaTHE". Methods. This study is a pilot randomized controlled trial. Sixty pregnant women who were enrolled in the antenatal care program of a health institution participated. They were selected via simple random sampling and assigned to the experimental group (n = 30) and control group (n = 30). The intervention consisted of four educational sessions once a week, while the control group received usual antenatal care. Recruitment, follow-up, and dropout rates were assessed, as well as participant satisfaction. Both groups completed the "Knowledge and Self-Care Behaviors - CoNOCiTHE" and "Determinants of Behavior" scales before and four weeks after the intervention to assess impact. Results. The recruitment rate was 75.94%, 90% at follow-up and 10% dropouts. Overall satisfaction was 4.82 out of 5. The effect of the intervention showed a significant increase in the level of knowledge and behaviors in the experimental group compared to the control group (77 vs. 69; p< 0.001) and in the determinants of behavior (159 vs. 154; p=0.066), and a large effect size (d-Cliff = 0.7517). These changes were not significant in the control group (p≥0.05). Conclusion. This study shows the feasibility and acceptability of the intervention in the maternal population, as well as the potential effect of improving knowledge and self-care behaviors in the face of hypertensive disorders of pregnancy. Therefore, it is recommended to use these types of educational interventions in maternal and perinatal nursing care. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Determinar la factibilidad, aceptabilidad y efecto potencial de la intervención de enfermería "Conocimientos y comportamientos de autocuidado de la mujer embarazada ante los trastornos hipertensivos del embarazo - EducaTHE". Métodos. Este es un estudio piloto controlado aleatorizado. Participaron sesenta mujeres embarazadas inscritas en el programa de atención prenatal de una institución de salud, seleccionadas por muestreo aleatorio simple y asignadas al grupo experimental (n = 30) y grupo control (n = 30). La intervención consistió en cuatro sesiones educativas una vez por semana, mientras el grupo control recibió la atención prenatal habitual. Se evaluaron las tasas de reclutamiento, seguimiento y deserción, así como la satisfacción de las participantes. Ambos grupos diligenciaron las escalas "Conocimientos y comportamientos de autocuidado -- CoNOCiTHE" y "Determinantes del comportamiento" antes y cuatro semanas después de la intervención para evaluar el impacto. Resultados. La tasa de reclutamiento fue del 75.94 %, 90 % en el seguimiento y deserción del 10 %. La satisfacción global fue de 4.82 sobre 5. El efecto de la intervención evidenció un aumento significativo en el nivel de conocimientos y comportamientos en el grupo experimental en comparación con el grupo control (69 vs. 77; p<0.001) y en los determinantes del comportamiento (154 vs. 159; p=0.066), y un tamaño de efecto grande (d-Cliff = 0.7517). Conclusión. Este estudio evidencia la factibilidad y aceptabilidad de una intervención de enfermería en la población materna, y el efecto potencial de mejorar los conocimientos y comportamientos de autocuidado ante los trastornos hipertensivos del embarazo. Por lo que se recomienda utilizar este tipo de intervenciones educativas en el cuidado de enfermería materno perinatal. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Objetivo. Determinar a viabilidade, aceitabilidade e potencial efeito da intervenção de enfermagem "Conhecimento e comportamentos de autocuidado de gestantes frente aos transtornos hipertensivos da gravidez - EducaTHE". Métodos. Este é um estudo piloto controlado randomizado. Participaram sessenta gestantes cadastradas no programa de pré-natal de uma instituição de saúde, selecionadas por amostragem aleatória simples e distribuídas em grupo experimental (n=30) e grupo controle (n=30). A intervenção consistiu em quatro sessões educativas uma vez por semana, enquanto o grupo controle recebeu cuidado pré-natal habitual. Foram avaliadas as taxas de recrutamento, acompanhamento e abandono, bem como a satisfação dos participantes. Ambos os grupos diligenciaram as escalas "Conhecimentos e comportamentos de autocuidado -- CoNOCiTHE" e "Determinantes do comportamento" antes e 4 semanas após a intervenção para avaliar o impacto. Resultados. A taxa de recrutamento foi de 75.94%, 90% em acompanhamento e 10% de abandono. A satisfação geral foi de 4.82 em 5. O efeito da intervenção mostrou um aumento significativo no nível de conhecimento e comportamentos no grupo experimental em comparação com o grupo controle (69 vs. 77; p<0.001) e nos determinantes do comportamento (154 vs. 159; p=0.066) e um grande tamanho de efeito (d-Cliff = 0.7517). Conclusão. Este estudo evidencia a viabilidade e aceitabilidade de uma intervenção de enfermagem na população materna, e o potencial efeito da melhoria do conhecimento e dos comportamentos de autocuidado diante dos transtornos hipertensivos da gravidez. Portanto, recomendase a utilização desse tipo de intervenção educativa na assistência de enfermagem materna e perinatal. [ABSTRACT FROM AUTHOR]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Nursing Intervention &quot;EducaTHE&quot; to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.
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  Data: Intervenci&#243;n de enfermer&#237;a &quot;EducaTHE&quot; para mejorar el conocimiento y los comportamientos de autocuidado ante los trastornos hipertensivos en mujeres embarazadas: un estudio piloto controlado aleatorizado.&lt;br /&gt;Interven&#231;&#227;o de enfermagem &quot;EducaTHE&quot; para melhorar o conhecimento e os comportamentos de autocuidado frente aos transtornos hipertensivos em gestantes: Um estudo piloto controlado randomizado.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ulloa+Sabogal%2C+Iliana+Milena%22&quot;&gt;Ulloa Sabogal, Iliana Milena&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; ulloa@uptc.edu.co&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arias+Rojas%2C+Mauricio%22&quot;&gt;Arias Rojas, Mauricio&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;i&gt; emauricio.arias@udea.edu&lt;/i&gt;
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– Name: Abstract
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  Data: Objective. This work sought to determine the feasibility, acceptability, and potential effect of the nursing intervention &quot;Knowledge and self-care behaviors of pregnant women in the face of hypertensive disorders of pregnancy - EducaTHE&quot;. Methods. This study is a pilot randomized controlled trial. Sixty pregnant women who were enrolled in the antenatal care program of a health institution participated. They were selected via simple random sampling and assigned to the experimental group (n = 30) and control group (n = 30). The intervention consisted of four educational sessions once a week, while the control group received usual antenatal care. Recruitment, follow-up, and dropout rates were assessed, as well as participant satisfaction. Both groups completed the &quot;Knowledge and Self-Care Behaviors - CoNOCiTHE&quot; and &quot;Determinants of Behavior&quot; scales before and four weeks after the intervention to assess impact. Results. The recruitment rate was 75.94%, 90% at follow-up and 10% dropouts. Overall satisfaction was 4.82 out of 5. The effect of the intervention showed a significant increase in the level of knowledge and behaviors in the experimental group compared to the control group (77 vs. 69; p&lt; 0.001) and in the determinants of behavior (159 vs. 154; p=0.066), and a large effect size (d-Cliff = 0.7517). These changes were not significant in the control group (p≥0.05). Conclusion. This study shows the feasibility and acceptability of the intervention in the maternal population, as well as the potential effect of improving knowledge and self-care behaviors in the face of hypertensive disorders of pregnancy. Therefore, it is recommended to use these types of educational interventions in maternal and perinatal nursing care. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Determinar la factibilidad, aceptabilidad y efecto potencial de la intervenci&#243;n de enfermer&#237;a &quot;Conocimientos y comportamientos de autocuidado de la mujer embarazada ante los trastornos hipertensivos del embarazo - EducaTHE&quot;. M&#233;todos. Este es un estudio piloto controlado aleatorizado. Participaron sesenta mujeres embarazadas inscritas en el programa de atenci&#243;n prenatal de una instituci&#243;n de salud, seleccionadas por muestreo aleatorio simple y asignadas al grupo experimental (n = 30) y grupo control (n = 30). La intervenci&#243;n consisti&#243; en cuatro sesiones educativas una vez por semana, mientras el grupo control recibi&#243; la atenci&#243;n prenatal habitual. Se evaluaron las tasas de reclutamiento, seguimiento y deserci&#243;n, as&#237; como la satisfacci&#243;n de las participantes. Ambos grupos diligenciaron las escalas &quot;Conocimientos y comportamientos de autocuidado -- CoNOCiTHE&quot; y &quot;Determinantes del comportamiento&quot; antes y cuatro semanas despu&#233;s de la intervenci&#243;n para evaluar el impacto. Resultados. La tasa de reclutamiento fue del 75.94 %, 90 % en el seguimiento y deserci&#243;n del 10 %. La satisfacci&#243;n global fue de 4.82 sobre 5. El efecto de la intervenci&#243;n evidenci&#243; un aumento significativo en el nivel de conocimientos y comportamientos en el grupo experimental en comparaci&#243;n con el grupo control (69 vs. 77; p&lt;0.001) y en los determinantes del comportamiento (154 vs. 159; p=0.066), y un tama&#241;o de efecto grande (d-Cliff = 0.7517). Conclusi&#243;n. Este estudio evidencia la factibilidad y aceptabilidad de una intervenci&#243;n de enfermer&#237;a en la poblaci&#243;n materna, y el efecto potencial de mejorar los conocimientos y comportamientos de autocuidado ante los trastornos hipertensivos del embarazo. Por lo que se recomienda utilizar este tipo de intervenciones educativas en el cuidado de enfermer&#237;a materno perinatal. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Determinar a viabilidade, aceitabilidade e potencial efeito da interven&#231;&#227;o de enfermagem &quot;Conhecimento e comportamentos de autocuidado de gestantes frente aos transtornos hipertensivos da gravidez - EducaTHE&quot;. M&#233;todos. Este &#233; um estudo piloto controlado randomizado. Participaram sessenta gestantes cadastradas no programa de pr&#233;-natal de uma institui&#231;&#227;o de sa&#250;de, selecionadas por amostragem aleat&#243;ria simples e distribu&#237;das em grupo experimental (n=30) e grupo controle (n=30). A interven&#231;&#227;o consistiu em quatro sess&#245;es educativas uma vez por semana, enquanto o grupo controle recebeu cuidado pr&#233;-natal habitual. Foram avaliadas as taxas de recrutamento, acompanhamento e abandono, bem como a satisfa&#231;&#227;o dos participantes. Ambos os grupos diligenciaram as escalas &quot;Conhecimentos e comportamentos de autocuidado -- CoNOCiTHE&quot; e &quot;Determinantes do comportamento&quot; antes e 4 semanas ap&#243;s a interven&#231;&#227;o para avaliar o impacto. Resultados. A taxa de recrutamento foi de 75.94%, 90% em acompanhamento e 10% de abandono. A satisfa&#231;&#227;o geral foi de 4.82 em 5. O efeito da interven&#231;&#227;o mostrou um aumento significativo no n&#237;vel de conhecimento e comportamentos no grupo experimental em compara&#231;&#227;o com o grupo controle (69 vs. 77; p&lt;0.001) e nos determinantes do comportamento (154 vs. 159; p=0.066) e um grande tamanho de efeito (d-Cliff = 0.7517). Conclus&#227;o. Este estudo evidencia a viabilidade e aceitabilidade de uma interven&#231;&#227;o de enfermagem na popula&#231;&#227;o materna, e o potencial efeito da melhoria do conhecimento e dos comportamentos de autocuidado diante dos transtornos hipertensivos da gravidez. Portanto, recomendase a utiliza&#231;&#227;o desse tipo de interven&#231;&#227;o educativa na assist&#234;ncia de enfermagem materna e perinatal. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.17533/udea.iee.v43n1e14
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 15
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    Subjects:
      – SubjectFull: HEALTH literacy
        Type: general
      – SubjectFull: HEALTH self-care
        Type: general
      – SubjectFull: PATIENT selection
        Type: general
      – SubjectFull: EDUCATIONAL outcomes
        Type: general
      – SubjectFull: STATISTICAL sampling
        Type: general
      – SubjectFull: PILOT projects
        Type: general
      – SubjectFull: HUMAN research subjects
        Type: general
      – SubjectFull: PLANNED behavior theory
        Type: general
      – SubjectFull: NURSING interventions
        Type: general
      – SubjectFull: PREGNANT women
        Type: general
      – SubjectFull: RANDOMIZED controlled trials
        Type: general
      – SubjectFull: HYPERTENSION in pregnancy
        Type: general
      – SubjectFull: PRENATAL care
        Type: general
      – SubjectFull: HEALTH education
        Type: general
      – SubjectFull: PATIENT satisfaction
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      – SubjectFull: COLOMBIA
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    Titles:
      – TitleFull: Nursing Intervention "EducaTHE" to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.
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              M: 01
              Text: Jan-Apr2025
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              Y: 2025
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