UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047753
Receipt number R000054441
Scientific Title A single-center, randomized, two-arm study to identify effective nursing support from conception through implementation of a "program to increase self-efficacy with regard to parenting for parents" for pregnant couples expecting their first child.
Date of disclosure of the study information 2022/10/31
Last modified on 2024/05/15 17:56:57

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Basic information

Public title

Study for nursing support using a program to increase self-efficacy regarding parental child care for pregnant couples expecting their first child.

Acronym

Study to increase self-efficacy with respect to parenting to parents.

Scientific Title

A single-center, randomized, two-arm study to identify effective nursing support from conception through implementation of a "program to increase self-efficacy with regard to parenting for parents" for pregnant couples expecting their first child.

Scientific Title:Acronym

Study to increase self-efficacy with respect to parenting to parents.

Region

Japan


Condition

Condition

Selection criteria include generally uncomplicated pregnant couples expecting their first child, including healthy couples.

Classification by specialty

Nursing Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To implement a "program to enhance self-efficacy with regard to child-rearing for parents" (support and evaluation to enhance "child-rearing ability" and promote "development of parental nature") by utilizing the strengths and complementarities of parents from pregnancy to child-rearing period, and to clarify support methods and effectiveness to enhance "self-efficacy with regard to child-rearing" and "self-efficacy as a parent".

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

We will evaluate whether "self-efficacy for child-rearing" and "self-efficacy as a parent" have increased through the program from around 20 weeks of pregnancy to one month postpartum. Specifically, we will evaluate both qualitatively and quantitatively (three different scales: self-efficacy, parenting skills, and parental development) how parents perceive "parenting skills" and "parental development".

Key secondary outcomes

Assess parents' "marital archetypes" (defining three archetypes regarding the division of household and childcare roles) and "parents' strengths" (the strengths of both parents as perceived by the parents) that have increased their self-efficacy.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

A set of face sheets to know the background of the parents, which will be necessary for the two interventions (interviews), will be given to the parents and they will be asked to answer the questions.
As an intervention during the gestational period, interviews are conducted with parents based on a pre-surveyed face sheet. As preparation for child rearing from the gestational period, questions will be asked in accordance with a program designed to enhance "self-efficacy in child rearing" and "self-efficacy as a parent" that promotes a positive view of child rearing and the development of parenthood ["Program to enhance self-efficacy in child rearing for parents"]. The implementation should be done at about 25 weeks' gestation.

Interventions/Control_2

The intervention during the child-rearing period will focus on practical child-rearing, relating it to the child-rearing preparation that has been ongoing since the pregnancy period, since child-rearing has actually begun. Interviews will be conducted with the parents in accordance with the program ["A Program to Increase Parents' Self-Efficacy in Parenting"].
The implementation of the program will be Aimed at the 2-week postpartum checkup.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

40 years-old >=

Gender

Male and Female

Key inclusion criteria

First-time mothers and their husbands between the ages of 20 and 40 years old who generally have no history of complications or psychiatric disorders who agree to the purpose and conduct of the study. Pregnant women should have a normal pregnancy and be about 20 weeks pregnant. Both spouses must be able to speak, read, and write Japanese and plan to raise their child together after discharge from the hospital.

Key exclusion criteria

Exclusion criteria will include couples with an abnormal pregnancy course, physical or mental disabilities, fetal complications, multiple pregnancies, inability to give consent for this research study, or plans to move to a distant location, making it difficult to conduct interviews.
If an unexpected situation occurs after delivery, and the child has a serious illness or is admitted to the NICU, or if a serious situation arises that delays the mother's postpartum recovery, she will be excluded at that time.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kumiko
Middle name
Last name Morita

Organization

Tokyo Medical and Dental University

Division name

Community Health Promotion Nursing, Graduate School of Health Care Sciences

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan

TEL

03-5803-5337

Email

Morita.phn@tmd.ac.jp


Public contact

Name of contact person

1st name Mika
Middle name
Last name Hoki

Organization

Tokyo Medical and Dental University

Division name

Community Health Promotion Nursing, Graduate School of Health Care Sciences

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan

TEL

03-5803-5337

Homepage URL


Email

ns160009@tmd.ac.jp


Sponsor or person

Institute

Tokyo Medical and Dental University

Institute

Department

Personal name



Funding Source

Organization

Yokohama Foundation for Advancement of Medical Science

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Medical Research Ethics Committee of Tokyo Medical and Dental University

Address

1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan

Tel

03-5803-5096

Email

syomu1.adm@tmd.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 10 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

20

Results

20 pairs of parents were recruited and conducted. There were two dropouts, one from the intervention group and one from the control group.
The study found that there was diversity in attitudes towards self-efficacy itself.
The intervention provided an opportunity for parents to share information, discuss issues and consider strategies to resolve them, which in some cases led to a change in thinking among parents.

Results date posted

2024 Year 05 Month 15 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The women are generally first-time mothers and their husbands between the ages of 20 and 40 with no history of complications or mental illness. Pregnant women should have a normal pregnancy, be able to speak, read, and write Japanese, and plan to raise their children together after discharge from the hospital.

Participant flow


Adverse events

not applicable

Outcome measures

These include changes in "self-efficacy for child-rearing" and "parental self-efficacy" between pregnancy and child-rearing. In addition, we will evaluate "parenting skills" and "parental development," which are thought to be related to these self-efficacies.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 08 Month 30 Day

Date of IRB

2022 Year 07 Month 08 Day

Anticipated trial start date

2022 Year 08 Month 31 Day

Last follow-up date

2023 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Knowing self-efficacy with respect to child care from gestational age can predict actual child care implemented during the parenting period.


Management information

Registered date

2022 Year 05 Month 14 Day

Last modified on

2024 Year 05 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054441