Women’s Health Bulletin

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Authorship Rules and Regulations

Indexing and Abstracting

Peer Review Process

Forms

Predictive Power Evaluation of the Theory of Planned Behavior on Pregnant Women’s Intention to Neonatal Care

Document Type : Research Article

Authors

1 Research Committee, Department of Health Education, Faculty of Health, Arak University of Medical Sciences, Arak, Iran

2 Associate Professor, Department of Health Education, Faculty of Health, Arak University of Medical Sciences, Arak, Iran

3 Professor, Department of Health Education, Faculty of Health, Arak University of Medical Sciences, Arak, Iran

4 Assistant Professor, Department of Epidemiology, Faculty of Health, Arak University of Medical Sciences, Arak, Iran

Abstract

Background: Considering the fact that neonatal are the most susceptible group against different kinds of disease, the present study aimed to evaluate the predictive power of the theory of planned behavior on the intention of pregnant women to neonatal care.
Methods: In this cross-sectional study, 100 pregnant women were selected in their trimester of pregnancy via random sampling in health centers of Arak in 2019. Data was collected using a questionnaire and interviews with pregnant women. The questionnaire included demographic characteristics of the mothers and the theory of planned behavior construct. The data were analyzed via Pearson correlation and linear regression.
Results: The average age was 26.12±4.9 years and their marriage age were 3.9±2.7 years. There was a close correlation between perceived behavioral control and behavioral intention (r=0.40; p <0.001). Over 40% of the pregnant women were found not to have enough overall neonatal care-associated knowledge. The mothers who were better prepared for parenting tended to have a higher level of schooling, perceived control behavior, and knowledge. Regression analysis revealed that the constructs of the theory of planned behavior predicted variance of 32% in intention. Perceived behavioral control and knowledge were the most significant predictors of the intention to neonatal care (p <0.001).
Conclusions: This study supports the predictive ability of the theory of planned behavior for neonatal care; therefore, the design of educational intervention should be based on intention and knowledge as the most important predictors of maternal behavior.

Keywords

References
1-Willcox ML, Price J, Scott S, Nicholson BD, Stuart B, Roberts NW, et al. Death audits and reviews for reducing maternal, perinatal and child mortality. Cochrane Database Syst Rev. 2020;25(3):CD012982. doi: 10.1002/14651858.CD012982.pub2. PubMed PMID: 32212268; PubMed Central PMCID: PMC 7093891. ## 2. WHO. WHO recommendations on home-based records for maternal, newborn and child health. Geneva: World Health Organization; 2018. ## 3. UNICEF. Levels and trends in child mortality; estimates developed by the UN inter-agency group for child mortality estimation. New York: UNICEF; 2017. ## 4-Soori H, Rafiei E, Entezami N, Hasani J, Hossaini M. A Comparison Study on Rate and Causes of Under 5 Years Old Deaths in Iran, Eastern Mediterranean Region and the World. Journal of Safety Promotion and Injury Prevention. 2016;4(1):1-8. Persian. ## 5-WHO. World health statistics 2014. Geneva: World Health Organization; 2014. Available from: http://www.who.int/gho/publications/world_health_statistics/2014/en/.## 6-Shobeiri F, Doosti F, Oshvandi K, Soltanian A, Rabie S. The Effect of Educative Intervention on Preeclamptic Women on their Newborn's Health: A Randomized Clinical Trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2015;22(4):72-79. ## 7-Williamson S, McGrath JM. Neonatal Nurses' Self-reported Practices, Knowledge, and Attitudes Toward Use of Maternal Voice for Preterm Infants. Adv Neonatal Care. 2020;20(5):415-422. doi: 10.1097/ANC.0000000000000715. PubMed PMID: 32868592. ## 8-Welay FT, Kassa NA, Gebremeskel GA, Assefa NE, Mengesha MB, Weldemariam MG, et al. Knowledge of neonatal danger signs and associated factors among mothers who gave birth during the last 4 months while attending immunization services in Harar town public health facilities, Ethiopia, 2017. BMC Res Notes. 2019;12(1):651. doi: 10.1186/s13104-019-4677-2. PubMed PMID: 31601235; PubMed Central PMCID: PMC6785929. ## 9-Williams L, I'Anson J, Malarkey M, Purcell A, de Vries N, McKinlay C. Information sharing in neonatal intensive care: Parental perceptions and preferences. J Paediatr Child Health. 2020;56(7):1121-1125. doi: 10.1111/jpc.14842. PubMed PMID: 32129561. ## 10- Mozafari S, Shamsi M, Roozbahani N, Ranjbaran M. The Effect of Theory-Based Education on the Promotion of Preventive Behavior Among Mothers, Concerning the Self-Medication for Children. Arch Pediatr Infect Dis. 2019;7(2):e64109. doi: 10.5812/pedinfect.64109. ## 11-Togoobaatar G, Ikeda N, Ali M, Sonomjamts M, Dashdemberel S, Mori R, et al. Survey of non-prescribed use of antibiotics for children in an urban community in Mongolia. Bull World Health Organ. 2010;88(12):930–936. PubMed PMID: 21124718; PubMed Central PMCID: PMC2995192. ## 12- Carlsen K, Jakobsen C, Houen G, Kallemose T, Paerregaard A, et al. Self-managed eHealth Disease Monitoring in Children and Adolescents with Inflammatory Bowel Disease: A Randomized Controlled Trial. Inflamm Bowel Dis. 2017;23(3):357-365. doi: 10.1097/MIB.0000000000001026. PubMed PMID: 28221247. ## 13- Obimbo E, Musoke RN, Were F. Knowledge, attitudes and practices of mothers and knowledge of health workers regarding care of the newborn umbilical cord. East Afr Med J. 1999;76(8):425-9. PubMed PMID: 10520346. ## 14-Nigatu SG, Worku AG, Dadi AF. Level of mother's knowledge about neonatal danger signs and associated factors in North West of Ethiopia: a community based study. BMC Res Notes. 2015;8:309. doi: 10.1186/s13104-015-1278-6. PubMed PMID: 26188481; PubMed Central PMCID: PMC4506763. ## 15-Singh DR, Harvey CM, Bohara P, Nath D, Singh S, Szabo S, Karki K. Factors associated with newborn care knowledge and practices in the upper Himalayas. PLoS One. 2019;14(9):e0222582. doi: 10.1371/journal.pone.0222582. PubMed PMID: 31525242; PubMed Central PMCID: PMC 6746396. ## 16- Ahmadi Z, Shamsi M, Roozbahani N, Moradzadeh R. The effect of educational intervention program on promoting preventive behaviors of urinary tract infection in girls: a randomized controlled trial. BMC Pediatr. 2020;20(1):79. doi: 10.1186/s12887-020-1981-x. PubMed PMID: 32075612; PubMed Central PMCID: PMC7029567. ## 17- Jalali M, Shamsi M, Roozbahani N, Kabir K. The effect of education based on the theory of planned behavior in promoting preventive behaviors of urinary tract infections in pregnant women. Pars Journal of Medical Sciences. 2014;12(3):49-57. Persian. ## 18-Ghasemi M, Dehdari T, Mohagheghi P, Gohari MR. The effect of educational intervention based on theory of planned behavior (TPB) for improving method of care of premature infant by mother. RJMS. 2014;20(115):39-48. Persian. ## 19-Ajzen I, Czasch C, Flood MG. From Intentions to Behavior: Implementation Intention, Commitment, and Conscientiousness. Journal of Applied Social Psychology. 2009;39(6):1356–72. ## 20-Shrestha S, Adachi K, Petrini MA, Shuda A, Shrestha S. Nepalese primiparous mothers' knowledge of newborn care. Nurs Health Sci. 2015;17(3):347-53. doi: 10.1111/nhs.12193. PubMed PMID: 25923293. ## 21- Schaaf JM, Liem SMS, Mol BWJ, Abu-Hanna A, Ravelli ACJ. Ethnic and racial disparities in the risk of preterm birth: a systematic review and meta-analysis. Am J Perinatol. 2013;30(6):433–50. doi: 10.1055/s-0032-1326988. PubMed PMID: 23059494. ## 22- Manuck TA. Racial and ethnic differences in preterm birth: a complex, multifactorial problem. Semin Perinatol. 2017;41(8):511–518. doi: 10.1053/j.semperi.2017.08.010. PubMed PMID: 28941962; PubMed Central PMCID: PMC6381592. ## 23-Memon J, Holakouie-Naieni K, Majdzadeh R, Yekaninejad MS, Garmaroudi G, Raza O, et al. Knowledge, attitude, and practice among mothers about newborn care in Sindh, Pakistan. BMC Pregnancy Childbirth. 2019;19(1):329. doi: 10.1186/s12884-019-2479-0. PubMed PMID: 31492146; PubMed Central PMCID: PMC6729052. ## 24- Rempel LA, Rempel JK, Moore KC. Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern Child Nutr. 2017;13(3):e12337. doi: 10.1111/mcn.12337. PubMed PMID: 27460557; PubMed Central PMCID: PMC6865933. ## 25- Yahyavi Koochaksaraei F, Nasiri Amri F, Fateri N. The reliationship between participation in childbirth reparation classes and breastfeeding. Payesh. 2017;16(2):201-209. Persian. ## 26-Deng Q, Zhang Y, Li Q, Wang H, Xu X. Factors that have an impact on knowledge, attitude and practice related to kangaroo care: National survey study among neonatal nurses. J Clin Nurs. 2018;27(21-22):4100-4111. doi: 10.1111/jocn.14556. PubMed PMID: 29893432. ## 27- Amegan-Aho KH, Segbefia CI, Glover NDO, Ansa GA, Afaa TJ. Neonatal Jaundice: awareness, perception and preventive practices in expectant mothers. Ghana Med J. 2019;53(4):267-272. doi: 10.4314/gmj.v53i4.3. PubMed PMID: 32116337; PubMed Central PMCID: PMC7036439. ## 28-Goodman OO, Kehinde OA, Odugbemi BA, Femi-Adebayo TT, Odusanya OO. Neonatal Jaundice: Knowledge, Attitude and practices of mothers in Mosan-Okunola community, Lagos, Nigeria. Niger Postgrad Med J. 2015;22(3):158-63. doi: 10.4103/1117-1936.170741. PubMed PMID: 26739202. ## 29- Tsegay Gebru T. Knowledge and practice of immediate new-born care among midwives in central zone public health facilities, Tigray, Ethiopia: cross sectional study. BMC Research Notes. 2019;12. ## 30- Negussie BB, Hailu FB, Megenta AD. Knowledge and practice of essential newborn care and associated factors among nurses and midwives working at health centers in Jimma zone, Ethiopia, 2016. J Nurs Care. 2018;7:1. doi: 10.4172/2167-1168.1000446. ## 31- Ayiasi RM, Criel B , Orach CG , Nabiwemba E, Kolsteren P. Primary healthcare worker knowledge related to prenatal and immediate newborn care: a cross sectional study in Masindi, Uganda. BMC Health Serv Res. 2014;14:65. doi: 10.1186/1472-6963-14-65. PubMed PMID: 24511880; PubMed Central PMCID: PMC3931348. ## 32- Chhetri BT, Bhandari SS, Karna BK, Chaudhary R, Yadav U. Newborn Care Practices at Home among Mothers of Neonates Admitted with Sepsis. J Nepal Health Res Counc. 2019;17(2):178-184. doi: 10.33314/jnhrc.v0i0.1628. PubMed PMID: 31455931. ## 33-Memon Z, Khan MI, Soofi S, Muhammad S, Bhutta ZA. A cross sectional survey of newborn care practices in rural Sindh, Pakistan: implications for research and policy. J Neonatal-Perinatal Med. 2013;6(2):137–44. doi: 10.3233/NPM-1366712. PubMed PMID: 24246516. ## 34-Penfold S, Hill Z, Mrisho M, Manzi F, Tanner M, Mshinda H, Schellenberg D, Schellenberg JRMA. A large cross-sectional community based study of newborn care practices in southern Tanzania. PLoS One. 2010;5(12):e15593. doi: 10.1371/journal.pone.0015593. PubMed PMID: 21203574; PubMed Central PMCID: PMC3006340. ## 35-Mrayan L, Abujilban S, Abuidhail J, Alshraifeen A. Traditional neonatal care practices in Jordan: A qualitative study. Nurs Health Sci. 2018;20(4):486-493. doi: 10.1111/nhs.12540. PubMed PMID: 29947465. ## 36-Arabiat DH, Whitehead L, Al Jabery M, Towell-Barnard A, Shields L, Abu Sabah E. Traditional methods for managing illness in newborns and infants in an Arab society. Int Nurs Rev. 2019;66(3):329-337. doi: 10.1111/inr.12505. PubMed PMID: 30843192. ## 37-Andre K, Gavrilov V, Graham S, Scheck SM, Chandler A, Hunter K, et al. Influential factors in patient uptake of influenza vaccination during pregnancy; a survey-based audit in a tertiary hospital setting. N Z Med J. 2019;132(1506):42-51. PubMed PMID: 31778371. ## 38-Wang X, Chen D, Xie T, Zhang W. Predicting women's intentions to screen for breast cancer based on the health belief model and the theory of planned behavior. J Obstet Gynaecol Res. 2019;45(12):2440-2451. doi: 10.1111/jog.14109. PubMed PMID: 31475426. ## 39-Sun X, Guo Y, Wang S, Sun J. Predicting iron-fortified soy sauce consumption intention: application of the theory of planned behavior and health belief model. J Nutr Educ Behav. 2006;38(5):276-85. doi: 10.1016/j.jneb.2006.04.144. PubMed PMID: 16966048. ## 40-Darabi F, Yaseri M, Kaveh MH, Khalajabadi Farahani F, Majlessi F, Shojaeizadeh D. The Effect of a Theory of Planned Behavior-based Educational Intervention on Sexual and Reproductive Health in Iranian Adolescent Girls: A Randomized Controlled Trial. J Res Health Sci. 2017;17(4):e00400. PubMed PMID: 29233954. ##
Women’s Health Bulletin
Volume 8, Issue 4 - Serial Number 31
October 2021
Pages 228-237
Files
Share
How to cite
Statistics