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Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery

INTRODUCTION: Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and le...

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Autores principales: Abedian, Zahra, Navaee, Maryam, Sani, Hossein Jafari, Ebrahimzadeh, Saeed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441197/
https://www.ncbi.nlm.nih.gov/pubmed/28584829
http://dx.doi.org/10.4103/jehp.jehp_85_15
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author Abedian, Zahra
Navaee, Maryam
Sani, Hossein Jafari
Ebrahimzadeh, Saeed
author_facet Abedian, Zahra
Navaee, Maryam
Sani, Hossein Jafari
Ebrahimzadeh, Saeed
author_sort Abedian, Zahra
collection PubMed
description INTRODUCTION: Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and lecture on primigravida decision about type of delivery. SUBJECTS AND METHODS: In this single-blind clinical trial 67 primigravida, 34–36 week were selected using multi-stage sampling and assigned into two groups randomly. Decision-making (before, 2-week after, and at admission in maternity department) was tested by a questionnaire. In role-playing group, advantages and disadvantages of two type delivery were presented by role-playing in 90-min by three scenarios. In lecture group, it was also presented in a 90-min lecture. Data were analyzed by mean difference test, Fisher test, independent and paired t-test. RESULTS: Two groups showed a significant difference in terms of decision at admission to maternity department (P = 0.000). 75% of lecture group and 100% of role-playing group selected normal delivery. Postintervention knowledge score in lecture group was 18 ± 5.3 and in role-playing group 17.1 ± 4.0. Percent of change in knowledge scores in two groups was significant (P = 0.001). Participants’ attitude, before and after the intervention, in both groups was significant (P < 0.05). Mean difference of pre- and post-test in relation to two groups’ knowledge and attitude scores was not significant (P > 0.05). CONCLUSION: In this research, lecture was more effective in raising knowledge level, and role playing was more effective in raising decision to vaginal delivery and reducing elective caesarean section. It is therefore suggested to use both teaching methods altogether for pregnant women to decrease the rate of unnecessary cesarean.
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spelling pubmed-54411972017-06-05 Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery Abedian, Zahra Navaee, Maryam Sani, Hossein Jafari Ebrahimzadeh, Saeed J Educ Health Promot Original Article INTRODUCTION: Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and lecture on primigravida decision about type of delivery. SUBJECTS AND METHODS: In this single-blind clinical trial 67 primigravida, 34–36 week were selected using multi-stage sampling and assigned into two groups randomly. Decision-making (before, 2-week after, and at admission in maternity department) was tested by a questionnaire. In role-playing group, advantages and disadvantages of two type delivery were presented by role-playing in 90-min by three scenarios. In lecture group, it was also presented in a 90-min lecture. Data were analyzed by mean difference test, Fisher test, independent and paired t-test. RESULTS: Two groups showed a significant difference in terms of decision at admission to maternity department (P = 0.000). 75% of lecture group and 100% of role-playing group selected normal delivery. Postintervention knowledge score in lecture group was 18 ± 5.3 and in role-playing group 17.1 ± 4.0. Percent of change in knowledge scores in two groups was significant (P = 0.001). Participants’ attitude, before and after the intervention, in both groups was significant (P < 0.05). Mean difference of pre- and post-test in relation to two groups’ knowledge and attitude scores was not significant (P > 0.05). CONCLUSION: In this research, lecture was more effective in raising knowledge level, and role playing was more effective in raising decision to vaginal delivery and reducing elective caesarean section. It is therefore suggested to use both teaching methods altogether for pregnant women to decrease the rate of unnecessary cesarean. Medknow Publications & Media Pvt Ltd 2017-05-05 /pmc/articles/PMC5441197/ /pubmed/28584829 http://dx.doi.org/10.4103/jehp.jehp_85_15 Text en Copyright: © 2017 Journal of Education and Health Promotion http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Abedian, Zahra
Navaee, Maryam
Sani, Hossein Jafari
Ebrahimzadeh, Saeed
Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title_full Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title_fullStr Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title_full_unstemmed Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title_short Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
title_sort comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441197/
https://www.ncbi.nlm.nih.gov/pubmed/28584829
http://dx.doi.org/10.4103/jehp.jehp_85_15
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