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Affirmation-Based Information for Stress Reduction in High-Risk Pregnancy

Effect of Affirmation-Based Information on Stress and Intolerance of Uncertainty in High-Risk Pregnant Women Admitted to the Emergency Department: A Randomized Controlled Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07407322
Enrollment
102
Registered
2026-02-12
Start date
2024-07-01
Completion date
2025-01-31
Last updated
2026-02-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

High-risk Pregnancy

Brief summary

This study examined whether providing affirmation-based information to high-risk pregnant women admitted to the obstetrics emergency department could reduce stress levels and intolerance of uncertainty. High-risk pregnancy can be emotionally challenging, especially in emergency settings, and supportive communication may help women cope with stress during this period. In this randomized controlled trial, pregnant women diagnosed with high-risk pregnancy were assigned either to an intervention group that received routine emergency care along with verbal information and positive affirmation statements, or to a control group that received routine emergency care and verbal information only. Stress levels and intolerance of uncertainty were measured before and after the intervention using validated assessment tools. The findings of this study aim to contribute to evidence-based supportive care practices in obstetric emergency settings and to inform health care professionals about non-pharmacological approaches to improving emotional well-being in high-risk pregnant women.

Interventions

BEHAVIORALAffirmation + Information Group

Pregnant women received routine emergency obstetric care, structured verbal information about the emergency unit and their current condition, followed by affirmation statements delivered verbally in a calm and supportive tone during non-stress test monitoring.

Sponsors

Nilgun Avci
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Women aged 18 years and older * Gestational age of 32 weeks or above * Diagnosed with high-risk pregnancy * Admitted to the obstetrics emergency department * Volunteered to participate and provided written informed consent

Exclusion criteria

* Inability to communicate in Turkish * No diagnosis of high-risk pregnancy

Design outcomes

Primary

MeasureTime frameDescription
Perceived Stress LevelBaseline and immediately after the intervention during emergency department observationChange in perceived stress measured by the Neuman Systems Model-Based Perceived Stress Scale for High-Risk Pregnancy.

Secondary

MeasureTime frameDescription
Intolerance of UncertaintyBaseline and immediately after the interventionChange in intolerance of uncertainty measured by the Intolerance of Uncertainty Scale.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026