Pregnancy-related risk perception and protective behaviors among advanced maternal age Advanced maternal age, pregnancy outcomes, risk perception, health education, pregnancy protection behaviors, MAMA application, digital health
Conditions
Interventions
The MAMA Application is a mobile health program designed for women of advanced maternal age, based on Protection Motivation Theory (PMT). The app aims to promote risk perception, encourage protective
Who is Advanced Maternal Age'
, '
Possible Pregnancy Age-Related Risks'
How to Protect from Age-Related Risks'
Video Clips'
Check-In'
, and '
Chat'
.,Participants in the control group will receive usual care at the antenatal care clinic. Nurse-midwives at the three participating hospitals will provide standard antenatal classes, which do not incl
Experimental Behavioral,No Intervention No treatment
MAMA application,Standard care
Sponsors
Self-funded
Eligibility
Sex/Gender
Female
Age
35 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. First time pregnant during advanced age, although she has multiparity. 2. Gestational age between 13-18 weeks. 3. Complete laboratory I screening. 4. Complete chromosome screening or prenatal diagnosis. 5. No other medical conditions, high risk of chromosome screening, chromosome abnormality, and obstetric complications before they attend the study. 6. Having a smartphone, they can use the MAMA application and the LINE application. 7. Ability to read, speak, and write in Thai. 8. They are willing to participate in this study and have a phone number to contact. (It can be a relative, husband, family, or friend's cell phone or home phone)
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Risk perception At baseline and after receiving second laboratory results post-intervention (approx. 8 weeks after baseline) Advanced maternal age risk perception questionnaire ,Self-efficacy in risk protection behaviors At baseline and after receiving second laboratory results post-intervention (approx. 8 weeks after baseline) The self-efficacy in risk protection behaviors of advanced maternal age ,Response efficacy on risk protection behaviors At baseline and after receiving second laboratory results post-intervention (approx. 8 weeks after baseline) The response efficacy on risk protection behaviors of advanced maternal age,Risk protection behaviors At baseline and after receiving second laboratory results post-intervention (approx. 8 weeks after baseline) The risk protection behaviors questionnaire of advanced maternal age | — |
Secondary
| Measure | Time frame |
|---|---|
| Gestational diabetes mellitus (GDM) After second laboratory testing during pregnancy and confirmed at delivery Diagnosed based on laboratory test results (OGTT or fasting glucose) at second antenatal testing and confirmed by medical records,Pregnancy-induced hypertension (PIH) After delivery Diagnosed based on standard criteria and recorded in medical records,Anemia After second laboratory testing during pregnancy and confirmed at delivery Diagnosed based on laboratory test results (CBC) at second antenatal testing and confirmed by medical records,Premature labor pain After delivery Diagnosed based on standard criteria and recorded in medical records | — |
Countries
Thailand
Contacts
Public ContactSaifon Bouchon
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi hospital, Mahidol University
Outcome results
None listed