Tayebeh Mokhtari Sorkhani1 
, Mahshid Bokaie2 , Farzan Madadizadeh3 , Manoj Sharma4 , Seyed Saeed Mazloomy Mahmoodabad5
, Mahshid Bokaie2 , Farzan Madadizadeh3 , Manoj Sharma4 , Seyed Saeed Mazloomy Mahmoodabad5
1- Social Determinants of Health Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Center for Healthcare Data Modeling, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Biostatistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of Social and Behavioral Health, School of Public Health, University of Nevada (UNLV), Las Vegas, United States; Department of Internal Medicine, Kirk Kerkorian School of Medicine at University of Nevada, Las Vegas, United States
5- Social Determinants of Health Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran ,Mazloomy.mm@gmail.com
2- Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Center for Healthcare Data Modeling, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Biostatistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of Social and Behavioral Health, School of Public Health, University of Nevada (UNLV), Las Vegas, United States; Department of Internal Medicine, Kirk Kerkorian School of Medicine at University of Nevada, Las Vegas, United States
5- Social Determinants of Health Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran ,
Abstract: (76 Views)
Background: The total fertility rate (TFR) has dropped to below the replacement levels in numerous countries, which necessitates new educational approaches and behavioral models to encourage a more positive societal view of childbearing. The present research aims to design, implement, and evaluate an intervention based on the multi-theory model (MTM) aiming at boosting childbearing intentions among Iranian single-child women of reproductive age.
Methods: This mixed-methods study, designed in three phases, will first explore childbearing intentions qualitatively through in-depth interviews, with the resulting data analyzed using a directed content analysis based on the MTM. Second, the themes identified from this phase will then be used to develop and psychometrically validate a new measurement tool. Third, a field trial will be conducted to implement and evaluate an MTM-based educational intervention. Data will be collected with the validated tool both pre- and post-intervention, with follow-ups at three, six, and nine months to assess pregnancy outcomes. The effectiveness of the program and participant feedback will be analyzed via descriptive statistics, paired t-tests for within-group comparisons, and repeated measures analysis of variance (ANOVA) for between-group differences over time. All statistical analyses will be performed using SPSS version 22.
Conclusion: This study represents the first known application of the MTM to investigate childbearing intentions among single-child women. Developing and assessing a culturally-adapted intervention has the potential to boost individuals’ childbearing intentions and generate evidence for guiding reproductive health policies in settings experiencing a decline in fertility.
Methods: This mixed-methods study, designed in three phases, will first explore childbearing intentions qualitatively through in-depth interviews, with the resulting data analyzed using a directed content analysis based on the MTM. Second, the themes identified from this phase will then be used to develop and psychometrically validate a new measurement tool. Third, a field trial will be conducted to implement and evaluate an MTM-based educational intervention. Data will be collected with the validated tool both pre- and post-intervention, with follow-ups at three, six, and nine months to assess pregnancy outcomes. The effectiveness of the program and participant feedback will be analyzed via descriptive statistics, paired t-tests for within-group comparisons, and repeated measures analysis of variance (ANOVA) for between-group differences over time. All statistical analyses will be performed using SPSS version 22.
Conclusion: This study represents the first known application of the MTM to investigate childbearing intentions among single-child women. Developing and assessing a culturally-adapted intervention has the potential to boost individuals’ childbearing intentions and generate evidence for guiding reproductive health policies in settings experiencing a decline in fertility.
Type of study: Original Article |
Subject:
Midwifery
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