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Study aim:
To determine the effect of religion-based spiritual self-care education during pregnancy on fear of childbirth and pregnancy experience
Design:
Three assessment stages: 1) before the intervention (at enrollment, weeks 20–24 of gestation), 2) immediately after the end of the intervention, and 3) four weeks after the end of the intervention.
Settings and conduct:
(gestational weeks 20–24, W-DEQ-A
≥
66
≥66
).
Randomization: 1:1 allocation to intervention and control via block randomization and opaque envelopes.
Intervention & Follow-up: 5 training sessions vs. routine care; blinded outcome assessment (Tabriz, Iran).
Participants/Inclusion and exclusion criteria:
Major Eligibility Criteria Before Randomization
Inclusion criteria:
Residing in Tabriz.
Having a singleton pregnancy at 20–24 weeks of gestation.
Scoring ≥66 on the initial childbirth fear assessment.
Being committed to religious beliefs and practices.
Being able to read and write.
Physical or mental disability (based on self-report).
History of difficult labor.
Known fetal anomalies.
History of depression (based on maternal self-report and medical records review).
Intervention groups:
Intervention Group (
Main outcome variables:
Fear of childbirth and pregnancy experience.