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IRCT20221022056264N1 IRCT 2023-02-04 Mashhad University of Medical Sciences The effect of motivational interviewing on couples in need of genetic counseling The effect of premarital counseling through motivational Interview on the knowledge, attitude and intention to refer to couples in need of genetic counseling 2022-12-31 anticipated 70 Complete https://irct.ir/trial/66712 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Random allocation: using the website www.random.org and through blocking with block sizes of four and six and an allocation ratio of 1:1 to the two groups of counseling and control. N/A Family history of mental retardation. Intervention 1: Intervention group: The intervention will be implemented in three sessions once a week for 60-90 minutes, one face-to-face session and two online sessions in groups of 4-5 couples. In the first meeting, greeetings, stating the rules and goals of the meeting, encouraging couples to express their information, feelings and beliefs about genetic counseling and genetic diseases, introducing a motivational approach; Expressing the effects of having a baby with a genetic disorder in different aspects of life; Introducing the stages of change and doing exercises (thinking and reflection stage) and in the second session, answering the doubts and questions formed in the minds of couples and examining the existing problems and obstacles and the causes of resistance to genetic counseling, determining the advantages and disadvantages of changing behavior. The short-term evaluation of the advantages and disadvantages of genetic counseling (readiness to change behavior and action) and the third session of empowerment (transmission of correct information) and support, review of values, perspective and conclusions are expressed (maintenance stage). Intervention 2: Control group: They will receive routine care provided in Mashhad health centers number 1 and 2, which includes education about 6 genetic diseases (Duchen and Becker, Down syndrome, sickle cell anemia, G6PD, neural tube defects, hemophilia) and identification and follow-up of couples in need of genetic counseling. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Dr. Nahid Jahani Shurab
School of Nursing and Midwifery , Ibn Sina St., , Ph.D.Intersection,Daneshgah St.
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 jahaniShN@mums.ac.ir Mashhad University of Medical Sciences scientific Nahid Jahani Shurab
Faculty of Nursing and Midwifery , Doctor's intersection , Ibn Sina St.
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 jahaniShN@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iranian couple Have at least primary education. Do not have addiction to tobacco and alcohol Have an Android phone. Based on the doctor's approval and the genetic screening questionnaire, they should have a genetic counseling indication at the time of marriage. Couples who do not intend to do genetic counseling. no limit no limit Both Diagnosis of a known psychiatric disorder in the couple (having a mood and anxiety disorder and being treated) Uncertainty about continuing the research Z81.0 Family history of mental retardation (Conditions classifiable to F70-F79) Behavior Behavior Intervention group: The intervention will be implemented in three sessions once a week for 60-90 minutes, one face-to-face session and two online sessions in groups of 4-5 couples. In the first meeting, greeetings, stating the rules and goals of the meeting, encouraging couples to express their information, feelings and beliefs about genetic counseling and genetic diseases, introducing a motivational approach; Expressing the effects of having a baby with a genetic disorder in different aspects of life; Introducing the stages of change and doing exercises (thinking and reflection stage) and in the second session, answering the doubts and questions formed in the minds of couples and examining the existing problems and obstacles and the causes of resistance to genetic counseling, determining the advantages and disadvantages of changing behavior. The short-term evaluation of the advantages and disadvantages of genetic counseling (readiness to change behavior and action) and the third session of empowerment (transmission of correct information) and support, review of values, perspective and conclusions are expressed (maintenance stage). Control group: They will receive routine care provided in Mashhad health centers number 1 and 2, which includes education about 6 genetic diseases (Duchen and Becker, Down syndrome, sickle cell anemia, G6PD, neural tube defects, hemophilia) and identification and follow-up of couples in need of genetic counseling. Knowledge score in the knowledge questionnaire. Timepoint: The measurement periods will be before the intervention, immediately after the end of the intervention and one month after the intervention. Method of measurement: Knowledge questionnaire ( Researcher made ). Attitude score in the attitude questionnaire. Timepoint: The measurement periods will be before the intervention, immediately after the end of the intervention and one month after the intervention. Method of measurement: Attitude questionnaire based on Zaien study. Referral intention score in the questionnaire. Timepoint: The measurement periods will be before the intervention, immediately after the end of the intervention and one month after the intervention. Method of measurement: Referral intention questionnaire ( Researcher made ). Mashhad University of Medical Sciences Approved 2022-10-04 Ethics committee of the School of Nursing and Midwifery Mashhad University of Medical Sciences Qurashi Building, Daneshgah Street Mashhad Razavi Khorasan Iran (Islamic Republic of)