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IRCT20250530065981N1 IRCT 2025-07-18 Boushehr University of Medical Sciences Investigating the effect of spiritual self-care education on stress level and spiritual health of mothers of premature newborns The effect of spiritual self-care education on stress level and spiritual health of mothers of premature newborns hospitalized in the neonatal intensive care unit at Bushehr Persian Gulf Martyrs Hospital 2025-07-14 anticipated 96 Complete https://irct.ir/trial/84326 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance. N/A Mothers with Preterm Newborns. Intervention 1: Intervention Group: The spiritual education intervention will be delivered over six hours (equivalent to six one hour sessions across six weeks) in designated classrooms at the School of Nursing and Midwifery located in Persian Gulf Martyrs Hospital in Bushehr. In the first session, the researcher and the spiritual educator will introduce themselves and explain the study objectives to the mothers. Participant responsibilities will then be clarified, and demographic forms, along with the Spiritual Wellbeing Questionnaire and the Parental Stress Questionnaire, will be completed in the presence of the participants. The spiritual educator will present educational content based on the six step model developed by Richards and Bergin, tailored to the individual needs of each mother. Religious assignments including the recitation of Surah Al-Fatiha seventy times, Salawat, the invocation "Ya Shafi" three hundred and ninety one times, and Istighfar one hundred times will be introduced as daily practices to enhance the religious dimension of spiritual wellbeing. Additionally, the researcher will provide individualized guidance and respond to mothers’ concerns regarding the care of their premature infants, thereby promoting the existential dimension of spiritual wellbeing. During sessions two through five, the researcher will be responsible for reviewing the participants’ assigned tasks from the previous session and will inform the spiritual educator accordingly. The educator will then provide feedback and address any difficulties faced by the mothers in completing the assignments. Each session will begin with a brief summary to connect previous discussions with new topics. The educator will then proceed with teaching the new content, leading relevant exercises, assigning tasks for the next session, and concluding with a summary of the session's material. In the sixth and final session, the spiritual educator will provide a comprehensive summary of the educational content. One week after the last session, the participants will complete the questionnaires again in person. Intervention 2: Control Group: Participants will receive routine hospital interventions and training, and will not be provided with any additional education. Yes - There is a plan to make this available What will be shared: The study data will be made publicly available after complete anonymization of participant identities. When: Data access will commence 6 months following publication of the study results. To whom: Researchers Conditions: By citing a logical reason, citing the source, and conducting analyses. Where to obtain: Data requests should be directed to the corresponding author, Dr. Roqayeh Gashmard, via email: roqayehgashmard@gmail.com How to obtain: Data will be available 6 months after the article is published, upon sending a logical reason to the corresponding author, Dr. Roqayeh Gashmard, and then, if accepted, within 10 working days. Comments:
public Malihe Khezri
Bushehr University of Medical Sciences, Moallem St, Bushehr, Iran
Bushehr Iran (Islamic Republic of) 7514633341 +98 77 3332 2081 m.s.khezri66@gmail.com Boushehr University of Medical Sciences scientific Dr. Roqayeh Gashmard
Bushehr University of Medical Sciences, Moallem St, Bushehr, Iran
Bushehr Iran (Islamic Republic of) 7514633341 +98 77 3332 2081 roqayehgashmard@gmail.com Boushehr University of Medical Sciences Iran (Islamic Republic of) The mother's willingness to participate in the study Minimum age of 18 years Adherence to the Islamic faith Proficiency in the Persian language Ability to read and write Attendance of at least one visit with the infant in the neonatal intensive care unit (NICU) The infant's gestational age between 24 weeks and 36 weeks plus six days At least three days have passed since the infant's admission to the NICU 6 months 8 months Both History of preterm delivery Previous neonatal death Congenital anomalies in the infant as indicated in the medical record The mother experiencing severe mental health disorders based on self-report The mother suffering from severe physical illnesses based on self-report A history of the mother's use of psychoactive substances or illicit drugs Presence of complications during delivery (e.g., instrumental delivery, severe postpartum hemorrhage, severe pre-eclampsia, and eclampsia) as noted in the medical record Lack of ability to read the Quran Employment of the mother within the healthcare system The mother experiencing stressful events (such as divorce, the death of close relatives, etc.) within the preceding three months Reluctance to continue participation in the study Behavior Behavior Intervention Group: The spiritual education intervention will be delivered over six hours (equivalent to six one hour sessions across six weeks) in designated classrooms at the School of Nursing and Midwifery located in Persian Gulf Martyrs Hospital in Bushehr. In the first session, the researcher and the spiritual educator will introduce themselves and explain the study objectives to the mothers. Participant responsibilities will then be clarified, and demographic forms, along with the Spiritual Wellbeing Questionnaire and the Parental Stress Questionnaire, will be completed in the presence of the participants. The spiritual educator will present educational content based on the six step model developed by Richards and Bergin, tailored to the individual needs of each mother. Religious assignments including the recitation of Surah Al-Fatiha seventy times, Salawat, the invocation "Ya Shafi" three hundred and ninety one times, and Istighfar one hundred times will be introduced as daily practices to enhance the religious dimension of spiritual wellbeing. Additionally, the researcher will provide individualized guidance and respond to mothers’ concerns regarding the care of their premature infants, thereby promoting the existential dimension of spiritual wellbeing. During sessions two through five, the researcher will be responsible for reviewing the participants’ assigned tasks from the previous session and will inform the spiritual educator accordingly. The educator will then provide feedback and address any difficulties faced by the mothers in completing the assignments. Each session will begin with a brief summary to connect previous discussions with new topics. The educator will then proceed with teaching the new content, leading relevant exercises, assigning tasks for the next session, and concluding with a summary of the session's material. In the sixth and final session, the spiritual educator will provide a comprehensive summary of the educational content. One week after the last session, the participants will complete the questionnaires again in person. Control Group: Participants will receive routine hospital interventions and training, and will not be provided with any additional education. Spiritual health scores of mothers with premature babies. Timepoint: Before the Intervention Starts, Immediately After the Intervention. Method of measurement: Ellison and Paloutzian's Spiritual Well-Being Scale. Parental stress scores of mothers with premature babies. Timepoint: Before the Intervention Starts, Immediately After the Intervention. Method of measurement: Miles's Parental Stressor Scale. Boushehr University of Medical Sciences Approved 2023-08-09 Research Ethics Committees of Bushehr province university of medical sciences Bushehr University of Medical Sciences, Moallem St, Bushehr, Iran Bushehr Boushehr Iran (Islamic Republic of)