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IRCT20231109060006N1 IRCT 2024-01-01 Shahroud University of Medical Sciences Investigating changes in part of the maternal care process compared to routine care Investigating the effect of a maternal care virtual model based on a mobile phone application during pregnancy compared to in-person routine care 2024-01-13 anticipated 150 Complete https://irct.ir/trial/73701 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research. N/A Prenatal care. Intervention 1: Intervention group: pregnant mothers covered by a virtual model of care based on a mobile phone application. A group of mothers (75 people) will be cared for during pregnancy based on the above-designed model after obtaining written informed consent. Intervention 2: Control group: Pregnant mothers covered by in-person routine (usual) care. This group of pregnant mothers (75 people) will receive the same routine care during pregnancy after obtaining written informed consent and will only complete questionnaires. Yes - There is a plan to make this available What will be shared: The written form of informed consent in two groups of mothers (intervention and control groups). Standard psychometric questionnaire of satisfaction in pregnancy care. The comparative pregnancy outcomes (like technical quality TQ, quality CQ, SQ, and satisfaction) in two groups of mothers (intervention and control groups). When: After finishing the doctoral course in the winter of 1403 (new year 2025) To whom: Researchers Students Conditions: To complete your thesis and provide another aspect of virtual care. The use of data can be published only with the permission of Shahroud University of Medical Sciences and the first supervisor. Where to obtain: Electronic Library of Shahroud University of Medical Sciences How to obtain: A written request must be given to the library, and after the approval of the first supervisor (Mrs. Dr. Karamet's office), access will be followed. Comments:

public Hamideh Sabetrohani

Management Office, Shahroud University of Medical Sciences and Health Services, Hafte Tir Square, Shahroud, Iran.

Shahroud Iran (Islamic Republic of) ۳۶۱۴۷-۷۳۹۴۳ +98 23 3239 5054 hamidehsabetrohani@gmail.com Shahroud University of Medical Sciences scientific Afsaneh Keramat

Reproductive Health Department, Third-floor, Medical College, Shahroud University of Medical Sciences and Health Services, Hafte Tir Square, Shahroud, Iran.

Shahroud Iran (Islamic Republic of) ۳۶۱۳۷۷۳۹۵۵ 0098 21 02332395054 keramat1@yahoo.com Shahroud University of Medical Sciences Iran (Islamic Republic of) The mother has a low-risk pregnancy. She refers to comprehensive health service centers. Her pregnancy should be planned and singleton. The mother should have a guidance school education or higher. The mother has the ability and skill to use a smart mobile phone (it does not mean ownership) 18 years 40 years Female The mother has a high-risk pregnancy (including: a history of infertility, frequent miscarriage, heart disease, hypertension, diabetes, twin and multiple pregnancy, first trimester bleeding) Illiterate mother The mother's lack of access to a smart phone O36.7 Maternal care for viable fetus in abdominal pregnancy Other Other Intervention group: pregnant mothers covered by a virtual model of care based on a mobile phone application. A group of mothers (75 people) will be cared for during pregnancy based on the above-designed model after obtaining written informed consent. Control group: Pregnant mothers covered by in-person routine (usual) care. This group of pregnant mothers (75 people) will receive the same routine care during pregnancy after obtaining written informed consent and will only complete questionnaires. 1- Technical quality includes: - the number of general care received, - the amount of mother and fetus weighing, - the number of self-care recorded by the mother, - the number of fetal heart sound checks, - the number of training Received from mothers on various topics (such as symptoms that require attention during pregnancy, nutrition and weight gain, personal hygiene, oral and dental hygiene, mental health, common complaints during pregnancy, breastfeeding), - the number and time of starting to receive medicinal supplements, - the number Attended childbirth preparation classes, - Frequency of performing and recording blood and urine test results, - Frequency of performing and recording ultrasound results. Timepoint: Once at the end of care number 5 of pregnancy (35-37 weeks). Method of measurement: Technical quality - using the maternal health care checklist registered in the electronic health record. 2- Service quality includes: - choice of care provider, - communication and interaction, - having authority, - availability of support group, - continuity of care, - facilities and basic facilities, - preservation of dignity, - timeliness and immediate attention, - safety, - Prevention, - Access, and trust. Timepoint: Once at the end of care number 5 of pregnancy (35-37 weeks). Method of measurement: Service quality - using the questionnaire providing the CQMH model, which was prepared and approved by Tabrizi et al., the Persian version of this tool. 3- Satisfaction in the following areas: - planning and scheduling, - technology (for virtual group), - provider, - privacy, - public. Timepoint: Once at the end of care number 5 of pregnancy (35-37 weeks). Method of measurement: Satisfaction - using the standard questionnaires presented in articles including (Pflugeisen 2017), this tool requires psychometrics for Iranian mothers. Shahroud University of Medical Sciences Approved 2021-02-07 Ethics committee of Shahroud University of Medical Sciences. Research and Technology Vice-Chancellor, Faculty of Medicine, Shahrood University of Medical Sciences, Haftom Tir Square. Shahroud Semnan Iran (Islamic Republic of)