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IRCT20260906070943N1 IRCT 2026-10-22 Shahre-kord University of Medical Sciences Effectiveness of Digital Childbirth Storytelling on Childbirth Self-Efficacy and Psychosocial Adaptation to Pregnancy among Nulliparous Pregnant Women DCST-PSA Trial Effectiveness of Digital Childbirth Storytelling on Childbirth Self-Efficacy and Psychosocial Adaptation to Pregnancy among Nulliparous Pregnant Women : A Randomized Controlled Trial 2026-11-06 anticipated 80 Recruiting https://irct.ir/trial/93140 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Eight centers providing childbirth preparation classes will be considered as study clusters. Four centers will be allocated to the intervention group and four centers to the control group using a random number table. Subsequently, the list of nulliparous pregnant women at 24–28 weeks of gestation will be obtained from the SIB health information system of each center. After screening for the eligibility criteria, eligible participants will be selected from each center using simple random sampling according to the predetermined allocation quota for that center. A total of 80 pregnant women will be included in the study, with 40 participants in the intervention group and 40 in the control group, Blinding description: In this clinical trial, single-blinding will be used. Blinding will be applied to the statistical analyst; the analyst will not be informed about the content of the intervention received by the groups, and the raw data file will be provided to the analyst under the labels Intervention A and Intervention B. N/A Nulliparous pregnant women. Intervention 1: Digital childbirth storytelling package including six educational-narrative animations, two narrated PowerPoint presentations, and educational infographics, delivered online over six weeks. Intervention 2: Usual prenatal care and childbirth preparation classes, without receiving the digital childbirth storytelling package. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information available
public Faranak Safdari
Shahrekord University of Medical Sciences, Rahmatieh
Shahrekord Iran (Islamic Republic of) 8813833435 +98 38 3334 1216 faranaksafdari@gmail.com Shahre-kord University of Medical Sciences scientific Ehteram Hashemi
Shahrekord University of Medical Sciences, Rahmatieh, Shahrekord, Iran
Shahrekord Iran (Islamic Republic of) 8813833435 009833341216 ehteram.hashemi.sh@gmail.com Shahre-kord University of Medical Sciences Iran (Islamic Republic of) Willingness to participate in the study and provide informed consent Gestational age of 24 to 28 weeks Being nulliparous No history of diagnosed psychiatric disorders or use of psychiatric medications based on the health record or participant self-report Ability to use digital devices such as a mobile phone or computer Access to the internet Participation in childbirth preparation classes Singleton pregnancy No history of infertility Age 18 to 49 years 18 years 49 years Female Presence of a medical or obstetric complication requiring specialized care that makes participation in the study inappropriate Presence of a documented psychiatric or psychological disorder that may substantially affect the assessment of childbirth self-efficacy or psychosocial adaptation. History of childbirth or a previous pregnancy reaching the stage of fetal viability. A confirmed indication for planned cesarean delivery at the time of enrollment. Concurrent participation in a structured childbirth education program or a similar psychological intervention Lack of access to the digital device required to receive the digital childbirth storytelling intervention. Inability to use the digital platform required to receive the intervention. Inability to understand the study information or complete the study questionnaires due to cognitive or language limitations. Unwillingness to provide informed consent before randomization. Behavior N/A Digital childbirth storytelling package including six educational-narrative animations, two narrated PowerPoint presentations, and educational infographics, delivered online over six weeks Usual prenatal care and childbirth preparation classes, without receiving the digital childbirth storytelling package Childbirth Self-Efficacy. Timepoint: Before the intervention, immediately after the intervention, and 4 weeks after the intervention. Method of measurement: Total score of the Iranian short form of the Childbirth Self-Efficacy Inventory (CBSEI-C32). Psychosocial Adaptation to Pregnancy. Timepoint: Before the intervention, immediately after the intervention, and 4 weeks after the intervention. Method of measurement: Total score of the Prenatal Self-Evaluation Questionnaire (PSEQ). Shahre-kord University of Medical Sciences Approved 2026-08-17 Research Ethics Committees of Shahrekord and Borujen Schools of Nursing and Midwifery and School of Research and Technology Deputy, Shahrekord University of Medical Sciences, Kashani Street, Shahrekord Shahrekord Chahar-Mahal-va-Bakhtiari Iran (Islamic Republic of)