Evidence mapPaperPMID 41350995Full record

ArticleBMC pregnancy and childbirth2025

Investigating the effect of an educational intervention based on the theory of planned behavior on the choice of delivery method among primiparous women.

Tayebeh Rakhshani, Jamileh Kohzadi, Amir Mohammad Ghiyasi Nezhad, Seyyed Mansour Kashfi, Ali Khani Jeihooni

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tayebeh RakhshaniNutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Jamileh KohzadiDepartment of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Amir Mohammad Ghiyasi NezhadDepartment of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Seyyed Mansour KashfiDepartment of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali Khani JeihooniNutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Khani_1512@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCesarean delivery rates have risen in recent years, often influenced by misconceptions and negative attitudes rather than medical necessity. To address this issue, the present study examined the impact of an educational intervention based on the Theory of Planned Behavior (TPB) on delivery method choice among primiparous women in Firouzabad, Iran (2024-2025).

methodsThis quasi-experimental study was conducted on 100 primiparous women covered by health centers in Firouzabad County, Fars Province, Iran, from 2024 to 2025. Sampling combined cluster and simple random methods to intervention (n = 50) and control (n = 50) groups. The intervention group received six 60-minute in-person educational sessions at health centers over two months. Data were collected using a standardized TPB-based questionnaire completed by both groups before and two months' post-intervention. Data were analyzed in SPSS-27 using paired t-tests, independent t-tests, chi-square, and Fisher's exact tests.

resultsIndependent t-tests showed no significant differences in mean scores of knowledge (p = 0.842), attitude (p = 0.456), subjective norm (p = 0.215), perceived behavioral control (p = 0.751), or behavioral intention (p = 0.612) between groups before the intervention. Post-intervention, however, the intervention group demonstrated significantly higher mean scores across all TPB constructs compared to the control group (p < 0.001), indicating the effectiveness of the educational program.

conclusionThe results of the present study demonstrated that the educational intervention based on the TPB was effective in establishing behavioral intention for selecting natural delivery type among primiparous women. This research revealed that TPB-based education, through identifying misconceptions and addressing incorrect social norms, successfully promoted behavioral intention in primiparous women, enabling them to choose the optimal delivery method according to their circumstances.

Indexed as

Choice BehaviorDelivery, ObstetricHealth Knowledge, Attitudes, PracticePatient Education as TopicTranstheoretical ModelAdultCesarean SectionFemaleHumansIranParityPregnancyPregnant PeopleSurveys and QuestionnairesTheory of Planned BehaviorYoung AdultDelivery methodEducational interventionPrimiparous womenTheory of planned behavior

Identifiers

PMID41350995
PMCPMC12752326

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.