Nursing Intervention "EducaTHE" to Improve Knowledge and Self-care Behaviors for Hypertensive Disorders in Pregnant Women: a Randomized Controlled Pilot Study.
Iliana Milena Ulloa Sabogal, Mauricio Arias Rojas
PMID 40382010WHAT IT FOUND
Pregnant women who received four nurse-led education sessions and a booklet scored higher on knowledge and self-care behaviors than women receiving usual prenatal care.
The program was feasible and well accepted, but total behavioral determinants did not show a clear between-group difference.
Key findings
01Pregnant women who received the nurse-delivered EducaTHE sessions had higher post-test knowledge and self-care behavior scores than controls.
02The program was feasible and acceptable, with 54 completers and an overall acceptability score of 4.82 out of 5.
03The intervention did not show a clear effect on total behavioral determinants; only the intention dimension differed between groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a pilot study, so the sample size was not powered to detect differences in the main outcomes. The study included healthy pregnant women at low risk for complications, so it may not apply to women with cardiovascular, renal, or diabetes disease or existing hypertensive disorders of pregnancy. Follow-up was short, with post-test assessment four weeks after the intervention for the experimental group and eight weeks after entering the study for the control group. Planned support from a family member or significant other did not occur for most participants. Only the experimental group received the nurse-delivered sessions, so participants were not blinded to allocation, although the research assistant and statistician were blinded. The outcomes measured were knowledge, self-care behaviors, behavioral determinants, feasibility, and acceptability.
Declared interests
The study reports that it received no funding.
The easy way to misread this
Do not read the higher knowledge score as proof that this intervention prevents hypertensive disorders or improves pregnancy outcomes. The study measured knowledge and self-care behaviors, and it was a pilot with 54 participants.