Tele-Nursing-Supported Mindfetalness: Anxiety and Prenatal Attachment

The Effect of Tele-nursing-Supported Mindfetalness Method on Maternal Anxiety and Prenatal Attachment: A Mixed Methods Randomized Controlled Trial

The goal of this clinical trial is to compare the effects of tele-nursing-supported Mindfetalness method versus Mindfetalness alone method on maternal anxiety and prenatal attachment in pregnant women. The main questions it aims to answer are:

• H1: Tele-nursing-supported Mindfetalness method will significantly reduce state anxiety (STAI-S) levels in pregnant women over time compared to Mindfetalness alone method.
• H2: Tele-nursing-supported Mindfetalness method will significantly reduce trait anxiety (STAI-T) levels in pregnant women over time compared to Mindfetalness alone method.
• H3: Tele-nursing-supported Mindfetalness method will significantly increase prenatal attachment (PAI) levels in pregnant women over time compared to Mindfetalness alone method.

Researches will compare tele-nursing-supported Mindfetalness to Mindfetalness alone to see if tele-nursing support significiantly reduces state and trait anxiety levels and significiantly increases prenatal attachment levels in pregnant women over time.

Participants will;

• Attend a single, face-to-face Mindfetalness training session at the beginning of the study to learn technique and application procedures correctly.
• Practice Mindfetalness method daily for 15 minutes throughout the 8-week study period.
• Complete a daily compliance tracking chart to record their adherence to the Mindfetalness method of their practice.
• Complete the State-Trait Anxiety Inventory (STAI) and the Prenatal Attachment Inventory (PAI) at baseline and during 4th and 8th-week follow-up measurements to track changes over time.

Inclusion Criteria:

• Aged 18 years or older
• Being at the 28th week of gestation
• Having a singleton pregnancy
• Being primiparous
• Being literate
• Having access to and the ability to use a mobile device and internet connection (personal or via spouse) compatible with the tele-nursing application
• Volunteering to participate in the study and providing informed consent (Araştırmaya katılmaya gönüllü olmak ve bilgilendirilmiş onam vermek)

Exclusion Criteria:

• Having a high-risk pregnancy (e.g., preterm labor threat, preeclampsia, gestational diabetes, placenta previa, or cardiac disease).
• Presence of diagnosed fetal health complications (e.g., intrauterine growth restriction [IUGR], fetal anomalies).
• Currently monitoring fetal movements using any other conventional fetal movement counting methods.
• Presence of any communication barriers (e.g., hearing, speech, or language impairments).
• History or current diagnosis of chronic or psychiatric illness.
• Conception through assisted reproductive techniques (ART) (e.g., IVF).