Journal of Korean Academy of Nursing

Research Paper

Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial: Young Jin Lee, Hae Won Kim, Yeon Hee Kim, Suk-Kyun Yang, Ji-Yeon Kim; J Korean Acad Nurs 2024;54(3):386-402. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24010

Purpose
The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program.
Methods
A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group.
Results
After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ² = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ² = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ² = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy.
Conclusion
This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.

Citations

Citations to this article as recorded by

The experiences of fertility concerns in women with inflammatory bowel disease of childbearing age: a descriptive qualitative study
Lewei Tu, Qiaoyu Wu, Mengxiao Jiang, Meihao Wei, Ying Wang, Ying Xiao
BMC Gastroenterology.2025;[Epub] CrossRef
Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers
Caterina Mercuri, Rita Nocerino, Vincenzo Bosco, Teresa Rea, Vincenza Giordano, Michele Virgolesi, Patrizia Doldo, Silvio Simeone
Journal of Clinical Medicine.2025; 14(23): 8577. CrossRef

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Original Article

Effects of Web-based Preconception Health Promotion Program for Couples about to be Married: Nam Joo Je, So Young Choi; J Korean Acad Nurs 2016;46(5):720-732. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.720

Abstract PDF

Purpose

This study was done to develop a Web-based preconception health promotion program to improve preconception health promotion awareness, perceived benefits, perceived self-efficacy and health behavior, and to reduce perceived barriers in couples about to be married.

Methods

Participants were assigned to the experimental group (n=26 couples) or control group (n=25 couples). This program was comprised of a six hour Web-based lecture series which was given to the experimental group over a four week period.

Results

Results for the two groups showed: 1) a significant difference in preconception health promotion awareness in men (self-perception: z=-3.62, p <.001 content: F=18.49, p <.001) and in women (self-perception: z=-2.89, p =.004 content F=36.93, p <.001), 2) a significant difference in perceived benefits in men (z=-3.09, p =.002), and in women (F=6.38, p =.004), 3) a significant difference in perceived barriers in men (F=3.64, p =.030), and in women (F=11.36, p <.001), 4) a significant difference in perceived self-efficacy in men (F=12.16, p <.001), but no significant difference in women (F=1.93, p =.166), 5) a significant difference in health promoting behavior in men (F=16.31, p <.001), and in women (F=10.99, p =.001).

Conclusion

The results of this study show that the program is an effective nursing intervention in couples about to be married. Therefore, this program can be useful in encouraging health-promoting behavior for couples about to be married.

Citations

Citations to this article as recorded by

Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: Systematic Review
Sun-Hee Kim, Sun-Young Jung, Jin-Hwa Park, Jennie C De Gagne
Journal of Medical Internet Research.2025; 27: e60690. CrossRef
Operation status, quality, and premature birth information in obstetrics and gynecology facility websites in Korea: an evaluation study
Sun-Hee Kim
Women's Health Nursing.2025; 31(3): 203. CrossRef
Development and Evaluation of a Mobile Web-based Food Allergy and Anaphylaxis Management Educational Program for Parents of School-aged Children with Food Allergy: A Randomized Controlled Trial
Hwayoung Kwen, Pok-Ja Oh
Asian Nursing Research.2022; 16(5): 265. CrossRef
Development and Application of a Web-based Integrated Support Service Program for Infertile Women
Jummi Park, Nayeon Shin
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2021;[Epub] CrossRef

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