Prevention of Preterm Birth and Low Birth Weight Through the mHealth Self-Efficacy Program Among First-Time Pregnant Adolescents in Northern Thailand: A Quasi-Experimental Study.
Preterm and low birth weight are significant health challenges among first-time pregnant adolescents in Thailand. Accessible, theory-driven interventions are needed to address these outcomes. This quasi-experimental study evaluated the effectiveness of the mHealth Self-Efficacy Program in improving...
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 30; no. 1; pp. 238 - 252 |
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| Autores principales: | , , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Jan-Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191555823&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191555823 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Jan-Mar2026 vid: 30 iid: 1 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 191555823 191555823 191555823 10.60099/prijnr.2026.274983 191555823 ppf: 238 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Prevention of Preterm Birth and Low Birth Weight Through the mHealth Self-Efficacy Program Among First-Time Pregnant Adolescents in Northern Thailand: A Quasi-Experimental Study. aug: au: Chansiri, Suphaphan Moonpanane, Katemanee Kurain, Supatsorn affil: RN, MSN, Assistant Professor, Division of Maternal Newborn Nursing and Midwifery, School of Nursing, Mae Fah Luang University, Thailand sug: subj: Childbirth, Premature Prevention and Control Infant, Low Birth Weight Self-Efficacy Education Mobile Applications Utilization Pregnancy in Adolescence Thailand Health Education Methods Program Evaluation Prenatal Care Human Pregnancy Female Thailand Adolescence Quasi-Experimental Studies Clinical Trials Pretest-Posttest Control Group Design Questionnaires Descriptive Statistics Data Analysis Software Paired T-Tests Chi Square Test Self Care Primiparas Health Knowledge Attitude to Health Health Behavior Patient Education Methods Adolescent Health Monitoring, Physiologic Patient Compliance Pregnancy Outcomes Adolescent: 13-18 years Female ab: Preterm and low birth weight are significant health challenges among first-time pregnant adolescents in Thailand. Accessible, theory-driven interventions are needed to address these outcomes. This quasi-experimental study evaluated the effectiveness of the mHealth Self-Efficacy Program in improving knowledge and self-efficacy, and in reducing rates of preterm birth and low birth weight. One hundred and eight first-time pregnant adolescents were purposively recruited from five community hospitals in one province, Northern Thailand. The experimental group (n = 54) received the intervention, which consisted of five systems: 1) Screening; 2) Interactive Learning; 3) Advice; 4) Notification; and 5) Monitoring, plus usual care, whereas the control group (n = 54) received only usual care. Instruments used were a Demographic and Health Information Questionnaire, the Knowledge for Prevention of Preterm Birth and Low Birth Weight Assessment, the Self-Efficacy Questionnaire, and the Premature Birth and Low Birth Weight Newborn Monitoring Record. Data analyzed using descriptive statistics, independent t-test, paired-sample t-test, and Chi-square tests. The experimental group demonstrated significantly higher knowledge scores following completion of the interactive learning system than the control group at the antenatal assessment, and also exhibited significantly higher self-efficacy, and lower rates of preterm birth and low birth weight than the control group at the postpartum assessment. Thus, the mHealth Self-Efficacy Program is effective in improving knowledge, self-efficacy, and birth outcomes among pregnant adolescents. Nurses can use this program to empower adolescent mothers to improve maternal and neonatal outcomes. However, further testing in multisite settings is needed. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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