The Effect of Stress Ball Intervention During Non-Stress Test on Anxiety and Fetal Well-Being in High-Risk Pregnancy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorHümeyra TÜLEK DENİZ

About this trial

This research will be conducted to determine the effect of stress ball intervention during NST on anxiety and fetal well-being in high-risk pregnant women. Women with high-risk pregnancies randomly assigned to intervention (n=43) and control (n=43) groups at a state and a faculty hospital in Turkey will be included in the study. Pregnant women in the intervention group will be told to squeeze and release the ball once after counting to three, to inhale each time they press the ball, to exhale when they relax their grip and to focus only on the ball. Pregnant women will be instructed to continue this practice throughout the NST procedure (approximately 20 minutes). Pregnant women in the control group will not receive any intervention other than routine hospital care during the NST procedure. Data on anxiety and fetal well-being outcomes will be collected before and after NST.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Volunteering to participate in the research,

Being over 18 years of age,

Having a medically diagnosed risky condition during pregnancy (diabetes, hypertension, the threat of premature birth, eclampsia, etc.)

Compliance with at least one of the criteria in the "Ministry of Health Pregnancy Risk Assessment Form" in the evaluation of "Current Pregnancy" (Table 1)

Disqualifiers

Deceleration or uterine contraction during NST,

Presence of cardiovascular disease in the fetus,

Presence of fetal distress,

Presence of fetal anomaly,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Stress Ball Intervention

    Behavioral

    The stress ball has a soft plastic or silicone structure that can be held comfortably. Each ball is approximately 6 cm in diameter, in different colors, and is a soft toy that can be squeezed and manipulated with fingers to relieve stress and muscle tension and exercise the muscles (Apaydin Cirik et al., 2023). Squeezing a stress ball is a distraction and relaxation method. It is thought that squeezing a stress ball may be advantageous for reducing anxiety, considering its reliability, easy accessibility, effectiveness, low cost, sustainability, non-pharmacological and non-invasive properties.

Treatment groups

86 Participants
are divided into 2 treatment groups
Group A: Control GroupNo intervention 0 interventions
Group B: Intervention GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Anxiety

The scale has 20 direct and reversed items, and each item is a 4-point Likert type. The total score from the scale varies between 20 and 80, with a higher score indicating a higher level of anxiety. Cronbach's alpha coefficient was 0.83 for State Anxiety.

Time frame
5 minutes before intervention and 5 minutes after the end of the intervention.

Secondary outcomes

1

Fetal well-being

This form was created based on the literature. As the secondary outcome measure of the research, fetal well-being will be recorded in this form.

Time frame
5 minutes before the intervention and 5 minutes after the end of the intervention.

Other outcomes

Sponsors and contacts

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Hümeyra TÜLEK DENİZ

Lead sponsor

Kafkas University

Sponsor institution