Individual counseling based on Fogg behavior model and its effect on decision self-efficacy and decision conflict in choice of vaginal birth after cesarean section: a randomized clinical trial

Background: Given the high rate of cesarean section complications, mothers who have had previous cesarean sections should change their behavior toward delivery. Self-efficacy plays important role in mother's ability to adapt to vaginal birth and reduce tendency to cesarean section.Aim: The current research was conducted with aim to investigate the individual counseling based on Fogg behavior model and its effect on decision self-efficacy and decision conflict to choose vaginal birth after cesarean section.Method: This randomized clinical trial study was performed on ۶۲ pregnant women referred to the comprehensive health centers of Mashhad in ۲۰۲۰. The intervention group received two face-to-face individual counseling sessions based on Fogg’s model every ۲ weeks for ۴۵-۶۰ minutes and one virtual session on the Telegram channel. Data analysis was done using SPSS software (version ۲۵) and the statistical tests of Mann-Whitney, Chi-square, Fisher exact, independent t and paired t-test. p<۰.۰۵ was considered significant.Results: Mean score of Fogg’s model showed a significant difference between the two groups (۲.۷۹±۰.۵۲ vs. ۲.۳۳±۰.۳۱). Mean score of decision self-efficacy and decision conflict had a statistically significant difference after the intervention (۳.۴۴±۰.۴۵ and ۱.۰۳±۰.۳۳, respectively) compared to before the intervention (۲.۵۷±۰.۹۷ and ۱.۴۴±۰.۵۹, respectively) in two groups. The mean score of Fogg’s questionnaire was significantly different between the two groups (p<۰.۰۵).Implications for Practice: Counseling based on Fogg model promotes decision self-efficacy and reduces decision conflict in choosing vaginal birth after cesarean section. Maternal health care providers should consider this approach in consultation with previous cesarean section mothers.

کلیدواژه ها:

Cesarean section ، Choice Behavior ، Decision Conflict ، Decision self-efficacy ، Individual Counseling