Evidence map›Paper›PMID 40721747›Full record

Trial reportBMC pregnancy and childbirth2025

Supporting mothers of discharged premature infants: a clinical trial on tele counseling for self-efficacy and anxiety management.

Seyedeh Fatemeh Mousavi, Rafat Bakht, Leili Tapak, Mojde Afkhami Goli, Mansoureh Refaei

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Seyedeh Fatemeh MousaviStudent Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Rafat BakhtDepartment of Mother and Child Health, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Leili TapakModeling of Noncommunicable Diseases Research Center, Institute of Health Sciences and Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.
Mojde Afkhami GoliDepartment of Pediatrics, School of Medicine, Hamadan University of medical sciences, Hamadan, Iran.
Mansoureh RefaeiDepartment of Mother and Child Health, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. mansourehrefaei@yahoo.com.

Funding

Hamadan University of Medical Sciences 140208237034
6 · The paper itself

Abstract

backgroundPremature birth and hospitalization in the neonatal intensive care unit (NICU) can stress mothers and impact their self-efficacy post-discharge. This study aimed to assess the effects of tele counseling and an educational pamphlet on the self-efficacy and anxiety of these mothers.

methodsThis three-group parallel clinical trial in 2023 involved 135 mothers of premature infants with a gestational age of 32-36 weeks, discharged from the NICU of Fatemieh hospital in Hamadan, Iran. Randomization used performed permuted blocks to assign participants to tele counseling (A), educational pamphlet (B), and control (C) groups. Data were collected through questionnaires on Perceived maternal parenting self-efficacy and Spielberger's anxiety. The tele counseling group received four tele counseling sessions over two weeks. ANCOVA was used for group comparisons. The statistical analyst was blinded to group allocation.

resultsAfter intervention, while controlling for the effects of confounding variables, there was a significant difference among the three groups in self-efficacy [F(2, 127) = 86.02, p < 0.001; Mean ± Standard deviation for groups A, B, and C were 77.12 (± 1.01), 68.28 (± 1.10), and 57.43 (± 1.07), respectively, with an effect size of 0.57], trait anxiety [F(2,127) = 67.26, p < 0.001; M ± SD for groups A, B, and C were 30.218(± 1.10), 40.36 (± 1.14), and 48.09 (± 1.11), effect size: 0.51], and state anxiety [F(2,127) = 76.46, p < 0.001; M ± SD for groups A, B, and C were 28.16 (± 1.17), 39.89 (± 1.21), and 48.044 (± 1.18), effect size: 0.85].

conclusionsThe use of tele counseling and pamphlet was associated with an improvement in maternal self-efficacy and a reduction in anxiety among mothers of infants discharged from the NICU.

trial registrationThe protocol for this trial has been registered with the Iranian Registry of Clinical Trials on 03/12/2023, under the reference number IRCT20221217056842N2.

Indexed as

AnxietyCounselingInfant, PrematureMothersSelf EfficacyAdultFemaleHumansInfant, NewbornIntensive Care Units, NeonatalIranPatient DischargeTelemedicine7910Distance counselingAnxietyNeonatal intensive care unitPamphletPremature infantSelf-Efficacy

Identifiers

PMID40721747
PMCPMC12302545

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.