ArticleBMC research notes2026
Designing and evaluating a Merrill model-based educational package to enhance midwives' role in population rejuvenation.
Article in BMC research notes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGlobal trends in population aging and declining fertility pose significant challenges to sustainable development. As frontline healthcare professionals, midwives play a pivotal role in addressing these issues through reproductive health education and advocacy. This study aimed to design, implement, and evaluate an educational package based on Merrill's Instructional Design Model to enhance midwives' competencies in promoting population rejuvenation strategies.
methodsA cross-sectional study was conducted with 41 midwives from comprehensive health centers (2023). The Merrill-based educational intervention included four in-person sessions focused on demographic policies, counseling techniques, and family support frameworks. Data were collected via validated knowledge tests (pre-/post-intervention), satisfaction surveys, and demographic questionnaires. Statistical analyses (SPSS v.26) employed paired t-tests and Pearson's correlation.
resultsPost-intervention knowledge scores (17.78 ± 1.89) showed a statistically significant improvement compared to pre-test scores (12.78 ± 2.05; p < 0.0001), with a large effect size (Cohen's d = 2.536). All participants (100%) reported high satisfaction with the training (mean score: 222.5 ± 18.75). A strong positive correlation was observed between knowledge gains and satisfaction levels (r = 0.65, p < 0.001).
conclusionThe Merrill Model-based educational package demonstrated effectiveness in improving knowledge and engagement among the 41 participating midwives in North Tehran. Its structured approach shows promise as a context-sensitive strategy for reproductive health training within similar settings, though further research is needed to evaluate its applicability in broader healthcare contexts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.