Evidence map›Paper›PMID 41712569›Full record

Trial reportPloS one2026

Effect of virtual group counseling based on health literacy on the empowerment and self-care of pregnant women: A randomized controlled trial.

Zahra Rezaee, Fatemeh Bakouei, Hajar Adib-Rad, Soraya Khafri, Zeinab Gholamnia Shirvani, Farzaneh Khorsand

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. 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. Article
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

6 authors.

Zahra RezaeeStudent Research Committee, Babol University of Medical Sciences, Babol, I.R. Iran.
Fatemeh BakoueiInfertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran.ORCID https://orcid.org/0000-0002-3653-4210
Hajar Adib-RadInfertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran.
Soraya KhafriSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran.
Zeinab Gholamnia ShirvaniSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran.
Farzaneh KhorsandGuilan University of Medical Sciences, Guilan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPregnancy presents a valuable opportunity for education and counseling aimed at enhancing the health outcomes of both mothers and newborns. This study was conducted to assess the effectiveness of virtual group counseling based on health literacy in promoting empowerment and self-care among pregnant women. MATERIALS AND

methodsThis open label, randomized controlled trial was conducted in 2024-2025 involved 84 pregnant women. Participants who met the inclusion criteria were randomly allocated to either the intervention or control group through a block randomization method. In addition to receiving routine prenatal care, the intervention group participated in weekly virtual group counseling sessions focused on health literacy. Standardized questionnaires were used to assess empowerment and self-care as primary outcomes, and health literacy as a secondary outcome. These assessments were conducted both before the intervention and four weeks after its completion. The statistical analysis followed the intention-to-treat principle. To compare the changes in outcomes over time between the two groups, the generalized estimating equations model was employed.

resultsThe mean differences in empowerment, self-care, and health literacy scores before and after the intervention in the intervention group were as follows: 16.68 (95% confidence interval: 14.39, 18.95), 29.78 (95% confidence interval: 24.24, 35.19), and 19.37 (95% confidence interval: 16.71, 22.32), respectively (P<0.001). While the changes in the scores of these three outcomes in the control group were 1.93 (95% confidence interval: 1.12, 2.80), 2.52 (95% confidence interval: 1.23, 4), and 1.85 (95% confidence interval: 1.60, 3.25), respectively. These between-group differences were statistically significant (P<0.001), highlighting the intervention's effectiveness.

conclusionThe virtual group counseling intervention based on health literacy significantly improved empowerment, self-care, and health literacy scores among pregnant women. This approach is recommended to health program planners as an effective strategy for empowering pregnant women and promoting better maternal health outcomes.

trial registrationThis trial was registered at the Iranian Registry of Clinical Trials with the identifier IRCT20221109056451N1.

Indexed as

CounselingEmpowermentHealth LiteracyPregnant PeopleSelf CareAdultFemaleHumansPregnancyPrenatal CareSurveys and Questionnaires

Identifiers

PMID41712569
PMCPMC12919780

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.