Development and Clinical Application of a Healthy Behavior Learning Program for Pregnant Women

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We have developed a healthy behavior learning program and self-monitoring check sheet for use by pregnant women. The program is composed of self-monitoring, setting of behavioral goals and homework, self-reinforcement for desirable behavior, the introduction of self-teaching, and feedback through interviews. The check sheet contains eleven monitored parameters relating to sleep, fetal movement, abdominal region and bleeding, body weight, diet, exercise, lifestyle, emotional state (degree of comfort), image of being a mother and talking with the baby (communication), as well as a space for writing any comments or questions.In order to assess the clinical application of this healthy behavior learning program, pregnant women in early pregnancy were guided through the program for 20 weeks from week 15 to week 34 of pregnancy followed by an assessment of its effects. An interview guidance group consisting of 20 subjects underwent self-monitoring (roughly in week 15, week 22 and week 32 of p … More regnancy) and interviews with the same midwife (roughly in week 17, week 24 and week 34). A recording group (29 subjects) only underwent self-monitoring at the same times as the interview guidance group. A control group consisting of 34 subjects was also established. As a result, the interview guidance group and recording group demonstrated maintenance and improvement of the intent towards self-care behavior with respect to diet and lifestyle in particular, and they achieved higher levels of self-care behavior. In contrast to the control group expressing a slight increase in anxiety late in pregnancy, anxiety was observed to diminish as pregnancy progressed in the interview guidance and recording groups.Moreover, 20% of the subjects in the recording group dropped out during the monitoring period.Self-monitoring is expected to demonstrate efficient effects from both time and economic aspects as well. However, it was shown that pregnant women who are unable to continue self-monitoring for one week are unacceptable for guidance through this program, and that feedback through individual interviews with the midwife is effective for ensuring continuation of self-monitoring. On the basis of these findings, this healthy behavior learning program was confirmed to be effective for improving self-care behavior during pregnancy. Less