Effect of stress inoculation training based on the WeChat platform on pregnant women with assisted reproduction

ISRCTN ISRCTN52045980
DOI https://doi.org/10.1186/ISRCTN52045980
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number Nil known
Sponsor Suzhou Municipal Hospital
Funders Gusu School of Nanjing Medical University, Suzhou Municipal Hospital
Submission date
21/03/2025
Registration date
27/03/2025
Last edited
26/03/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aim of this study is to find out whether stress inoculation training (SIT) through the WeChat platform can effectively relieve the perinatal psychological pressure of pregnant women undergoing assisted reproduction.

Who can participate?
Pregnant women aged 18-35 years undergoing assisted reproduction (in vitro fertilization-embryo transfer [IVF-ET])

What does the study involve?
Participants are randomly divided into the control group and the experimental group. The control group was given routine nursing intervention and the experimental group was given SIT based on the WeChat platform.

What are the possible benefits and risks of participating?
SIT may relieve the perinatal psychological pressure of pregnant women with assisted reproduction, relieve the tension during delivery, increase the natural delivery rate and reduce the incidence of premature delivery.

Where is the study run from?
Suzhou Municipal Hospital (China)

When is the study starting and how long is it expected to run for?
September 2022 to October 2023

Who is funding the study?
1. Gusu School of Nanjing Medical University (China)
2. Suzhou Municipal Hospital (China)

Who is the main contact?
Jia Liu, fngsajia@126.com

Contact information

Dr Jia Liu
Public, Scientific, Principal investigator

No. 458 Shizi Street
Gusu District
Suzhou
215006
China

ORCiD logoORCID ID 0000-0002-6646-8787
Phone +86 (0)13584890104
Email fngsajia@126.com

Study information

Primary study designInterventional
Study designSingle-center interventional double-blinded randomized controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffect of stress inoculation training based on the WeChat platform on perinatal psychological stress and delivery outcome of pregnant women with assisted reproduction
Study objectivesStress inoculation training (SIT) can effectively relieve the perinatal psychological pressure of pregnant women with assisted reproduction, relieve the tension during delivery, increase the natural delivery rate and reduce the incidence of premature delivery.
Ethics approval(s)

Approved 24/09/2022, The ethics committee of Suzhou Municipal Hospital (No. 26 Daoqian Street, Gusu District, Suzhou, 215002, China; +86 (0)51262362550; webmaster@smh.cc), ref: K-2022-103-H01

Health condition(s) or problem(s) studiedPerinatal psychological stress and delivery outcome of pregnant women with assisted reproduction
Intervention110 pregnant women who have In Vitro Fertilization-Embryo Transfer (IVF-ET) will be randomly divided into a control group and an experimental group with 55 cases in each group. The control group will be given routine nursing intervention and the experimental group will be given SIT based on the WeChat platform.

Patients in the control group received routine early pregnancy health guidance and psychological screening. At 13 + 6 weeks of gestation, the control group filled in the demographic data questionnaire, including age, height, weight, residence during pregnancy, occupation, education, monthly family income, medical expenses, pregnancy history, etc.. After scanning the QR code, the Edinburgh postnatal depression scale (EPDS) and State-Trait Anxiety Inventory (STAI) were completed in the questionnaire star, and routine early pregnancy health guidance was given. At 24-27 + 6 weeks of gestation, patients attend school courses for pregnant women, including diet during pregnancy, self-monitoring of fetal movement, pregnancy activities and weight management, and distribute health education materials. At 28-37 weeks of gestation, patients attend the simulated delivery training courses, regular pre-delivery guidance. At 32 weeks and 37 weeks of gestation, one-to-one perinatal consultation and guidance were conducted in the midwife clinic. After 37 weeks of pregnancy, the psychological stress of the control group was assessed again, and the EPDS and STAI questionnaires were completed in the questionnaire star. In addition to routine early pregnancy health guidance and psychological screening, patients in the intervention group were given SIT.
Intervention typeBehavioural
Primary outcome measure(s)

Psychological stress is measured using the WeChat version of the psychological questionnaire before and after the study

Key secondary outcome measure(s)

The rate of natural delivery is measured using the delivery records in the hospital before and after the study

Completion date01/10/2023

Eligibility

Participant type(s)Other
Age groupAdult
Lower age limit18 Years
Upper age limit35 Years
SexFemale
Target sample size at registration120
Total final enrolment110
Key inclusion criteria1. Age ≥18 years
2. Infertility patients who had undergone IVF-ET and successfully conceived
3. Permanent residents in the area surveyed
4. Regular antenatal examination, cooperation with training and completion of questionnaire survey
5. Voluntary participation, and signed the informed consent
6. Individuals who can fully understand or accurately answer the questionnaire questions
Key exclusion criteria1. Patients with severe depression and anxiety
2. Patients with severe basic diseases such as heart, lung and immunity
3. Patients with mental retardation
4. Patients with mental retardation, failure to cooperate and complete all investigations
Date of first enrolment25/09/2022
Date of final enrolment30/09/2022

Locations

Countries of recruitment

  • China

Study participating centre

Suzhou Municipal Hospital
No. 26 Daoqian Street
Gusu District
Suzhou
215002
China

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to ethical restrictions.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

21/03/2025: Study's existence confirmed by the ethics committee of Suzhou Municipal Hospital.