The effect a brief cognitive behavioral therapy program through group counselling on anxiety of prenatal pregnancy Down syndrome screening at the antenatal department of MahaSarakham Hospital
ผลของโปรแกรมปรับเปลี่ยนความคิดและพฤติกรรมฉบับย่อแบบกลุ่มต่อความวิตกกังวลในหญิงตั้งครรภ์ที่เข้ารับการตรวจคัดกรองกลุ่มอาการดาวน์ ในแผนกฝากครรภ์โรงพยาบาลมหาสารคาม
Keywords:
Cognitive behavioral therapy program, Down’s syndrome screeningAbstract
Abstract
The research objective was to study the effects of a brief cognitive behavior therapy program through group counselling on the attitudes, self-efficacy, and anxiety change in pregnant women undergoing Down’s syndrome screening in the Antenatal Clinic, Maha Sarakham Hospital at Maha Sarakham Province, Thailand. The sample group consisted of pregnant women who attended the Antenatal Clinic. A simple random sampling assigned 36 people to enroll into an experimental group and 37 people into a control group. The research instrument consisted of a brief cognitive behavior therapy program, attitudes, self-efficacy, and anxiety questionnaires of pregnant women regarding Down’s syndrome screening. The qualities were assessed by three experts comprising experts in behavioral science, midwifery, research methodology and statistics. An index of congruence of 0.72 and 0.78 was obtained. The reliability of the questionnaire was analyzed by Cronbach's alpha coefficient was 0.72, 0.75, 0.70, and 0.76, respectively. The descriptive data were analyzed for the percentages, mean, and standard deviation, whereas the mean of the attitudes, self-efficacy, and anxiety were compared by using paired t-test and independent t-test, which had statistical significant level of 0.05. Th results showed the attitudes and self-efficacy toward the screening score in the experimental group were significantly higher than the control group, and a lower average anxiety score than the control group. Therefore, this program should be introduced as an option in antenatal clinics to promote the attitudes and self-efficacy toward the Down’s syndrome screening and also used to reduce the anxiety of pregnant women. This would help in making more effective decisions to undergo screening for Down’s syndrome.
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