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Background <p>Cesarean delivery rates have risen in recent years, often influenced by misconceptions and negative attitudes rather than medical necessity. To address this issue, the present study examined the impact of an educational intervention based on the Theory of Planned Behavior (TPB) on delivery method choice among primiparous women in Firouzabad, Iran (2024–2025).</p> Methods <p>This quasi-experimental study was conducted on 100 primiparous women covered by health centers in Firouzabad County, Fars Province, Iran, from 2024 to 2025. Sampling combined cluster and simple random methods to intervention (<i>n</i> = 50) and control (<i>n</i> = 50) groups. The intervention group received six 60-minute in-person educational sessions at health centers over two months. Data were collected using a standardized TPB-based questionnaire completed by both groups before and two months’ post-intervention. Data were analyzed in SPSS-27 using paired t-tests, independent t-tests, chi-square, and Fisher’s exact tests.</p> Results <p>Independent t-tests showed no significant differences in mean scores of knowledge (<i>p</i> = 0.842), attitude (<i>p</i> = 0.456), subjective norm (<i>p</i> = 0.215), perceived behavioral control (<i>p</i> = 0.751), or behavioral intention (<i>p</i> = 0.612) between groups before the intervention. Post-intervention, however, the intervention group demonstrated significantly higher mean scores across all TPB constructs compared to the control group (<i>p</i> &lt; 0.001), indicating the effectiveness of the educational program.</p> Conclusion <p>The results of the present study demonstrated that the educational intervention based on the TPB was effective in establishing behavioral intention for selecting natural delivery type among primiparous women. This research revealed that TPB-based education, through identifying misconceptions and addressing incorrect social norms, successfully promoted behavioral intention in primiparous women, enabling them to choose the optimal delivery method according to their circumstances.</p>

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Investigating the effect of an educational intervention based on the theory of planned behavior on the choice of delivery method among primiparous women

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月5日

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  • Tayebeh Rakhshani,
  • Jamileh Kohzadi,
  • Amir Mohammad Ghiyasi Nezhad,
  • Seyyed Mansour Kashfi,
  • Ali Khani Jeihooni

摘要

Background

Cesarean delivery rates have risen in recent years, often influenced by misconceptions and negative attitudes rather than medical necessity. To address this issue, the present study examined the impact of an educational intervention based on the Theory of Planned Behavior (TPB) on delivery method choice among primiparous women in Firouzabad, Iran (2024–2025).

Methods

This quasi-experimental study was conducted on 100 primiparous women covered by health centers in Firouzabad County, Fars Province, Iran, from 2024 to 2025. Sampling combined cluster and simple random methods to intervention (n = 50) and control (n = 50) groups. The intervention group received six 60-minute in-person educational sessions at health centers over two months. Data were collected using a standardized TPB-based questionnaire completed by both groups before and two months’ post-intervention. Data were analyzed in SPSS-27 using paired t-tests, independent t-tests, chi-square, and Fisher’s exact tests.

Results

Independent t-tests showed no significant differences in mean scores of knowledge (p = 0.842), attitude (p = 0.456), subjective norm (p = 0.215), perceived behavioral control (p = 0.751), or behavioral intention (p = 0.612) between groups before the intervention. Post-intervention, however, the intervention group demonstrated significantly higher mean scores across all TPB constructs compared to the control group (p < 0.001), indicating the effectiveness of the educational program.

Conclusion

The results of the present study demonstrated that the educational intervention based on the TPB was effective in establishing behavioral intention for selecting natural delivery type among primiparous women. This research revealed that TPB-based education, through identifying misconceptions and addressing incorrect social norms, successfully promoted behavioral intention in primiparous women, enabling them to choose the optimal delivery method according to their circumstances.