Document Type : Original Research Article
Authors
1
MSc Student in Midwifery Counseling, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2
Assistant Professor, Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
3
Lecturer, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4
Assistant Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad Faculty of Medical Sciences, Mashhad, Iran Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
5
Associate Professor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jmrh.2024.78127.2327
Abstract
Background & aim: The level of awareness and attitude towards genetic diseases and the rate of referrals of couples who need genetic counseling is very low. It seems that motivational interview can be useful to solve the problem. Therefore, the present study was conducted to determine the effect of premarital counseling based on motivational interview on the knowledge, attitude and intention of couples who need genetic counseling
Methods: In this randomized clinical trial 69 eligible couples who referred to the health centers(number 1,2)of Mashhad, Iran in 2023,were randomly assigned to two groups of motivational interviewing and control by replacement blocks via computerized. Knowledge, attitude, and intention were assessed before and two weeks after intervention Self-structured tools were used to measure knowledge, intention and modified attitude questionnaire of Zain of couples towards genetic counseling. Data analysis was performed by using SPSS software version 25and Chi-square, Fisher's exact, independent t and Mann-Whitney (P<0.05).
Results: The changes in the average awareness score compared to before counseling in the intervention and control group were 10.25±9.13, and 3.61±6.28. respectively which was significantly different between two groups. ((P<0.05).the average attitude score after the intervention in the intervention group was higher and with a significant difference compared to the control group(P<0.001).Also, after the intervention,70.6% in the intervention group and 45.7% in the control group had a definite intention to perform genetic counseling.(P<0.05).
Conclusion: motivational interview increases awareness, attitude and referral of couples who need genetic counseling.Therefore, this method can be used for genetic counseling in counseling classes pre -marriage.
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