The Effect of Education Based on the Family-Centered Empowerment Model on Perceived Social Support in Women with Endometriosis: A Randomized Clinical Trial

Document Type : Original Research Article

Authors

1 MSc in Midwifery, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor, Department of Community Health of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

4 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

5 a) Associate Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

6 a) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran b) Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/jmrh.2024.73412.2143

Abstract

Background & aim: Endometriosis affects different aspects of women's life. Many women with endometriosis do not have social support. Family-centered empowerment model is one of the care models which its effect on perceived social support among women suffering from chronic diseases have been investigated less. Therefore, this study aimed to determine the effect of education based on family-centered empowerment model on perceived social support in women with endometriosis.
Methods: This is a randomized clinical trial, which was conducted on 64 women with endometriosis reffered to the endometriosis clinic of a training Hospital in Mashhad, Iran between March 2022 and September 2023. Sampling was done using the random allocation block method. The intervention group received five 45–60-minute education sessions based on the family-centered empowerment model and a final assessment session over two weeks. Before, immediately and 6 weeks after the intervention, the Sherbon Stewart Social Support Questionnaire (MOS-SSS) was completed. Data analysis was done using independent t-test, paired t-test, Mann-Whitney and Wilcoxon with SPSS software (version27).
Results: Before the intervention, the mean of the total score of perceived social support in the intervention and control group was not significantly different (P = 0.684). After the intervention, the total perceived social support score was 67.1 ± 11.08 in the intervention and 57.63 ± 16.31 in the control group, which showed a significant difference between the two groups (P = 0.008).
Conclusion: Education based on the family-centered empowerment model could be effective on perceived social support enhancement among women with endometriosis.

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Main Subjects

References

  1. burney Ro, Giudice Lc. Pathogenesis And Pathophysiology Of Endometriosis. Fertility And Sterility. 2012; 98(3): 511-519.
  2. Abolghasemi M, Esmaeilzadeh S, Mirabi P, Golsorkhtabaramiri M. Human Exposure To Polychlorinated Biphenyls (Pcbs) And The Risk Of Endometriosis: A Systematic Review And Meta-Analysis Protocol. International Journal Of Preventive Medicine. 2021; 12.
  3. Laufer M. Premenarcheal Endometriosis Without An Associated Obstructive Anomaly: Presentation, Diagnosis, And Treatment. Fertility And Sterility. 2000; 74(3): S15.
  4. Nezhat F, Datta Ms, Hanson V, Pejovic T, Nezhat C, Nezhat C. The Relationship Of Endometriosis And Ovarian Malignancy: A Review. Fertility And Sterility. 2008; 90(5): 1559-1570.
  5. Morassutto C, Monasta L, Ricci G, Barbone F, Ronfani L. Incidence And Estimated Prevalence Of Endometriosis And Adenomyosis In Northeast Italy: A Data Linkage Study. Plos One. 2016; 11(4): E0154227.
  6. Kennedy S, Bergqvist A, Chapron C, D’hooghe T, Dunselman G, Greb R, Et Al. Eshre Guideline For The Diagnosis And Treatment Of Endometriosis. Human Reproduction. 2005; 20(10): 2698-2704.
  7. Tariverdian N, Theoharides Tc, Siedentopf F, Gutiérrez G, Jeschke U, Rabinovich Ga, Et Al. Neuroendocrine-Immune Disequilibrium And Endometriosis: An Interdisciplinary Approach. Seminars In Immunopathology. 2007; 29(2): 193-210.
  8. Eskenazi B, Warner Ml. Epidemiology Of Endometriosis. Obstetrics And Gynecology Clinics Of North America. 1997; 24(2): 235-258.
  9. Melis G, Ajossa S, Guerriero S, Paoletti A, Angiolucci M, Piras B, Et Epidemiology And Diagnosis Of Endometriosis. Annals Of The New York Academy Of Sciences. 1994; 734(1): 352-357.
  10. Giacomini E, Minetto S, Li Piani L, Pagliardini L, Somigliana E, Viganò P. Genetics And Inflammation In Endometriosis: Improving Knowledge For Development Of New Pharmacological Strategies. International Journal Of Molecular Sciences. 2021; 22(16).
  11. Gezer A, Oral E. Progestin Therapy In Endometriosis. Women's Health. 2015; 11(5): 643-652.
  12. Morotti M, Vincent K, Becker Cm. Mechanisms Of Pain In Endometriosis. European Journal Of Obstetrics & Gynecology And Reproductive Biology. 2017; 209: 8-13.
  13. Denny E, Khan K. Systematic Reviews Of Qualitative Evidence: What Are The Experiences Of Women With Endometriosis? Journal Of Obstetrics And Gynaecology. 2006; 26(6): 501-506.
  14. D’alterio Mn, Saponara S, Agus M, Laganà As, Noventa M, Loi Es, Et Al. Medical And Surgical Interventions To Improve The Quality Of Life For Endometriosis Patients: A Systematic Review. Gynecological Surgery. 2021: 13(1): 18.
  15. Simoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I, Et Al. The Burden Of Endometriosis: Costs And Quality Of Life Of Women With Endometriosis And Treated In Referral Centres. Human Reproduction. 2012; 27(5): 1292-1299.
  16. Simoens S, Hummelshoj L, D'hooghe T. Endometriosis: Cost Estimates And Methodological Perspective. Human Reproduction Update. 2007; 13(4): 395-404.
  17. Whitney Ml. The Social Support Experiences Of Women With Endometriosis: Virginia Tech .
  18. Masoudi R, Soleimani M, Hasheminia A, Qorbani M, Hasanpour-Dehkordi A, Bahrami N. The Effect Of Family Centered Empowerment Model On The Quality Of Life In Elderly People. The Journal Of Qazvin University Of Medical Sciences. 2010; 14.
  19. Hosseini-Hajibakande, Seyed Ahmad, Taghipour, Maliha. Investigating The Impact Of Social Support On The Social Health Of Women Heads Of Households. Social Research. 2010; 7(3): 139-158.
  20. Mohebi S, Parham M, Sharifirad G, Gharlipour Z, Mohammadbeigi A, Rajati F. Relationship Between Perceived Social Support And Self-Care Behavior In Type 2 Diabetics: A Cross-Sectional Study. Journal Of Education And Health Promotion. 2018; 7.
  21. Vahedparast H, Mohammadi E, Ahmadi F, Farhadi A. The Role Of Social Support In Adherence To Treatment Regimens: Experiences Of Patients With Chronic Diseases. Medical-Surgical Nursing Journal. 2018; 7(1).
  22. Badrizadeh A, Rezaii Jamaloi H, Khanzadeh M, Foroughi S, Saki M. Evaluation Of The Role Of Social Support And Its Components In Adherence To Treatment In Type 2 Diabetic Patients In Khorramabad City. Nursing And Midwifery Journal. 2021; 19(9): 696-703.
  23. Rahimibashar F, Salesi M, Alhani F. A Review Of 15 Years Application The Family Centered Empowerment Model On The Consequences Of Acute And Chronic Diseases. Journal of Military Medicine. 2019; 21(4): 325-341.
  24. Alhani F, Niknami S, Kimiagar M, Kazemnezhad A, Heidarni A. Design And Evaluation Of The Family-Oriented Prevention Of Iron Deficiency Anemia. Tehran: Tarbiyat Modarres University. 2003; 8: 283-289.
  25. Rahimibashar F, Salesi M, Alhani F. A Review Of 15 Years Application The Family Centered Empowerment Model On The Consequences Of Acute And Chronic Diseases. Journal Of Military Medicine. 2019; 21(4): 325-341.
  26. Vahedian-Azimi A, Alhani F, Goharimogaddam K, Madani S, Naderi A, Hajiesmaeili M. Effect Of Family-Centered Empowerment Model On The Quality Of Life In Patients With Myocardial Infarction: A Clinical Trial Study. Journal Of Nursing Education. 2015; 4(1): 8-21.
  27. Nojomi, Bijari, Bita, Mostafavian, Zahra S, Kashanian. Evaluation Of The Quality Of Life In Patients With Endometriosis In Tehran In 2018. Razi Journal Of Medical Sciences. 2011; 18(90): 37-43.
  28. Kiran K, Noor Aireen I, Wan Nur Asyura Wan A. Social Media Support For Women With Endometriosis: A Systematic Review. Journal of Nusantara Studies. 2023: 8(2).
  29. Arabshahi A, Gharlipour Z, Mohammadbeigi A, Mohebi S. The Effect of Education Based on Spousal Social Support on Improving Self-Care Behaviors in Men with High Blood Pressure. Qom University of Medical Sciences Journal. 2020; 14(2): 34-46.
  30. Arabshahi A, Gharlipour Z, Mohammadbeigi A, Mohebi S. Effect of educational intervention based on social support received by the spouse on promoting adherence to treatment regimen in hypertensive patients. Journal of Education and Community Health. 2020; 7(3): 153-160.
  31. Rad A, Nahtani, Ahmadi A, Pourhaji, Niknami, Eddin S. The effect of educational intervention based on health belief model and social support structure on self-care behaviors during pregnancy. Iranian Health Education and health Promotion Quarterly. 2021; 8(4): 324-335.
  32. Bashar FR, Salesi M, Alhani F. A review of 15 years application the family centered empowerment model on the consequences of acute and chronic Diseases. Journal of Military Medicine. 2019; 21(4): 325-341.
Journal of Midwifery and Reproductive Health
Volume 14, Issue 2
April 2026
Pages 5384-5394

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