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Je and Choi: Effects of Web-based Preconception Health Promotion Program for Couples about to be Married
Original Article

Journal of Korean Academy of Nursing 2016; 46(5): 720-732.

Published online: 31 October 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.720

Effects of Web-based Preconception Health Promotion Program for Couples about to be Married

Nam Joo Je1, So Young Choi2

1Department of Nursing, Gyeongju University, Gyeongju, Korea.

2College of Nursing·Institute of Health Science, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Choi, So Young. College of Nursing, Institute of Health Science, Gyeongsang National University, 816-15, Jinjudaero, Jinju, Gyeongnam 52727, Korea. Tel: +82-55-772-8241, Fax: +82-55-772-8209, css4214@gnu.ac.kr

Received 15 April 2016       Revised 28 July 2016       Accepted 28 July 2016

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was done to develop a Web-based preconception health promotion program to improve preconception health promotion awareness, perceived benefits, perceived self-efficacy and health behavior, and to reduce perceived barriers in couples about to be married.

Methods

Participants were assigned to the experimental group (n=26 couples) or control group (n=25 couples). This program was comprised of a six hour Web-based lecture series which was given to the experimental group over a four week period.

Results

Results for the two groups showed: 1) a significant difference in preconception health promotion awareness in men (self-perception: z=-3.62, p <.001 content: F=18.49, p <.001) and in women (self-perception: z=-2.89, p =.004 content F=36.93, p <.001), 2) a significant difference in perceived benefits in men (z=-3.09, p =.002), and in women (F=6.38, p =.004), 3) a significant difference in perceived barriers in men (F=3.64, p =.030), and in women (F=11.36, p <.001), 4) a significant difference in perceived self-efficacy in men (F=12.16, p <.001), but no significant difference in women (F=1.93, p =.166), 5) a significant difference in health promoting behavior in men (F=16.31, p <.001), and in women (F=10.99, p =.001).

Conclusion

The results of this study show that the program is an effective nursing intervention in couples about to be married. Therefore, this program can be useful in encouraging health-promoting behavior for couples about to be married.

Keywords: Health Promotion, Health Behavior, Preconception Care

Figures and Tables

Table 1

Contents of Web-based Preconception Health Promotion Program

jkan-46-720-i001
Table 2

Homogeneity Test of General Characteristics and Variables (N=102)

jkan-46-720-i002

*Fisher’s exact test; †Mann-Whitney test; PHPA=Preconception health promotion awareness.

Table 3

Differences between Groups in Preconception Health Promotion Awareness (self-perception awareness) and Perceived Benefits between Groups (N=102)

jkan-46-720-i003

Exp.=Experimental group; Cont.=Control group; Posttest 1=Right after intervention trails ended; Posttest 2=4 weeks after intervention trails ended

Mann-Whitney test: =0.025

Table 4

Differences in Preconception Health Promotion Awareness (content awareness), Perceived Benefits, Perceived Barriers and Perceived Self-Efficacy and Health Promoting Behavior between Groups (N=102)

jkan-46-720-i004

Exp.=Experimental group; Cont.=Control group; Posttest 1=right after intervention trails ended; Posttest 2=4 weeks after intervention trails ended

Notes

*This manuscript is based on a part of the first author’s dissertation from Gyeongsang National University

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