| Objective: To construct an assessment tool suitable for clinical promotion to evaluate MPI behavior during pregnancy,verify the influence of online interactive health education on MPI behavior during pregnancy,and provide evidence-based basis for promoting MPI during pregnancy.Methods: The study was divided into two partsThe first part: The construction of “Male Partner Involvement during Pregnancy Evaluation Questionnaire”1.Semi-structured interview: Target sampling is adopted to achieve information saturation.Perinatal women are selected as interview objects,and semi-structured interview is conducted around "women’s demand for MPI during pregnancy".2.Delphi method: Select experts according to the criteria and solicit their opinions through face-to-face or email.Select and modify the questionnaire items following the opinions of experts,and stop until the opinions of the experts are basically consistent.3.Reliability and validity test: Use the initial questionnaire constructed by the Delphi method to conduct a questionnaire survey,and the number of respondents was 5-10 times of the number of items.Firstly,screen the items with poor discrimination and low reliability preliminarily through item analysis,and verify the validity of the remaining items by exploratory factor analysis and content validity evaluation.Verify its reliability by internal consistency(Cronbach ’α value)and retest reliability.The test level α=0.05.The second part: The effect evaluation of online interactive health education1.Brainstorming method: Organize midwives and teachers of pregnant women’s schools to brainstorm and discuss under the guidance of the 2018 version of the guidelines for pregnancy health care,and formulate a health education plan suitable for men.2.Intervention and effect evaluation: Chose the man whose wife have established health management files in the first trimester and are willing to attend the antenatal care regularly and delivery in the hospital as the research subjects.The subjects who met the standards in December 2020 and 2021 were divided into intervention group and control group,respectively,for the same period control.There were 118 participants in the intervention group and 116 in the control group,each of which was divided into six network groups composed of participants,midwifery specialists,obstetric nurses,and researchers.The intervention group received online interactive health education intervention,while the control group received no special intervention.After the intervention,the scores of “Male Partner Involvement during Pregnancy Evaluation Questionnaire”,the wife’s delivery method and the intention of second child were collected for effect evaluation.And analyse the data by the t test,chi-square test and logistics regression analysis.Test level α=0.05.Results:The first part: The final “Male Partner Involvement during Pregnancy Evaluation Questionnaire” includes 5 dimensions,including life support,emotional support,health supervision,couple decision and doctor visit,with a total of 27 items,and the cumulative variance contribution rate is62.26%.This questionnaire I-CVI: 0.800 ～ 1.000,S-CVI/ AVE: 0.978,S-CVI/ UA: Cronbach’s α coefficient and retest reliability were 0.942 and0.983,respectively.Cronbach’s α coefficient of each factor was 0.726 ～0.908,and retest reliability was 0.958 ～ 1.000.The second part:1.Internet-based health education plan: health education includes the importance of male participation and knowledge about motherhood;The forms of health education include pushing online popular science articles,online courses for pregnant women and online interactive question-answering,etc.The frequency is once a month.2.Intervention effect:(1)MPI during pregnancy: the intervention group had more men with high involvement during pregnancy than the control group,and the score of “Male Partner Involvement during Pregnancy Evaluation Questionnaire” was also higher than the control group,P < 0.05,the difference was statistically significant.The scores of the other four dimensions(life support,emotional support,health supervision,and doctor visit)in the intervention group were higher than those in the control group except for the joint decision dimension(P > 0.05),and there was no significant difference between the two groups(P < 0.05).(2)Female delivery method and the intention of second child: the number of male wives in the intervention group chose cesarean section was less than that in the control group,and the number of male wives with rebirth intention was more than that in the control group,P < 0.05.Conclusion:1.The “Male Partner Involvement during Pregnancy Evaluation Questionnaire” has good reliability and validity,and can be used as an assessment tool for assessing MPI during pregnancy.2.Online interactive health education for men can improve male involvement behaviors during pregnancy,contribute to increasing MPI during pregnancy,reducing the rate of cesarean section and increasing women’s intention of second child,which is worthy of clinical promotion. |
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