The Effectiveness of Motivational Interviewing in Reducing the Use of Household Chemicals and Personal Care Products During Pregnancy

Motivational Interview Clinical Trial

Official title:

Gebelikte Ev İçi Kimyasallar ve Kişisel Bakım Ürünlerinin Kullanımını Azaltmada Motivasyonel Görüşmenin Etkinliği

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06380634
• Other study ID #: NYalcinbas
• Status: Completed
• Phase: N/A
• Start date: January 23, 2023
• Est. completion date: February 20, 2024

Study information

• Verified date: April 2024
• Source: Istanbul University - Cerrahpasa (IUC)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Objective: The aim of the study is to examine the effect of motivational interviewing on reducing the use of household chemicals and personal care products during pregnancy.

Description:

Introduction :During pregnancy, women are exposed to cosmetic products and household chemicals frequently used in daily life.

Method: The research was conducted in a prospective pre-test, post-test based randomized controlled experimental research design.The sample of the study consisted of 140 pregnant women who applied to the Ministry of Health Istanbul Provincial Health Directorate and Sile State Hospital Gynecology and Obstetrics Polyclinics between May and December 2023, volunteered to participate in the study and met the inclusion criteria.

Firstly, the Informed Consent Form and Introductory Information Form were applied to the women, then the Personal Care Products Use Evaluation Form, Self-Efficacy Scale and Endocrine Disruptors Attitude Scale were applied. The experimental group was informed about the motivational interviewing technique and an appropriate plan was made. After the interviews, the Personal Care Products Use Evaluation Form, Self-Efficacy Scale and Endocrine Disruptors Attitude Scale were re-administered.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 130
• Est. completion date: February 20, 2024
• Est. primary completion date: December 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 20 Years to 43 Years

Eligibility

Inclusion Criteria:

• Being at least 18 years old

• Education level must be at least primary school

• Speaking Turkish

• Having a single pregnancy between the 8th and 40th weeks

• Using household chemicals and personal care products (any product at least once a week)

Exclusion Criteria:

• Having a psychiatric illness that prevents communication,

• Having a chronic serious physical health problem

• Termination of pregnancy for any reason

• Having a risky pregnancy (preeclampsia, threat of premature birth)

• Intrauterine growth retardation, having a pregnancy with fetal anomalies

• Working in a job that requires heavy use of chemicals, such as hairdresser, dry cleaner, beautician.

Related Conditions & MeSH terms

• Motivational Interview

Intervention

Behavioral:
• Experimental group- Motivational Interview
Pregnant women who applied to the gynecology clinic and met the inclusion criteria were informed about the study. Those who agreed were informed about the purpose of the research. Firstly, the Informed Volunteer and Introductory Information Form was applied to the women, then the Personal Care Products Use Evaluation Form, Self-Efficacy Scale and Endocrine Disruptors Attitude Scale were applied. Then, the experimental group was informed about the motivational interviewing technique. A total of 3 interviews were held. The final test was made at the fourth meeting.

Locations

Country	Name	City	State
Turkey	Istanbul University Cerrahpasa	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University - Cerrahpasa (IUC)

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

Ashrap P, Watkins DJ, Calafat AM, Ye X, Rosario Z, Brown P, Velez-Vega CM, Alshawabkeh A, Cordero JF, Meeker JD. Elevated concentrations of urinary triclocarban, phenol and paraben among pregnant women in Northern Puerto Rico: Predictors and trends. Environ Int. 2018 Dec;121(Pt 1):990-1002. doi: 10.1016/j.envint.2018.08.020. Epub 2018 Oct 11. — View Citation

Deierlein AL, Grayon AR, Zhu X, Sun Y, Liu X, Kohlasch K, Stein CR. Personal Care and Household Cleaning Product Use among Pregnant Women and New Mothers during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022 May 6;19(9):5645. doi: 10.3390/ijerph19095645. — View Citation

Fruh V, Preston EV, Quinn MR, Hacker MR, Wylie BJ, O'Brien K, Hauser R, James-Todd T, Mahalingaiah S. Urinary phthalate metabolite concentrations and personal care product use during pregnancy - Results of a pilot study. Sci Total Environ. 2022 Aug 20;835:155439. doi: 10.1016/j.scitotenv.2022.155439. Epub 2022 Apr 22. — View Citation

Ingle ME, Watkins D, Rosario Z, Velez Vega CM, Huerta-Montanez G, Calafat AM, Ospina M, Cordero JF, Alshawabkeh A, Meeker JD. The association of urinary organophosphate ester metabolites and self-reported personal care and household product use among pregnant women in Puerto Rico. Environ Res. 2019 Dec;179(Pt A):108756. doi: 10.1016/j.envres.2019.108756. Epub 2019 Sep 23. — View Citation

Preston EV, Chan M, Nozhenko K, Bellavia A, Grenon MC, Cantonwine DE, McElrath TF, James-Todd T. Socioeconomic and racial/ethnic differences in use of endocrine-disrupting chemical-associated personal care product categories among pregnant women. Environ Res. 2021 Jul;198:111212. doi: 10.1016/j.envres.2021.111212. Epub 2021 May 3. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation Form for Use of Domestic Chemicals and Personal Care Products	In this form prepared by the researcher in line with the literature, the use of cosmetic products was asked with 41 product names in five main categories such as rinsed products, products applied to the skin and not rinsed, products applied to the hair, make-up products, intimate care products; Household chemicals are asked with 12 product names (Ashrap et al., 2018; Ingle et al., 2019; Preston et al., 2021; Fruh et al., 2022; Deierlein et al., 2022). The personal care product usage frequency of the experimental and control groups was asked in a 5-point Likert type at the pre-test and post-test, and then the difference in pre-test and post-test product usage was categorized as increasing, remaining the same or decreasing.	1 year
Primary	Self Efficacy Competence Scale	On a five-point Likert-type scale consisting of 23 items, each item is marked as 1-does not describe me at all, 2-describes me a little, 3-undecided, 4-describes me well, 5-describes me very well.	1 year
Primary	Endocrine Disruptors Attitude Scale	The scale consists of 21 items. The endocrine disruptors attitude scale has two sub-dimensions: consumer behavior and nutrition and hygiene. The scale was prepared as a five-point Likert type as "I completely agree", "I agree", "I am undecided", "I disagree", "I strongly disagree".	1 year