Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 May 30:14:217.
doi: 10.4103/jehp.jehp_822_24. eCollection 2025.

The efficacy of integrative antenatal class (IAC) to improve the psychological well-being of pregnant mothers

Lastri M Winarni  1 , Rita Damayanti  2 , Sabarinah Prasetyo  3 , Yati Afiyanti  4
Affiliations

The efficacy of integrative antenatal class (IAC) to improve the psychological well-being of pregnant mothers

Lastri M Winarni et al. J Educ Health Promot. .

Abstract

Background: Psychological well-being is a critical component to support the mental health of pregnant mothers. This study was to determine the efficacy of implementing psychoeducational interventions to improve the psychological well-being of pregnant mothers.

Materials and method: This research method uses a qualitative descriptive and quantitative design with a quasi-experimental design. We design the psychoeducational intervention to improve the psychological well-being of pregnant mothers. Intervention development uses the Behavior Centered Design (BCD) approach. The location of this research is in Tangerang, Banten, Indonesia, involving 20 Public Health Centers (PHC). The sample of respondents was 196, divided into two groups, i.e., intervention and control groups. The instrument used the psychological well-being scale by Ryff. Analysis of the efficacy intervention on psychological well-being was measured using the Difference in Difference (DID) Technique.

Results: The research is that a psychoeducational intervention called the Integrated Antenatal Class (IAC) was formed. The intervention effect was 3.184; the psychological well-being score was higher in the intervention group (P value < 0.05). After IAC there were significant differences in knowledge (Diff 0,438; P value < 0.05), attitude (Diff 1,876; P value < 0.05), behavior (Diff 0,597; P value < 0.05) and stress level (Diff - 4,562; P value < 0.05) in pregnant mothers.

Conclusions: The implications of this IAC intervention strengthen the existing antenatal class education program by considering the new structure of class activities, adding learning activities that surprise, reevaluate, and increase performance with games that touch emotions and simple assignments.

Keywords: Mental health; pregnancy; pregnant mothers; psychoeducational; psychological well-being.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Sample size
Figure 2
Figure 2
DID analysis
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Agampodi T, Agampodi S, Glozier N, Wms C, Ypjn W, Siribaddana S. How context matters: Demonstrating microgeographical differences in social capital and its implications for mental wellbeing in pregnancy with a novel bubble diagram technique. Health Place. 2019;60:102231. doi: 10.1016/j.healthplace.2019.102231. - PubMed
    1. Haruna U, Dandeebo G, Galaa SZ. Improving access and utilization of maternal healthcare services through focused antenatal care in rural Ghana: A qualitative study. Adv Public Health. 2019;2019(1):9181758. doi: 10.1155/2019/9181758.
    1. Putri AS, Wurisastuti T, Suryaputri IY, Mubasyiroh R. Postpartum depression in young mothers in urban and rural Indonesia. J Prev Med Pub Health. 2023;56:272–81. - PMC - PubMed
    1. Singh OP. Comprehensive Mental Health Action Plan 2013-2030: We must rise to the challenge. Indian J Psychiatry. 2021 Sep-Oct;63(5):415–7. - PMC - PubMed
    1. Azogh M, Shakiba M, Navidian A. The effect of psychoeducation on anxiety in subsequent pregnancy following stillbirth: A quasi-experimental study. J Fam Reprod Health. 2018;12:42–50. - PMC - PubMed

LinkOut - more resources