1. Predictors of Adherence to Relaxation Guided Imagery During Pregnancy in Women with Preterm Labor.
- Author
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Chuang, Li-Lan, Liu, Shu-Chen, Chen, Yi-Heng, and Lin, Li-Chan
- Subjects
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RISK factors in premature labor , *PSYCHOLOGICAL stress , *EDUCATIONAL attainment , *AGE distribution , *ALTERNATIVE medicine , *CONFIDENCE intervals , *FORECASTING , *INTERVIEWING , *PREMATURE labor , *LONGITUDINAL method , *PATIENT compliance , *PROBABILITY theory , *PSYCHOLOGICAL tests , *REGRESSION analysis , *RELAXATION for health , *RESEARCH funding , *TIME , *VISUALIZATION , *WOMEN'S health , *VISUAL analog scale , *RELAXATION techniques , *DATA analysis software , *STATE-Trait Anxiety Inventory , *DESCRIPTIVE statistics , *PREGNANCY ,HOSPITAL care evaluation - Abstract
Objectives: To examine adherence to relaxation guided imagery in women experiencing preterm labor as well as predictors influencing adherence. Methods: This study used a longitudinal follow-up approach. Each of the 57 participating women received a mini-MP3 player containing a 13-minute relaxation guided imagery audio program that they were instructed to follow daily until giving birth. Follow-up interviews were conducted weekly. A generalized estimating equation was used to predict adherence. Results: The total adherence rate was 58%. Higher adherence was predicted by the presence of at least a college degree ( p=0.006), greater perceived stress ( p=0.006), a higher risk of preterm delivery ( p<0.001), and greater relaxation effects ( p=0.028). Older maternal age was associated with lower adherence ( p=0.001). In addition, adherence decreased significantly over time ( p<0.001). Adherence was not related to marital status, employment, parity, the baseline level of anxiety, or hospitalization. Conclusions: Pregnant women with a high risk for preterm birth and greater perceived stress showed higher adherence to relaxation guided imagery. For women with a lower adherence to relaxation guided imagery, health care professionals may consider individual preferences regarding relaxation techniques. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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