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Background:Preeclampsia is the second leading cause of maternal death, largely due to the failure to identify the condition early. Prevention behaviors for preeclampsia in pregnant women can be developed through the Social Cognitive Theory (SCT) and the Information-Motivation-Behavioral Skills (IMB) Model. Utilizing religious organizations with unique values and cultures to foster high levels of compliance, a Religious-Based Peer Education approach can optimize these preventive efforts. Objective:This research aims to analyze the influence of knowledge, skills, motivation, observational learning, husband's support, and self-efficacy on the formation of preeclampsia prevention behaviors. Methods:A non-equivalent pre- and post-test design was conducted in Bojonegoro district from August 2022 to February 2023. The sample consisted of 179 pregnant women in the intervention group and 168 in the control group. The intervention involved Religious-Based Peer Education, with peers being members of the Muslimat NU religious organization, while the control group received routine assistance from existing health cadres. Data were analyzed using path analysis. Results:The mean scores for knowledge, skills, and behavior in the intervention group were significantly higher than those in the control group (13.81 vs. 12.34; 2.37 vs. 1.95; 30.33 vs. 28.19; p < 0.001). The strongest factors influencing the formation of preeclampsia prevention behavior were screening skills (b = 0.74, p = 0.010; 95% CI: 0.03–0.23) and self-efficacy (b = 0.36, p = 0.010; 95% CI: 0.23–0.48). Conclusion:The SCT and IMB models, when applied through Religious-Based Peer Education, have proven effective in improving preeclampsia prevention behaviors. Ongoing training for peers and consistent support for pregnant women are essential to identify high-risk pregnancies and prevent maternal complications. Keywords: social cognitive theory; information-motivation-behavioral skills model; preeclampsia; religious-based peer education; behavior

Abstrait Contexte La satisfaction sexuelle est. considérée comme l’un des facteurs clés dans l’évaluation de la qualité de vie, et de la continuité des relations conjugales. Selon les résultats de rapports en Iran, de nombreux couples sont insatisfaits de leur vie sexuelle. L’éducation sexuelle est. l’une des stratégies importantes pour prévenir les problèmes sexuels précoces et améliorer la satisfaction sexuelle. L’objectif de cet essai contrôlé randomisé est. de comparer l’efficacité de l’enrichissement sexuel et conjugal à l’aide du modèle d’information, de motivation et de compétences comportementales sur la satisfaction sexuelle des nouveaux couples en Iran avec le programme de soins de routine dispensé dans les centres de santé gouvernementaux. Les méthodes Il s’agit d’un essai de supériorité randomisé et contrôlé avec deux groupes parallèles. 100 nouveaux couples (n = 200) seront recrutés et randomisés avec une méthode de randomisation simple et une allocation 1: 1. Le recrutement se fera dans les centres de santé gouvernementaux et fera appel aux réseaux sociaux. Les couples seront randomisés pour une intervention qui recevra un paquet d’enrichissement sexuel et matrimonial et un groupe témoin (soins de routine dans les centres de santé). Les couples seront suivis pendant 4 mois. Ensuite, les résultats primaires (score moyen d’informations sexuelles des couples, motivation et compétences comportementales) et les résultats secondaires (score moyen de satisfaction sexuelle des couples) de l’étude seront mesurés à l’aide du questionnaire en ligne. Discussion Ce procès examinera l’impact du programme de formation en compétences sexuelles et matrimoniales adapté aux valeurs et aux normes régissant la vie sexuelle des couples iraniens en ce qui concerne leur satisfaction sexuelle. Si l’essai est. efficace, ses résultats seront présentés aux décideurs pour qu’ils soient mis en œuvre au niveau national. Inscription à l’essai (Numéro du registre iranien des essais cliniques (IRCT)): IRCT20181211041926N1.

Background: Sexual satisfaction is considered as one of the key factors in assessing a person's quality of life and the quality and continuity of marital relationships. According to the results of reports in Iran, many couples are dissatisfied with their sexual lives. Sexuality education is one of the important strategies to prevent early sexual problems and improve sexual satisfaction. The aim of this randomized controlled trial is to compare the efficacy of sexual and marital enrichment package using information, motivation and behavioral skills model on sexual satisfaction of new couples in Iran to routine sexual care program that provided at governmental health centers. Methods: This is a randomized, controlled, superiority trial with two parallel groups. One hundred new couples (n = 200) will be recruited and randomized with simple randomization method and a 1:1 allocation. Recruitment will be from governmental health centers and calling on social networks. Couples will be randomized to intervention which will receive Sexual and Marital Enrichment package and control group (routine care at health centers). Couples will be followed up for 4 months. Then primary outcomes (mean score of couples' sexual information, motivation and behavior skills) and secondary outcome (mean score of couples' sexual satisfaction) of study will be measured through the online questionnaire. Discussion: This trial will be examined the impact of the sexual and marital skills training package tailored to the values and norms governing the sexual life of Iranian couples on their sexual satisfaction. If the trial is effective, its results will be presented to policy makers for implementation at national level. Trial registration: (Iranian Registry of Clinical Trials (IRCT) number): IRCT20181211041926N1. Date of registration: March 2, 2019. [ABSTRACT FROM AUTHOR]