Background: High-risk pregnancies in women under 20 or over 35 years are commonly associated with low self-efficacy, leading to anxiety, poor coping, and inadequate childbirth readiness. Few studies have targeted interventions to directly improve self-efficacy, and mindfulness delivered through audiovisual media represents a promising yet underutilized approach to enhance psychological preparedness in this population.
Objective: To evaluate the effectiveness of an audiovisual mindfulness intervention on self-efficacy in high-risk pregnant women preparing for childbirth.
Methods: A quasi-experimental pre-test–post-test control group design was conducted among 66 third-trimester pregnant women, purposively assigned to experimental (n = 33) and control (n = 33) groups. The intervention was delivered via the MIESRA application, providing audiovisual mindfulness exercises to promote maternal–fetal bonding and psychological well-being. The experimental group received three 15-minute sessions over seven days, while the control group received standard antenatal care. Self-efficacy was measured using a validated scale and analyzed with Wilcoxon, dependent t-test, and independent t-test.
Results: The mean self-efficacy score in the experimental group increased from 63.36 (SD = 5.18) to 67.82 (SD = 3.93), while the control group showed only a slight increase from 64.33 (SD = 6.44) to 64.55 (SD = 6.14). Statistical analysis confirmed a significant improvement in the experimental group compared with controls (p = 0.012). Participants receiving mindfulness reported feeling calmer, more confident, and better prepared for childbirth.
Conclusion: Audiovisual mindfulness intervention effectively improved self-efficacy among high-risk pregnant women. Integrating such tools into antenatal care may empower vulnerable mothers, foster resilience, and enhance psychological readiness for childbirth.
References
Adilla, I., Misrawati, M., & Indriati, G. (2023). Efektivitas Intervensi Mindfulness Bonding Ibu dan Janin Menggunakan Smartphone Terhadap Kecemasan Ibu Hamil Menjelang Persalinan. Jurnal Kesehatan Komunitas, 9(2), 257–264. https://doi.org/10.25311/keskom.vol9.iss2.1382
Astuti, W. (2020). Hubungan self efficacy dengan stress pada ibu hamil di klinik Dr Jhon N Tambunan Spog. (Skripsi, Universitas Medan Area)
Bandura, A. (1997). Self Efficacy, The Exercise of Control. W.H Freeman dan Company.
Besral, B., Misrawati, Afiyanti, Y., et al. (2023). MIESRA mHealth: Marital satisfaction during pregnancy. PLoS ONE.
Dinkes Prov, R. (2021). Profil Kesehatan Provinsi Riau Tahun 2021 (J. Herimen (Ed.)). Dinas Kesehatan Provinsi Riau.
Hajjan, M., & Ratnawati. (2023). Hubungan efikasi diri dengan risiko depresi pada ibu postpartum di wilayah kerja puskesmas titro I. Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta (SEMNASKEP), 5(2), 16–23.
Hapsari, N., Karini, S. M., & Setyanto, A. T. (2021). Pelatihan Mindfulness untuk Menurunkan Kecemasan Ibu dengan Kehamilan Pertama Trimester III. INSAN Jurnal Psikologi Dan Kesehatan Mental, 6(1), 10. https://doi.org/10.20473/jpkm.v6i12021.10-21
Hikmah, N., & Yuliani, I. (2019). Self Efficacy Ibu Hamil Trimester Iii Dengan Tingkat Kecemasan Dalam Menghadapi Persalinan Self Efficacy Pregnant Women Trimester Iii With Anxiety Level in Facing Labor. Jurnal Informasi Kesehatan Indonesia, 5(2), 123–132.
Jumrah, Syafar, M., Jusuf, E. C., & Syamsuddin, S. (2022). Edukasi Maternal mental Health. Azka Pustaka.
Misrawati. (2022). Pengaruh intervensi keperawatan untuk meningkatkan ikatan emosional orang tua dan janin (miesra) berbasis mobile health terhadap kesehatan psikologis, keharmonisan suami istri serta jalinan kasih orang tua dan janin. (Disertasi, Universitas Indonesia).
Notoatmodjo, S. (2012). Metodologi Penelitian Kesehatan. Rineka Cipta, 2012.
Pratiwi, P. A. S., Kundre, R. M., & Rompas, S. (2023). Hubungan Dukungan Suami Dengan Efikasi Diri Pada Ibu Hamil Usia Remaja Di Puskesmas Ranomuut. Mapalus Nursing Science Journal, 1(1), 14–22.
Sofiyatin, R. (2022). Edukasi Pentingnya Menghadapi Psikologi Ibu Terhadap Kesiapan Fisik Dan Mental Ibudalam Mempersiapkan Persalinanpada Ibu Hamil Trimester Iii. Jurnal Pengabdian Masyarakat Sasambo, 1(4), 54–59.
Tajvar, M., Hajizadeh, A., & Zalvand, R. (2022). A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries. BMC Public Health, 22(1), 1–28. https://doi.org/10.1186/s12889-022-14686-5
Winangrum, C., & Hutasoit, M. (2022). Tingkat Kecemasan Ibu Hamil Berhubungan dengan Self Efficacy dalam Melakukan Pemeriksaan Antenatal Care (ANC). Healthy Indonesian Journal, 1(2).
Yantina, M., Roswiyani, R., & Sahrani, R. (2024). Peran Maternal Self-Efficacy sebagai Mediator terhadap Mindfulness dan Postpartum Depression pada Ibu Primipara. Ganaya?: Jurnal Ilmu Sosial Dan Humaniora, 7(2), 237–257. https://doi.org/10.37329/ganaya.v7i2.3154
Yuksel, A., Bayrakci, H., & Yilmaz, E. B. (2019). Self-efficacy, Psychological Well-Being and Perceived Social Support Levels in Pregnant Women. International Journal of Caring Sciences, 12(2), 1120–1129.
Zarenejad, M., Yazdkhasti, M., Rahimzadeh, M., et al. (2020). The effect of mindfulness-based stress reduction on maternal anxiety and self-efficacy: A randomized controlled trial. Brain and Behavior, 10(4), 1–7. https://doi.org/10.1002/brb3.1561