Effectiveness of Structured Teaching Programme Vs Self Instructional Module on child birth preparedness among Primigravida in selected Hospital, Kottayam

According to the World Health Organization (WHO), approximately 810 women die every day from preventable causes related to pregnancy and childbirth. Childbirth preparedness programs play a vital role in promoting positive pregnancy outcomes and enhancing maternal confidence. This study was conducted to evaluate and compare the effectiveness of a Structured Teaching Programme (STP) and a Self-Instructional Module (SIM) on knowledge regarding childbirth preparedness among primigravida mothers in a selected hospital in Kottayam district. A quantitative research approach with a quasi-experimental non-equivalent pre-test post-test control group design was adopted for the study. Thirty primigravida mothers were selected using a non-probability purposive sampling technique, with 15 participants each in the experimental and control groups. A semi-structured knowledge questionnaire was used as the assessment tool. A pilot study was conducted on five primigravida mothers in the outpatient department of Caritas Matha Hospital to test the feasibility of the study. Following the pre-test, the experimental group received the Structured Teaching Programme (STP) on the same day, while the control group received the Self-Instructional Module (SIM). The post-test was administered on the seventh day after the intervention. The findings revealed that in the STP group, the mean pre-test knowledge score was 14.2, which significantly improved to 19.46 post-intervention, with a t-value of 3.95 at p<0.05, indicating a statistically significant improvement in knowledge. In the SIM group, the mean pre-test knowledge score was 14.3, and the post-test mean was 14.4, showing minimal improvement with a t-value of 0.05. When comparing post-test scores, the STP group demonstrated greater knowledge gain (mean = 19.46, t = 3.95) than the SIM group (mean = 14.4, t = 0.05). The calculated unpaired t-value of 4.007 was found to be significant at p < 0.05, confirming that the STP was more effective. The findings support the study hypotheses (H2), affirming that the Structured Teaching Programme showing greater efficacy in improving primigravida mothers’ knowledge on childbirth preparedness.