An interventional study of emotional freedom techniques and emotional freedom techniques and virtual reality in Fear of Childbirth, Mental Well-being and Attachment, sponsored by Inonu University. Recruiting at 1 site in Turkey. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-30.
Sponsored by Inonu University · Not applicable, Interventional, and Prevention
Fear of labour in primiparous pregnant women is an important factor that directly affects the mother-infant relationship and the mental health of the mother. In this process, it is common for expectant mothers to experience feelings of uncertainty and anxiety about labour. Such intense fear of birth may weaken maternal attachment and make it difficult for her to establish a healthy emotional relationship with her baby. In addition, this fear may negatively affect the mother's mental well-being and increase the risk of depression and anxiety.
In this context, emotional liberation techniques (EFT) and virtual reality (VR) applications stand out as effective nonpharmacological methods used to reduce fear of childbirth in primiparous pregnant women. EFT is a technique that provides relaxation by touching the energy meridians that help the person to regulate negative emotions and cope with stress. SG, on the other hand, allows expectant mothers to interact with simulations similar to the real world in a virtual environment, providing therapeutic benefits through distraction, stress reduction and cognitive restructuring, allowing them to manage their fears about birth and enter the process more prepared. The use of SLT and SG, especially for primiparous pregnant women, can alleviate these women's anxiety about childbirth and enable them to approach the process in a safer and more conscious manner. Thus, it may also help to reduce the negative effects on the mother's postnatal attachment and mental health.
This study aims to examine the effects of SLT and SG practices on fear of childbirth, attachment and mental well-being, and to reveal the effects of these two methods on primiparous pregnant women. In this context, this study will fill the gap in the literature by providing a new perspective in clinical practice and antenatal education programmes and will make important contributions to increase antenatal attachment and mental well-being in primiparous pregnancy.
Inonu University is the lead sponsor of 375 studies on the registry; 86 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Emotional Freedom Techniques (EFT) application group; Participants will receive EFT intervention once a week for four weeks, with pre- and post-assessment using scales and subjective experience units.
Behavioral: emotional freedom techniques
Emotional Freedom Techniques (EFT) and Virtual Reality (VR) application group; Participants will receive both EFT and VR interventions once a week for four weeks, with pre- and post-assessment using scales and subjective experience units.
Behavioral: emotional freedom techniques and virtual reality
Control group; Participants will receive standard antenatal care with pre- and post-assessment using scales and subjective experience units, but no EFT or VR intervention.
Behavioral: control group/ none intervention
emotional freedom techniques
emotional freedom techniques and virtual reality
None intervention
Wijma Birth Anticipation/Fear Scale - Version A
The level of fear of labour will be assessed using a validated instrument, the Wijma Birth Anticipation/Fear Scale (Version A). Scores range from 0 to 165, with higher scores indicating higher levels of fear of labour.
Time frame: 32-38 weeks of gestation
Warwick-Edinburgh Mental Well-Being Scale - WEMWBS
Mental well-being will be measured using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). Scores range from 14 to 70, with higher scores indicating higher mental well-being
Time frame: 32-38 weeks of gestation
Prenatal Mother-Infant Attachment Prenatal Mother-Infant Attachment Prenatal Mother-Infant Attachment
Maternal attachment to the unborn baby will be evaluated using the Prenatal Maternal Attachment Scale. Scores range from 21 to 84, with higher scores indicating stronger maternal attachment.
Time frame: 32-38 weeks of gestation
Subjective Unit Experience Scale
The scale, which was developed by Hartmann is utilised in EFT applications and enables the individual to categorise their own emotions by evaluating them with numbers. The SUE, a specific EFT instrument, is utilised to ascertain the intensity (degree) of the emotion experienced at the commencement and conclusion of the session. The scale is scored between -10 and +10, with negative numbers denoting negative/unpleasant experiences and positive numbers denoting positive/pleasant experiences.
Time frame: 32-38 weeks of gestation
Demographic Characteristics of Participants
Age, education level, marital status, socioeconomic status, gestational week, and previous pregnancy history will be collected using a demographic information form. Group Comparability After Randomization Baseline demographic and clinical characteristics will be analyzed to ensure balance across groups after randomization. Subgroup Analysis Based on Age and Education Level Intervention effects will be examined across subgroups categorized by age and education level. Duration of Fear of Childbirth The duration of childbirth fear (in weeks or months) will be self-reported by participants. Previous Psychological Support History Participants' history of psychological support will be recorded via self-reported questionnaires.
Time frame: 32-38 weeks of gestation
Plan to share: No — Even if the participants voluntarily agree to participate in the research in the country we live in, I cannot make this sharing because it is not legal to share the individual data of the participants.
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
Contact study teamGet an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Inonu University