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RecruitingNCT07263750Updated Feb 3, 2026

Effect of Haptonomy on Prenatal Attachment and Fear of Childbirth in Primiparous Couples

An interventional study of Haptonomy in Fear of Childbirth and Prenatal Attachment, sponsored by Nigde Omer Halisdemir University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 19 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-03.

Sponsored by Nigde Omer Halisdemir University · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Primary completion was expected by Mar 2026, 6 months ago, but the record still lists the study as recruiting.
  • Registered 4 months after the study started (first participant enrolled Mar 2025, registered Jul 2025).
  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Non-randomized
Ages
19 Years to 35 Years
Sex
All
01

Study summary

This study was planned to evaluate the effect of haptonomy practice for primiparous pregnant women and their partners on prenatal attachment and fear of childbirth.

Read the detailed description

Aim: This study was designed to evaluate the effect of haptonomy practice for primiparous pregnant women and their partners on prenatal attachment and fear of childbirth.

Methods: This randomized controlled experimental study will include primiparous pregnant women and their partners (36 couples in the experimental group and 36 couples in the control group) who apply to the childbirth education class of a public hospital in Turkey and are between 24-26 weeks of gestation.

The experimental group will receive haptonomy education in the childbirth class. Afterwards, a video-based haptonomy program will be delivered via e-mail or WhatsApp. Couples will be asked to perform haptonomy exercises once a week for 40 minutes over five weeks. No intervention will be applied to the control group.

Data will be collected before the intervention and at the end of the fifth week using the Personal Information Form, Prenatal Attachment Inventory (PAI), Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ A), Paternal-Fetal Attachment Scale (PFAS), and Fathers' Fear of Childbirth Scale (FFOC).

Data analysis will include frequency and percentage distributions, chi-square test, t-test, Mann-Whitney U test, repeated measures analysis, two-way ANOVA, Friedman test, and Cohen's d test.

02

Conditions studied

  • Fear of Childbirth
  • Prenatal Attachment

Keywords

  • fear of childbirth
  • pregnant
  • father
  • prenatal attachment
  • haptonomia
03

In context

Lead sponsor

Nigde Omer Halisdemir University is the lead sponsor of 89 studies on the registry; 30 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

    • At least a primary school graduate

      • Between the 24th and 26th weeks of pregnancy
      • According to calculations made by ultrasound based on the last menstrual period or, for pregnant women who do not know their last menstrual period, between the 24th and 26th weeks of pregnancy
      • Primiparous
      • No history of abortion/curettage
      • Planned/desired pregnancy
      • Desired baby gender
      • Living with spouse
      • Attended pregnancy classes
      • Able to use technology such as computers and mobile phones to watch videos
      • No barriers to understanding questions and responding
      • No previous training on fear of childbirth or prenatal bonding
      • Not having previously received education on haptonomy or practised haptonomy
      • Not undergoing infertility treatment
      • Being between the ages of 19 and 35

Exclusion criteria

Exclusion Criteria:

    • Be at least 26 weeks pregnant

      • Live separately from spouse
      • Have an unplanned/unwanted pregnancy
      • Not want the baby to be of a specific gender
      • Not use technology
      • Be a high-risk pregnancy
      • Have previously received training on fear of childbirth and prenatal bonding
      • Having previously received training in haptonomy and practised haptonomy
      • Deciding to discontinue haptonomy practice after the study began and/or giving birth prematurely before completing the practice sessions
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    experimental group

    Haptonomy training will be provided to the experimental group within the childbirth class. Afterwards, the video-based haptonomy program will be sent via e-mail or WhatsApp. Couples will be asked to practice haptonomy exercises for five weeks, one 40-minute session per week.

    Behavioral: Haptonomy

  • No intervention
    control group

    Standard of care Group The control group will not receive any treatment

Interventions

  • BehavioralHaptonomy

    Since there are no studies in the literature evaluating the effect of planned video modelling haptonomy on prenatal bonding and fear of childbirth in expectant mothers and fathers, it is believed that the results obtained from this study will contribute significantly to the literature by guiding and shedding light on future studies.

    Also known as: Haptonomy, as a field dealing with emotional contact through touch, describe the relationship between parents and the unborn baby.

06

What researchers measure

Primary outcomes

  1. Prenatal Attachment Inventory (PAI)

    The PAI is a validated, explain thoughts, feelings, and situations experienced by woman during pregnancy and to determine the level of attachment to infant in prenatal period. Each item is of a four-point Likert type, with a score between 1 and 4. A minimum score of 21 and a maximum score of 84 can be obtained from the scale. Increase in the score obtained by pregnant indicates that level of attachment also increases.

    Time frame: Baseline

  2. Wijma Delivery Expectancy/Experience Questionnaire version A (W-DEQ-A)

    The W-DEQ-A is a validated,to determine the level of birth fear experienced by pregnant women.Answers in the scale are numbered from 0 to 5 and are in a six-point Likert type. The minimum score that can be obtained from the scale is 0, and the maximum score is 165.

    Time frame: Baseline

  3. Paternal-Fetal Attachment Scale (PFAS)

    PFAS is a validated scale used to determine the level of paternal-fetal attachment. The responses are rated on a four-point Likert scale ranging from 1 to 4. The minimum possible total score is 23, and the maximum is 92.

    Time frame: Baseline

  4. Fathers' Fear of Childbirth Scale (FFOC)

    The FFOC is a validated instrument used to determine fathers' level of fear related to childbirth. The responses are rated on a five-point Likert scale ranging from 1 to 5. The minimum possible total score is 17, and the maximum is 85.

    Time frame: Baseline

Secondary outcomes

  1. Prenatal Attachment Inventory (PAI)

    The PAI is a validated, explain thoughts, feelings, and situations experienced by woman during pregnancy and to determine the level of attachment to infant in prenatal period. Each item is of a four-point Likert type, with a score between 1 and 4. A minimum score of 21 and a maximum score of 84 can be obtained from the scale. Increase in the score obtained by pregnant indicates that level of attachment also increases.

    Time frame: Week 5

  2. Wijma Delivery Expectancy/Experience Questionnaire version A (W-DEQ-A)

    The W-DEQ-A is a validated,to determine the level of birth fear experienced by pregnant women.Answers in the scale are numbered from 0 to 5 and are in a six-point Likert type. The minimum score that can be obtained from the scale is 0, and the maximum score is 165.

    Time frame: Week 5

  3. Paternal-Fetal Attachment Scale (PFAS)

    PFAS is a validated scale used to determine the level of paternal-fetal attachment. The responses are rated on a four-point Likert scale ranging from 1 to 4. The minimum possible total score is 23, and the maximum is 92.

    Time frame: Week 5

  4. Fathers' Fear of Childbirth Scale (FFOC)

    The FFOC is a validated instrument used to determine fathers' level of fear related to childbirth. The responses are rated on a five-point Likert scale ranging from 1 to 5. The minimum possible total score is 17, and the maximum is 85.

    Time frame: Week 5

07

Study locations

1 of 1 sites recruiting
  • Sivas Cumhuriyet University
    Merkez, Sivas 58000, Turkey (Türkiye)
    Recruiting
08

References and documents

Publications

  • Ozbek H, Pinar SE. The effect of haptonomy applied to pregnant women on perceived stress, fear of childbirth, and prenatal attachment: randomized controlled experimental study. Curr Psychol. 2022 Jul 16:1-10. doi: 10.1007/s12144-022-03388-1. Online ahead of print. PubMed 35874964 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07263750
Lead sponsor
Nigde Omer Halisdemir University
Responsible party
Sibel DİLMEN (Lecturer, Nigde Omer Halisdemir University) — Principal investigator
First posted
Dec 4, 2025
Start date
Mar 26, 2025
Primary completion
Mar 27, 2026 (estimated)
Completion
Apr 1, 2026 (estimated)
Last update
Feb 3, 2026

Study contacts

Nilüfer Tuğut, Prof. Dr.
Contact
nlfrtugut@gmail.com
+0905327754828
sibel dilmen, lectuer
Contact
dilmensibel51@gmail.com
+905532628295
Nilüfer Tugut, Prof. Dr.
principal investigator · Cumhuriyet University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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