individual counseling based on fogg behavior model and its effect on decision self-efficacy and decision conflict in choice of vaginal birth after cesarean section: a randomized clinical trial

Background: given the high rate of cesarean section complications, mothers who have had previous cesarean sections should change their behavior toward delivery. self-efficacy plays important role in mother’s ability to adapt to vaginal birth and reduce tendency to cesarean section.aim: the current research was conducted with aim to investigate the individual counseling based on fogg behavior model and its effect on decision self-efficacy and decision conflict to choose vaginal birth after cesarean section.method: this randomized clinical trial study was performed on 62 pregnant women referred to the comprehensive health centers of mashhad in 2020. the intervention group received two face-to-face individual counseling sessions based on fogg’s model every 2 weeks for 45-60 minutes and one virtual session on the telegram channel. data analysis was done using spss software (version 25) and the statistical tests of mann-whitney, chi-square, fisher exact, independent t and paired t-test. p<0.05 was considered significant.results: mean score of fogg’s model showed a significant difference between the two groups (2.79±0.52 vs. 2.33±0.31). mean score of decision self-efficacy and decision conflict had a statistically significant difference after the intervention (3.44±0.45 and 1.03±0.33, respectively) compared to before the intervention (2.57±0.97 and 1.44±0.59, respectively) in two groups. the mean score of fogg’s questionnaire was significantly different between the two groups (p<0.05).implications for practice: counseling based on fogg model promotes decision self-efficacy and reduces decision conflict in choosing vaginal birth after cesarean section. maternal health care providers should consider this approach in consultation with previous cesarean section mothers.