The Effects of the Roy’s Adaptation Model on Primigravida Women’s Self-Concept: A Randomized Controlled Trial

Most women do not have a positive self-concept and impression about themselves during pregnancy because they become less active and gain more weight. Self-concept significantly contributes to individuals' mental health. This controlled trial was performed to assess the effect of an intervention based on the Roy's adaptation model on self-concept among primigravida women. This study was conducted on a random sample of 83 Iranian primigravida women. Women in the experimental group received educational and counseling services in five sessions held in five consecutive weeks. Thereafter, they received a four-week follow-up care. Before the intervention, there were no significant differences between the two groups regarding adaptation knowledge and self-concept adaptation. However, after the intervention, these differences were statistically significant. The Roy's adaptation model has positive effects on primigravida women's physical and interpersonal self-concept adaptation. Given its simplicity and easy applicability, this model can be used for improving pregnancy-related outcomes.