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


  • Gonabad University of Medical Sciences, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Social Determinants of Health Research Center, Gonabad, Iran, Islamic Republic of
  • Gonabad University of Medical Sciences, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Social Development and Health Promotion Research Center, Gonabad, Iran, Islamic Republic of
  • Gonabad University of Medical Sciences, Department of Clinical Psychology, Gonabad, Iran, Islamic Republic of
  • Gonabad University of Medical Sciences, Department of Basic Sciences, Gonabad, Iran, Islamic Republic of


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.


Primigravida Women, Physical and Interpersonal Self-Concept, Roy’s Adaptation Model

Subject Discipline

Obstetrics and Gynaecology

Full Text:


Yousefi AA, Moradi K, Safari N, Ghazi SH, Amiri F. The relationship between marital satisfaction with physical problems during pregnancy and associated factors among pregnant women in Khorramabad. Yafte. 2011;13(1):123–31.

Zolfaghari M, Asadi Noghabi A. Maternal newborn nursing. 3rd ed. Tehran: Hakim Hidegi Publication; 2011. p,10– 55.

Solchany JE. Promoting maternal mental health during pregnancy: Theory, practice and intervention. Washington: Ncastavenuw Publication; 2003.

Bastani F, Heidarnia A, Kazemnejad A, Kashanian M. Effect of relaxation training based on self-efficacy in mental health of pregnant women. Iran J Psychiatry Clin Psychology. 2007; 12(2):109–16.

Mossallanejad L, Ashkani H. Motherhood and mental health. 1st ed. Tehran: Ketab-e-Roshan Publication; 2005.

6. Younesi SJ, Salajegheh A. Body image in fertile and infertile woman. Med J Reproduction Infertility. 2001; 2(8):14– 21.

Memarian R. Application of nursing concepts and theories. 2nd ed. Tehran: Tarbiat Modares University Press; 2011. p. 59.

AliAkbarzade Arani Z, Taghavi T, Sharifi N, Noghani F, Faghihzade S, Khariarani M. Effect of education on the social adaptation of mothers of trainable retarded children based on Roy adaptation theory. Feiz J. 2012; 16(2):129–34.

Hekari D, Mohammadzade R. The assessment of adaptation rate of coronary artery disease female patients according to quadruple aspects of physiologic, self perception, role playing and independence/dependence in Tabriz Investigation, 2005-2006. J Azad Univ of Med sci. 2006; 18(3):187–93.

Hennessy-Harstad EB. Empowering adolescents with asthma to take control through adaptation. J Pediatric Health Care. 1999; 13:273–7.

Bakan G, Akyol AD. Theory guided intervention for adaptation to heart failure. J Advanced Nursing. 2008; 61(6):596–608.

Asgarpoor AF, Amini Z, Zeraati A, Esmaeeli H. Effect of care plan based on Roy adaptation model on fatigue in hemodialysis patients. J Mashhad Med Univ of Sci. 2011; 1(1):77–90.

Pour AM, Najafi S, Zadeh JT, Zadeh FM. The effect of intervention based on Roy adaptation model on personal self-concept in primi-gravida women. J Sabzevar Univ Med Sci. 2016; 22(6):999–1007.

Nakamura Y, Yoshizawa T, Atogami F. Assessments of maternal psychosocial adaptation for pre-labor hospitalized pregnant women in Japan. Women’s Health Nursing, Tohoku University Graduate School of Medicine, Japan. Nurs Reports. 2011; 1(9):35–9.

Kiehl EM, White MA. Maternal adaptation during child bearing in Norway, Sweden and the United States. Scandinavian J Caring Sci. 2003; 17:96–103.

Salari M, Nia ZK, Davachi A, Zoladl M, Babaei Gh R. Effect of education on coping strategies of mothers who have educable mentally retarded children. Armaghan-e-danesh J. 2001; 6(23):1.

Barlow JH, Powell LA, Gilchrist M, Fotiadou M. The effectiveness of the training and support program for parents of children with disabilities: a randomized controlled trial. J Psychosomatic Research. 2008; 64(1):55–62.

Sercekus P, Mete S. Effects of antenatal education on maternal prenatal and postpartum adaptation. J Advanced Nursing. 2010; 66(5):999–1010.

Malekpoor M, Farahani H, Aghaei A, Bahrami A. Effect life skill education on decrease stress in mothers of mental retardation and usual children. Research Except Child. 2006; 20(2):661–76.

Mangeli M, Ramezani T, Mangeli S. The effect of educating about common changes in pregnancy period and the way to cope with them on marital satisfaction of pregnant women. Iran J of Med Education. 2008; 8(2):305–16.

Hamilton-Dodd C, Kawamoto T, Clark F, Burke JP, Fanchiang SP. The effects of a maternal preparation program on mother-infant pairs: a pilot study. The American J Occupational Therapy. 1989; 43:513–21.

Samarel N, Tulman L, Fawcett J. Effects of two types of social support and education on adaptation to early-stage breast cancer. Research Nursing Health. 2002; 25:459–70.

Sadegh Nejad M, Vanaki Z, Memarian R. Effect of care plan based on the psychological adaptation of patients with type II diabetes. Evidence Based Care. 2011; 1(1):6–8.

Whittemore R, Jaser S, Guo J, Grey M. A conceptual model of childhood adaptation to type 1 diabetes. Yale University School of Nursing. Nursing Outlook. 2010; 58:242–51.

Ingram L. Roy’s adaptation model and accident and emergency nursing. J Accident Emergency Nursing. 1995; 3(3):150–3.

Rogers C, Keller C. Roy’s adaptation model to promote physical activity among sedentary older adults. Geriatric Nursing. 2009; 30(2):21–6.


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