Comparing the Effect of Training Based on Continuous Care Model and Telehealth on Severity of Insomnia in Pregnant Women

Introduction: One of the most common disorders during pregnancy is sleep disorders and the most common is it insomnia. One of the ways that may correct sleep disorders is training. Therefore, the present study was conducted to compare the education based on continuous care model and Telehealth on the severity of insomnia in pregnant women. Methods: This clinical trial study with random multistage sampling was conducted on three groups of 91 pregnant women referring to health centers in Mashhad city in 2017. Intervention was conducted for 12 weeks for groups of continuous care model and Telehealth, and usual care of health centers was done for control group. Data collection tool was an insomnia severity index (ISI) that was completed before intervention, immediately after that and 4 weeks after the intervention. Data were analyzed using SPSS software, Descriptive statistics and statistical tests were used. Results: The results of the statistical tests showed that the three groups was matched in terms of age, gestational age, number of children, number of pregnancies, mother's education and pregnancy status (P <0.05). There was no significant difference in severity of insomnia before the study in all three groups (P = 0.235); there was a significant difference immediately after intervention and 4 weeks after it in all three groups (P <0.001). Conclusions: Training based on continuous care model and Telehealth, both lead to reduce pregnant women insomnia. Therefore, Given that the telehealth method is cheaper and easier, this method can be used to improve the sleep disorders in pregnant women.