Midwifery-oriented group counseling based on the GATHER approach on quality of life of women during the transition to menopause: a randomized controlled trial

Soraya Mardanpour, Farideh Kazemi, Mansoureh Refaei, Rafat Bakht, Molod Hoseini
In: Menopause · 2021 · vol. 28(11) , pp. 1247–1253 · doi:10.1097/gme.0000000000001851 · PMID:34610615 · W3203717016
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Abstract

OBJECTIVE: This study aimed to determine the effect of midwifery-oriented group counseling based on the GATHER model on the quality of life of women during the transition to menopause. METHODS: This randomized controlled clinical trial was performed on 90 women 45 years or older in 2019 to 2020 in Kermanshah, Iran. The women were assigned into two groups using a randomized blocked design. In the intervention group, counseling sessions based on the GATHER approach (Greet, Ask, Tell, Help, Explain, and Return) were performed in four sessions of 45 to 90 minutes. Sociodemographic and quality of life (MENQOL) questionnaires were used for data gathering. Data were analyzed by Mann-Whitney test, sample t test, and Wilcoxon using SPSS 24. RESULTS: The mean age of women was 49.04 ± 3.94 and 49.62 ± 3.63 in the intervention and control group, respectively (P = 0.412). There was no significant difference between the two groups regarding demographic characteristics and quality of life before the intervention (P > 0.05). There was a considerable difference between the mean score of quality of life 55.62 ± 18.37 and 73.64 ± 25.84 (P = 0.001) and its dimensions, especially for physical symptoms (P = 0.002), between the two groups 4 weeks after the intervention. CONCLUSIONS: The results of this study suggest that midwifery-oriented group counseling based on the GATHER approach may improve the life quality of women during the transition to menopause.

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