The Effect of Model-based Education on Breastfeeding Self-efficacy and Success

Official title

The Effect of Education Provided Using Video and Podcast Applications Developed With the Health Action Process Approach Model on Breastfeeding Self-Efficacy and Breastfeeding Success in Primiparous Mothers: A Mixed Study

Overview

This study was designed as a randomised, pretest-posttest study, assessing breastfeeding self-efficacy and breastfeeding in first-time mothers following a separate video and podcast training session using the Health Action Process Approach Model. The study will be conducted with primiparous pregnant women in their third trimester, with no restrictions on breastfeeding. In the first phase of the study, a semi-trained interview format based on the SESY Model will be administered to 15 pregnant women at a fertility school to address nutritional deficiencies. Deficiencies in the pregnant women will be identified. To address these deficiencies, the researcher will develop a breastfeeding education book based on the SESY Model, produce a video, and produce the same content as a podcast. Both groups will complete the Introductory Information Form, the Breastfeeding Attitudes Assessment Scale, and the Breastfeeding Self-Efficacy Scale-Short Form. After completing their surveys, the control groups, which are pregnant women, will only receive the Breastfeeding Brochure from the Ministry of Health of the Republic of Turkey. Pregnant women in the intervention groups receive breastfeeding education throughout the cycle, in addition to videos and podcasts. Pregnant women will be asked to watch the videos and listen to the podcast until they give birth. Pregnant women will be contacted on the day of their birth to ask if there are any websites they would like to learn more about and to re-watch the video and listen to the podcast. Pregnant women will be contacted for an evaluation one month after birth to complete the Breastfeeding Attitudes Assessment Scale, Breastfeeding Self-Efficacy Scale-Short Form, LATCH Breastfeeding Diagnostic and Assessment Scale, and Breastfeeding Follow-Up Form I. To emphasize the importance of breastfeeding in the first six months and ensure continuity of breastfeeding, pregnant women will be contacted again at six months to complete a post-test and the Breastfeeding Attitudes Assessment Scale, Breastfeeding Self-Efficacy Scale-Short Form, LATCH Breastfeeding Diagnostic and Assessment Scale, and Breastfeeding Follow-Up Form II.

Detailed description

This study was designed as a phenomenological, randomized, pretest-posttest study to measure breastfeeding self-efficacy and breastfeeding success in first-time mothers following education delivered using a separate video and podcast application using the Health Action Process Approach Model. The study will be conducted in a maternity school and a breastfeeding room at a hospital in Türkiye. The research population will consist of all pregnant women who pay their dues to the hospital's maternity clinic. The sample will consist of primiparous pregnant women who refuse to participate, have no communication problems in Turkish, have at least a primary school education, are in a healthy pregnancy, are scheduled for vaginal or cesarean delivery, are in their third trimester, and have no breastfeeding restrictions. In the first phase of the study, a semi-trained interview format based on the SESY Model will be administered to 15 pregnant women at the reproductive school to address their breastfeeding needs. During the session, any distractions (clocks, pictures, charts, etc.) in the room will be removed. To prevent interruptions during the interview, a warning message will be sent to the door, and the pregnant woman will be asked to silence her phone. Care will be taken to maintain a conversational tone, allowing the pregnant woman to express herself freely. Information about the interview duration will be provided at the pregnant woman's request. The interview will last approximately 15-20 minutes. The interview will examine pregnant women's knowledge of breastfeeding, their attitudes toward breastfeeding, their expectations, potential problems, breastfeeding concerns, and their focus on these issues. Deficiencies in the pregnant women will be identified. Content analysis and descriptive analysis will be used to identify breastfeeding-related solutions and identify the appropriate training locations. Due to these deficiencies, the researcher will prepare a breastfeeding education booklet based on the SESY model, produce a video, and the same content will be produced as a podcast. Experts will be consulted on the content before and after the video and podcast are produced. The appropriate order of the opinions will be determined by the video and podcast, while the control group will only use the Breastfeeding Brochure from the Ministry of Health of the Republic of Turkey. To record the test, pregnant women in both the intervention and control groups will be contacted and invited to the hospital conference room. Both groups will complete the Introductory Information Form, the Breastfeeding Attitudes Assessment Scale, and the Breastfeeding Self-Efficacy Scale-Short Form. After completing the questionnaires, pregnant women in the control groups will only receive the Breastfeeding Brochure from the Ministry of Health of the Republic of Turkey. Pregnant women in the intervention group will receive breastfeeding education at the school, along with videos and podcasts. Pregnant women will be asked to watch the video and listen to the podcast until delivery. On the day of delivery, pregnant women will be contacted to ask if there are any sites where they would like to receive information and will be asked to rewatch the video and listen to the podcast. Pregnant women will be contacted for an evaluation at the first month postpartum and will complete the Breastfeeding Attitudes Assessment Scale, the Breastfeeding Self-Efficacy Scale-Short Form, the LATCH Breastfeeding Diagnostic and Assessment Scale, and the Breastfeeding Follow-up Form I. In order to ensure the importance of breast milk and the continuity of breastfeeding in the first 6 months, pregnant women will be contacted again in the 6th month to complete the post-test and Breastfeeding Attitude Measurement Assessment, Breastfeeding Self-Efficacy Scale-Short Form, LATCH Breastfeeding Diagnosis and Assessment Scale and Breastfeeding Follow-up Form II.

Interventions

• Behavioral Breastfeeding Education
  Before the intervention, interviews will be conducted with pregnant women based on the Health Action Process Approach Model to identify any deficiencies related to breastfeeding. As a result, videos and podcasts based on the model will be produced. The intervention group will receive breastfeeding education, distribute these videos and podcasts, and be asked to watch them. Pregnant women will be contacted after birth to provide reminders. The control group will not receive any interventions and

Primary outcome measures

• Breastfeeding Attitude Assessment Scale (BATAS) [Time frame: Pre-test: before the intervention, post-test after the intervention at 1 month postpartum and 6 months postpartum]
• Breastfeeding Self-Efficacy Scale-Short Form [Time frame: Pre-test: before the intervention, post-test after the intervention at 1 month postpartum and 6 months postpartum]

Eligibility criteria

Inclusion criteria

• Those who have no communication problems in Turkish
• Have at least a primary school degree
• Have a healthy pregnancy
• Are planning a vaginal or cesarean delivery
• Are in their third trimester
• Have no breastfeeding restrictions
• Are primiparous

Exclusion criteria

• Pregnant women who: • Are foreign nationals

• Refuse to participate in the study
• Have a high-risk pregnancy
• Have vision or hearing problems
• Have a low-birth-weight baby
• Have a premature birth
• Have multiple births
• Have babies incubated after birth
• Have a chronic disease will not be included in the study.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Supportive care

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07236255 · SBF-EY-2323

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗