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Набор скоро начнётся NCT07593716

Effect of a Self-Efficacy-Based Educational Intervention on Breastfeending in Primigravid Women: A Randomized Controlled Trial

Без фазы С лечением Exclusive Breastfeeding Breastfeeding Self-Efficacy Pregnancy Maternal Health Education

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Breastfeeding Self-Efficacy Educational Program.
Кому может быть актуально
Состояния в реестре: Exclusive Breastfeeding, Breastfeeding Self-Efficacy, Pregnancy, Maternal Health Education. Базовые параметры: 18 лет — 45 лет · Женщины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Мексика
Следующий шаг
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Официальное название

Effect of a Self-Efficacy-Based Educational Intervention on Exclusive Breastfeeding in Primigravid Women Attending a Primary Care Center: A Randomized Controlled Trial

Обзор

This randomized controlled trial aims to evaluate the effect of a self-efficacy-based educational intervention on exclusive breastfeeding among primigravid women attending a primary care center in Mexico. Participants in the intervention group will receive four weekly educational sessions focused on breastfeeding knowledge, self-efficacy, problem-solving skills, and emotional support during the third trimester of pregnancy. The control group will receive standard prenatal care. Breastfeeding self-efficacy and exclusive breastfeeding rates will be evaluated during postpartum follow-up at 1 and 3 months after delivery.

Подробное описание

Exclusive breastfeeding is recognized as one of the most effective interventions for improving maternal and infant health outcomes. However, breastfeeding rates remain below international recommendations in many settings, particularly among first-time mothers who may experience uncertainty, lack of confidence, and insufficient support during the prenatal and postpartum periods.

Self-efficacy theory suggests that maternal confidence plays a critical role in breastfeeding initiation and maintenance. Educational interventions based on self-efficacy principles may improve breastfeeding behaviors and increase exclusive breastfeeding duration.

This study is a randomized controlled trial conducted in a primary care setting of the Mexican Social Security Institute (IMSS) in Acapulco, Guerrero, Mexico. The study will include primigravid women in the third trimester of pregnancy receiving prenatal care at Unidad de Medicina Familiar No. 9.

Participants assigned to the intervention group will receive a structured educational intervention consisting of four weekly sessions lasting approximately 90 minutes each. The sessions will address breastfeeding physiology, breastfeeding techniques, common breastfeeding difficulties, emotional support, and strategies to improve maternal self-efficacy. The control group will continue receiving standard prenatal care routinely provided by the institution.

The primary outcomes will include breastfeeding self-efficacy and exclusive breastfeeding rates during postpartum follow-up. Secondary outcomes may include breastfeeding knowledge and breastfeeding continuation at different postpartum time points.

Breastfeeding self-efficacy will be evaluated using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Follow-up evaluations will be performed at 1 and 3 months postpartum.

Вмешательства

  • Поведенческое Breastfeeding Self-Efficacy Educational Program
    Participants will receive four weekly educational sessions during the third trimester of pregnancy based on breastfeeding self-efficacy theory. Sessions will include breastfeeding education, practical techniques, confidence building, problem-solving strategies, and support to improve exclusive breastfeeding practices postpartum.

Первичные конечные точки

  • Exclusive Breastfeeding Rate at 3 Months Postpartum [Срок оценки: 3 months postpartum]

Критерии участия

Критерии включения

  • Pregnant women aged 18 years or older
  • Primigravidae in the third trimester of pregnancy
  • Receiving prenatal care at UMF No. 9, IMSS
  • Ability to attend the educational sessions
  • Willingness to participate and sign informed consent

Критерии исключения

  • High-risk pregnancy
  • Medical conditions contraindicating breastfeeding
  • Cognitive impairment or communication difficulties preventing participation
  • Previous participation in breastfeeding educational programs
  • Failure to complete follow-up evaluations

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Профилактика

Центры проведения

Мексика · 1 центр
  • Unidad de Medicina Familiar No. 9 — Acapulco de Juárez

Идентификаторы

NCT: NCT07593716 · IMSS-UMF-BSES-2026 · R-2026-1101-006

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗