About this trial
Objective: To evaluate the effects of a nurse navigation program on breastfeeding self-efficacy and breastfeeding motivation in primiparous women. The research will be conducted as a randomized controlled trial with a pretest-posttest control group.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Being primiparous,
Not having a health problem that would prevent breastfeeding,
Being in the 28th-32nd weeks of pregnancy,
Being between the ages of 18 and 35,
Disqualifiers
Having given birth before 37 weeks of gestation,
Having a health problem requiring the newborn to be in intensive care,
Having a health problem/birth complication that would prevent breastfeeding during the study period,
Withdrawal from the study at the woman's request,
Trial design
Parallel
Treatments tested in this trial
Breastfeeding Consultation Provided through the Nurse Navigation Program
Other interventionThe navigator nurse will meet with the pregnant woman/mother starting at 28-32 weeks of gestation and continuing until the sixth month postpartum. During these meetings, planned breastfeeding education will be provided, women's questions about breastfeeding will be answered, and counseling will be provided to address any concerns.
Treatment groups
Trial outcomes
Primary outcomes
Personal Information Form
There are 15 questions in this form, prepared by the researchers in line with the literature
Prenatal Breastfeeding Self-Efficacy Scale
Prenatal Breastfeeding Self-Efficacy Scale was originally developed to assess pregnant women's perceptions of breastfeeding self-efficacy during the prenatal period. Its validity and reliability for the Turkish context were confirmed in a subsequent adaptation study, which reported a Cronbach's alpha coefficient of 0.86. The scale comprises 20 items, each rated on a 5-point Likert scale ranging from 1 ('Not at all sure') to 5 ('Completely sure'). It is unidimensional, meaning it has no sub-dimensions, and is evaluated based on the total score. The possible total scores range from 20 to 100, with higher scores indicating a greater sense of breastfeeding self-efficacy.
Prenatal Breastfeeding Motivation Assessment Scale
Prenatal Breastfeeding Motivation Assessment Scale was developed by the researcher in the form of a Visual Analog Scale (VAS). Participants are asked to rate their response to the question, "How confident am I that I will be able to breastfeed my baby successfully after birth?" on a scale from 0 = Not confident at all to 10 = Completely confident.
Breastfeeding Self-Efficacy Scale (Short Form)
The original Breastfeeding Self-Efficacy Scale consists of 33 items. The scale was simplified in 2003, resulting in a 14-item short form, referred to as the 'Breastfeeding Self-Efficacy Scale - Short Form.' The scale was culturally adapted into Turkish, and its psychometric properties were evaluated. To determine validity during the antenatal and postnatal periods, construct validity, linguistic validity, and predictive validity analyses were conducted. This is a 5-point Likert-type scale, with responses ranging from '1 = Not at all confident' to '5 = Always confident.' All items are positively worded. Total scores range from 14 to 70, with higher scores indicating greater breastfeeding self-efficacy. Cronbach's alpha coefficient for the scale is 0.93.
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