The Effect of Model-based Education on Breastfeeding Self-efficacy and Success
ConditionBreastfeeding
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
AgeNot listed
SponsorEsra Yalcin
About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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
Disqualifiers
Pregnant women who: • Are foreign nationals
Refuse to participate in the study
Have a high-risk pregnancy
Have vision or hearing problems
Trial design
Design model
Parallel
Treatments tested in this trial
Breastfeeding Education
BehavioralBefore 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 will only receive the breastfeeding guidelines from the Turkish Ministry of Health.
Treatment groups
100 Participants
are divided into 2 treatment groupsGroup A: experimental groupExperimental treatment 1 intervention
Group B: control groupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Breastfeeding Attitude Assessment Scale (BATAS)
The Breastfeeding Attitude Assessment Scale was developed by Arslan in 1997. The scale aims to measure breastfeeding attitudes in mothers who have given birth. The 46-item scale is a 5-point Likert-type scale. It includes 22 positive and 24 negative breastfeeding attitude items. Positive items are scored as "Strongly Agree" (4), "Agree" (3), "Undecided" (2), "Slightly Agree" (1), and "Strongly Disagree" (0), while negative items are scored as "Strongly Agree" (0), "Agree" (1), "Undecided" (2), "Slightly Agree" (3), and "Strongly Disagree" (4). The highest possible score is 184. A high score indicates that mothers have positive attitudes toward breastfeeding. In validity and reliability studies conducted on the scale, Cronbach's alpha was calculated as 0.63.
Time frame
Pre-test: before the intervention, post-test after the intervention at 1 month postpartum and 6 months postpartum2
Breastfeeding Self-Efficacy Scale-Short Form
The Breastfeeding Self-Efficacy Scale (BSS) was developed by Dennis in 1999 to assess mothers' breastfeeding self-efficacy levels. The first form consisted of 33 items. In 2003, Dennis removed some items to create a new 14-item "Breastfeeding Self-Efficacy Scale Short Form." It consists of a 5-point Likert-type scale. The lowest possible score is 14, while the highest is 70. Scoring is as follows: "Not at all sure (1)," "Not very sure (2)," "Sometimes sure (3)," "I'm sure (4)," and "Always sure (5)." Higher scores indicate higher breastfeeding self-efficacy. The Turkish validity and reliability of the short form of the scale was conducted by Aluş-Tokat and Okumuş in 2009. The Cronbach's alpha value for the Turkish version of the Antenatal Breastfeeding Self-Efficacy Scale was found to be 0.87. The Cronbach's alpha value for the Turkish version of the Postpartum Breastfeeding Self-Efficacy Scale was found to be 0.86.
Time frame
Pre-test: before the intervention, post-test after the intervention at 1 month postpartum and 6 months postpartumOther outcomes
1
LATCH Breastfeeding Diagnostic and Assessment Scale
The LATCH breastfeeding diagnosis and assessment scale is a diagnostic method used to assess breastfeeding success, first developed in 1986 using a scoring method similar to the APGAR scoring system. This measurement tool was developed to objectively diagnose breastfeeding, identify breastfeeding problems, establish a common language among healthcare professionals, and be used in research. It consists of five assessment criteria: L (latch on the breast), A (audible swallowing), T (type of nipple), C (comfort breast/nipple), and H (hold/help). Each item is scored between 0 and 2. The maximum total score is 10, with a higher score indicating higher breastfeeding success. A Turkish reliability study of the instrument was conducted by Yenal and Okumuş. The Cronbach's alpha value for the original version of the scale was 0.93, while it was found to be 0.95 in the Turkish adaptation study.
Time frame
after intervention: 1st and 6th months postpartum2
SESY-Based Breastfeeding Tracking Form I (Month 1)
Breastfeeding Follow-up Form I, prepared by the researcher in line with the literature (Yılmaz, 2014; Avcı, 2024; Arslan, 2020; Köprülü, 2024), was created to evaluate breastfeeding success and monitor the babies' breastfeeding status by contacting individuals in the intervention and control groups at the first month. The form, consisting of 27 questions, assessed the mother's continued breastfeeding status.
Time frame
after intervention: 1st and 6th months postpartum3
SESY-Based Breastfeeding Tracking Form II (6th Month)
The Breastfeeding Follow-up Form II, prepared by the researcher in line with the literature (Yılmaz, 2014; Avcı, 2024; Arslan, 2020; Köprülü, 2024), was created to monitor breastfeeding continuity by contacting individuals in the intervention and control groups at six months. The 28-question form inquired about the mother's breastfeeding continuity, the initiation of complementary feeding, support systems, and starting work.
Time frame
after intervention: 1st and 6th months postpartumLocations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Esra Yalcin
Lead sponsor
Bozok University
Sponsor institution
Source ClinicalTrials.gov
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