The Effect Of Indıvıdual and Group Breastfeedıng Traınıng Of Candidate Mother And Father

July 20, 2019 updated by: YEŞİM YEŞİL, Ege University

The Effect Of Indıvıdual And Group Breast Feedıng Traınıng Of Future Mother And Father At Postpartum Perıod On Breast Feedıng Self-Effıcacy And Attıtude:Randomızed Controlled Study

Breast feeding is the primary step for healthy generations. Breast milk protects against diseases of childhood period starting from infancy till adulthood. Inspite of the benefits of breast milk due to various reasons a lot of women all around the world and in our country can not begin breast feeding and leave it at an early stage even if they start once. According to Turkey Population and Health Investigation (TPHI) data of 2013; while the rate of only breast feeding among; 0-1 month babies is 57.9%, among babies under 6 months this rate falls to 10.0%. In the case of maternals not carrying out the whole breast feeding conditions situations such as milk secretion decrease, troubles related to breast, babies declining breast and ending breast feeding at an early stage are seen. These problems are related to the self-effıcacy that maternal feels towards breast feeding. The researches show that in addition to the maternal, father's attitude throughout pregnancy is also effective on starting breast feeding, sustaining and maintaining it efficiently.

With this research it has been aimed to evaluate the effect of individual and group breast feeding training of future mother and father at postpartum period on breast-feeding self-effıcacy and attitude.

Research data has been gathered at Turkey Public Hospitals Institution Izmir North Public Hospitals Association of T.R Ministry of Health Tepecik Education and Reserach Hospital between the dates 01 March-30 September 2014.

As a result; it has been seen that breast feeding training is not alone enough to improve self sufficiency and attitude, and maternals have to be supported by health staff at postpartum period in hospital. It is suggested to include also fathers to the breast feeding training provided at pregnancy period.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Breastfeeding training was given to the mother and father candidates in the individual and group education group. At this stage, standard care and service in the hospital was offered to the mothers and fathers in the control group. A follow-up plan was prepared for all the mothers and fathers after the discharge from the phone.

Study Type

Interventional

Enrollment (Actual)

179

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Agree to participate in the study
  • Having the first pregnancy
  • Communicable
  • Living with his wife
  • Participation in education with his wife
  • Completion of 36 weeks of gestational week
  • Pregnant women without risk.

Exclusion Criteria:

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: OTHER
  • Allocation: RANDOMIZED
  • Interventional Model: SINGLE_GROUP
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: INDIVIDUAL BREASTFEEDING TRAINING

Individual Breastfeeding Training: Mother and father candidates who applied to the pregnant outpatient clinic and met the study criteria were included in the study.

After the informed consent was signed, the socio-demographic questionnaire including obstetric history and breastfeeding history, IOWA infant nutrition attitude scale and Breastfeeding Self-Efficacy Scale were applied to the mother and father candidates.
Other: educational intervention
İndividual and Group Breastfeeding Education:It was taken into consideration that mothers and fathers who do not have breastfeeding experience in the antenatal period feel better in terms of their perception of the education given, and education is provided with adult education principles.Breastfeeding training slides, cloth nipple model, dummy dolls were used during the training and lecture, demonstration and application and breastfeeding training were provided.At the end of the training, they were given time to ask questions and their feedback was received.Control Group:Routine procedures in the clinic were performed for the mother and father candidates.The data of the mother and father who came to the hospital for antenatal follow-up and control were collected in four stages.
EXPERIMENTAL: GROUP BREASTFEEDING TRAINING

Group Breastfeeding Training: Mother and father candidates who applied to the pregnant outpatient clinic and met the study criteria were included in the study.

After the informed consent was signed, the socio-demographic questionnaire including obstetric history and breastfeeding history, IOWA infant nutrition attitude scale and Breastfeeding Self-Efficacy Scale were applied to the mother and father candidates.The groups were composed of five pairs of parents.
Other: educational intervention
İndividual and Group Breastfeeding Education:It was taken into consideration that mothers and fathers who do not have breastfeeding experience in the antenatal period feel better in terms of their perception of the education given, and education is provided with adult education principles.Breastfeeding training slides, cloth nipple model, dummy dolls were used during the training and lecture, demonstration and application and breastfeeding training were provided.At the end of the training, they were given time to ask questions and their feedback was received.Control Group:Routine procedures in the clinic were performed for the mother and father candidates.The data of the mother and father who came to the hospital for antenatal follow-up and control were collected in four stages.
NO_INTERVENTION: Control Group
Control Group: Mother and father candidates who applied to the pregnant outpatient clinic and met the study criteria were included in the study.After the informed consent was signed, the socio-demographic questionnaire including obstetric history and breastfeeding history, IOWA infant nutrition attitude scale and Breastfeeding Self-Efficacy Scale were applied to the mother and father candidates. Routine procedures were applied to the mother and father candidates.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Follow-up after discharge
Time Frame: Four months

Questionnaires were prepared separately for parents in each follow-up. Breastfeeding status, nipple cracking, breastfeeding support status were evaluated in the first week, sixth week and fourth month in the mother follow-up forms.

The questionnaire to be applied during pregnancy consists of three topics and a total of 25 questions.

There are questions about the sociodemographic characteristics (10), fertility characteristics (9) and breastfeeding characteristics (6) of the mothers.

In the questionnaire to be applied in the first week after birth, there are questions about the characteristics of birth and breastfeeding (30).

In the sixth week, there is a questionnaire (18) containing questions about breastfeeding and finally a questionnaire containing questions about breastfeeding status (18) at the fourth month.

During the first week, sixth week and fourth month follow-up, fathers' breastfeeding support status was questioned.
Four months
Breastfeeding Self-Efficacy Scale:
Time Frame: Four months
This scale was developed by Cindy-Lee Dennis to measure breastfeeding self-efficacy and consists of 2 sub-scales and 33 items. The cronbach alpha value of the scale developed by Cindy-Lee Dennis was measured as 0.95. The validity and reliability of the breastfeeding self-efficacy scale in Turkish was made by Eksioglu. The Cronbach's alpha coefficient was 0.91 and the Cronbach's alpha coefficient of the "Technical" sub-dimension was 0.89. Breastfeeding self-efficacy increases as the total score increases.The lowest score is 33 and the highest score is 165. The scale was administered to mothers four times. The first application was performed before the training in antenatal period and the other applications were done in the first week, sixth week and fourth month.
Four months
IOWA Infant Feeding and Attitude Scale (IIFAS)
Time Frame: Four months

Developed by De La Mora and Russell, the IIFAS was developed to assess the attitudes of mothers to breastfeeding and consists of 17 items. The cronbach's alpha value of the scale was 0.86. The validity and reliability study in our country was conducted by Eksioğlu et al. And the Cronbach's alpha coefficient was calculated as 0.71. It is designed to estimate the time of breastfeeding as well as choice of infant feeding method.

Scale; It consists of 17 items evaluated with a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).

Nine of the items showed positive formula feeding, whereas these items were counter-rated.

The total score was between 17 and 85, and the higher the mean score of the scale, the higher the positive attitude of breastfeeding, and the lower the mean score of the scale, the higher the tendency towards formula feeding.

The scale was applied to the parents four times.
Four months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ege University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

March 1, 2014

Primary Completion (ACTUAL)

September 30, 2014

Study Completion (ACTUAL)

September 30, 2014

Study Registration Dates

First Submitted

July 11, 2019

First Submitted That Met QC Criteria

July 15, 2019

First Posted (ACTUAL)

July 16, 2019

Study Record Updates

Last Update Posted (ACTUAL)

July 23, 2019

Last Update Submitted That Met QC Criteria

July 20, 2019

Last Verified

July 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 0000-0003-2847-6978

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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