- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06317974
The Effect of Breastfeeding Education on Breast Milk Perception and Self-Efficacy in the Pregnancy Health Belief Model
The Effect of Breastfeeding Education Based on the Health Belief Model Given ın the Third Trimester of Pregnancy on Couples Breast Milk Perception and Self-efficacy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Introduction: It is known that breast milk is crucial for newborns and infants. The Health Belief Model has been widely used in recent years to improve and promote health behaviors.
Objective: The aim of this study was to evaluate the effect of breastfeeding education based on the Health Belief Model during the antenatal period on couples' perception and self-efficacy regarding breast milk.
Method: This randomized controlled study was conducted between June 30, 2022, and December 31, 2022, at the Dr. Selahattin Cizrelioğlu State Hospital in Şırnak. A total of 220 participants, including 110 couples who met the inclusion criteria, were randomly assigned to an intervention group (55 couples) and a control group (55 couples). Data were collected using a "Participant Information Form" for socio-demographic and obstetric information, the "Adults' Perception of Breast Milk Scale" for assessing perception related to breast milk, the "Pregnancy Breastfeeding Self-Efficacy Scale- Short Form" for evaluating mothers' breastfeeding self-efficacy during the antenatal period, and the "Paternal Breastfeeding Self-Efficacy Scale" for assessing fathers' breastfeeding self-efficacy during the pregnancy period.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Istanbul, Turkey
- Istanbul University - Cerrahpasa
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Those aged 18 and over
- Living in the same house with his/her spouse
- Able to speak and understand Turkish
- In the 27th week of pregnancy and above
- Having a first pregnancy
- Using a phone
- Couples willing to participate in the research
Exclusion Criteria:
- multiparous
- Receiving psychiatric or neurological treatment that affects cooperation and cognitive functions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Intervention group
Breastfeeding education was given to the intervention group based on the health belief model.
|
Training was given face to face with the participant, lasting approximately 40 minutes.
One week after the training presentation, three short messages about the training were sent to the couples (both the pregnant woman and her partner) every other day.
Two weeks after the training was given, a phone call was made for feedback.
Post-test data were taken four weeks later.
|
|
No Intervention: control group
The control group received standard care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mothers' and fathers' perception of breast milk, assessed using the Adults' Breast Milk Perception Scale.
Time Frame: 30 days
|
In this study, it was determined that breastfeeding education given based on the health belief model in the last trimester of pregnancy increased the breast milk perception levels of expectant mothers and fathers.
|
30 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Breastfeeding self-efficacy of mothers evaluated using the Breastfeeding Self-Efficacy Scale-Short Form during Pregnancy
Time Frame: 30 days
|
In this study, it was determined that breastfeeding education given in the pregnancy health belief model increased pregnant women's breastfeeding self-efficacy levels during pregnancy.
|
30 days
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Paternal breastfeeding self-efficacy assessed using the Paternal Breastfeeding Self-Efficacy Scale.
Time Frame: 30 days
|
In this study, it was determined that breastfeeding education given in the health belief model during pregnancy increased fathers' breastfeeding self-efficacy levels.
|
30 days
|
Collaborators and Investigators
Investigators
- Principal Investigator: Leman Yılmaz Cesur, Msc Midwife
Publications and helpful links
General Publications
- Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2016 Dec 6;12(12):CD006425. doi: 10.1002/14651858.CD006425.pub4.
- Dror DK, Allen LH. Overview of Nutrients in Human Milk. Adv Nutr. 2018 May 1;9(suppl_1):278S-294S. doi: 10.1093/advances/nmy022.
- Alus Tokat M, Okumus H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal women in Turkey. Midwifery. 2010 Feb;26(1):101-8. doi: 10.1016/j.midw.2008.04.002. Epub 2008 Jun 9.
- Ballard O, Morrow AL. Human milk composition: nutrients and bioactive factors. Pediatr Clin North Am. 2013 Feb;60(1):49-74. doi: 10.1016/j.pcl.2012.10.002.
- Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health. 1999 Oct;22(5):399-409. doi: 10.1002/(sici)1098-240x(199910)22:53.0.co;2-4.
- Dennis CL, Brennenstuhl S, Abbass-Dick J. Measuring paternal breastfeeding self-efficacy: A psychometric evaluation of the Breastfeeding Self-Efficacy Scale-Short Form among fathers. Midwifery. 2018 Sep;64:17-22. doi: 10.1016/j.midw.2018.05.005. Epub 2018 May 15.
- Han FL, Ho YJ, McGrath JM. The influence of breastfeeding attitudes on breastfeeding behavior of postpartum women and their spouses. Heliyon. 2023 Feb 23;9(3):e13987. doi: 10.1016/j.heliyon.2023.e13987. eCollection 2023 Mar.
- Alex A, Bhandary E, McGuire KP. Anatomy and Physiology of the Breast during Pregnancy and Lactation. Adv Exp Med Biol. 2020;1252:3-7. doi: 10.1007/978-3-030-41596-9_1.
- Boix-Amoros A, Collado MC, Van't Land B, Calvert A, Le Doare K, Garssen J, Hanna H, Khaleva E, Peroni DG, Geddes DT, Kozyrskyj AL, Warner JO, Munblit D. Reviewing the evidence on breast milk composition and immunological outcomes. Nutr Rev. 2019 Aug 1;77(8):541-556. doi: 10.1093/nutrit/nuz019.
- Ceriani Cernadas JM. Colostrum and breast milk in the neonatal period: The benefits keep adding up. Arch Argent Pediatr. 2018 Aug 1;116(4):234-235. doi: 10.5546/aap.2018.eng.234. No abstract available. English, Spanish.
- Chen S, Li L, Sun Q, Chen S, Cheng J, Xiong S. Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection. Biomed Res Int. 2022 Sep 15;2022:9661408. doi: 10.1155/2022/9661408. eCollection 2022.
- Dagla C, Antoniou E, Sarantaki A, Iliadou M, Mrvoljak-Theodoropoulou I, Andersson E, Dagla M. The Effect of Antenatal Education on Expectant Fathers' Attitudes toward Breastfeeding and Attachment to the Fetus. Nurs Rep. 2023 Feb 12;13(1):243-254. doi: 10.3390/nursrep13010023.
- Correction to: ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017, by Eglash A, Simon L, and The Academy of Breastfeeding Medicine Breastfeed Med 2017;12(7):390-395. DOI: 10.1089/dna.2017.29047.aje. Breastfeed Med. 2018 Jul/Aug;13(6):459. doi: 10.1089/bfm.2017.29047.aje.correx. Epub 2018 Jun 29. No abstract available.
- Hu L, Ding T, Hu J, Luo B. Promoting breastfeeding in Chinese women undergoing cesarean section based on the health belief model: A randomized controlled trial. Medicine (Baltimore). 2020 Jul 10;99(28):e20815. doi: 10.1097/MD.0000000000020815.
- Kehinde J, O'Donnell C, Grealish A. The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery. 2023 Mar;118:103579. doi: 10.1016/j.midw.2022.103579. Epub 2022 Dec 14.
- Abuidhail J, Mrayan L, Jaradat D. Evaluating effects of prenatal web-based breastfeeding education for pregnant mothers in their third trimester of pregnancy: Prospective randomized control trial. Midwifery. 2019 Feb;69:143-149. doi: 10.1016/j.midw.2018.11.015. Epub 2018 Nov 28.
- Atkinson L, Silverio SA, Bick D, Fallon V. Relationships between paternal attitudes, paternal involvement, and infant-feeding outcomes: Mixed-methods findings from a global on-line survey of English-speaking fathers. Matern Child Nutr. 2021 Jul;17 Suppl 1(Suppl 1):e13147. doi: 10.1111/mcn.13147.
- Crippa BL, Consales A, Morniroli D, Lunetto F, Bettinelli ME, Sannino P, Rampini S, Zanotta L, Marchisio P, Plevani L, Gianni ML, Mosca F, Colombo L. From dyad to triad: a survey on fathers' knowledge and attitudes toward breastfeeding. Eur J Pediatr. 2021 Sep;180(9):2861-2869. doi: 10.1007/s00431-021-04034-x. Epub 2021 Mar 29.
- Eaton L. Unwanted pregnancies fall worldwide but women in poorer countries remain disadvantaged, study finds. BMJ. 2020 Jul 24;370:m2985. doi: 10.1136/bmj.m2985. No abstract available.
- Gebremariam KT, Zelenko O, Mulugeta A, Gallegos D. A cross-sectional comparison of breastfeeding knowledge, attitudes, and perceived partners' support among expectant couples in Mekelle, Ethiopia. Int Breastfeed J. 2021 Jan 4;16(1):3. doi: 10.1186/s13006-020-00355-z.
- Krikitrat P, Park CG, McCreary LL, Koenig MD, Abboud S, Sansiriphun N, Patil CL. Relationships between Thai fathers' self-efficacy to support breastfeeding and exclusive breastfeeding duration. Midwifery. 2022 Mar;106:103261. doi: 10.1016/j.midw.2022.103261. Epub 2022 Jan 19.
- Liu L, Xiao G, Zhang T, Zhou M, Li X, Zhang Y, Owusua T, Chen Y, Qin C. Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study. Children (Basel). 2023 Jan 31;10(2):275. doi: 10.3390/children10020275.
- Naja F, Chatila A, Ayoub JJ, Abbas N, Mahmoud A; MINA collaborators; Abdulmalik MA, Nasreddine L. Prenatal breastfeeding knowledge, attitude and intention, and their associations with feeding practices during the first six months of life: a cohort study in Lebanon and Qatar. Int Breastfeed J. 2022 Feb 24;17(1):15. doi: 10.1186/s13006-022-00456-x.
- Rabiepoor S, Khodaei A, Valizadeh R. Husbands' participation in prenatal care and breastfeeding self-efficacy in Iranian women: A randomized clinical trial. Med J Islam Repub Iran. 2019 Jun 20;33:58. doi: 10.34171/mjiri.33.58. eCollection 2019.
- Titaley CR, Dibley MJ, Ariawan I, Mu'asyaroh A, Alam A, Damayanti R, Do TT, Ferguson E, Htet K, Li M, Sutrisna A, Fahmida U. Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: results from the BADUTA study in East Java, Indonesia. Int Breastfeed J. 2021 Jan 19;16(1):12. doi: 10.1186/s13006-021-00357-5.
- Yakubu I, Garmaroudi G, Sadeghi R, Tol A, Yekaninejad MS, Yidana A. Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial. Reprod Health. 2019 Aug 15;16(1):124. doi: 10.1186/s12978-019-0784-8.
- Yavuz Donmez A, Korgali EU. The relationship between the perception of breast milk of parents with term infants and exclusive breastfeeding in the postnatal first six months. Turk Arch Pediatr. 2021 Jan 12;56(2):164-172. doi: 10.14744/TurkPediatriArs.2020.75875. eCollection 2021 Mar.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 2022/210
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Breastfeeding Education
-
T.C. ORDU ÜNİVERSİTESİCompletedBreastfeeding Education | Breastfeeding Attitude | Breastfeeding Self-EfficacyTurkey
-
Istanbul University - Cerrahpasa (IUC)Istinye UniversityActive, not recruitingEducation | Newborn; Vitality | Breastfeeding EducationTurkey
-
Semmelweis UniversityNot yet recruitingLactation | Breastfeeding | Breastfeeding Mothers | Breastfeeding Education | Lactating Mother
-
Tuğba KonukoğluSuspended
-
Gamze DurmazoğluCompleted
-
Angeles University FoundationCompletedBreastfeeding EducationPhilippines
-
Ege UniversityCompletedEducation | Breastfeeding
-
Universidad de la SabanaCompletedBreastfeeding Education | Maternal Self-Efficacy | Breastfeeding SatisfactionColombia
-
Marmara UniversityRecruiting
-
Marmara UniversityCompletedEducation | BreastfeedingTurkey
Clinical Trials on Breastfeeding education based on the Health Belief model
-
Gazi UniversityCompleted
-
Bartın UnıversityNot yet recruitingHealth Belief Model-Based Osteoporosis Education ProgrammeTurkey (Türkiye)
-
Aydin Adnan Menderes UniversityCompletedTHE HEALTH BELIEF MODEL ON THE PHYSICAL ACTIVITY BELIEFSTurkey
-
Ondokuz Mayıs UniversityCompletedDiabetes Mellitus | Family MembersTurkey
-
Baqiyatallah Medical Sciences UniversityCompletedOral HealthIran, Islamic Republic of
-
Marmara UniversityNot yet recruitingBreast Cancer Awareness and BSE in Visually Impaired WomenTurkey
-
Yuzuncu Yıl UniversityAtaturk UniversityCompletedType2 Diabetes MellitusTurkey
-
Muhammet Faruk YigitNot yet recruitingCervical Cancer | Human Papillomavirus Infection | Preventive Health Services
-
Sakarya UniversityThe Scientific and Technological Research Council of TurkeyNot yet recruitingHealth Behaviour | Risk Behavior, Health