Motivational Interviewing Inadequate Milk and Cortisol

The Effect of Motivational Interviews to Mothers With Insufficient Milk Perception on Breastfeeding Motivation and Cortisol Level

Motivational interviewing is a technique used in many fields. No study has been found in national and international databases investigating the effect of motivational interviewing on the perception of insufficient milk, breastfeeding motivation and cortisol level. The study aimed to evaluate the effect of motivational interviews on the perception of insufficient milk, breastfeeding motivation and cortisol level.

Study Overview

• Status: Recruiting
• Conditions: Motivation
• Intervention / Treatment: Other: motivational interview

Detailed Description

Motivational interviewing; It is an evidence-based and client-centered approach that finds and eliminates the person's complex emotions, motivates, and increases the person's self-efficacy and motivation in the decision-making process. Breast milk is the only physiological baby food that contains the nutrients necessary for babies' absorption in appropriate quantity and quality. It is very important for the mother and baby's health that the mother starts breastfeeding her baby as early as possible and that the baby is fed only breast milk for the first six months. The perception of insufficient milk is defined as the mother thinking that she cannot produce milk or believing that there is too little milk in her breasts. The main reasons are; The mother's stay in the hospital longer than normal during the postpartum period, the mother's separation from her baby, and therefore the late establishment of the emotional bond between the mother and the baby may trigger the perception of insufficient milk. Cortisol is a glucocorticoid steroid hormone that is released in the human body during stress and whose release is regulated through the hypothalamic-pituitary adrenal (HPA) system. Stress and fear of birth cause insufficient milk secretion. Stress and fear in the mother can prevent early skin-to-skin contact between the mother and the baby by affecting the oxytocin hormone.

• Study Type: Observational
• Enrollment (Estimated): 130

Contacts and Locations

• Study Contact: Name: eda sever; Phone Number: +90 532 232 10 96; Email: edaseverr@icloud.com

Study Locations

• Turkey
  • Onikişubat
    • Kahramanmaraş, Onikişubat, Turkey, 46370
      • Recruiting
      • Eda Sever
      • Contact: eda sever; Phone Number: +90 531 232 10 96; Email: edaseverr@icloud.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Mothers with the perception of insufficient milk

Description

Inclusion Criteria:

• Those aged 18 and over
• Those who feed their babies only with breast milk
• Do you believe that you produce enough milk to feed your baby?" in the Insufficient Milk Perception Scale. Those who answered "No" to the question
• Having given birth at 37>gestational weeks
• Having a baby weighing at least 2500 grams
• Giving birth vaginally
• Primiparous

Exclusion Criteria:

• Cannot speak Turkish
• Mothers who did not agree to participate in the research

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
control group; Mothers who will be included in the control group will be interviewed twice in total. Pretest data will be obtained by applying the "Personal Information Form", "Insufficient Milk Perception Scale" and "Breastfeeding Motivation Scale" during the first interview. A sample of the mothers' saliva will be taken to measure cortisol values. Four weeks after the pre-test data are obtained, post-test data will be obtained by applying the "Insufficient Milk Perception Scale" and "Breastfeeding Motivation Scale". Finally, a saliva sample will be taken to check the cortisol value again.
intervention group; Before starting the motivational interviews, pre-test data will be obtained by applying the "Personal Information Form", "Insufficient Milk Perception Scale" and "Breastfeeding Motivation Scale" to the mothers in the intervention group. Afterwards, a sample of the mothers' saliva will be taken to measure their cortisol levels. A total of 4 sessions of motivational interviews will be held for infertile women, 1 session per week for four weeks. At the end of four weeks, post-test data will be obtained by applying the "Insufficient Milk Perception Scale" and "Breastfeeding Motivation Scale". A sample of the mothers' saliva will be taken to measure cortisol levels again.	Other: motivational interview; Before starting the interview, mothers will be informed about the interview intervals, duration, how many times it will be held, and that, unlike other interviews, the topic will be determined and the mother's opinions on this subject will be obtained. Each meeting will last approximately 15-30 minutes

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Insufficient Milk Perception Scale (ANN)	The Insufficient Milk Perception Scale is a scale developed by McCarterSpaulding (2001) to measure mothers' beliefs about whether they produce sufficient milk. It consists of 6 questions	1 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Breastfeeding Motivation Scale (EMS)	Based on the self-determination theory of the "Breastfeeding Motivation Scale" (EMS), Peleg et al. It was developed by in 2015. After the scale was applied to the sample group, factor analysis was performed and it was determined that it had 5 factors. These factors; It consists of integrated, identified, introjected, external regulation and internal motivation.	1 month

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale (VAS)	Satisfaction Level Rating with Motivational Interviewing Application is a scale developed by Hayes and Patterson in 1921, used to express some values that cannot be measured with numbers.	1 month

Collaborators and Investigators

• Sponsor: Kahramanmaras Sutcu Imam University
• Investigators: Principal Investigator: Esra Karataş Okyay, Kahramanmaras Sutcu Imam University

Study record dates

Study Major Dates

• Study Start (Actual): March 25, 2024
• Primary Completion (Actual): March 25, 2024
• Study Completion (Estimated): December 25, 2024

Study Registration Dates

• First Submitted: March 27, 2024
• First Submitted That Met QC Criteria: March 27, 2024
• First Posted (Actual): April 3, 2024

Study Record Updates

• Last Update Posted (Actual): April 3, 2024
• Last Update Submitted That Met QC Criteria: March 27, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: KSIU-SBF-ES-02

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No