Breastfeeding Education Using the Card Game Method

February 28, 2025 updated by: Sakine Yılmaz, Çankırı Karatekin University

The Effect of Breastfeeding Education Using the Card Game Method on Breastfeeding Success, Breastfeeding Self-efficacy and Satisfaction in Primiparous Mothers: A Randomized Controlled Trial

This study aims to determine the effects of breastfeeding education using the card game method on breastfeeding success and breastfeeding self-efficacy in primiparous breastfeeding mothers.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Breastfeeding is a safe feeding method that meets all nutritional and health needs of infants, strengthens immunity, protects against invisible microbes such as diarrhea and pneumonia, and improves growth, development, health and survival. Exclusive breastfeeding for 6 months and continuing breastfeeding for 2 years can improve the physical, mental and emotional health of mothers and their babies.

The World Health Organization recommends exclusive breastfeeding for up to 6 months and breastfeeding with complementary feeding until 2 years of age and beyond, as it is directly related to improving health and preventing infant morbidity and mortality. Problems that cause mothers not to breastfeed exclusively include lack of knowledge about the benefits of breastfeeding, proper breastfeeding, lack of breastfeeding consultancy services and support from health professionals, socio-cultural perceptions against breastfeeding, and lack of motivation to breastfeed.The development and implementation of effective training programs to improve breastfeeding self-efficacy is an important issue for health professionals.Therefore, the implementation of innovative strategies and methods in the field of health education can greatly contribute to women's learning in order to strengthen participation in preventive behaviors and promote breastfeeding.One of these educational methods is the card game method. Health messages are presented in various game formats such as four-card games. The educational and teaching method that uses a specific set of cards with various pictures, words and categories is a game. Card games are fun and educational games. This method has the advantages of being simple, being playable anywhere, being easy to store, being able to be played by children or adults in large or small groups and the participants being able to actively participate in the game.Nurses, who are the basic building blocks of health services, also need to provide effective care that is appropriate for the needs of the age. In this context, the educational approaches used by nurses are important. In nursing education, the use of game-based learning and teaching methods has attracted attention, especially in recent years. Game-based learning, one of the educational methods, has an important effect in increasing individuals' interest in educational subjects, ensuring the permanence of knowledge and creating motivation.It is important for health professionals to provide training and consultancy to women on this issue in order to manage the breastfeeding process correctly, which is important for the health of both the mother and the baby. In this direction, as a result of this study, it is thought that by creating special breastfeeding cards and using a gamification-based education model, correct breastfeeding behavior and self-sufficiency will be developed in mothers. No study has been found in our country where this method has been used. In this respect, the study is original. As a result of the study, it is thought that the use of this game education model by health professionals while providing breastfeeding education and consultancy will facilitate the breastfeeding process.

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Turkey
    • None Selected
      • Cankiri, None Selected, Turkey, 18100
        • Recruiting
        • Sakine Yılmaz
        • Contact:
        • Principal Investigator:
          • Sakine Yılmaz, Assist Prof
        • Sub-Investigator:
          • Filiz Ünal Toprak, Assoc Prof
        • Sub-Investigator:
          • Gülsüm Baygın, Midwife

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • The conditions for volunteering to participate in the study are being over the age of 18, being able to read and write, being able to read and understand Turkish, not having hearing, speaking or visual impairments, having received breastfeeding training at a pregnancy school, being healthy in the 34th to 38th week of primiparous pregnancy, having a planned cesarean section, having a live birth and having a healthy baby.

Exclusion Criteria:

  • Obstacles to communication include having a visual, hearing or perception disorder, not being able to read or write, having a psychiatric illness, being multiparous and having a vaginal birth, having a risky pregnancy, not having a live birth and not having a live baby after birth.

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: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control Group
No application will be made to this group by the researcher.
Experimental: Breastfeeding card game
Breastfeeding card game group: Breastfeeding education will be given to 30 primiparous pregnant women in the intervention group using the card game method twice, two weeks apart.
Other: Breastfeeding card game group
Breastfeeding card game group: Breastfeeding education will be given to 30 primiparous pregnant women in the intervention group using the card game method twice, two weeks apart.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Breastfeeding Self-Efficacy Scale
Time Frame: 36th week of pregnancy and postpartum
The scale consists of a total of 14 items that evaluate breastfeeding self-efficacy. The scale is a 5-point Likert-type scale, and the items are evaluated by rating from 1 = "not sure at all" to 5 = "always sure". The lowest score that can be obtained from the scale is 14, the highest score is 70; higher scores indicate higher breastfeeding self-efficacy.
36th week of pregnancy and postpartum

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
LATCH Breastfeeding Diagnostic and Assessment Scale
Time Frame: It will be applied to women in the control and experimental groups after birth.
LATCH focuses on 5 features to be able to take appropriate action in cases where intervention is necessary for the mother. L (Latch): Baby's latching on to the breast, A (Audible Swallowing): Baby's swallowing sound is heard, T (Type of Nipple): Type of nipple, C (Comfort of Breast/Nipple): Mother's comfort with the breast/nipple H (Hold/Position): Defined as the assistance the mother needs to place her baby in the breastfeeding position. Each of the criteria is evaluated as "0, 1, 2" points. The maximum score that can be obtained is 10, and a high score from the evaluation and diagnosis scale means that breastfeeding success is high.
It will be applied to women in the control and experimental groups after birth.
Visual analog satisfaction scale
Time Frame: It will be applied to women in experimental groups after birth.
It is a scale used to evaluate satisfaction with the training provided. The individual indicates his/her satisfaction by marking a score between 0 (not satisfied at all) and 10 (very satisfied).
It will be applied to women in experimental groups after birth.

Collaborators and Investigators

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

Sponsor

Çankırı Karatekin University

Investigators

  • Principal Investigator: Sakine Yılmaz, Çankırı Karatekin University

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)

September 9, 2024

Primary Completion (Estimated)

June 1, 2025

Study Completion (Estimated)

June 1, 2025

Study Registration Dates

First Submitted

August 4, 2024

First Submitted That Met QC Criteria

August 4, 2024

First Posted (Actual)

August 7, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

February 28, 2025

Last Verified

February 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • CakırıKU

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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