Enhancing Breastfeeding Self-Efficacy in Filipino Mothers: Assessing the Impact of the LactApp m-Health Tool (A Mixed-Method)

March 4, 2025 updated by: Rudena A. Madayag, Angeles University Foundation
This study aimed to evaluate the effectiveness of LactApp in improving breastfeeding self-efficacy among Filipino mothers.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Breastfeeding is crucial for maternal and child health, but Filipino mothers face significant challenges, worsened by the COVID-19 pandemic, which has limited access to traditional breastfeeding support. This study proposes evaluating the LactApp mobile application as a tool to enhance breastfeeding self-efficacy among Filipino mothers and improve nursing education.

The study's objectives include assessing LactApp's effectiveness in boosting mothers' confidence in breastfeeding and identifying gaps in nursing students' breastfeeding education. A mixed-methods approach will be used, combining quantitative assessments (via the Breastfeeding Self-Efficacy Scale-Short Form) and qualitative focus group discussions with mothers and nursing students. The study will also analyze user engagement and common breastfeeding queries to tailor educational content.

Expected outcomes include empowering nursing students with better breastfeeding knowledge, improving maternal support, and integrating digital tools like LactApp into nursing curricula. Ultimately, the study aims to enhance breastfeeding outcomes for Filipino mothers and contribute to improved maternal and child health in the community.

Study Type

Interventional

Enrollment (Actual)

280

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 Locations

  • Philippines
    • Pampanga
      • Angeles City, Pampanga, Philippines, 2009
        • Angeles University Foundation, Mac Arthur Highway

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

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Females aged 16-45, including those who are pregnant or have recently given birth (within the last 12 months).
  • Females who are currently seeking breastfeeding support and are open to using the LactApp tool.
  • Females who are willing to participate in the study and provide informed consent.

Exclusion Criteria:

  • Females who are not intending to breastfeed.
  • Females with significant health issues that may impair their ability to use the LactApp tool or participate in the study.
  • Females who are not fluent in the language in which the LactApp tool is provided, making it difficult for them to engage with the content.

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: N/A
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Impact of LactApp on Breastfeeding Self-Efficacy in Filipino Mothers
This study focuses on evaluating the impact of the LactApp mobile application on the breastfeeding self-efficacy of Filipino mothers. Participants will complete a pre-test survey using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) to establish baseline confidence levels in breastfeeding. They then used the LactApp tool for 3 months, which provided personalized advice, tracking tools, and educational content. After the intervention, the same survey will be administered as a post-test to measure changes in self-efficacy.
Other: Daily Tips and Advice on the use of LactApp m-health tool throughout the breastfeeding journey.
A tool to track breastfeeding frequency, duration, and baby's weight and offers access to a community forum for peer support along with direct consultations with lactation experts.
Other Names:
  • Tracking Tool.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in breastfeeding self-efficacy
Time Frame: From enrollment to the end of the intervention at 3 months
The primary outcome of this study is the enhancement of breastfeeding self-efficacy among Filipino mothers following the use of the LactApp mobile Health tool. This outcome is measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), a validated tool designed to assess a mother's confidence in her ability to breastfeed. The BSES-SF consists of 14 items, each scored on a 5-point Likert scale ranging from 1 ("Not at all confident") to 5 ("Always confident"). The total score ranges from 14 to 70, with higher scores indicating greater breastfeeding self-efficacy. This scale is widely used in maternal health research to evaluate interventions aimed at improving breastfeeding outcomes.
From enrollment to the end of the intervention at 3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Maternal Confidence in Breastfeeding
Time Frame: Four weeks after intervention to the end of 3 months.
Assesses mothers' self-reported confidence in initiating and sustaining breastfeeding. Data will be collected through semi-structured interviews.
Four weeks after intervention to the end of 3 months.
Decision-Making in Breastfeeding Practices
Time Frame: Four weeks after intervention to the end of 3 months.
Evaluates the factors influencing mothers' feeding decisions, including the role of informational support provided by LactApp. Data will be collected through semi-structured interviews.
Four weeks after intervention to the end of 3 months.
Sense of Empowerment
Time Frame: Four weeks after intervention to the end of 3 months.
Assess the extent to which breastfeeding contributes to mothers' feelings of autonomy and overall empowerment in managing their infant's feeding. Data will be collected through semi-structured interviews.
Four weeks after intervention to the end of 3 months.
Identification of Barriers
Time Frame: Four weeks after intervention to the end of 3 months.
Identifies potential barriers to effective use of the LactApp, including issues related to digital literacy and accessibility, which may impact breastfeeding self-efficacy. Data will be collected through semi-structured interviews.
Four weeks after intervention to the end of 3 months.

Collaborators and Investigators

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

Sponsor

Angeles University Foundation

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 25, 2024

Primary Completion (Actual)

December 5, 2024

Study Completion (Actual)

December 15, 2024

Study Registration Dates

First Submitted

February 20, 2025

First Submitted That Met QC Criteria

March 4, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 4, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2024-CON-Faculty-004 (Other Identifier: Angeles University Foundation Ethics Review Committee)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

IPD used in the results publication

IPD Sharing Time Frame

Beginning 1 year after publication with no end date

IPD Sharing Access Criteria

Access to Individual Participant Data (IPD) and supporting information from the study will be granted to researchers, healthcare professionals, and policymakers with a legitimate interest in maternal healthcare. Interested individuals must demonstrate a clear research purpose, such as conducting secondary analyses or developing new interventions. Authorized users will access anonymized IPD, including demographic information and breastfeeding self-efficacy scores, while ensuring participant privacy. Supporting documentation will consist of the study protocol and data collection tools. Access will be managed through a data-sharing agreement to ensure ethical use. Interested parties must submit a formal request outlining their objectives, which will be reviewed by a data-sharing committee. Once approved, users can access the data via a secure online platform, ensuring responsible utilization that advances research and improves maternal healthcare outcomes.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • ICF

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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