BREASTFEEDING SELF-EFFICACY AND MATERNAL ATTACHMENT IN WOMEN WITH PERCEIVED INSUFFICIENT MILK

THE EFFECT OF AN ANIMATION FILM ON BREASTFEEDING SELF-EFFICACY AND MATERNAL ATTACHMENT LEVELS OF WOMEN WITH PERCEIVED INSUFFICIENT MILK: A RANDOMIZED CONTROLLED TRIAL

This randomized controlled study aims to evaluate the effect of an animation film on breastfeeding self-efficacy and maternal attachment levels in women with perceived insufficient milk. Women who perceive their breast milk as insufficient often experience decreased breastfeeding confidence and difficulties in mother-infant bonding. The animation film developed within the scope of the study provides information and supportive guidance about breastfeeding. The findings of this study are expected to contribute to improving breastfeeding self-efficacy and strengthening maternal attachment.

Study Overview

• Status: Completed
• Conditions: Perceived Insufficient Milk, Breastfeeding Self-Efficacy, Maternal Attachment
• Intervention / Treatment: Behavioral: Animation Film Intervention

• Study Type: Interventional
• Enrollment (Actual): 115
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Gazi̇osmanpaşa
    • Istanbul, Gazi̇osmanpaşa, Turkey (Türkiye), 34065
      • Gaziosmanpaşa Training and Research Hospital Physical Therapy Additional Service Building

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria Women without communication problems Pregnant women at 37 weeks of gestation or later attending the pregnancy school Healthy women aged between 18 and 49 years Women with a score of 25 or higher on the Perceived Insufficient Milk Scale Women without chronic diseases (such as cardiovascular diseases, Diabetes Mellitus, hypertension, etc.) Women without psychiatric disorders (such as major depression, psychosis, etc.)

Exclusion Criteria:

Women who experienced a high-risk pregnancy or labor process Women with a history of abortion or curettage

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Animation Film Group Routine Care Group; Women who had a score of 25 or higher on the Perceived Insufficient Milk Scale were included in the study and randomly assigned to the intervention group. Baseline assessments were conducted using the Woman Information Form, Breastfeeding Self-Efficacy Scale, and Postpartum Bonding Scale before the intervention. Participants then watched an animation film developed to address perceived insufficient milk. Follow-up assessments using the same scales were conducted at the first week and at the first month	Behavioral: Animation Film Intervention; Women who had a score of 25 or higher on the Perceived Insufficient Milk Scale were included in the study and randomly assigned to the intervention group. Baseline assessments were conducted using the Woman Information Form, Breastfeeding Self-Efficacy Scale, and Postpartum Bonding Scale before the intervention. Participants then watched an animation film developed to address perceived insufficient milk. Follow-up assessments using the same scales were conducted at the first week and at the first month
No Intervention: Kontrol Grubu

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Breastfeeding Self-Efficacy	Breastfeeding self-efficacy levels were evaluated using the Breastfeeding Self-Efficacy Scale.	Baseline, first week, and first month.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Maternal Attachment	Maternal attachment levels were evaluated using the Postpartum Bonding Scale.	Baseline, first week, and first month.

Collaborators and Investigators

• Sponsor: Istinye University
• Investigators: Study Chair: ESMA KESKİN, BSc, MSc Student, Istinye University, Department of Midwifery, Istanbul, Turkey; Study Director: REFİKA GENÇ KOYUCU, PhD, Istinye University, Department of Midwifery, Istanbul, Turkey

Study record dates

Study Major Dates

• Study Start (Actual): May 23, 2025
• Primary Completion (Actual): August 23, 2025
• Study Completion (Actual): August 23, 2025

Study Registration Dates

• First Submitted: March 17, 2026
• First Submitted That Met QC Criteria: March 17, 2026
• First Posted (Actual): March 23, 2026

Study Record Updates

• Last Update Posted (Actual): March 23, 2026
• Last Update Submitted That Met QC Criteria: March 17, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: Perceived Insufficient Milk, Breastfeeding Self-Efficacy, Maternal Attachment, Breastfeeding Education, Animation-Based Intervention
• Other Study ID Numbers: 24-321

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data will not be shared in order to protect participant privacy and confidentiality.

Drug and device information, study documents

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