An experimental study of an educational intervention to promote maternal self-efficacy in breastfeeding

Regina Cláudia Melo Dodt, Emanuella Silva Joventino, Priscilla Souza Aquino, Paulo César Almeida, Lorena Barbosa Ximenes, Regina Cláudia Melo Dodt, Emanuella Silva Joventino, Priscilla Souza Aquino, Paulo César Almeida, Lorena Barbosa Ximenes

Abstract

Objective: to build, validate and assess an educational intervention using the flip chart titled "I Can Breastfeed My Child."

Method: an experimental study using a pretest, intervention and posttest, as well as a control group. A total of 201 women, who had been hospitalized immediately, for at least 6 hours, postpartum. The mothers were allocated to the intervention (100 women) or control groups (101 women) according to the length of their hospital stay. The effectiveness of the flip chart was assessed by applying the Breastfeeding Self-Efficacy Scale - Short-Form at admission, discharge and by telephone in the second month postpartum. The intervention and control groups were similar in their socio-demographic, obstetric and gynecological variables.

Results: the intervention was beneficial because mothers in the intervention group had higher self-efficacy scores, more mothers continued breastfeeding and mothers had a longer duration of exclusive breastfeeding, both at the time of hospital discharge and at the second month postpartum, with statistically significant associations.

Conclusions: this experimental study assessed the educational strategy mediated via the flip chart titled "I Can Breastfeed My Child" as being effective both in increasing self-efficacy and increasing the duration of breastfeeding.

Figures

Figure 1. Flowchart of the study design…
Figure 1. Flowchart of the study design and the timing of follow-ups with study participants
Figure 2. Evolution of mean self-efficacy in…
Figure 2. Evolution of mean self-efficacy in breastfeeding in both groups. Fortaleza, CE, Brazil, 2010-2011

References

    1. World Health Organization . Indicators for assessing infant and young child feeding practices:conclusions of a consensus meeting held 6-8 November 2007 in Washington D.C. Geneva: World Health Organization; 2008.
    1. Rea MF. Benefits of breastfeeding and women's health. Jornal de Pediatria. 2004;80(Supll 5):142–146.
    1. Warkentin S, Taddei JAAC, Viana KJ, Colugnati FAB. Exclusive breastfeeding duration and determinants among Brazilian children under two years of age. Rev Nutr. 2013;26(3):259–269.
    1. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, Bernis L. Evidence-based, cost-effective interventions how many newborn babies can we save? Lancet. 2005;365(9463):977–988.
    1. Oriá MOB, Ximenes LB, Almeida PC, Glick DF, Dennis CL. Psychometric assessment of the Brazilian version of the Breastfeeding Self-Efficacy Scale. Public Health Nurs. 2009;26(6):574–583.
    1. Dodt RCM, Ximenes LB, Almeida PC, Oria MOB, Dennis CL. Psychometric assessment of the short form version of the Breastfeeding Self-Efficacy Scale in a Brazilian sample. J Nurs Educ Practice. 2012;2(3):66–73.
    1. Dennis CL. The breastfeeding self-efficacy scale Psychometric assessment of the short form. J Obstet Gynecol Neonat Nurs. 2003;32(6):734–744.
    1. Awano M, Shimada K. Development and evaluation of a self-care program on breastfeeding in Japan A quasi-experimental study. Int Breastfeed J. 2010;5(9):1–10.
    1. Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health. 2011;(11) 3:24–32.
    1. Bandura A. Self-efficacy Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.
    1. Dennis CL, Faux S. Development, and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health. 1999;22(5):399–409.
    1. Dodt RCM, Ximenes LB, Oria MOB. Validation of a flip chart for promoting breastfeeding. Acta Paul Enferm. 2012;25(2):225–230.
    1. Kirby A, Gebski V, Keech AC. Determining the sample size in a clinical trial. Med J Aust. 2002;177(5):256–257.
    1. Alexandre NMC, Marina ZOC. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc Saúde Coletiva. 2011;16(7):3061–3068.
    1. Nichols J, Schutte NS, Brown RF, Dennis CL, Price I. The impact of a self-efficacy intervention on shortterm breast-feeding outcomes. Health Educ Behav. 2009;36(2):250–259.
    1. McQueen KA, Dennis CL, Stremler R, Norman CD. A pilot randomized controlled trial of a breastfeeding selfefficacy intervention with primiparous mothers. J Obstet Gynecol Neonat Nurs. 2011;40(1):35–46.
    1. Smith BJ, Tang KC, Nutbeam D. WHO health promotion glossary New terms. Health Promotion Int. 2006;21(4):340–345.
    1. Narchi NZ, Fernandes RAQ, Dias LA, Novais DH. Variables that influence the maintenance of exclusive breastfeeding. Rev Esc Enferm USP. 2009;43(1):87–94.
    1. Schlickau JM, Wilson ME. Breastfeeding as a healthpromoting behavior for Hispanic women literature review. J Adv Nurs. 2005;52(2):200–210.
    1. Bueno LGS, Teruya KM. The practice of breastfeeding counseling. J Pediatria. 2004;80(Suppl 5):126–130.
    1. Pino VJL, López EMA, Medel IAP, Ortega SA. Factores que inciden en la duración de la lactancia materna exclusiva en una comunidad rural de Chile. Rev. chil. nutr. 2013;40(1):48–54.
    1. Blyth R, Creedy DK, Dennis CL, Moyle W, Pratt J, Vries MD. Effect of maternal confidence on breastfeeding duration An application of breastfeeding self-efficacy theory. Birth. 2002;29(4):278–284.
    1. Graça LCC, Figueiredo MCB, Conceição MTCC. Contributions of the nursing intervention in primary healthcare for the promotion of breastfeeding Rev. Latino-Am. Enfermagem. 2011;19(2):429–436.
    1. Semenic S, Loiselle C, Gottlieb L. Predictors of the duration of exclusive breastfeeding among first-time mothers. Res Nurs Health. 2008;31(5):428–441.
    1. Baghurst P, Pincombe J, Peat B, Henderson A, Redding E, Antoniou G. Breastfeeding self-efficacy, and other determinants of the duration of breastfeeding in a cohort of first time mothers in Adelaide, Australia. Midwifery. 2009;23(4):382–391.

Source: PubMed

Sponsors en medewerkers

Medische omstandigheden

Geneesmiddelinterventies

3
Abonneren