Breast Feeding, Self Efficacy
Conditions
Keywords
Self-efficacy, Self Efficacy, Nurses's Role, Professional Role, Clinical Trial, Breast Feeding
Brief summary
The aim of the study was to evaluate the effectiveness of a breastfeeding self-efficacy promotion intervention. More specifically our objectives were to: explore changes in self-efficacy following the intervention; explore changes in the initiation and maintenance of breastfeeding following the intervention.
Detailed description
Breastfeeding is the optimal choice for feeding infants in order to ensure a healthy growth and development. Although breastfeeding has many benefits for the infant and the mother, breastfeeding rates drop drastically during the first three months after birth. There is a number of factors that influence the initiation and maintenance of breastfeeding. One of the key factors is maternal self-efficacy in relation to breastfeeding. The aim of the study was the development and evaluation of an intervention to enhance maternal perceived self-efficacy in order to contribute positively to the initiation and maintenance of breastfeeding. This was done by using a complex intervention approach (MRC framework) to design and assess a multi-center controlled trial, involving midwives and nurses working at the Complejo Hospitalario de Navarra (CHN) of the Servicio Navarro de Salud and at the Clínica Universidad de Navarra (CUN). These health professionals were trained to deliver the intervention. The intervention was focused on self-efficacy related aspects and took place at three instances with every mother: in the final stage of pregnancy, during the maternal hospital stay after giving birth, and in the first days after discharge. The participants in the control group received the standard care as provided in each health institution.
Interventions
BEHAVIORALBreastfeeding support
Self-efficacy
Sponsors
Complejo Hospitalario de Navarra
Universidad Pública de Navarra
Clinica Universidad de Navarra, Universidad de Navarra
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Intention to breastfeed and no contraindication to do so * Speak Spanish * Give informed consent
Exclusion criteria
* Unwillingness to breastfeed * Preterm birth (at \<37 weeks gestation) * Breastfeeding contraindication (galactosemia) * Breastfeeding-related especial situations (multiple birth; newborn weight \<2000g; leporine lip; newborn in intensive care unit)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes on Breastfeeding status reported by mothers | at 4 time points: after birth while in hospital (T1); and 4 weeks (T2); 8 weeks (T3); and 6 months (T4) after birth | The mothers reported whether they were breastfeeding or not. |
| Changes on maternal breastfeeding self-efficacy measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) questionnaire | at 4 time points: after birth while in hospital (T1); and 4 weeks (T2); 8 weeks (T3); and 6 months (T4) after birth | The mothers completed the questionnaire in person in T1 and by phone in T2, T3 and T4 |
Countries
Spain
Outcome results
None listed