Web-based Breastfeeding Counseling
Conditions
Keywords
Breastfeeding counseling, Breastfeeding motivation, Web-based, Breast milk, Breastfeeding problems
Brief summary
This randomized controlled study evaluates the effect of Web-Based Breastfeeding Counseling given to mothers on breastfeeding exclusively with breast milk in the first 6 months, breastfeeding motivation and breastfeeding problems.The main hypotheses it aims to answer are: 1. The web-based breastfeeding counseling given to the mothers in the experimental group is effective on the breastfeeding only for the first six months. 2. The web-based breastfeeding counseling given to the mothers in the experimental group is effective on the breastfeeding motivation of the mothers. 3. The web-based breastfeeding counseling given to the mothers in the experimental group is effective on the breastfeeding problems of the mothers.
Detailed description
In the study, 66 mother will randomly assigned to web-based breastfeeding counseling/experimental group and control group. To the web-based breastfeeding counseling/experimental group (n =33), during the first 6 months after birth, they will be directed to the web-based breastfeeding consultancy website. On this page, mothers will receive counseling on breastfeeding (written, visual, audio materials and telephone counseling) from birth. On the other hand, no other intervention will be applied to the control group other than routine treatment and midwifery care. The primary outcome of the research is the effect of web-based breastfeeding counseling on the breastfeeding only for the first six months of mothers. The secondary outcome of the study is to determine the effect of web-based breastfeeding counseling on the breastfeeding motivation of the mothers. The tertiary outcome of the study is to determine the effect of web-based breastfeeding counseling on the breastfeeding problems of the mothers.
Interventions
OTHERThe web-based breastfeeding counseling
To the web-based breastfeeding counseling/experimental group (n =33), during the first 6 months after birth, they will be directed to the web-based breastfeeding consultancy website. On this page, mothers will receive counseling on breastfeeding (written, visual, audio materials and telephone counseling) from birth. In addition, the Web-based breastfeeding counseling/experimental group will fill out data collection forms in the first 24 hours, 1st, 2nd, 4th and 6th months after delivery.
Sponsors
Mersin University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Prospective, parallel, two-arm randomized controlled clinical trial
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* treated at the relevant hospital * who volunteered to participate in the research * in the age range of 18-40 * oriented to place, time and person * 37-42 weeks of pregnancy. between the weeks * having first pregnancy * having a healthy pregnancy * Those who do not have any health problems that prevent breastfeeding (HIV, drug use, etc.) * who is literate * able to use computer or smart phone * Those who do not have a communication barrier (not knowing Turkish, mental retardation, etc.) * with internet at home
Exclusion criteria
* any health problem that prevents breastfeeding * having a baby with any health problem that prevents breastfeeding * who have a baby who was taken to the intensive care unit due to postpartum health problems * with multiple pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum Breastfeeding Evaluation and Follow-up Form | Change from before implementation (within the first 24 hours postpartum) and 1st, 2nd, 4rd and 6th months postpartum | In this form, which was created by the researchers to evaluate and monitor postpartum breastfeeding, using the literature, there are questions that evaluate situations such as the way babies are fed, the status of giving additional nutrients other than breast milk, the mothers' breastfeeding problems, and the mother's desire to continue breastfeeding. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Breastfeeding Motivation Scale | Change from before implementation (within the first 24 hours postpartum) and 1st, 2nd, 4rd and 6th months postpartum | It was developed by Kestler, Peleg et al (2015) and adapted into Turkish by Mızrak and Özerdoğan (2017). The scale consists of 24 items in total and consists of 5 sub-dimensions: Integrated regulation intrinsic motivation and identified regulation, introjected regulation - social approval, introjected regulation - social pressure, and external regulation - additional benefits.The Cronbach alpha value of the scale was found to be 0.855. Cronbach's alpha values for sub-dimensions vary between (0.846 - 0.670). The scale is in 4-point Likert type, and each item is scored between 1-4 (from 1 = I strongly disagree to 4 = I totally agree). The scale does not have a total score. The scores of the sub-dimensions are calculated by taking the average of the sub-dimension scores of the scale. As the score obtained from the scale sub-dimension increases, the motivation to breastfeed, which represents that sub-dimension, also increases. |
| Breastfeeding Problems Assesment Scale | Change from before implementation (within the first 24 hours postpartum) and 1st, 2nd, 4rd and 6th months postpartum | It was developed by Wambach (1990), is a 30-item scale in order to determine the level of the problem experienced (never happened (1) to unbearably happened (5)). The total score of the scale varies between 18 and 90. A high score indicates that the severity of the problem has increased. The 18 items in the scale include mechanical concerns, process concerns, concerns about milk insufficiency , concerns about the udder and questions related to social concerns. The last 12 items of the scale evaluate whether breastfeeding is continued, whether formula is added, how often formula is given, and what are the breastfeeding difficulties related to the mother's decision to wean in case of early weaning. The Turkish validity and reliability of the scale was performed by Uyanık (2019) and he Cronbach's alpha value of the scale was found to be 0.77 for the sub-dimensions, and between 0.71-0.85. |
Countries
Turkey (Türkiye)
Outcome results
None listed