Breastfeeding, Motivation, Self Efficacy
Conditions
Keywords
Breastfeeding motivation, Breastfeeding self-efficacy, Motivational interview
Brief summary
This study is being conducted to examine the effect of a motivational interviewing-based breastfeeding education intervention provided to mothers whose infants are hospitalized in the neonatal intensive care unit on the mothers' breastfeeding motivation and breastfeeding self-efficacy.
Detailed description
Midwives and nurses working in the Neonatal Intensive Care Unit (NICU) are in a unique position to support the breastfeeding process and breastfeeding self-efficacy of mothers whose babies are hospitalized in the NICU. Health care professionals can use a variety of methods to support mothers' breastfeeding self-efficacy and encourage breastfeeding. Individualized interventions, breastfeeding education, and motivational interviewing are some of them. Motivational interviewing is basically a client-centered psychosocial intervention that helps individuals discover and resolve ambivalent feelings about health behaviors, learn new skills, and improve existing skills. In the breastfeeding process, the mother's motivation and positive intention are shown to be important indicators of breastfeeding continuation. Health education about breastfeeding provided by neonatal intensive care nurses to mothers whose babies are hospitalized in the NICU for various reasons is one of the important initiatives of nurses. The contribution of health education planned with effective educational techniques for both mother and baby is undoubtedly very valuable. However, one of the important variables that should not be forgotten in the success of this education provided by the nurse is motivation, which also affects the self-efficacy of mothers regarding breastfeeding. In order to ensure the readiness of mothers to be educated about the breastfeeding process and breastfeeding of the infant hospitalized in the NICU, it would be appropriate to support the health education planned for mothers whose infants are hospitalized in the NICU with a motivational interviewing intervention. Based on this information, the planned research will examine the effect of motivational interviewing-based breastfeeding education provided to mothers whose infants are hospitalized in the NICU on mothers' breastfeeding motivation and breastfeeding self-efficacy.
Interventions
This program includes breastfeeding motivational interviewing consisting of a total of 4 sessions and breastfeeding education consisting of one session.
Sponsors
Istanbul Medeniyet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
Participants will be assigned to experimental and control groups using block randomization method. Randomization of mothers will be done according to maternal age and number of births. Maternal age (19-25 years and 26 years and older) and number of births (primiparous and multiparous) variables will be used for block randomization. In order to reach the sample size calculated in the study, strata will be repeated six times (2X2X6) and 24 mothers will be included in each group.
Eligibility
Sex/Gender
FEMALE
Age
19 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* A baby born at 38-42 weeks gestational week admitted to the NICU, * Who started breastfeeding her baby in the NICU, * Literate in Turkish, * Open to communication and cooperation, * Volunteered to participate in the study, * Willing to breastfeed your baby, * Have a smart phone and internet connection, * Mothers who scored 60 or less on the Breastfeeding Self-Efficacy Scale in the pretest
Exclusion criteria
* Any chronic illness and pregnancy complications, * A condition that prevents breastfeeding, * The mother has a diagnosed psychiatric illness, * Mothers with a history of substance abuse. * The presence of an obstacle to oral feeding and sucking in the infant, * The baby has genetic, congenital anomalies, neurological, cardiac and metabolic diseases, * The baby has undergone surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Breastfeeding Self-Efficacy Scale-Short Form | On the first day of the baby's admission to the NICU (pretest), at discharge, 15 days after discharge, one month after discharge | The scale is 5-point Likert type. The items of the scale are scored as 1= I am never sure and 5 = I am always sure. All items of the scale are positive. The lowest score is 14 and the highest score is 70. An increase in scale scores indicates an increase in breastfeeding self-efficacy. |
| Breastfeeding Motivation Scale | On the first day of the baby's admission to the NICU (pretest), at discharge, 15 days after discharge, one month after discharge | The scale has a 4-point Likert-type scale scoring system. Each item is scored between 1=Strongly Disagree and 4=Strongly Agree. The score of the sub-dimensions is calculated by averaging the scale sub-dimension scores \[136\]. As the score obtained from the sub-dimension of the scale increases, the motivation representing the sub-dimension also increases. |
Countries
Turkey (Türkiye)
Outcome results
None listed