Successful breastfeeding promotion: a motivational instructional model applied and tested

Not Applicable

Completed

Conditions: Breastfeeding promotion
Pregnancy and Childbirth
Breastfeeding

Registration Number: ISRCTN47056748

Lead Sponsor: niversity of Ulster (UK)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Female

Target Recruitment: 144

Inclusion Criteria

1. All consenting primgravida women (20 weeks gestation) who attended at the time of recruitment
2. Inclusion criteria included their intention to have their baby at the research hospital
3. No age limit was applied

Exclusion Criteria

1. Incidents where a mother and baby were separated, for example when a baby was admitted to the neo-natal unit and did not receive routine instruction
2. Women who had already commenced the 'young mums' parentcraft program prior to 20 weeks gestation (19 years old or less)
3. Women who for ethical reasons were considered vulnerable, for example, women who neither spoke or understood English
4. Women who declined to participate

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
sing seven point Likert scales women's motivational profile was measured in relation to three motivational factors:<br>1. Total value placed on breastfeeding<br>2. Total perceived midwife support<br>3. Total expectancy for successful breastfeeding<br><br>The Breastfeeding Instructional Motivation Measurement Tool was developed specifically for this study. Using factor analysis (n = 199) the reliability coefficients for the three motivational factors were satisfactory (Cronbach Alpha .8622, .8751, .8549). Data were collected on discharge from hospital by structured interview.<br><br>Primary outcomes were measured on discharge from hospital.

Secondary Outcome Measures

Name	Time	Method
1. Breastfeeding behaviour was measured as a secondary outcome on discharge from hospital and at 3 weeks postnatal<br>2. Breastfeeding initiation was defined according to the Department of Health as giving one breastfeed or one episode of expressed breastmilk<br>3. Duration of breastfeeding was categorised in accordance with the Index of Breastfeeding Status (cited by Harmon-Jones, 2006), which classified breastfeeding on a scale in accordance with the amount of breastmilk the infant is receiving (1 = 100% breastmilk, 2 = more than 80% breastmilk and less than 20% other, 3 = 50 - 80% breastmilk, 4 = 50% breastmilk, 5 = 20 - 50% breastmilk, 6 = less than 20% breastmilk, 7 = 100% artificial milk).<br><br>Secondary outcomes were measured on discharge from hospital, and were repeated at 3 weeks postnatal (in the community and just prior to transfer of care to the health visiting services).