The Effect Of Individual Counseling Interventions Based On Health Action Process Approach Model On Breastfeeding Duration In Twin Pregnancies
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Breast Feeding
- Sponsor
- Ege University
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- Breastfeeding duration of twin babies until the sixth month postpartum after counseling
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this prospective, randomized controlled experimental clinical trial was to examine the effect of individual counseling interventions based on the Health Action Process Approach Model on breastfeeding duration in twin pregnancies. Women in the intervention group received breastfeeding education using motivational interviewing techniques, while women in the control group received routine clinical education and no intervention. Hypotheses of the study:
H1: Women who received individual intervention based on the SESY model have higher prenatal breastfeeding self-efficacy than the control group.
H2: Women who received individual intervention based on the SESY model have higher prenatal breastfeeding intentions than the control group.
H3: Postnatal breastfeeding self-efficacy of women who received individual intervention based on SESY model is higher than the control group.
H4: Breastfeeding motivation of women who received individual intervention based on the SESY model is higher than the control group.
H5: Women who received individual intervention based on the SESY model had higher rates of exclusive breastfeeding than the control group.
The women in the intervention group were given breastfeeding education with motivational interviewing techniques at 28-38 weeks of pregnancy in the prenatal period and 1-3 days, 1-2 weeks, 4-6 weeks, 4th month and 6th month in the postpartum period. The women in the control group did not receive any training by the researcher.
Detailed Description
Evaluate the effect of individual counseling interventions based on the Health Action Process Approach Model (HAPA) on breastfeeding duration in twin pregnancies. A total of 34 women in the intervention group and 34 women in the control group were followed up six times at 28-38 weeks in the antenatal period and 1-3 days, 1-2 weeks, 4-6 weeks, 4th month and 6th month in the postpartum period. Personal Information Form, HAPA Model Antenatal Period Motivational Interview Questionnaire, HAPA Model Postpartum Period Motivational Interview Questionnaire, Prenatal Breastfeeding Self-Efficacy Scale, Breastfeeding Intention Scale in Pregnant Women Expecting Twins, Breastfeeding Follow-up Form, Breastfeeding Motivation Scale Turkish version, Postnatal Breastfeeding Self-Efficacy Scale were applied to the intervention group. In the control group, Personal Information Form, Prenatal Breastfeeding Self-Efficacy Scale, Breastfeeding Intention Scale in Pregnant Women Expecting Twins, Breastfeeding Follow-up Form, Breastfeeding Motivation Scale Turkish version, Postnatal Breastfeeding Self-Efficacy Scale were applied and they were followed up with routine clinical trainings.
Investigators
ÇİĞDEM KÖPRÜLÜ
Specialist Nurse
Ege University
Eligibility Criteria
Inclusion Criteria
- •Who agreed to participate in the study,
- •18 years of age or older,
- •Can speak and understand Turkish,
- •Can read and write,
- •Mothers whose breasts are suitable for breastfeeding
- •Weeks between (28+0)-(37+6) of pregnancy
Exclusion Criteria
- •The baby has an anomaly in the mouth area
- •The woman has language and communication problems
- •The breasts are not suitable for breastfeeding (history of mastectomy surgery on both breasts)
- •The mother or the baby is taking medication that prevents breastfeeding
- •The woman has a previously diagnosed psychiatric disorder
- •The mother does not plan to breastfeed her babies
Outcomes
Primary Outcomes
Breastfeeding duration of twin babies until the sixth month postpartum after counseling
Time Frame: Postpartum 1-3 days, postpartum 1-2 weeks, postpartum 4-6 weeks, postpartum 4 months and postpartum 6 months
The duration of breastfeeding the twins was measured using a breastfeeding follow-up form after the counseling intervention using motivational interviewing techniques. The breastfeeding follow-up form included questions about the number of breastfeedings in the last 24 hours and the mothers' formula feeding status. Mothers who breastfed 9-12 times were considered to have breastfed their babies sufficiently. Mothers who breastfed their babies 6 times or less did not breastfeed their babies enough. Babies of mothers who give formula to their babies are interpreted as not receiving enough breast milk.
Secondary Outcomes
- Duration of exclusive breastfeeding of twin babies after consultation until the sixth month after birth(postpartum 1-3 days, postpartum 1-2 weeks, postpartum 4-6 weeks, postpartum 4 months and postpartum 6 months)
- Breastfeeding Intention Level(In the prenatal period between 28-38 weeks of gestation)
- Prenatal Breastfeeding Self Efficacy Level(In the Prenatal period between 28-38 weeks of gestation)
- Postnatal Breastfeeding Self Efficacy Scale Level(Postpartum 1-3 days, postpartum 4-6 weeks, and postpartum 4th month.)
- Breastfeeding Motivation Level in Mothers of Twin Babies(1-3 days postpartum, 4-6 weeks postpartum, and 4th month postpartum)