The Effect Of Individual Counseling Interventions Based On Health Action Process Approach Model On Breastfeeding Duration In Twin Pregnancies
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Breastfeeding duration of twin babies until the sixth month postpartum after counseling
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Breastfeeding duration of twin babies until the sixth month postpartum after counseling
时间窗: 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.
次要结局
- 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)
研究者
ÇİĞDEM KÖPRÜLÜ
Specialist Nurse
Ege University