The Effect of Motivational Interviewing-Based Breastfeeding Education on Breastfeeding Motivation and Self-Efficacy

Not Applicable

Completed

• Conditions: Breastfeeding; Motivation; Self Efficacy
• Interventions: Other: Motivational interviewing-based breastfeeding education

• Registration Number: NCT06623292
• Lead Sponsor: Istanbul Medeniyet University

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.

Study Timeline

• Study First Submitted: 2024-09-30
• Study First Submitted QC: 2024-09-30
• Study First Posted: 2024-10-02
• Study Start: 2024-10-15
• Primary Completion: 2025-02-15
• Study Completion: 2025-02-15
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-24
• Last Update Posted: 2025-04-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 48

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Motivational interviewing-based breastfeeding education	Mothers in this group will receive motivational interview-based breastfeeding education. Mothers will fill out the "Breastfeeding Self-Efficacy Scale" and the "Breastfeeding Motivation Scale" four times: on the first day of the baby's NICU admission, when their baby is discharged, 15 days after discharge and one month later discharge. In addition, a follow-up form will be completed.

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Istanbul Medeniyet University; 🇹🇷 Istanbul, Kadıköy, Turkey