The Effect of Motivational Interviewing-Based Breastfeeding Education Given to Mothers With Infants in the Neonatal Intensive Care Unit on Breastfeeding Motivation and Breastfeeding Self-Efficacy: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Breastfeeding
- Sponsor
- Istanbul Medeniyet University
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Breastfeeding Self-Efficacy Scale-Short Form
- Status
- Completed
- Last Updated
- last year
Overview
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.
Investigators
Aynur Aytekin Ozdemir
Professor
Istanbul Medeniyet University
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Breastfeeding Self-Efficacy Scale-Short Form
Time Frame: 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
Time Frame: 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.