The Effect of Breastfeeding Training for Mothers Who Have a Vaginal Birth With Motivational Interview Technique on Their Breastfeeding Motivation, Self-efficacy, and Attachment
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Breastfeeding Self-Efficacy Scale Short Form
研究概览
简要总结
This study aimed to determine the effect of breastfeeding education given to mothers who gave birth vaginally using motivational interviewing technique on breastfeeding motivation, self-efficacy and attachment. The study will be conducted as a single-blind, randomized controlled trial.
详细描述
The study will be conducted as a single-blind, randomized controlled trial with 80 mothers who gave birth vaginally. In the experimental group, just before discharge from the hospital (within the last 4 hours before discharge), on the 2nd-5th, 13th-17th, 30th-42nd days after birth. Breastfeeding training based on motivational interviewing technique will be given 4 times in total. The control group will continue to receive the current standard care and service of the relevant hospital and other postpartum health institutions.
Hypotheses of the Research
- The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the mother's breastfeeding motivation.
are there?(H1) 2. Breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique has no effect on increasing the mother's breastfeeding self-efficacy.
Does it have any effect?(H2) 3. The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the level of mother-infant attachment.
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
- Single (Participant)
盲法说明
While it is known by the researcher whether the mothers are in the experimental or control group, it is not known by the mother.
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Maternal criteria;
- •Agreeing to participate in the research
- •Being 20 years or older
- •Having had a vaginal birth
- •being primiparous
- •Being at least a primary school graduate
- •Ability to speak Turkish
- •Not having any condition that would prevent communication
- •No medical breast problem
- •Criteria for the baby;
- •Being born at term (38-41 gestational weeks)
- •There is no congenital anomaly such as cleft palate or lip of the newborn that may prevent sucking.
- •Birth weight over 2500 grams
排除标准
- •Maternal criteria;
- •Having a chronic disease that prevents breastfeeding
- •Having major breast problems that will prevent breastfeeding
- •The mother has a diagnosed psychiatric disease
- •Having 2 or more live newborns in this birth
- •Criteria for the baby;
- •Premature birth (37th gestational week and before)
- •Having a congenital disease
- •Being in the risk group/being diagnosed with a disease in the newborn screening program
研究组 & 干预措施
control group
Before discharge, mothers in the control group will be given routine breastfeeding training by the midwife working in the delivery room in accordance with the mother/baby friendly hospital protocol.
experimental group
Breastfeeding education will be given to mothers in the experimental group in 4 individual and face-to-face sessions based on motivational interviewing technique.
The first session of breastfeeding training based on motivational interviewing technique will be held in the delivery room where the mother is hospitalized before being discharged from the hospital. Other sessions will be held according to the monitoring frequency recommended in the Postnatal Care Management Guide of the Ministry of Health of the Republic of Turkey (2018). These will be done at the health institution where the mother receives service.
Second session; Between the 2th and 5th postpartum day Third session; Between the 13th and 17th postpartum day Fourth session; Between the 30th and 42th postpartum day The duration of each motivational interview is planned to be between 30-40 minutes on average.
干预措施: Breastfeeding education based on motivational interviewing technique (Behavioral)
结局指标
主要结局
Breastfeeding Self-Efficacy Scale Short Form
时间窗: Three months
The scale is a 5-point Likert type and consists of 14 questions in total. The lowest score that can be obtained from the scale is 14 and the highest score is 70. High scores are interpreted as high breastfeeding self-efficacy.
Mother-Baby Attachment Scale
时间窗: Three months
The scale has a total of 8 items and is a 4-point Likert type. Responses are scored between 0-3. In the evaluation, items with positive emotion expressions (1, 4, 6.) were scored as 0, 1, 2, 3, while items with negative emotion expressions (2, 3, 5, 7, 8.) were scored as 3, 2, 1,0. It is scored as. The lowest score that can be obtained from the scale is 0 and the highest score is 24. As the score obtained from the scale increases, the level of mother-infant attachment decreases
Mother Introductory Information Form
时间窗: one day
It was prepared in line with the literature. The form consists of a total of 27 questions, including information about socio-demographic information, obstetric, newborn characteristics.breastfeeding characteristics
Primipara Breastfeeding Motivation Scale
时间窗: Three months
It was developed to determine the factors affecting breastfeeding motivation in primiparous women. The scale is a 7-point Likert type, consisting of a total of 29 items and 4 sub-dimensions. These sub-dimensions; the value placed on breastfeeding, self-efficacy, perceived midwife support and expectation of success. There is no cut-off value and total score in the evaluation of the scale. As the score obtained from each sub-dimension increases, the breastfeeding motivation level of that sub-dimension increases.
次要结局
未报告次要终点
研究者
Özge PALANCI AY
Principal Investigator
Gümüşhane Universıty