Breastfeeding: A Sustainable Choice to Reduce Carbon Footprint
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Scale Breast-feeding Self-efficacy Scale
研究概览
简要总结
This study aimed to evaluate the impact of carbon footprint education on breastfeeding practices among pregnant women.
详细描述
This study aimed to evaluate the impact of carbon footprint education on breastfeeding practices among pregnant women.
In the sample size calculation performed using G*Power 3.1.9.7 (Faul et al., 2007) software, the effect size value determined for the relationship between awareness levels regarding sustainable and healthy nutrition behaviors and reducing ecological footprint was determined as Cohen's r=0.470. Statistical power analysis was performed under A Priori: Compute required sample size (Correlation: Bivariate normal model), 95% power (1-β) and α=0.05 and in the light of these parameters, it was concluded that a sample size of at least 53 participants was required for the study in question. In case of data loss, it was envisaged to increase the sample by 20% as a result of statistical consultancy. Accordingly, it was planned to conduct the study with a total of n=64 people, n=32 in the intervention group and n=32 in the control group.
It was carried out with the participation of two groups. The carbon footprint education group received 4 education sessions of 60 minutes each. The control group received routine hospital care during this period, but no other intervention was made.
Data for the study were collected by the researcher using face-to-face interviews, a personal information form with demographic questions, and the measurement tools used in the study. The training was completed 4 weeks later. After the training, the measurement tools were used for the woman's postpartum period.
Participants were given an explanation of the carbon footprint education and told how, for how long, and where the education would take place. The carbon footprint education programme was completed by the participants in a specific way (nutrition, breastfeeding, environmental awareness) for each session. The education was delivered using a poster.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant women 24 weeks gestation
- •Must be between 18 and 35 years of age.
- •Women must provide informed consent to participate in the study, indicating their willingness to participate in the educational intervention and assessments.
- •Attend educational sessions
排除标准
- •Women with significant medical conditions that may affect breastfeeding or nutrition (e.g. serious mental illness, chronic disease) will be excluded.
- •Multiple pregnancies
- •Previous GREEN MOTHER training
- •Substance abuse
- •Women considered to be at high risk of non-compliance with the study protocol (e.g. those with unstable living conditions).
结局指标
主要结局
Scale Breast-feeding Self-efficacy Scale
时间窗: 1st day after birth, 3rd month after birth, 6th month after birth
Breastfeeding Self-Efficacy Scale: This is a 33-item scale developed by Dennis (1999). It consists of two sub-dimensions to determine mothers' breastfeeding skills, beliefs and behaviours regarding breastfeeding. The validity and reliability study of the Turkish form of the scale was conducted by Ekşioğlu and Çeber (2011). Breastfeeding self-efficacy was assessed using a five-point Likert scale: (1) I never trust myself, (2) I do not trust myself very much, (3) I trust myself sometimes, (4) I trust myself often, (5) I always trust myself. As the total score on the scale increases, so does breastfeeding self-efficacy. The lowest score is 33 and the highest is 165.
Ecological Footprint Awareness Scale
时间窗: Participants immediately after group assignment, 6 months after the birth
The Ecological Footprint Awareness Scale consists of six sub-dimensions: energy, legal, recycling, transport, water use and food. The scale categories are obtained by summing the subscales and scoring them as strongly disagree=1, disagree=2, undecided=3, agree=4 and strongly agree=5. The Cronbach's alpha value was found to be 0.960.
Behaviors Scale Towards Sustainable Nutrition
时间窗: Participants immediately after group assignment, 6 months after the birth
The developed scale consists of 29 items and 4 sub-dimensions with a five-point Likert scale. It includes the sub-dimensions of food preference, reducing food waste, eating seasonally and locally, and buying food. The scale is rated as 'never', 'rarely', 'sometimes', 'often' and 'always'. All items are scored from 1 to 5, starting with 'never'. All items in the scale are positive. The lowest score that can be obtained from the scale is 29 and the highest score is 145. Sub-dimension scores are obtained by dividing the sum of the scores given by individuals to the questions in the sub-dimension by the number of questions in the sub-dimension. Higher total and sub-dimension scores indicate that the individual has more sustainable dietary behaviours.
Depression Anxiety and Stress scales-21 (DASS-21)
时间窗: Participants immediately after group assignment, 1st day after delivery, 3rd month after delivery, 6th month after delivery
his 21-item scale consists of three dimensions, namely anxiety, depression, and stress. Items are measured on a 4-point Likert-type scale ranging from 0 (Never) to 3 (Always). A higher sum score indicates more severe symptoms of depression, anxiety, and stress.
次要结局
未报告次要终点
研究者
Leyla Kaya
Assoc. Prof.
Saglik Bilimleri Universitesi