This research was planned to determine the effect of breastfeeding counseling based on motivational interviewing method and standard breastfeeding counseling on breastfeeding self-efficacy and breastfeeding results in women who had a cesarean section.
This study was conducted between September 2023 and August 2024 as a single-blind randomized controlled study to determine the effect of breastfeeding counseling based on the motivational interview method and standard breastfeeding counseling on breastfeeding self-efficacy and breastfeeding results in women who had a cesarean section in Turkey. Participants who met the inclusion criteria were informed about the subject. The purpose of the study was explained to participants, and informed consent was obtained from all individuals who received motivational interviewing-based training or standard breastfeeding training. Data; When the research was approved, it was collected before the first counseling, in the first 48 hours after birth, and on the 14th day, 1st month and 3rd month after birth. CONSORT directive was followed in research planning
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
63
Breastfeeding Counseling Based on Motivational Interviewing Program The breastfeeding counseling based on motivational interviewing program consists of 6 sessions and 4 hours. It includes information about breastfeeding, motivational preparation for the breastfeeding experience.
Standart Breastfeeding Consultancy The standard breastfeeding consultancy program consists of 6session and 4 hours. It contains only information and applications about breastfeeding
Mersin University
Mersin, Mersin, Turkey (Türkiye)
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy during pregnancy were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al.This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: 34-40 weeks of pregnancy
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Postpartum 24-48 hours
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
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Time frame: Postpartum 14. days
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Postpartum 1. month
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Postpartum 3. month
Breastfeeding Results Evaluation Form
The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.
Time frame: Postpartum 24-48 hours
Breastfeeding Results Evaluation Form
The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.
Time frame: Postpartum 14. days
Breastfeeding Results Evaluation Form
The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.
Time frame: Postpartum 1. month
Breastfeeding Results Evaluation Form
The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.
Time frame: Postpartum 3. month