Effect of Teach-Back Education on Breastfeeding and Bonding in Mothers of Preterm Infants

Ataturk University102 enrolled

Overview

The aim of this randomized controlled experimental study is to contribute to the standardization of nursing interventions for premature mothers and to establish a scientific basis for breastfeeding education models in our country. It also aims to evaluate the effects of the following: digital privacy literacy, children's autonomy, decision-making ability, and privacy awareness. The hypotheses of the study are as follows: H₁: Mothers who received Teach-Back training have a higher level of breastfeeding self-efficacy. H₂: Mothers who received Teach-Back training have a higher level of mother-infant bonding. H₀: There is no significant difference between the groups.

The study will be conducted with mothers of premature babies who meet the inclusion criteria at the state hospital located in Tatvan district, affiliated with the Bitlis Provincial Health Directorate. Participants will be assigned to two groups using simple random sampling: 1. Experimental group: (Mothers who received Teach-Back training) 2. Control group: (Mothers who received routine discharge education). Data will be collected using the "Participant Identification Form", "Breastfeeding Self-Efficacy Scale for Mothers of Preterm Babies", "Mother-Infant Bonding Scale" and "Teach-Back Training Evaluation Form".

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

102

Conditions

Premature

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being 18 years of age or older, * Having a baby born before the 37th week of gestation (being a mother of a premature baby), * Being able to read and understand Turkish, * Having actually started breastfeeding, * Having no hearing, visual, or cognitive communication impairment, * Not having a diagnosed serious psychiatric illness (major depression, anxiety disorder, etc.), * The baby not being in a serious clinical condition, not under palliative care or intensive life support, * Not participating in another breastfeeding education or counseling program at the same time, * Voluntarily agreeing to participate in the study. Exclusion Criteria: * All mothers who do not meet the inclusion criteria will be excluded from the study.

Outcomes

Primary Outcomes

Participant Introduction Form

The form was prepared by the researcher in accordance with the literature to determine the sociodemographic (age, education level, income level, marital status, place of residence) and obstetric characteristics (number of pregnancies, mode of delivery, gestational age, birth weight, neonatal hospital stay, previous breastfeeding experience, etc.) of the mothers participating in the study. The form was developed using research examining the relationships between breastfeeding self-efficacy, mother-infant bonding, and maternal characteristics.

Time frame: First week

The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy.

Time frame: First Week

Mother-to-Infant Bonding Scale

This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683.

Time frame: First Week

Secondary Outcomes

The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

Time frame: within the fist week

Mother-to-Infant Bonding Scale

Time frame: within the first week

Teach-Back Training Evaluation Form

This form was prepared by the researcher to observe the comprehensibility and learning level of the Teach-back training given to the experimental group. The form evaluates the participant's ability to explain the information received in their own words, recall basic concepts, and express their application plan. A short checklist consisting of five items is completed observationally at the end of each session with a score of 0-2 (insufficient-partially sufficient). The form will only be used to monitor the quality of the training process. This evaluation approach is consistent with international guidelines for monitoring the process accuracy of the teach-back method.