OBJECTIVES: To pilot test a newly developed breastfeeding self-efficacy intervention. DESIGN: Pilot randomized controlled trial (RCT). SETTING: An acute care hospital located in Northwestern Ontario that is the sole provider of maternity care for the city and referral center for the region. PARTICIPANTS: One-hundred-and-fifty primiparous women intending to breastfeed their healthy, term, singleton infant. INTERVENTION: A standardized, individualized nursing intervention protocol was designed and administered to increase mothers' breastfeeding self-efficacy. Participants were randomly allocated to the intervention group or control group using sealed, opaque envelopes. Participants in the intervention group received three individualized, self-efficacy enhancing sessions with the researcher: two in-hospital and one by telephone. Participants in the control group received standard in-hospital and community care. MAIN OUTCOME MEASURES: Feasibility, compliance, and the acceptability of the breastfeeding self-efficacy intervention. Other outcomes assessed were breastfeeding self-efficacy, duration, and exclusivity. RESULTS: Findings suggest that the intervention was feasible; there was a high degree of protocol compliance, and the majority of mothers reported that the intervention was beneficial. Mothers in the intervention group had higher rates of breastfeeding self-efficacy, duration, and exclusivity at 4 and 8 weeks postpartum. However, the differences between groups were not statistically significant. CONCLUSION: The pilot RCT provided valuable information in examining the feasibility of the trial design and intervention.
RCT Entities:
OBJECTIVES: To pilot test a newly developed breastfeeding self-efficacy intervention. DESIGN: Pilot randomized controlled trial (RCT). SETTING: An acute care hospital located in Northwestern Ontario that is the sole provider of maternity care for the city and referral center for the region. PARTICIPANTS: One-hundred-and-fifty primiparous women intending to breastfeed their healthy, term, singleton infant. INTERVENTION: A standardized, individualized nursing intervention protocol was designed and administered to increase mothers' breastfeeding self-efficacy. Participants were randomly allocated to the intervention group or control group using sealed, opaque envelopes. Participants in the intervention group received three individualized, self-efficacy enhancing sessions with the researcher: two in-hospital and one by telephone. Participants in the control group received standard in-hospital and community care. MAIN OUTCOME MEASURES: Feasibility, compliance, and the acceptability of the breastfeeding self-efficacy intervention. Other outcomes assessed were breastfeeding self-efficacy, duration, and exclusivity. RESULTS: Findings suggest that the intervention was feasible; there was a high degree of protocol compliance, and the majority of mothers reported that the intervention was beneficial. Mothers in the intervention group had higher rates of breastfeeding self-efficacy, duration, and exclusivity at 4 and 8 weeks postpartum. However, the differences between groups were not statistically significant. CONCLUSION: The pilot RCT provided valuable information in examining the feasibility of the trial design and intervention.
Authors: Olukunmi O Balogun; Elizabeth J O'Sullivan; Alison McFadden; Erika Ota; Anna Gavine; Christine D Garner; Mary J Renfrew; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2016-11-09
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28