Yu Zhu1, Zhihong Zhang2, Yun Ling3, Hongwei Wan4. 1. Department of Nursing, Shanghai Proton and Heavy Ion Center, Kangxin Road, Pudong, Shanghai 201321, China. 2. Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200040, China. 3. Department of Human Resource, Shanghai Proton and Heavy Ion Center, Kangxin Road, Pudong, Shanghai 201321, China. 4. Department of Nursing, Shanghai Proton and Heavy Ion Center, Kangxin Road, Pudong, Shanghai 201321, China. Electronic address: Hong_whw@aliyun.com.
Abstract
BACKGROUND: Breastfeeding knowledge, attitude, subjective norm, and perceived control are significant determinants of breastfeeding, according to the theory of planned behavior (TPB). However, evidence concerning the effectiveness of the TPB-based intervention in breastfeeding promotion is sparse. Meanwhile, the changes of these determinants with time have not been examined in previous studies. AIM: To investigate the effectiveness of the TPB-based intervention program in improving exclusive breastfeeding, and the interaction of time and intervention on these determinants of breastfeeding. METHODS:285 primiparous mothers were included, with 157 mothers in the experimental group and 128 mothers in the control group. The experimental group received the TPB-based intervention program delivered during 6 weeks postpartum, while both the experimental and control groups received the standard obstetric care. FINDINGS:Scores of breastfeeding knowledge, attitude and breastfeeding control increased with time from baseline to 6 weeks postpartum, while breastfeeding subjective norm decreased at 6 weeks both in the experimental and the control groups. Besides, scores of the four determinants were significantly higher in the experimental group than these in the control group at 3days and 6 weeks, except for breastfeeding control at 6 weeks, which resulted in the higher exclusive breastfeeding rates at 3days and 6 weeks in the experimental group than the control group. DISCUSSION AND CONCLUSIONS: The TPB-based intervention was effective in promoting exclusive breastfeeding during 6 weeks postpartum. Future interventions are recommended to adjust intervention strategies with time, and give more focus on providing continued breastfeeding support after discharge.
RCT Entities:
BACKGROUND: Breastfeeding knowledge, attitude, subjective norm, and perceived control are significant determinants of breastfeeding, according to the theory of planned behavior (TPB). However, evidence concerning the effectiveness of the TPB-based intervention in breastfeeding promotion is sparse. Meanwhile, the changes of these determinants with time have not been examined in previous studies. AIM: To investigate the effectiveness of the TPB-based intervention program in improving exclusive breastfeeding, and the interaction of time and intervention on these determinants of breastfeeding. METHODS: 285 primiparous mothers were included, with 157 mothers in the experimental group and 128 mothers in the control group. The experimental group received the TPB-based intervention program delivered during 6 weeks postpartum, while both the experimental and control groups received the standard obstetric care. FINDINGS: Scores of breastfeeding knowledge, attitude and breastfeeding control increased with time from baseline to 6 weeks postpartum, while breastfeeding subjective norm decreased at 6 weeks both in the experimental and the control groups. Besides, scores of the four determinants were significantly higher in the experimental group than these in the control group at 3days and 6 weeks, except for breastfeeding control at 6 weeks, which resulted in the higher exclusive breastfeeding rates at 3days and 6 weeks in the experimental group than the control group. DISCUSSION AND CONCLUSIONS: The TPB-based intervention was effective in promoting exclusive breastfeeding during 6 weeks postpartum. Future interventions are recommended to adjust intervention strategies with time, and give more focus on providing continued breastfeeding support after discharge.
Authors: Alison McFadden; Lindsay Siebelt; Joyce L Marshall; Anna Gavine; Lisa-Christine Girard; Andrew Symon; Stephen MacGillivray Journal: Int Breastfeed J Date: 2019-10-21 Impact factor: 3.461
Authors: EunSeok Cha; Myoung Hwan Shin; Betty J Braxter; In Sook Park; Hyesun Jang; Byung Hun Kang Journal: Int J Environ Res Public Health Date: 2021-03-13 Impact factor: 3.390