The Effect of Telehealth on Feeding Exclusive Breastfeeding in the Perception of Insufficient Milk
Condition: Breast Feeding; Exclusive Breastfeeding
Study type: Interventional

Summary: 
      The goal of this [type of study: The study, which was carried out within the framework of
      mixed method, is a research using an explanatory sequential design, and its quantitative
      dimension is a randomized controlled experimental design] is to [The aim of this study is to
      determine the effect of breastfeeding support given to mothers with inadequate milk
      perception through telehealth application on mothers' giving only breast milk to their babies
      for the first six months] in [consisting of primiparous mothers, mothers who had normal
      vaginal deliveries and mothers with perceived inadequate milk, healthy term babies]. The main
      question[s] it aims to answer are:

        -  [What are the experiences of mothers with insufficient milk perception about the
           breastfeeding support given to their babies with telehealth application and their
           mothers' experiences about giving only breast milk to their babies for the first six
           months? ]

        -  [What is the satisfaction status of mothers with insufficient milk perception towards
           the breastfeeding support provided by telehealth application? ] Hypotheses of the Study

        -  [H0: Breastfeeding support provided to mothers with insufficient milk perception through
           telehealth application has no effect on the mother's exclusive breastfeeding in the
           first six months. ]

        -  [H1: Breastfeeding support provided to mothers with insufficient milk perception through
           telehealth application has an effect on the mother's exclusive breastfeeding for the
           first six months.]

        -  [H2: There is a difference between the mean breastfeeding self-efficacy and
           breastfeeding cessation tendency scale scores of the mothers in the control group and
           the intervention group with insufficient milk perception.]

        -  [H3: Mothers have a high level of satisfaction with the breastfeeding support provided
           by telehealth application.]

      Intervention Group: The Inadequate Milk Perception Scale was applied to determine the mothers
      who thought that their milk was inadequate by face-to-face interview method before discharge
      from the hospital after delivery. Mothers with low scale scores were assigned to the control
      group in the first set and to the intervention group in the second set with the help of
      Research Randomiser (https://www.randomizer.org/). Then, Personal Information Form-1,
      Tendency to Discontinue Breastfeeding Scale, and Breastfeeding Self-Efficacy Scale were
      applied to the mothers. After discharge, training videos on the importance of breast milk and
      breastfeeding and written documents (e-brochure, prose version of breastfeeding trainings)
      prepared in line with the literature and explained by experts in accordance with the
      puerperium week between 10.00-14.00 hours were sent to the mothers individually with
      telehealth application once a week. At the same time intervals, visualised messages
      explaining breastfeeding and that breast milk is sufficient for the baby were sent via
      telehealth application five days a week. In addition, if the mothers requested at 10.00-17.00
      on weekdays, they were given live support by the researcher for the issues they were curious
      about breastfeeding by calling the researcher via telehealth application. The mothers in the
      intervention group were called via telehealth application between the 2nd-5th postpartum
      days, 13th-17th days, 38th-40th days, 2nd-3rd months, 4th-5th months and at the end of the
      6th month and the relevant forms were applied again (at the time period convenient for the
      mother).

      Control Group: The Inadequate Milk Perception Scale was administered to the mothers to
      determine the mothers who thought that their milk was inadequate by face-to-face interview
      method before discharge from the hospital after delivery. Then, Personal Information Form-1,
      Tendency to Discontinue Breastfeeding Scale and Breastfeeding Self-Efficacy Scale were
      applied to the mothers. The mothers determined as the control group were called by the
      researcher via telehealth application between the 2nd-5th postpartum days, 13th-17th days,
      38th-40th days, 2nd-3rd months, 4th-5th months and at the end of the 6th month by telehealth
      application and the relevant forms were applied again (at the time period convenient for the
      mother). No intervention was made to the mothers in the control group, and the woman
      benefited from routine outpatient clinic services if she requested.
    


Intervention name(s): Providing breastfeeding support with Telehealth
Intervention type(s): Other
Intervention description(s): After discharge, training videos on the importance of breast milk and breastfeeding prepared in line with the literature and explained by experts, and written documents (e-brochure, plain text version of breastfeeding trainings) were sent to individual mothers once a week between 10.00-14.00 hours via telehealth application. At the same time intervals, visualised messages explaining breastfeeding and that breast milk is sufficient for the baby were sent via telehealth application five days a week. In addition, if the mothers requested at 10.00-17.00 on weekdays, they were given live support by the researcher for the issues they were curious about breastfeeding by calling the researcher via telehealth application.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomized controlled experimental
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Telehealth; Exclusive Breastfeeding; Self-efficacy