The Effect of Gamification on Breastfeeding Self-Efficacy and Infant Nutrition Attitudes of Pregnant Women

Objective: This study was conducted to determine the effect of breastfeeding education given through gamification on breastfeeding self-efficacy and infant feeding attitudes of pregnant women.

Method: This study is a randomized controlled pretest-posttest parallel group experimental study, and 28 women included in the experimental group and 28 women in the control group. In the study, "Sociodemographic Information Form", "Breastfeeding Self-Efficacy Scale Short Form-Antenatal Form (BSES-SF), ", "Infant Nutrition Attitude Scale (IOWA)" Form was used. The data analyzed in SPSS program.

Breastfeeding education content integrated into the game program designed with the gamification technique. A training program was applied to the women in the experimental group in the last trimester. Women in the control group received the standard breastfeeding training in the hospital. Measurement tools was applied to all participants before and after the training.

Conclusion and Suggestions: In this planned study, it was aimed to teach women about breastfeeding in a digital environment in a fun way. In this study, it is found that breastfeeding education given through gamification have a positive effect on breastfeeding self-efficacy and infant feeding attitudes of pregnant women.

Pregnant women who applied to the Obstetrics and Gynecology outpatient clinics of Lokman Hekim Etlik Hospital to give birth informed about the purpose of the study and their verbal and written consents was obtained. Women who agreed to participate in the study and met the sampling criteria, who have not yet given birth, was included in the study. Women in the experimental and control groups was randomly selected from among the women who were accepted to participate in the study. It was ensured that the groups are randomized at a similar rate. The universe of the research was the pregnant women who are followed up to give birth in Lokman Hekim Etlik Hospital gynecology outpatient clinics.

Inclusion Criteria for Research

* Primipara,
* Between 27-40 weeks of gestation,
* Those who have not received breastfeeding training before,
* Able to speak and understand Turkish,
* Women with a smart phone/tablet/computer with internet connection included in the study.

Randomization and Blinding

Randomization:

In order to have an equal number of pregnant women in the intervention and control groups, the "block randomization" method was used.

The assignment of the participants to the experimental and control groups by the block randomization method according to the randomization list made by a statistician independent of the researcher. The group distribution created by the statistician was delivered to the researcher in pre-prepared numbered opaque envelopes. The opaque envelope was opened after the consent of the women who applied to the hospital with a gestational pregnancy of 27-40 weeks, the inclusion criteria are evaluated, and the "Sociodemographic Information Form", "Breastfeeding Self-Efficacy Scale Short Form-Antenatal Form", and "Baby Nutrition Attitude Scale" are applied. 60 women, who was randomly selected from the population, was randomly assigned as 30 experimental groups and 30 control groups.

Eligibility Criteria:
Inclusion Criteria:

* Primipara,
* Between 27-40 weeks of gestation,
* Those who have not received breastfeeding training before,
* Able to speak and understand Turkish,
* Women with a smart phone/tablet/computer with internet connection will be included in the study.

Exclusion Criteria:

* Having a high risk pregnancy
* with a condition that prevents breastfeeding
* fetus with abnormality