Clinical trial NCT06623292: The Effect of Motivational Interviewing-Based Breastfeeding Education on Breastfeeding Motivation and Self-Efficacy
Official title: The Effect of Motivational Interviewing-Based Breastfeeding Education Given to Mothers With Infants in the Neonatal Intensive Care Unit on Breastfeeding Motivation and Breastfeeding Self-Efficacy: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Breastfeeding
Motivation
Self Efficacy
Keywords: Breastfeeding motivation
Breastfeeding self-efficacy
Motivational interview
Lead sponsor: Istanbul Medeniyet University
Sponsor class: OTHER
First posted: 2024-10-02
Enrollment: 48
Sex: FEMALE
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants will be assigned to experimental and control groups using block randomization method. Randomization of mothers will be done according to maternal age and number of births. Maternal age (19-25 years and 26 years and older) and number of births (primiparous and multiparous) variables will be used for block randomization. In order to reach the sample size calculated in the study, strata will be repeated six times (2X2X6) and 24 mothers will be included in each group.
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study is being conducted to examine the effect of a motivational interviewing-based breastfeeding education intervention provided to mothers whose infants are hospitalized in the neonatal intensive care unit on the mothers' breastfeeding motivation and breastfeeding self-efficacy.

Detailed description: Midwives and nurses working in the Neonatal Intensive Care Unit (NICU) are in a unique position to support the breastfeeding process and breastfeeding self-efficacy of mothers whose babies are hospitalized in the NICU. Health care professionals can use a variety of methods to support mothers' breastfeeding self-efficacy and encourage breastfeeding. Individualized interventions, breastfeeding education, and motivational interviewing are some of them. Motivational interviewing is basically a client-centered psychosocial intervention that helps individuals discover and resolve ambivalent feelings about health behaviors, learn new skills, and improve existing skills. In the breastfeeding process, the mother's motivation and positive intention are shown to be important indicators of breastfeeding continuation.

Health education about breastfeeding provided by neonatal intensive care nurses to mothers whose babies are hospitalized in the NICU for various reasons is one of the important initiatives of nurses. The contribution of health education planned with effective educational techniques for both mother and baby is undoubtedly very valuable. However, one of the important variables that should not be forgotten in the success of this education provided by the nurse is motivation, which also affects the self-efficacy of mothers regarding breastfeeding. In order to ensure the readiness of mothers to be educated about the breastfeeding process and breastfeeding of the infant hospitalized in the NICU, it would be appropriate to support the health education planned for mothers whose infants are hospitalized in the NICU with a motivational interviewing intervention. Based on this information, the planned research will examine the effect of motivational interviewing-based breastfeeding education provided to mothers whose infants are hospitalized in the NICU on mothers' breastfeeding motivation and breastfeeding self-efficacy.

Eligibility criteria: Inclusion Criteria:

* A baby born at 38-42 weeks gestational week admitted to the NICU,
* Who started breastfeeding her baby in the NICU,
* Literate in Turkish,
* Open to communication and cooperation,
* Volunteered to participate in the study,
* Willing to breastfeed your baby,
* Have a smart phone and internet connection,
* Mothers who scored 60 or less on the Breastfeeding Self-Efficacy Scale in the pretest

Exclusion Criteria:

* Any chronic illness and pregnancy complications,
* A condition that prevents breastfeeding,
* The mother has a diagnosed psychiatric illness,
* Mothers with a history of substance abuse.
* The presence of an obstacle to oral feeding and sucking in the infant,
* The baby has genetic, congenital anomalies, neurological, cardiac and metabolic diseases,
* The baby has undergone surgery.

Primary outcomes:
measure: Breastfeeding Self-Efficacy Scale-Short Form
timeFrame: On the first day of the baby's admission to the NICU (pretest), at discharge, 15 days after discharge, one month after discharge
measure: Breastfeeding Motivation Scale
timeFrame: On the first day of the baby's admission to the NICU (pretest), at discharge, 15 days after discharge, one month after discharge
Secondary outcomes:
Other outcomes:
Locations:
city: Kadıköy
country: Turkey
facility: Istanbul Medeniyet University
state: İ̇stanbul
city: Istanbul
country: Turkey
facility: Istanbul Medeniyet University
state: Kadıköy
Study officials:
affiliation: Istanbul Medeniyet University
name: Aynur Aytekin Özdemir, PhD
role: STUDY_CHAIR
References:
citation: Addicks SH, McNeil DW. Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women. J Obstet Gynecol Neonatal Nurs. 2019 Jul;48(4):418-432. doi: 10.1016/j.jogn.2019.05.003. Epub 2019 Jun 7.
citation: Franco-Antonio C, Calderon-Garcia JF, Santano-Mogena E, Rico-Martin S, Cordovilla-Guardia S. Effectiveness of a brief motivational intervention to increase the breastfeeding duration in the first 6 months postpartum: Randomized controlled trial. J Adv Nurs. 2020 Mar;76(3):888-902. doi: 10.1111/jan.14274. Epub 2019 Dec 18.