Web-based Educational Intervention on Breastfeeding Self-efficacy and Breastfeeding Outcome

NCT04798872 | Completed

• 1 other identifier: N202012022
• Study Type: interventional
• Target: 448
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Maternal and paternal breastfeeding self-efficacy is an important factor and could be modified in improving breastfeeding outcomes. Conducting breastfeeding educational intervention that involves the husband as well as incorporating a web-based platform based on breastfeeding self-efficacy theory is needs to be explored. Objectives: The aim to investigate the effectiveness of the web-based educational intervention on breastfeeding self-efficacy and breastfeeding outcomes. Methods: A randomized control trial will be conducted to investigate the effectiveness of the web-based educational intervention on breastfeeding self-efficacy and breastfeeding outcomes. 80 mothers and fathers from primary health care and public hospital in Jakarta will be recruited in this study and will randomly allocate using block randomization. The participants in the intervention group will receive standard usual care and web-based educational intervention, while the control group will receive usual care. The outcomes of this study are breastfeeding self-efficacy, depression, anxiety, infant feeding attitude, as well as breastfeeding outcomes that will be measured at baseline, 38 weeks of pregnancy, 1 week, 1, 3, and 6 months. A generalized Linear Model will be used to test the effect of the intervention for the group, time as well as group and time interaction. Anticipatory result:The educational intervention will be effective in helping mothers and fathers receiving interventions to have higher breastfeeding self-efficacy, lower levels of depression and anxiety, higher breastfeeding attitude as well as exclusive breastfeeding rate compared to mothers and fathers in the control group. Keywords: Breastfeeding self-efficacy, breastfeeding, web-based, reliability, validity, Indonesia.

Conditions

Breast Feeding; Self Efficacy; Feeding Behavior

Keywords

web-based intervention; breastfeeding; self efficacy; infant feeding behavior

Outcome Measures

Primary Outcomes (6)

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  baseline

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  38 weeks of pregnancy

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  1 week after delivery

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  1 months after delivery

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  3 months after delivery

• Maternal breastfeeding self and paternal breastfeeding self-efficacy

  confidence of a mother in her ability to feed the baby and fathers confident in assisting breastfeeding mother that will be measured using BSES-SF. This questionnaire consist of 14 items.

  6 months after delivery

Secondary Outcomes (4)

• Depression

  baseline, 38 weeks of pregnancy, 1 week, 1, 3, and 6 months after delivery

• Anxiety

  baseline, 38 weeks of pregnancy, 1 week, 1, 3, and 6 months after delivery

• Iowa Infant Feeding Attitude Scale (IIFAS)

  baseline, 38 weeks of pregnancy, 1 week, 1, 3, and 6 months after delivery

• Breastfeeding rate

  1 week, 1, 3, and 6 months of infant age

Study Arms (2)

web-based educational program

EXPERIMENTAL

Consist of 6 education session during 1 month and will be followed up by telephone counselling at 2, 4, and 6 weeks postpartum.

Other: Web-based educational program

control (usual care)

NO INTERVENTION

Mothers in the control group will receive standard treatment with pamphlets during the prenatal period. After delivery, standard postpartum care will be provided by the midwife, including pamphlets, rooming in and encourage mothers to breastfeed the baby.

Interventions

Web-based educational program OTHER

The mothers and fathers will be provided a website that consist of 6 session. at the end of the session, the lactation consultant will do video call to the mothers to discuss the questions from mothers and fathers. after delivery, telephone counseling will be conducted by lactation consultant to mothers at 2, 4, and 6. weeks postpartum

web-based educational program

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Primiparous with singleton pregnancy at 12-34 weeks' gestation
• Age ≥ 20 years
• Plan to breastfeed the infant
• The husband willing to participate in the educational program
• Capable to use a cell phone
• Can access the internet .Fluent in reading and writing Bahasa.

You may not qualify if:

• Presence of congenital anomaly for the baby .Chronic disease or high-risk complications during pregnancy and after delivery.

Sponsors & Collaborators

• Taipei Medical University: lead

Study Sites (1)

Jakarta Primary Health Center and Public General Hospital under Health Department of Jakarta Province Government

Jakarta, DKI Jakarta, 10160, Indonesia

Location

MeSH Terms

Conditions

Breast Feeding; Feeding Behavior

Condition Hierarchy (Ancestors)

Behavior; Behavior, Animal

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessor will be blinded to participants allocation.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: The study consist of two groups: intervention and control group. Mothers and fathers in intervention group will be provided web-based educational program and mothers and fathers in control group will be provided usual care.

Study Record Dates

• First Submitted: February 18, 2021
• First Posted: March 15, 2021
• Study Start: April 6, 2021
• Primary Completion: February 15, 2022
• Study Completion: February 15, 2022
• Last Updated: February 28, 2022

Record last verified: 2022-02

Locations

ID (1)