The Effects of the Breastfeeding Problems Management Model on Breastfeeding Problems, Motivation and Success

NCT05543902 | Completed

• 1 other identifier: 2020-25
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled interventional study was conducted with 50 women (25 intervention and 25 control). While the intervention group received an eight-week postpartum education and care according to the Breastfeeding Problems Management Model (BPMM) under the leadership of a nurse, the control group received routine care. CONSORT checklist was used to report the study.The women in the intervention group were provided with nursing interventions according to the BPMM by the researcher. The women in standard care group were not provided with any interventions by the researcher.

Conditions

Counselling

Keywords

Breastfeeding

Outcome Measures

Primary Outcomes (1)

• Breastfeeding Experience Scale (BES)

  The original scale is responded on a 5-point scale and is composed of 2 parts, 5 sub-scales, and 30 items. Turkish reliability and validity of the scale were performed by Uyanık and Çeber Turfan in 2019, and Cronbach's alpha coefficient was found 0.776. Scores to be obtained from the scale range between 18 and 90, with higher scores indicating higher severity of breastfeeding problems. BES was reported to be a valid tool for the Turkish Society.

  Change in breastfeeding problems by 1st, 2nd, 6th and 8th weeks

Secondary Outcomes (1)

• The LATCH Assessment Tool

  Change in 1th and 8th weeks breastfeeding succes level.

Other Outcomes (1)

• The Breastfeeding Motivation Scale (BMS)

  change in breastfeeding motivation level at eight weeks

Study Arms (2)

Intervention group: Breastfeeding Problems Management Model (BPMM)

EXPERIMENTAL

The women in the intervention group were provided with nursing interventions according to the BPMM by the researcher. LATCH (pre-test) was administered before discharge from the hospital; women were given the education booklet; and their contact information was recorded. After discharge from the hospital, the women were called by phone in the 1st, 2nd, and 6th weeks, BES was read, and the scale was filled in by the researcher based on the women's responses. Women who were found to experience breastfeeding problems in these phone calls were provided with consultancy and home visits. In the 8th week, home visits were done and the education was repeated. The women were administered the BES, LATCH (post-test), and BMS.

Behavioral: Breastfeeding Problems Management Model (BPMM)

No Intervention: Standard care group

NO INTERVENTION

The women in standard care group were not provided with any interventions by the researcher. They were provided with standard care at the hospital. Before discharge from the hospital, the LATCH (pre-test) was administered and women's contact information was recorded. After discharge from the hospital, the women were called by phone in the 1st, 2nd, and 6th weeks. BES were read on the phone, and the scale was filled in by the researcher based on the women's responses. Home visits were performed in the 8th week, and the women were administered the BES, LATCH (post-test), and BMS

Interventions

Breastfeeding Problems Management Model (BPMM) BEHAVIORAL

The BPMM was composed of interventions with the leadership of a nurse and included topics of the early postpartum period; postpartum 1st, 2nd, 6th, and 8th weeks; increasing breastfeeding motivation and breastfeeding success; and preventing and eliminating breastfeeding problems. The components of the model included meeting women face-to-face, giving education using a booklet, providing breastfeeding consultancy on the phone, and home visits.

Intervention group: Breastfeeding Problems Management Model (BPMM)

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• being aged between 18 and 35
• having vaginal delivery in the 37th gestational week or later
• being primiparous
• having a single and healthy fetus
• having graduated at least from a primary school
• living in Adana city center
• being able to communicate on the phone.

You may not qualify if:

• having no high-risk pregnancy
• having no medical diseases preventing breastfeeding
• having no communication problems
• having no psychiatric diseases
• not being a health professional
• having no health professional relatives to provide support in the postpartum care.
• Criteria for being excluded from the study:
• admission of the newborn to the intensive care
• development of postpartum psychological problems in the mother (maternity blues, depression)
• mother's changing city during postpartum follow-ups.

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (1)

Cukurova Unıversity

Adana, Turkey (Türkiye)

Location

Related Publications (4)

• Lucas R, Zhang Y, Walsh SJ, Evans H, Young E, Starkweather A. Efficacy of a Breastfeeding Pain Self-Management Intervention: A Pilot Randomized Controlled Trial. Nurs Res. 2019 Mar/Apr;68(2):E1-E10. doi: 10.1097/NNR.0000000000000336.

  PMID: 30829925 BACKGROUND

• Lucas R, Bernier K, Perry M, Evans H, Ramesh D, Young E, Walsh S, Starkweather A. Promoting self-management of breast and nipple pain in breastfeeding women: Protocol of a pilot randomized controlled trial. Res Nurs Health. 2019 Jun;42(3):176-188. doi: 10.1002/nur.21938. Epub 2019 Mar 5.

  PMID: 30835887 BACKGROUND

• Mizrak Sahin B, Ozerdogan N, Ozdamar K, Gursoy E. Factors affecting breastfeeding motivation in primiparious mothers: An application of breastfeeding motivation scale based on self-determination theory. Health Care Women Int. 2019 Jun;40(6):637-652. doi: 10.1080/07399332.2018.1526289. Epub 2019 May 29.

  PMID: 31140955 BACKGROUND

• Cercer Z, Nazik E Dr. The effects of the breastfeeding problems management model on breastfeeding problems, breastfeeding motivation and breastfeeding success: A randomized controlled trial. J Pediatr Nurs. 2023 Nov-Dec;73:e116-e124. doi: 10.1016/j.pedn.2023.07.021. Epub 2023 Aug 6.

  PMID: 37550129 DERIVED

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Zehra ÇERÇER, PhD

  Cukurova University

  PRINCIPAL INVESTIGATOR

• Evşen NAZİK, Prof. Dr.

  Cukurova University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 14, 2022
• First Posted: September 16, 2022
• Study Start: June 1, 2020
• Primary Completion: April 1, 2022
• Study Completion: April 1, 2022
• Last Updated: September 16, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)