Peer Interaction of Primiparas Sharing a Room With Multiparas With Successful Breastfeeding Experience

NCT06277856 | Completed DMC

• 2 other identifiers: Aysun EksiogluAyse Akyar
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

The World Health Organization (WHO) states that peer support breastfeeding education programs are effective interventions for improving breastfeeding outcomes. In this context, the WHO's Global Strategy for Infant and Young Child Feeding recommends the implementation of "lay health worker peer counselors" and "mother-to-mother support groups" to promote and support breastfeeding. The tenth step of the Baby-Friendly Hospital Initiative also emphasizes the importance of mother-to-mother support as a successful intervention for breastfeeding. However, in our country, there have been limited studies and efforts to provide peer education and support for breastfeeding. Although various valuable studies using different educational techniques have been conducted to improve breastfeeding rates, the integration of these programs into routine clinical practice remains insufficient. This study aims to implement a peer interactive education program in postpartum rooms to bring experienced and inexperienced mothers together, as part of the hospital routine. The project will focus on the development and implementation of a peer interactive education program and will investigate its impact on the breastfeeding self-efficacy of primiparous mothers. The research follows a two-group pre-test and post-test design, is non-blind, and uses randomized controlled methodology. Initially, the hospital rooms will be rearranged to accommodate the implementation of the peer support breastfeeding education module. Researcher midwives will provide a brief training to experienced peer educator mothers who have previously breastfed.Afterwards, the peer education program will be conducted when the experienced mother and primiparous mother are together in the room. The study emphasizes improving early postpartum breastfeeding success and aims to make peer interaction a routine part of hospital practice. The feasibility of implementing peer education in hospitals will be evaluated, considering its simplicity and practicality. The impact of peer interactions on the mother's breastfeeding self-efficacy and attitudes towards breastfeeding will be assessed. Overall, this research aims to improve breastfeeding rates by implementing peer support programs in hospital settings and evaluating the outcomes of peer interactions in terms of the mother's breastfeeding self-efficacy and attitudes towards breastfeeding.

Conditions

Mothers

Keywords

Breastfeeding; Peer; interaction; Education; Hospital based; room

Outcome Measures

Primary Outcomes (2)

• breastfeeding self-efficacy

  It will be evaluated using the Breastfeeding Self-Efficacy Scale-SF. The scale consists of a total of 14 items and is 5-point Likert type. The lowest score that can be obtained from the scale is 14 and the highest score is 70; it is stated that breastfeeding self-efficacy increases in mothers with high scores.

  After the participant is admitted to the labour ward, the first application within 1 hour (before the peer support intervention); At the 24th hour after the peer support module; It will be applied 3 times in the 1st postpartum month.

• exclusive breastfeeding rate

  Exclusive breastfeeding is a physiological parameter. It will be evaluated according to the World Health Organisation classification system. Those who are exclusively breastfed, excluding ORS, drops, vitamins, minerals and medication will be grouped as "exclusively breastfed".

  After the participant is admitted to the labour ward, the first application within 1 hour (before the peer support intervention); At the 24th hour after the peer support module; It will be applied 3 times in the 1st postpartum month.

Study Arms (2)

peer interaction

EXPERIMENTAL

The rooms will be arranged for two people and experienced and inexperienced mothers will be accommodated together. At a time when the mothers are available, the researcher will visit the mothers in their rooms, explain the purpose of the study and start the peer interaction session. In providing peer interaction, firstly, introductions will be made and the general condition of mothers and babies will be evaluated. The researcher will assess the breastfeeding status of the mothers and provide training on breastfeeding and breastfeeding.

Behavioral: Peer interaction/control

control group

NO INTERVENTION

Women in this group benefit from all routine postnatal care services of the hospital. Each mother is guided to breastfeeding by the breastfeeding counsellor and receives training. This group will also be given a brochure by the researcher, their breastfeeding status will be evaluated and if they have any questions, they will be answered.

Interventions

Peer interaction/control BEHAVIORAL

This study was planned as a randomised controlled study with a two-group pretest and posttest design.

peer interaction

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may not qualify if:

• Under 18 years of age
• Non-literate in Turkish
• Has a psychiatrically diagnosed health problem
• Developing a health problem that may prevent breastfeeding
• Taking medication that may jeopardise breastfeeding
• Women who do not want to participate will not be included in the study.
• Requesting a room change
• Not wanting to/wanting to stop peer interaction within the scope of the room arrangement
• After settling in the room, those who did not want to answer the data collection tools for any reason/left the data collection tools unfinished
• Mothers who could not be reached in the postnatal 1st month follow-up will be excluded from the study.

Sponsors & Collaborators

• Ege University: lead

Study Sites (1)

Ege University

Izmir, 35100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Aysun Eksioglu, Assoc Prof

  Ege University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: In order to eliminate selection bias in the study, "block randomisation" method, one of the fixed probability randomisation methods, will be used and women who meet the inclusion criteria will be distributed to the intervention and control groups.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 25, 2023
• First Posted: February 26, 2024
• Study Start: October 18, 2022
• Primary Completion: May 23, 2023
• Study Completion: August 26, 2024
• Last Updated: February 19, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: When the work is completed
• Access Criteria: not yet identified

Locations

TU (1)