NCT06317974

Brief Summary

Objective: The aim of this study was to evaluate the effect of breastfeeding education based on the Health Belief Model during the antenatal period on couples' perception and self-efficacy regarding breast milk.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
220

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 30, 2022

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 15, 2023

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

January 4, 2024

Completed
3 months until next milestone

First Posted

Study publicly available on registry

March 19, 2024

Completed
Last Updated

March 19, 2024

Status Verified

March 1, 2024

Enrollment Period

6 months

First QC Date

January 4, 2024

Last Update Submit

March 12, 2024

Conditions

Keywords

Health Belief ModelBreastfeeding Self-EfficacyBreast milkBreastfeedingParent education

Outcome Measures

Primary Outcomes (1)

  • Mothers' and fathers' perception of breast milk, assessed using the Adults' Breast Milk Perception Scale.

    In this study, it was determined that breastfeeding education given based on the health belief model in the last trimester of pregnancy increased the breast milk perception levels of expectant mothers and fathers.

    30 days

Secondary Outcomes (1)

  • Breastfeeding self-efficacy of mothers evaluated using the Breastfeeding Self-Efficacy Scale-Short Form during Pregnancy

    30 days

Other Outcomes (1)

  • Paternal breastfeeding self-efficacy assessed using the Paternal Breastfeeding Self-Efficacy Scale.

    30 days

Study Arms (2)

Intervention group

EXPERIMENTAL

Breastfeeding education was given to the intervention group based on the health belief model.

Behavioral: Breastfeeding education based on the Health Belief model

control group

NO INTERVENTION

The control group received standard care.

Interventions

Training was given face to face with the participant, lasting approximately 40 minutes. One week after the training presentation, three short messages about the training were sent to the couples (both the pregnant woman and her partner) every other day. Two weeks after the training was given, a phone call was made for feedback. Post-test data were taken four weeks later.

Intervention group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Those aged 18 and over
  • Living in the same house with his/her spouse
  • Able to speak and understand Turkish
  • In the 27th week of pregnancy and above
  • Having a first pregnancy
  • Using a phone
  • Couples willing to participate in the research

You may not qualify if:

  • multiparous
  • Receiving psychiatric or neurological treatment that affects cooperation and cognitive functions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istanbul University - Cerrahpasa

Istanbul, Turkey (Türkiye)

Location

Related Publications (27)

  • Dror DK, Allen LH. Overview of Nutrients in Human Milk. Adv Nutr. 2018 May 1;9(suppl_1):278S-294S. doi: 10.1093/advances/nmy022.

    PMID: 29846526BACKGROUND
  • Alex A, Bhandary E, McGuire KP. Anatomy and Physiology of the Breast during Pregnancy and Lactation. Adv Exp Med Biol. 2020;1252:3-7. doi: 10.1007/978-3-030-41596-9_1.

    PMID: 32816256BACKGROUND
  • Ballard O, Morrow AL. Human milk composition: nutrients and bioactive factors. Pediatr Clin North Am. 2013 Feb;60(1):49-74. doi: 10.1016/j.pcl.2012.10.002.

    PMID: 23178060BACKGROUND
  • Boix-Amoros A, Collado MC, Van't Land B, Calvert A, Le Doare K, Garssen J, Hanna H, Khaleva E, Peroni DG, Geddes DT, Kozyrskyj AL, Warner JO, Munblit D. Reviewing the evidence on breast milk composition and immunological outcomes. Nutr Rev. 2019 Aug 1;77(8):541-556. doi: 10.1093/nutrit/nuz019.

    PMID: 31111150BACKGROUND
  • Ceriani Cernadas JM. Colostrum and breast milk in the neonatal period: The benefits keep adding up. Arch Argent Pediatr. 2018 Aug 1;116(4):234-235. doi: 10.5546/aap.2018.eng.234. No abstract available. English, Spanish.

    PMID: 30016015BACKGROUND
  • Chen S, Li L, Sun Q, Chen S, Cheng J, Xiong S. Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection. Biomed Res Int. 2022 Sep 15;2022:9661408. doi: 10.1155/2022/9661408. eCollection 2022.

    PMID: 36158886BACKGROUND
  • Dagla C, Antoniou E, Sarantaki A, Iliadou M, Mrvoljak-Theodoropoulou I, Andersson E, Dagla M. The Effect of Antenatal Education on Expectant Fathers' Attitudes toward Breastfeeding and Attachment to the Fetus. Nurs Rep. 2023 Feb 12;13(1):243-254. doi: 10.3390/nursrep13010023.

    PMID: 36810274BACKGROUND
  • Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health. 1999 Oct;22(5):399-409. doi: 10.1002/(sici)1098-240x(199910)22:53.0.co;2-4.

    PMID: 10520192BACKGROUND
  • Dennis CL, Brennenstuhl S, Abbass-Dick J. Measuring paternal breastfeeding self-efficacy: A psychometric evaluation of the Breastfeeding Self-Efficacy Scale-Short Form among fathers. Midwifery. 2018 Sep;64:17-22. doi: 10.1016/j.midw.2018.05.005. Epub 2018 May 15.

    PMID: 29864577BACKGROUND
  • Correction to: ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017, by Eglash A, Simon L, and The Academy of Breastfeeding Medicine Breastfeed Med 2017;12(7):390-395. DOI: 10.1089/dna.2017.29047.aje. Breastfeed Med. 2018 Jul/Aug;13(6):459. doi: 10.1089/bfm.2017.29047.aje.correx. Epub 2018 Jun 29. No abstract available.

    PMID: 29958002BACKGROUND
  • Hu L, Ding T, Hu J, Luo B. Promoting breastfeeding in Chinese women undergoing cesarean section based on the health belief model: A randomized controlled trial. Medicine (Baltimore). 2020 Jul 10;99(28):e20815. doi: 10.1097/MD.0000000000020815.

    PMID: 32664074BACKGROUND
  • Kehinde J, O'Donnell C, Grealish A. The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. Midwifery. 2023 Mar;118:103579. doi: 10.1016/j.midw.2022.103579. Epub 2022 Dec 14.

    PMID: 36580847BACKGROUND
  • Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2016 Dec 6;12(12):CD006425. doi: 10.1002/14651858.CD006425.pub4.

    PMID: 27922724BACKGROUND
  • Alus Tokat M, Okumus H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal women in Turkey. Midwifery. 2010 Feb;26(1):101-8. doi: 10.1016/j.midw.2008.04.002. Epub 2008 Jun 9.

    PMID: 18541350BACKGROUND
  • Abuidhail J, Mrayan L, Jaradat D. Evaluating effects of prenatal web-based breastfeeding education for pregnant mothers in their third trimester of pregnancy: Prospective randomized control trial. Midwifery. 2019 Feb;69:143-149. doi: 10.1016/j.midw.2018.11.015. Epub 2018 Nov 28.

  • Atkinson L, Silverio SA, Bick D, Fallon V. Relationships between paternal attitudes, paternal involvement, and infant-feeding outcomes: Mixed-methods findings from a global on-line survey of English-speaking fathers. Matern Child Nutr. 2021 Jul;17 Suppl 1(Suppl 1):e13147. doi: 10.1111/mcn.13147.

  • Crippa BL, Consales A, Morniroli D, Lunetto F, Bettinelli ME, Sannino P, Rampini S, Zanotta L, Marchisio P, Plevani L, Gianni ML, Mosca F, Colombo L. From dyad to triad: a survey on fathers' knowledge and attitudes toward breastfeeding. Eur J Pediatr. 2021 Sep;180(9):2861-2869. doi: 10.1007/s00431-021-04034-x. Epub 2021 Mar 29.

  • Eaton L. Unwanted pregnancies fall worldwide but women in poorer countries remain disadvantaged, study finds. BMJ. 2020 Jul 24;370:m2985. doi: 10.1136/bmj.m2985. No abstract available.

  • Gebremariam KT, Zelenko O, Mulugeta A, Gallegos D. A cross-sectional comparison of breastfeeding knowledge, attitudes, and perceived partners' support among expectant couples in Mekelle, Ethiopia. Int Breastfeed J. 2021 Jan 4;16(1):3. doi: 10.1186/s13006-020-00355-z.

  • Han FL, Ho YJ, McGrath JM. The influence of breastfeeding attitudes on breastfeeding behavior of postpartum women and their spouses. Heliyon. 2023 Feb 23;9(3):e13987. doi: 10.1016/j.heliyon.2023.e13987. eCollection 2023 Mar.

  • Krikitrat P, Park CG, McCreary LL, Koenig MD, Abboud S, Sansiriphun N, Patil CL. Relationships between Thai fathers' self-efficacy to support breastfeeding and exclusive breastfeeding duration. Midwifery. 2022 Mar;106:103261. doi: 10.1016/j.midw.2022.103261. Epub 2022 Jan 19.

  • Liu L, Xiao G, Zhang T, Zhou M, Li X, Zhang Y, Owusua T, Chen Y, Qin C. Levels and Determinants of Antenatal Breastfeeding Attitudes among Pregnant Women: A Cross-Sectional Study. Children (Basel). 2023 Jan 31;10(2):275. doi: 10.3390/children10020275.

  • Naja F, Chatila A, Ayoub JJ, Abbas N, Mahmoud A; MINA collaborators; Abdulmalik MA, Nasreddine L. Prenatal breastfeeding knowledge, attitude and intention, and their associations with feeding practices during the first six months of life: a cohort study in Lebanon and Qatar. Int Breastfeed J. 2022 Feb 24;17(1):15. doi: 10.1186/s13006-022-00456-x.

  • Rabiepoor S, Khodaei A, Valizadeh R. Husbands' participation in prenatal care and breastfeeding self-efficacy in Iranian women: A randomized clinical trial. Med J Islam Repub Iran. 2019 Jun 20;33:58. doi: 10.34171/mjiri.33.58. eCollection 2019.

  • Titaley CR, Dibley MJ, Ariawan I, Mu'asyaroh A, Alam A, Damayanti R, Do TT, Ferguson E, Htet K, Li M, Sutrisna A, Fahmida U. Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: results from the BADUTA study in East Java, Indonesia. Int Breastfeed J. 2021 Jan 19;16(1):12. doi: 10.1186/s13006-021-00357-5.

  • Yakubu I, Garmaroudi G, Sadeghi R, Tol A, Yekaninejad MS, Yidana A. Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial. Reprod Health. 2019 Aug 15;16(1):124. doi: 10.1186/s12978-019-0784-8.

  • Yavuz Donmez A, Korgali EU. The relationship between the perception of breast milk of parents with term infants and exclusive breastfeeding in the postnatal first six months. Turk Arch Pediatr. 2021 Jan 12;56(2):164-172. doi: 10.14744/TurkPediatriArs.2020.75875. eCollection 2021 Mar.

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding BehaviorBehavior

Study Officials

  • Leman Yılmaz Cesur

    Msc Midwife

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Randomized controlled, experimental research design in pre-test, post-test design Made with
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 4, 2024

First Posted

March 19, 2024

Study Start

June 30, 2022

Primary Completion

December 31, 2022

Study Completion

February 15, 2023

Last Updated

March 19, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations