The Effect of Gamification on Breastfeeding Self-Efficacy and Infant Nutrition Attitudes of Pregnant Women

NCT06344806 | Completed

• 1 other identifier: oyunlastirmabeslenme
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effect of a gamification-based breastfeeding education program on breastfeeding self-efficacy and infant feeding attitudes among pregnant women. The study was designed as a randomized controlled, pretest-posttest, parallel-group trial and was conducted in the antenatal outpatient clinics of Lokman Hekim Etlik Hospital. Eligible pregnant women were randomly assigned to either an intervention group or a control group. The intervention group received breastfeeding education delivered through a digital gamification-based program during the last trimester of pregnancy, while the control group received routine breastfeeding education as part of standard antenatal care. Data were collected before and after the educational intervention. The primary focus of the study was to compare changes in breastfeeding self-efficacy and infant feeding attitudes between the two groups following the intervention. The findings of this study are expected to contribute to the growing evidence on the use of innovative digital and gamification-based educational approaches in antenatal breastfeeding education.

Conditions

Breastfeeding

Keywords

breastfeeding; gamification; education

Outcome Measures

Primary Outcomes (2)

• breastfeeding self-efficacy

  Breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form, Antenatal Version (BSES-SF). The scale consists of 14 items with total scores ranging from 14 to 70. Higher scores indicate greater breastfeeding self-efficacy.

  One week before the intervention and two weeks after completion of the intervention.

• infant feeding attitudes

  Infant feeding attitudes were assessed using the Iowa Infant Feeding Attitude Scale (IIFAS). The scale includes 17 items with total scores ranging from 17 to 85. Higher scores reflect more positive attitudes toward breastfeeding.

  One week before the intervention and two weeks after completion of the intervention.

Study Arms (2)

Gamified Breastfeeding Education

EXPERIMENTAL

Participants in this arm receive a structured breastfeeding education program delivered through a digital platform incorporating gamification elements during the last trimester of pregnancy.

Behavioral: Gamified Breastfeeding Education

Standard Antenatal Breastfeeding Education

ACTIVE COMPARATOR

Participants in this arm receive routine breastfeeding education provided as part of standard antenatal care services at the hospital.

Behavioral: Gamified Breastfeeding Education

Interventions

Gamified Breastfeeding Education BEHAVIORAL

Breastfeeding education content will be integrated into the game program designed with the gamification technique. A training program will be applied to the women in the experimental group in the last trimester. Women in the control group will receive the standard breastfeeding training in the hospital. Measurement tools will be applied to all participants before and after the training.

Gamified Breastfeeding Education; Standard Antenatal Breastfeeding Education

Eligibility Criteria

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

You may qualify if:

• Primipara,
• Between 27-40 weeks of gestation,
• Those who have not received breastfeeding training before,
• Able to speak and understand Turkish,
• Women with a smart phone/tablet/computer with internet connection will be included in the study.

You may not qualify if:

• Having a high risk pregnancy
• with a condition that prevents breastfeeding
• fetus with abnormality

Sponsors & Collaborators

• Lokman Hekim University: lead

Study Sites (1)

Lokman Hekim University

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer PhD

Study Record Dates

• First Submitted: March 22, 2024
• First Posted: April 3, 2024
• Study Start: February 1, 2023
• Primary Completion: March 30, 2023
• Study Completion: May 30, 2023
• Last Updated: January 28, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)