A Sustainable Choice to Reduce Carbon Footprint

NCT06780969 | Completed

• 1 other identifier: 06.09.2023/118
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the impact of carbon footprint education on breastfeeding practices among pregnant women.

Conditions

Breastfeeding

Keywords

Breastfeeding; Carbon footprint; Sustainability; Nutrition; Environmental impact

Outcome Measures

Primary Outcomes (4)

• Scale Breast-feeding Self-efficacy Scale

  Breastfeeding Self-Efficacy Scale: This is a 33-item scale developed by Dennis (1999). It consists of two sub-dimensions to determine mothers' breastfeeding skills, beliefs and behaviours regarding breastfeeding. The validity and reliability study of the Turkish form of the scale was conducted by Ekşioğlu and Çeber (2011). Breastfeeding self-efficacy was assessed using a five-point Likert scale: (1) I never trust myself, (2) I do not trust myself very much, (3) I trust myself sometimes, (4) I trust myself often, (5) I always trust myself. As the total score on the scale increases, so does breastfeeding self-efficacy. The lowest score is 33 and the highest is 165.

  1st day after birth, 3rd month after birth, 6th month after birth

• Ecological Footprint Awareness Scale

  The Ecological Footprint Awareness Scale consists of six sub-dimensions: energy, legal, recycling, transport, water use and food. The scale categories are obtained by summing the subscales and scoring them as strongly disagree=1, disagree=2, undecided=3, agree=4 and strongly agree=5. The Cronbach's alpha value was found to be 0.960.

  Participants immediately after group assignment, 6 months after the birth

• Behaviors Scale Towards Sustainable Nutrition

  The developed scale consists of 29 items and 4 sub-dimensions with a five-point Likert scale. It includes the sub-dimensions of food preference, reducing food waste, eating seasonally and locally, and buying food. The scale is rated as 'never', 'rarely', 'sometimes', 'often' and 'always'. All items are scored from 1 to 5, starting with 'never'. All items in the scale are positive. The lowest score that can be obtained from the scale is 29 and the highest score is 145. Sub-dimension scores are obtained by dividing the sum of the scores given by individuals to the questions in the sub-dimension by the number of questions in the sub-dimension. Higher total and sub-dimension scores indicate that the individual has more sustainable dietary behaviours.

  Participants immediately after group assignment, 6 months after the birth

• Depression Anxiety and Stress scales-21 (DASS-21)

  his 21-item scale consists of three dimensions, namely anxiety, depression, and stress. Items are measured on a 4-point Likert-type scale ranging from 0 (Never) to 3 (Always). A higher sum score indicates more severe symptoms of depression, anxiety, and stress.

  Participants immediately after group assignment, 1st day after delivery, 3rd month after delivery, 6th month after delivery

Study Arms (2)

Experimental

EXPERIMENTAL

Women selected for the experimental group will receive 4 sessions of Green Mother Training. The programme, which includes breastfeeding, bonding and carbon footprint training, is delivered 4 times by researchers. The training content has been prepared by the researchers by scanning the literature. The training will be delivered using posters.

Behavioral: Green Mother Training

Control

NO INTERVENTION

Women in the control group receive routine care at the same hospital's polyclinics.

Interventions

Green Mother Training BEHAVIORAL

Poster education

Experimental

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Famale
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women 24 weeks gestation
• Must be between 18 and 35 years of age.
• Women must provide informed consent to participate in the study, indicating their willingness to participate in the educational intervention and assessments.
• Attend educational sessions

You may not qualify if:

• Women with significant medical conditions that may affect breastfeeding or nutrition (e.g. serious mental illness, chronic disease) will be excluded.
• Multiple pregnancies
• Previous GREEN MOTHER training
• Substance abuse
• Women considered to be at high risk of non-compliance with the study protocol (e.g. those with unstable living conditions).

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

University of Health Sciences

Istanbul, 34668, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Esra Keles, PhD

  Saglik Bilimleri Universitesi

  STUDY DIRECTOR

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
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Study Record Dates

• First Submitted: January 13, 2025
• First Posted: January 17, 2025
• Study Start: January 31, 2025
• Primary Completion: August 6, 2025
• Study Completion: December 16, 2025
• Last Updated: December 23, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)