Effect of Teach-Back Education on Breastfeeding and Bonding in Mothers of Preterm Infants

NCT07371845 | Completed

• 1 other identifier: ATATURKU-HF-DAÖ-02
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled experimental study is to contribute to the standardization of nursing interventions for premature mothers and to establish a scientific basis for breastfeeding education models in our country. It also aims to evaluate the effects of the following: digital privacy literacy, children's autonomy, decision-making ability, and privacy awareness. The hypotheses of the study are as follows: H₁: Mothers who received Teach-Back training have a higher level of breastfeeding self-efficacy. H₂: Mothers who received Teach-Back training have a higher level of mother-infant bonding. H₀: There is no significant difference between the groups.

Conditions

Premature; Breast Feeding; Mother-Child Relationship

Keywords

teach-back; preterm infant; breastfeeding success

Outcome Measures

Primary Outcomes (3)

• Participant Introduction Form

  The form was prepared by the researcher in accordance with the literature to determine the sociodemographic (age, education level, income level, marital status, place of residence) and obstetric characteristics (number of pregnancies, mode of delivery, gestational age, birth weight, neonatal hospital stay, previous breastfeeding experience, etc.) of the mothers participating in the study. The form was developed using research examining the relationships between breastfeeding self-efficacy, mother-infant bonding, and maternal characteristics.

  First week

• The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

  This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy.

  First Week

• Mother-to-Infant Bonding Scale

  This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683.

  First Week

Secondary Outcomes (3)

• The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

  within the fist week

• Mother-to-Infant Bonding Scale

  within the first week

• Teach-Back Training Evaluation Form

  within the first week

Study Arms (2)

Teach-back Education Group

EXPERIMENTAL

Mothers receive teach-back education on breastfeeding and infant care.

Behavioral: Teach-Back Education

Control Group

NO INTERVENTION

Mothers receive routine care without teach-back education.

Interventions

Teach-Back Education BEHAVIORAL

A structured teach-back education program is provided to mothers of preterm infants to improve breastfeeding practices and enhance mother-infant bonding. Mothers are asked to repeat and demonstrate the information to confirm understanding.

Teach-back Education Group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: prematüre bebek anneleri
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years of age or older,
• Having a baby born before the 37th week of gestation (being a mother of a premature baby),
• Being able to read and understand Turkish,
• Having actually started breastfeeding,
• Having no hearing, visual, or cognitive communication impairment,
• Not having a diagnosed serious psychiatric illness (major depression, anxiety disorder, etc.),
• The baby not being in a serious clinical condition, not under palliative care or intensive life support,
• Not participating in another breastfeeding education or counseling program at the same time,
• Voluntarily agreeing to participate in the study.

Sponsors & Collaborators

• Ataturk University: lead

Study Sites (1)

Atatürk Üniversitesi

Erzurum, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Premature Birth; Breast Feeding

Condition Hierarchy (Ancestors)

Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Feeding Behavior; Behavior

Study Officials

• fatma güdücü tüfekci

  Ataturk University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Data collection tools will be collected by an interviewer independent of the research.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Researcher

Model Details: Participants will be divided into two groups: an experimental group and a control group.

Study Record Dates

• First Submitted: January 12, 2026
• First Posted: January 28, 2026
• Study Start: December 1, 2025
• Primary Completion: March 31, 2026
• Study Completion: March 31, 2026
• Last Updated: April 23, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)