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Sousa, Janaina, Martins, Isabelle, Vasconcelos, Flávia, Torquato, Rebecca, Lima, Laysla, Silva, Natália, Arruda, Maria Dhescyca Ingrid, Sales, Joana Maria, França, Débora, Melo, Regina Cláudia, Almeida, Paulo, Barbosa, Lorena. (1404). Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial. سامانه مدیریت نشریات علمی, 13(3), 168-179. doi: 10.30476/ijcbnm.2025.104707.2660
Janaina Landim de Sousa; Isabelle Melo Martins; Flávia Ximenes Vasconcelos; Rebecca Camurça Torquato; Laysla de Oliveira Cavalcan Lima; Natália Vieira da Silva; Maria Dhescyca Ingrid Silva Arruda; Joana Maria Rocha Sales; Débora Feitosa de França; Regina Cláudia de Oliveira Melo; Paulo César de Almeida; Lorena Pinheiro Barbosa. "Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial". سامانه مدیریت نشریات علمی, 13, 3, 1404, 168-179. doi: 10.30476/ijcbnm.2025.104707.2660
Sousa, Janaina, Martins, Isabelle, Vasconcelos, Flávia, Torquato, Rebecca, Lima, Laysla, Silva, Natália, Arruda, Maria Dhescyca Ingrid, Sales, Joana Maria, França, Débora, Melo, Regina Cláudia, Almeida, Paulo, Barbosa, Lorena. (1404). 'Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial', سامانه مدیریت نشریات علمی, 13(3), pp. 168-179. doi: 10.30476/ijcbnm.2025.104707.2660
Sousa, Janaina, Martins, Isabelle, Vasconcelos, Flávia, Torquato, Rebecca, Lima, Laysla, Silva, Natália, Arruda, Maria Dhescyca Ingrid, Sales, Joana Maria, França, Débora, Melo, Regina Cláudia, Almeida, Paulo, Barbosa, Lorena. Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial. سامانه مدیریت نشریات علمی, 1404; 13(3): 168-179. doi: 10.30476/ijcbnm.2025.104707.2660

Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial

International Journal of Community Based Nursing & Midwifery
مقاله 1، دوره 13، شماره 3، مهر 2025، صفحه 168-179    اصل مقاله (1.35 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2025.104707.2660
نویسندگان
Janaina Landim de Sousa1؛ Isabelle Melo Martins1؛ Flávia Ximenes Vasconcelos1؛ Rebecca Camurça Torquato1؛ Laysla de Oliveira Cavalcan Lima* 1؛ Natália Vieira da Silva1؛ Maria Dhescyca Ingrid Silva Arruda1؛ Joana Maria Rocha Sales1؛ Débora Feitosa de França1؛ Regina Cláudia de Oliveira Melo1؛ Paulo César de Almeida2؛ Lorena Pinheiro Barbosa1
1Department of Nursing, Federal University of Ceará, Ceará, Brazil;
2Department of Nursing, State University of Ceará, Fortaleza, Ceará, Brazil
چکیده
Background: Breastfeeding contributes to the reduction of infant mortality. Educational programs
have been employed to strengthen maternal breastfeeding self-efficacy. This study aimed to evaluate
the effect of a combined educational intervention on maternal breastfeeding self-efficacy.
Methods: A clinical trial was conducted with 152 postpartum women from a public maternity hospital
in Fortaleza, Brazil, between February and November 2019. Participants were randomized in blocks
into an intervention group and a comparison group that received conventional care. The intervention
group received serial album “Eu Posso Amamentar o Meu Filho” (I Can Breastfeed My Child) and brief
motivational interview in addition to routine care. Data collection occurred at the maternity hospital
and via telephone follow-up at 15, 30, 60, 90, 120, and 180 days, using a sociodemographic and obstetric
questionnaire, the Brazilian version of the Breastfeeding Self-Efficacy Scale – Short Form, and a feeding
pattern form. Data were analyzed using SPSS version 20.0, employing Chi-square tests, independent
t-tests, and repeated measures analysis. A significance level of less than 0.05 was considered.
Results: The intervention group showed higher mean scores in breastfeeding self-efficacy than
the comparison group at 15 (P<0.001), 30 (P<0.001), 60 (P<0.001), and 90 days (P=0.015). In the
comparison group, the means across the time points did not show a statistically significant difference
(P=0.087), but in the intervention group, there was a statistically significant difference (P<0.001).
Regarding exclusive breastfeeding, the mean score of self-efficacy in the intervention group was higher
the than comparison group to 60 days (P<0.001).
Conclusion: The combined educational intervention increased breastfeeding self-efficacy, and its
effects lasted for up to 90 days postpartum.
Trial Registration Number: U1111-1251-1052.
کلیدواژه‌ها
Breastfeeding؛ Health Education؛ Motivational Interviewing؛ Self-Efficacy
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