CClinicalTrials.gg
CompletedNCT06317974Updated Mar 19, 2024

The Effect of Breastfeeding Education on Breast Milk Perception and Self-Efficacy in the Pregnancy Health Belief Model

An interventional study of Breastfeeding education based on the Health Belief model in Breastfeeding Education, sponsored by Istanbul University - Cerrahpasa. Completed at 1 site in Turkey. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-19.

Sponsored by Istanbul University - Cerrahpasa · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Jun 2022, registered Jan 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the detailed description

Introduction: It is known that breast milk is crucial for newborns and infants. The Health Belief Model has been widely used in recent years to improve and promote health behaviors.

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.

Method: This randomized controlled study was conducted between June 30, 2022, and December 31, 2022, at the Dr. Selahattin Cizrelioğlu State Hospital in Şırnak. A total of 220 participants, including 110 couples who met the inclusion criteria, were randomly assigned to an intervention group (55 couples) and a control group (55 couples). Data were collected using a "Participant Information Form" for socio-demographic and obstetric information, the "Adults' Perception of Breast Milk Scale" for assessing perception related to breast milk, the "Pregnancy Breastfeeding Self-Efficacy Scale- Short Form" for evaluating mothers' breastfeeding self-efficacy during the antenatal period, and the "Paternal Breastfeeding Self-Efficacy Scale" for assessing fathers' breastfeeding self-efficacy during the pregnancy period.

02

Conditions studied

  • Breastfeeding Education

Keywords

  • Health Belief Model
  • Breastfeeding Self-Efficacy
  • Breast milk
  • Breastfeeding
  • Parent education
03

In context

Lead sponsor

Istanbul University - Cerrahpasa is the lead sponsor of 680 studies on the registry; 208 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 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

Exclusion criteria

Exclusion Criteria:

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

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
220 participants (actual)

Study arms

  • Experimental
    Intervention group

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

    Behavioral: Breastfeeding education based on the Health Belief model

  • No intervention
    control group

    The control group received standard care.

Interventions

  • BehavioralBreastfeeding education based on the Health Belief model

    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.

06

What researchers measure

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.

    Time frame: 30 days

Secondary outcomes

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

    In this study, it was determined that breastfeeding education given in the pregnancy health belief model increased pregnant women's breastfeeding self-efficacy levels during pregnancy.

    Time frame: 30 days

Other outcomes

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

    In this study, it was determined that breastfeeding education given in the health belief model during pregnancy increased fathers' breastfeeding self-efficacy levels.

    Time frame: 30 days

07

Study locations

1 site
  • Istanbul University - Cerrahpasa
    Istanbul, Turkey
08

References and documents

Publications

  • 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. PubMed 29846526 ↗
  • 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. PubMed 32816256 ↗
  • 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. PubMed 23178060 ↗
  • 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. PubMed 31111150 ↗
  • 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. PubMed 30016015 ↗
  • 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. PubMed 36158886 ↗
  • 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. PubMed 36810274 ↗
  • 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. PubMed 10520192 ↗
  • 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. PubMed 29864577 ↗
  • 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. PubMed 29958002 ↗
  • 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. PubMed 32664074 ↗
  • 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. PubMed 36580847 ↗
  • 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. PubMed 27922724 ↗
  • 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. PubMed 18541350 ↗
  • 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. PubMed 30513445 ↗
  • 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. PubMed 34241959 ↗
  • 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. PubMed 33779804 ↗
  • 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. PubMed 32709616 ↗
  • 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. PubMed 33397410 ↗
  • 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. PubMed 36879970 ↗
  • 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. PubMed 35085913 ↗
  • 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. PubMed 36832403 ↗
  • 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. PubMed 35209913 ↗
  • 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. PubMed 31456982 ↗
  • 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. PubMed 33468196 ↗
  • 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. PubMed 31416450 ↗
  • 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. PubMed 34286328 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06317974
Lead sponsor
Istanbul University - Cerrahpasa
Responsible party
Leman Yılmaz Cesur (Principal Investigator, Istanbul University - Cerrahpasa) — Principal investigator
First posted
Mar 19, 2024
Start date
Jun 30, 2022
Primary completion
Dec 31, 2022
Completion
Feb 15, 2023
Last update
Mar 19, 2024

Study contacts

Leman Yılmaz Cesur
principal investigator · Msc Midwife

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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