The Effect of Breastfeeding Training Based on the Theory of Planned Behavior on the Continuation of Exclusive Breastfeeding in Drug-Dependent Mothers: A Randomized Clinical Trial

被引:6
作者
Sadeghi, Fereshteh [1 ]
Zarifnejhad, Gholam-Hosein [2 ]
Ramezani, Monir [3 ,4 ]
Jamali, Jamshid [5 ]
机构
[1] Mashhad Univ Med Sci, Sch Nursing & Midwifery, Mashhad, Iran
[2] Mashhad Univ Med Sci, Sch Nursing & Midwifery, Dept Community Hlth Nursing, Mashhad, Iran
[3] Mashhad Univ Med Sci, Nursing & Midwifery Care Res Ctr, Mashhad, Iran
[4] Mashhad Univ Med Sci, Sch Nursing & Midwifery, Dept Pediat Nursing, Mashhad, Iran
[5] Mashhad Univ Med Sci, Sch Hlth, Dept Biostat & Epidemiol, Mashhad, Iran
来源
INTERNATIONAL JOURNAL OF WOMENS HEALTH AND REPRODUCTION SCIENCES | 2023年 / 11卷 / 04期
关键词
Theory of planned behavior; Exclusive breastfeeding; Drug-dependent mothers; SUBSTANCE USE;
D O I
10.15296/ijwhr.2023.46
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objectives: Considering the low rate of exclusive breastfeeding in mothers using drugs and the role of behavioral intention as one of the effective factors on breastfeeding, the present study aimed to determine the impact of breastfeeding training based on the theory of planned behavior on the continuation of exclusive breastfeeding in drug-dependent mothers. Materials and Methods: This clinical trial was performed in three hospitals of Mashhad in 2018. To this end, 52 drug-abusing mothers were randomly divided into experimental and control groups. The intervention protocol consisted of four separate training sessions with an emphasis on the theory of planned behavior. The follow-up process was performed 2 and 4 months after delivery, and the theory of planned behavior and breastfeeding continuity questionnaire was completed accordingly. Data were analyzed by the SPSS (version 16) using the independent t test and chi-square, Mann-Whitney, Friedman, and Wilcoxon tests. Results: Two months after delivery, 88.5% and 3.8% of mothers of the intervention and control groups performed exclusive breastfeeding while this rate was 65.4% and 0.0% four months after delivery, respectively. The results of the chi-square test showed a significant difference between the two groups at 2 and 4 months (P < 0.001). Two months after delivery, the average score of maternal performance on the continuation of exclusive breastfeeding was 91.8 +/- 9.2 and 50.8 +/- 24.5 in the intervention and control group although it was 89.0 +/- 8.7 and 31.0 +/- 15.9 4 months after delivery, respectively. Based on the results of the Wilcoxon test, significant differences were found between the groups after 2 and 4 months (P < 0.001). Eventually, the average score of all constructs of the planned behavior theory improved immediately after the intervention, and 2 and 4 months after delivery in the intervention group (P < 0.001). Conclusions: Thus, the implementation of breastfeeding training based on the theory of planned behavior is recommended for drugdependent mothers to continue exclusive breastfeeding.
引用
收藏
页码:182 / 190
页数:9
相关论文
共 27 条
[1]  
Ahmadi M., 2014, JHC, V16, P19
[2]  
Alami A, 2014, J Neyshabur Univ Med Sci, V2, P45
[3]  
Arshad SM, 2017, Iran J Educ Commun Health, V4, P55, DOI DOI 10.21859/JECH.4.2.55
[4]  
Bahri N, 2012, Iran J Obstet Gynecol Infertil, V15, P14, DOI [10.22038/ijogi.2012.155, DOI 10.22038/IJOGI.2012.155]
[5]   Relationship between emotional labelling of breastfeeding situation and intention to breastfeed/support breastfeeding among French adolescents and young people [J].
Capponi, Irene ;
Roland, Francoise .
JOURNAL OF PUBLIC HEALTH-HEIDELBERG, 2021, 29 (01) :135-144
[6]  
Clara KB., 2018, Occup Environ Med, V75, pA537, DOI [10.1136/oemed-2018-ICOHabstracts.1523, DOI 10.1136/OEMED-2018-ICOHABSTRACTS.1523]
[7]   Controversies in Breastfeeding [J].
Davanzo, Riccardo .
FRONTIERS IN PEDIATRICS, 2018, 6
[8]  
Honari F, 2016, J Birjand Univ Med Sci, V23, P67
[9]   Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries [J].
Imdad, Aamer ;
Yakoob, Mohammad Yawar ;
Bhutta, Zulfiqar A. .
BMC PUBLIC HEALTH, 2011, 11
[10]   Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: A cross-sectional study [J].
Joshi P.C. ;
Angdembe M.R. ;
Das S.K. ;
Ahmed S. ;
Faruque A.S.G. ;
Ahmed T. .
International Breastfeeding Journal, 9 (1)