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THE EFFECT OF A BREAST-FEEDING SELF-EFFICACY INTERVENTION ON BREAST FEEDING SELF-EFFICACY AND DURATION

HATAMLEH, WAJED
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1164121481

Abstract Details

2006, PhD, University of Cincinnati, Nursing : Nursing, Doctoral Program.
Problem: Breastfeeding has long been recognized as the preferred method of feeding in the first year of life (American Academy of Pediatrics, 1997). Extensive research confirms the nutritional, economic, biomedical, immunological, and psychological advantages of breast milk. Despite the clear benefits of breastfeeding to mother and infant, breastfeeding rates today continue to remain below the recommended levels in the United States (US), most notably among low-income mothers. Research has shown that breastfeeding self-efficacy is one predictive factor affecting breastfeeding duration. Theoretical Framework: Dennis’s (1999) Breastfeeding Self-Efficacy Theory, was the basis for this study. Using this theory, the Breastfeeding Self-Efficacy Intervention Program (BSEIP) was developed. The intervention consisted of a one-hour program delivered during the last trimester of pregnancy. The BSEIP consisted of measures to increase breastfeeding self-efficacy, including education, practice, and demonstration of breastfeeding techniques. Social support and practical advice were provided in the first two-weeks of the postpartum period. Methods: A quasi-Experimental design was used to test the effect of the BSEIP on duration of breastfeeding. A convenience sample of 36 low-income predominately non-Hispanic White women was recruited from two prenatal clinics on the outskirts of a large metropolitan area. All women indicated their intent to breastfeed their infant. Women were assigned by prenatal clinic to either receive or not receive the BSEIP. Data were collected using the Breastfeeding Self-Efficacy Scale (BSES) and a demographic profile. Women were contacted by telephone at two and six weeks postpartum to determine if they were still breastfeeding and to complete the BSES.. Results: Women who received the BSEIP had greater breastfeeding self-efficacy at two and six weeks postpartum than women who did not receive the intervention; women who received the intervention also increased their self-efficacy scores over time. The mean duration of breastfeeding between the two Groups was also statistically significant: Women who received the intervention breastfed for an average of 28.82 days compared to 11.86 days for women who did not receive the intervention. Implications: The results of this study suggest that the one-hour BSEIP during the last trimester of the prenatal period may increase the duration of breastfeeding in low-income women who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.
Dr. Susan Elek (Advisor)
113 p.
Health Sciences, Nursing
Breastfeeding; breastfeeding self-efficacy; breastfeeding duration; breastfeeding self-efficacy theory; intervention program

Recommended Citations

Citations

  • HATAMLEH, W. (2006). THE EFFECT OF A BREAST-FEEDING SELF-EFFICACY INTERVENTION ON BREAST FEEDING SELF-EFFICACY AND DURATION [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1164121481

    APA Style (7th edition)

  • HATAMLEH, WAJED. THE EFFECT OF A BREAST-FEEDING SELF-EFFICACY INTERVENTION ON BREAST FEEDING SELF-EFFICACY AND DURATION. 2006. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1164121481.

    MLA Style (8th edition)

  • HATAMLEH, WAJED. "THE EFFECT OF A BREAST-FEEDING SELF-EFFICACY INTERVENTION ON BREAST FEEDING SELF-EFFICACY AND DURATION." Doctoral dissertation, University of Cincinnati, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1164121481

    Chicago Manual of Style (17th edition)

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This open access ETD is published by University of Cincinnati and OhioLINK.