The Effect of Breastfeeding Education Given by Teach-Back Method on Breastfeeding Self-Efficacy and Breastfeeding Success: A Randomized Controlled Experimental Study
The aim of this study is to evaluate the effect of breastfeeding education given using teach-back method on breastfeeding success and breastfeeding self-efficacy of mothers.
Design
Randomized, intervention and control group experimental study consisting of 88 puerperal women followed up between March and August.
Settings and conduct
The study was conducted as an blinded, randomized and controlled experimental study between March 2022 and November 2022. Computer-assisted randomization method was used to distribute the groups homogeneously.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
• Being over 18 years old
• Delivering at term and healthy
• Having a healthy newborn
• Absence of a condition that prevents breastfeeding in the baby
exclusion criteria:
. Having a condition that prevents breastfeeding
• Not knowing Turkish
• Having a hearing and speech disability
Intervention groups
In the first 24 hours after birth, women were interviewed and personal information forms and scales were applied before the education. While training was given to the intervention group with the Teach-back Method, standard training was given to the control group by the service nurses. At the end of the training, the scales were reapplied. Interviews were made again in the first month after birth and the scales were repeated.
Main outcome variables
Breastfeeding success and breastfeeding self-efficacy
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220509054795N2
Registration date:2022-11-10, 1401/08/19
Registration timing:retrospective
Last update:2022-11-10, 1401/08/19
Update count:0
Registration date
2022-11-10, 1401/08/19
Registrant information
Name
Eda CANGÖL
Name of organization / entity
Çanakkale Onsekiz Mart Üniversitesi
Country
Turkey
Phone
+90 286 218 13 97
Email address
edacangol@comu.edu.tr
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-03-01, 1400/12/10
Expected recruitment end date
2022-08-07, 1401/05/16
Actual recruitment start date
2022-03-01, 1400/12/10
Actual recruitment end date
2022-08-07, 1401/05/16
Trial completion date
2022-08-07, 1401/05/16
Scientific title
The Effect of Breastfeeding Education Given by Teach-Back Method on Breastfeeding Self-Efficacy and Breastfeeding Success: A Randomized Controlled Experimental Study
Public title
The effect of education on breastfeeding self-efficacy and success
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Willingness to participate in the study
Living in Çorlu district of Tekirdağ province
Being 18 years or older
Ability to read and write
Giving a term and healthy birth
Having a healthy newborn
Absence of anomaly that will prevent breastfeeding in the baby
Exclusion criteria:
Having a condition that prevents breastfeeding (mastitis, drug use, psychological disorders, etc.)
Not knowing Turkish
Hearing or speech impairment
Age
From 18 years old to 49 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
100
Actual sample size reached:
88
Randomization (investigator's opinion)
Randomized
Randomization description
88 puerperant women who gave birth in Tekirdağ Çorlu State Hospital Gynecology Service between March 2022 and November 2022 and fulfilling the research criteria were included in the study. The research was conducted as an open-label, blinded, randomized and controlled experimental study. A simple computer-assisted randomization method was used to distribute the groups homogeneously. For this purpose, 88 sets were created by using the functions on the internet address "https://www.random.org/integer-sets" and each of these sets included 8 participants, 4 participants from each study group. As the next process, 88 sets were shown with 1 number each, and 11 numbers between 1 and 88 were generated using the "RANDOMLY SEARCH" function in Excel, and 11 sets to be used in randomization were randomly determined. Thus, in order to reduce selection bias and control the variables that may affect the outcome parameters, 44 of the participants were randomly assigned to the experimental and 44 to the control groups.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Çanakkale Onsekiz Mart University Graduate Education Institute Scientific Research Ethics Committee
Street address
Çanakkale 18 Mart University Terzioğlu Campus Graduate Education Institute
City
Çanakkale
Postal code
17000
Approval date
2021-12-10, 1400/09/19
Ethics committee reference number
2021-YÖNP-0841
Health conditions studied
1
Description of health condition studied
The effect of breastfeeding education given by teach-back method on breastfeeding self-efficacy and breastfeeding success
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Self-efficacy of the puerperant about breastfeeding
Evaluation of breastfeeding education given by teaching method
Timepoint
During education
Method of measurement
Teach-Back monitoring tool
3
Description
Puerperant’ s success in breastfeeding
Timepoint
Pretest and posttest, after 1 month
Method of measurement
Breastfeeding Diagnostic Tool LATCH
Secondary outcomes
empty
Intervention groups
1
Description
The first interview with the women in the intervention group was made within the first 24 hours after delivery in their own room in the obstetrics ward. During the interview, the pre-training personal information that form, the Breastfeeding Diagnostic Tool LATCH, and the Postpartum Breastfeeding Self-Efficacy Scale were applied to the women. In accordance with the content of the Breastfeeding Training Guide, the women in the intervention group were provided with training and consultancy services on the subjects they needed about breastfeeding with the Teach-Back Method. While the intervention group was being trained, the researcher's application of the method was evaluated by a healthcare professional using the Teach-Back Observation Tool. After the training, the Breastfeeding Diagnostic Tool LATCH and the Postpartum Breastfeeding Self-Efficacy Scale were re-applied to the women before the training. The scales were repeated in the 1st month postpartum so that the permanence of the information learned in the previous interview was evaluated.
Category
Behavior
2
Description
The first interview with the women in the control group was made in the women's room in the obstetrics ward within the first 24 hours after delivery. During the interview, the pre-training personal information that form, the Breastfeeding Diagnostic Tool LATCH, and the Postpartum Breastfeeding Self-Efficacy Scale were applied to the women. Women were given standard training and consultancy services on breastfeeding by gynecology and obstetrics nurses. At the end of the trainings, the Breastfeeding Diagnostic Tool LATCH and the Postpartum Breastfeeding Self-Efficacy Scale were reapplied. The Breastfeeding Diagnostic Tool LATCH and the Postpartum Breastfeeding Self-Efficacy Scale, which were administered to the women before the training in the 1st month postpartum, were re-applied and the permanence of the information learned in the previous interview was evaluated.