Evaluation of the Effectiveness of a Hypnobreastfeeding Education Program Based on the ınformation-Motivation-Behavioral Skills Model in Primiparous Women

Condition(s) studied

Investigational drug(s) / intervention(s)

breastfeeding education program based on hypnobreastfeeding philosophy: Hypnobreastfeeding training and counseling will be provided by a researcher with certifications in Mindfulness and Self-Compassion Skills Development. The Hypnobreastfeeding Philosophy-Based Breastfeeding Training Program is planned for weeks 28-32 of pregnancy.The training will cover topics such as 'My dream breastfeeding, meeting information needs related to breastfeeding'. The first training session will last a total of 120 minutes.The second training session will be held in week 30 of pregnancy. In the second training session, topics such as mulberry meditation for conscious breastfeeding, affirmations for breastfeeding and Dr. Masaru Emoto's "The Effect of Thoughts on Water Molecules" experiment, emotional awareness exercise, Alfred and his shadow: a short film about emotions, feelings and emotions related to breastfeeding and the relationship between hormones and emotions: oxytocin and endorphin massage will be covered.

Study summary

This randomized controlled trial aimed to evaluate the effectiveness of an education program based on the Information-Motivation-Behavioral Skills (IMB) Model and grounded in the philosophy of hypnobreastfeeding provided to primiparous pregnant women.

Eligibility

Primary outcome measure(s)

• Hypnobreastfeeding Philosophy-Based Breastfeeding Knowledge Test (HFEBT) — 4 month
  This test was prepared based on the literature, consisting of 50 items with 'Yes', 'No', and 'I don't know' options. To evaluate the representational power, comprehensibility, and content validity of the items in the HFEBT's pool of correct and incorrect statements, the opinions of 11 experts were sought. Based on the expert opinions, KGO (Knowledge Confidence Level) values were calculated. The lower limit for evaluating the KGO of the items, within a 5% margin of error, is 0.636. In line with the feedback from the experts, 5 items with KGO below 0.59 were removed from the test. Based on these results, the final form of the knowledge test consists of a total of 45 questions (Min=0 - Max=45). As the average score obtained from the HFEBT increases, it will be assumed that mothers' knowledge level of breastfeeding based on the Hypnobreastfeeding philosophy increases (KR20=0.757).
• Antenatal Breastfeeding Self-Efficacy Scale (EÖYÖ) — 4 month
  The Antenatal Breastfeeding Self-Efficacy Scale was developed by Dennis (2003) as a shortened version of the Breastfeeding Self-Efficacy Scale (BSES). He suggested that the shortened version could also be used during pregnancy by using the "future tense" expression in its items. Following this suggestion, future tense expressions were used in the scale items, and reliability and validity studies were conducted to create the antenatal version of the scale. The Turkish validity and reliability study of the scale was conducted by Aluş Tokat (2009). The scale consists of 14 items that assess breastfeeding self-efficacy and uses a 5-point Likert scale. The items are rated from 1 = "not sure at all" to 5 = "always sure". The lowest possible score is 14, and the highest is 70. A higher score on the scale indicates higher breastfeeding self-efficacy. The Cronbach alpha value of the Turkish version of the Antenatal Breastfeeding Self-Efficacy Scale was found to be 0.87 (Aluş Tokat, 2009).
• Postnatal Breastfeeding Self-Efficacy Scale (EÖYÖ) — 4 MONTH
  The Postnatal Breastfeeding Self-Efficacy Scale was developed by Dennis (2003) and is a shortened version of the Breastfeeding Self-Efficacy Scale (PSES). Dennis states that the scale is suitable for use in the postpartum period (Dennis, 2003). The Turkish validity and reliability study of the scale was conducted by Aluş Tokat (2009). The scale consists of 14 items that assess breastfeeding self-efficacy and is a 5-point Likert type scale. The items of the scale are evaluated by rating them from 1 = 'not sure at all' to 5 = 'always sure'. The lowest possible score is 14, and the highest is 70. A higher score on the scale indicates higher breastfeeding self-efficacy. The Cronbach's alpha value of the Postnatal PSES was found to be 0.86, indicating that the scale is suitable for Turkish culture (Aluş Tokat, 2009).
• Primiparous Breastfeeding Motivation Scale (PEMÖ) — 4 MONTH
  This scale was developed by Stockdale et al. in 2013 to determine breastfeeding motivation in first-time mothers (Stockdale, et al., 2013). The Turkish validity and reliability study was conducted by Akçay. The scale consists of 29 items. It is a seven-point Likert-type scale with four sub-dimensions. These sub-dimensions are: - Value given to breastfeeding (items 1, 2, 4, 6, 8, 10, 12, 14, 15, 20, 24, 25, 28) - Self-efficacy (items 9, 16, 17, 18, 19, 26, 29) - Midwifery support (items 21, 22, 23, 27) - Expectation of success (items 3, 5, 7, 11, 13). As the score obtained from each sub-dimension increases, the level of breastfeeding motivation for that sub-dimension also increases. The Cronbach's Alpha reliability coefficient of the scale was determined as 0.884 for the breastfeeding dimension, 0.825 for the self-efficacy dimension, 0.686 for the parental support dimension, and 0.873 for the success expectation dimension (Akçay, 2019).

Trial sites (2)

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