Assessment of Breastfeeding Education by Face to Face and Small-Group Education Methods in Mothers’ Self-Efficacy in Kazeroun Health Centers in 2015

Abstract

Background: Education is a process beginning with informing, followed by attitude-making and finally leading to appropriate behavior and performance in trainees. Breastfeeding self-efficacy, as a term, is originated from the social cognitive theory structures of Bandura. This theory refers to one's beliefs and confidence in her/his ability to perform health behaviors like exclusive and successful breastfeeding. Methods: In this study, 270 pregnant women with gestational age over 30 weeks were selected among those referring to health centers by cluster sampling method. The subjects were randomly divided into 3 groups. One group was considered as the control group and the two other groups were educated through either face to face or small-group methods. Data were collected using a demographic questionnaire, performance assessment check list, and breastfeeding self-efficacy questionnaire. The collected data were analyzed using appropriate statistical tests in SPSS. Results: Data analysis on breastfeeding self-efficacy showed that there was no significant difference between 3 groups before training. The mean scores of women attending face to face and small-group education were 2.89 and 2.88, which increased to 4.73 and 4.18, respectively. There was a significant difference between the intervention groups after education (P < 0.001). Self-efficacy mean scores after delivery showed that face to face education is more efficient. The results showed that there was a significant association between self-efficacy and performance in mothers (P < 0.001). Conclusions: Face to face education method has positive effects on infant feeding pattern, mother performance, breastfeeding satisfaction and beliefs as well as self-efficacy.

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

“…Furthermore, another study compared two methods of education (e.g., face-toface and small group education) to assess the effect of educational programs on the possible increase of selfefficacy in exclusive breastfeeding in pregnant mothers. They concluded that the face-to-face education method has positive effects on the infant's feeding pattern, mother's performance, breastfeeding satisfaction, and beliefs, along with self-efficacy (21). Other studies (16m22) reported that the educational intervention improved the performance of breastfeeding in mothers.…”

“…A researcher-made questionnaire was also used for checking the continuation of exclusive breastfeeding (34 yes-no questions), the status of mother-infant rooming-in, infant suckling, the status of the breast, and the way of infant suckling (18 questions), how to breastfeed (6 questions), and the type of breastfeeding (10 questions) that were completed by observing and asking the mother. The scores on the checklist ranged from 0 to 34 marking as poor (0-11), average (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22), and favorable (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) performance. Considering that the multiplication and division of scores have no effect on statistical test results, the scores of checklist dimensions were converted to 100, making group comparison easier.…”

Educational Interventions to Improve Breastfeeding Self-efficacy: A Systematic Review

“…In some studies, the educational group class was offered once and was the main intervention used against the control of standard prenatal care (19,20). Other studies compared different courses of varying length and content against each other, used multiple group educational sessions as an intervention, or included a combination of group classes with additional modes of education delivery (25)(26)(27)32,40). The effect of a 2.5-hour experimental workshop as the intervention for nulliparous women who were already planning to breastfeed was evaluated and an increase in maternal breastfeeding SE was found.…”

Comparison of the Effect of Different Breastfeeding Education Methods on Breastfeeding Success

“…Breastfeeding education is a process within a program that aims to provide information, shape attitudes, and instill correct behaviors for a speci c purpose and target audience. It can occur individually, in group settings, through clinical training, home visits, and peer education programs [11][12][13] . With the advancement of technology, web-based education, as well as traditional education, is widely used in many elds.…”