scholarly journals A Cohort Study: Evaluating Self-Efficacy in Adolescents Attending a Tailored Youth-Informed Breastfeeding Program

2020 ◽  
Author(s):  
Christina M. Cantin ◽  
Wendy E. Peterson ◽  
Amisha Agarwal ◽  
Jemila S. Hamid ◽  
Bianca Stortini ◽  
...  
Keyword(s):  
Cohort Study ◽  
Peer Support ◽  
Adolescent Mothers ◽  
Low Income ◽  
Self Efficacy ◽  
Short Form ◽  
Post Intervention ◽  
Non Profit ◽  
Before And After ◽  
Support Housing

ABSTRACTAdolescents (≤19 years of age) have lower rates of breastfeeding (BF) compared to older mothers. BF self-efficacy (SE), defined as a mother’s confidence in her ability to breastfeed her infant, has been identified as an important factor influencing BF outcomes. An innovative youth-informed BF program for young women was designed and implemented, which included staff training, a prenatal BF class and BF peer support. The objective of this cohort study was to evaluate the effectiveness of the program in improving young mother’s BF SE.Participants were pregnant adolescents recruited from a large urban non-profit social service outreach centre. The Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) was administered to participants before and after participating in the BF program. BSES-SF scores were summed to determine a composite score and compared descriptively using mean score. Un-aggregated, item-by-item, comparison of pre-vs post-BF program scores were also compared to examine improvements in SE. A total of 20 adolescent mothers (mean age = 16.6) attended the BF program. An increase in the total BSES-SF score was observed based on descriptively comparing the mean pre vs post intervention.Prenatal education and peer support adapted to the needs of adolescent mothers was associated with increased BSES-SF. These results are promising given that clients attending programs at this agency have low-income, low educational attainment, variable family support, housing instability, and are at-risk for not breastfeeding. Future studies with larger cohort are required to further validate and establish generalizability, as well as to determine the effect on BF duration rates.

A Pilot Study of a Culturally Grounded Breastfeeding Intervention for Pregnant, Low-Income African American Women

2018 ◽  
Vol 34 (3) ◽  
pp. 478-484
Author(s):  
Rebecca Reno
Keyword(s):  
African American ◽  
Pilot Study ◽  
African American Women ◽  
Health Equity ◽  
Low Income ◽  
Self Efficacy ◽  
Short Form ◽  
Assessment Process ◽  
American Women ◽  
Significant Difference

Background: Increasing breastfeeding rates among low-income African American women may work toward the achievement of health equity. The dynamic breastfeeding assessment process (D-BAP) is a community-grounded, equity-focused intervention designed to increase prenatal breastfeeding self-efficacy. Research aim: The aims of the pilot study were (a) to determine the effect of the D-BAP on breastfeeding self-efficacy among pregnant, low-income African American women, (b) to examine the findings among women with no previous breastfeeding experience, and (c) to compare the findings between women with prior breastfeeding experience and those without it. Methods: A pre/post, paired-samples design was utilized. Convenience sampling was used to recruit pregnant, low-income African American women ( N = 25). Participants completed the Breastfeeding Self-Efficacy Scale–Short Form prior to and following the D-BAP. Results: The Wilcoxon signed rank test indicated that participation in the D-BAP had a statistically significant influence on breastfeeding self-efficacy ( z = −2.01, p = .04). Among a subsample of participants with no previous breastfeeding experience ( n = 12), completion of the D-BAP resulted in a statistically significant increase in breastfeeding self-efficacy ( z = −2.36, p = .02). There was no statistically significant difference between those with prior breastfeeding experience and those without it. Conclusion: Breastfeeding among low-income African American women is a health equity issue for which culturally responsive, effective breastfeeding interventions are needed. This research demonstrates an association between completion of the D-BAP and an increase in prenatal breastfeeding self-efficacy.

scholarly journals Breastfeeding self-efficacy: a cohort study

2014 ◽  
Vol 27 (5) ◽  
pp. 465-470 ◽  
Author(s):  
Erdnaxela Fernandes do Carmo Souza ◽  
Rosa Áurea Quintella Fernandes
Keyword(s):  
Cohort Study ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Short Form ◽  
Clinical Use ◽  
High Efficacy ◽  
Early Weaning ◽  
Significant Difference ◽  
The Mean ◽  
Postpartum Mothers

Objective Evaluate the clinical use of the Breastfeeding Self-Efficacy Scale as predictive of early weaning and verify if women who had higher self-efficacy scores breastfed for longer periods. Methods Cohort study developed with 100 postpartum mothers. Research instrument used: Breastfeeding Self-Efficacy Scale-Short Form. The feeding was monitored on the 7th, 15th, 30th, 45th and 60th day, by phone. Results The mean duration of exclusive breastfeeding was 53.2 days (SD 14.2). Most mothers (82.3%) had scores compatible with high self-efficacy for breastfeeding, none had low efficacy. There was no statistically significant difference in the comparison of mean duration of exclusive and non-exclusive breastfeeding, with the scores of medium and high efficacy. Conclusion Findings did not enable the confirmation of the use of the scale as a predictor of risk of early weaning. No relation was observed between higher scores of high efficacy and longer periods of exclusive breastfeeding.

Severity of Overuse Injury Impacts Self-Efficacy and Quality of Life in Runners: A 2-Year Prospective Cohort Study

2021 ◽  
pp. 1-7
Author(s):  
Shannon L. Mihalko ◽  
Phillip Cox ◽  
Edward Ip ◽  
David F. Martin ◽  
Paul DeVita ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Positive Affect ◽  
Prospective Cohort Study ◽  
Overuse Injury ◽  
Self Efficacy ◽  
Prospective Cohort ◽  
Injury Severity ◽  
Short Form

Context: While 55 million Americans incorporate running into their exercise routines, up to 65% of runners sustain an overuse injury annually. It has been consistently shown that regular physical activity positively impacts quality of life (QOL), an essential public health indicator; however, the impact of running-related injuries on QOL is unknown. This study seeks to determine whether overuse injury severity impacts QOL in recreational runners, and if self-efficacy mediates this relationship. Design: Community-based prospective cohort study of 300 runners who had been running injury free for at least 5 miles/wk in the past 6 months. Methods: Self-efficacy for running and QOL measures (Short Form-12 Physical Component and Mental Component, Satisfaction with Life, Positive Affect and Negative Affect) were assessed at baseline, time of injury, and follow-up visits. Over 2 years of observation, overuse injuries were diagnosed by an orthopedic surgeon and injured runners were referred to a physical therapist. Results: Injury severity was significantly (P < .01) related with 2 indices of QOL, such that the effect of injury severity was −2.28 units on the Short Form-12 physical component and −0.73 units on positive affect. Self-efficacy accounted for 19% and 48% of the indirect effects on Short Form-12 physical component and positive affect, respectively. Conclusions: Since self-efficacy is a modifiable factor related to decreased QOL, these findings have important clinical implications for rehabilitation interventions.

scholarly journals Marital Adjustment and Prenatal Breastfeeding Efficacy of First Time Mothers in A Low-Income Community in The Philippines

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 7
Author(s):  
Artemio Jr Morado Gonzales
Keyword(s):  
Low Income ◽  
Self Efficacy ◽  
Marital Adjustment ◽  
Short Form ◽  
Data Gathering ◽  
The Philippines ◽  
P Value ◽  
First Time Mothers ◽  
High Level ◽  
First Time

Introduction: All women should be offered support to breastfeed their babies to increase the duration and exclusivity of breastfeeding. This study aims to assess the level of marital satisfaction and its influence to prenatal breastfeeding self-efficacy in   first time mothers during late pregnancy.Methods: A descriptive correlational was conducted among 128 simple randomized prim gravid women who agreed to participate and had prenatal care check-up in the health center at the time of data gathering. The instruments used were 15-item Marital Adjustment Test (MAT) to measure marital adjustment and 14-item Breastfeeding Self efficacy Scale-Short Form (BSES-SF) as a measure of breastfeeding self-efficacy. Pearson’s correlation coefficient was utilized to test the relationships between the sample’s marital adjustment scores to correlate with BFSE of the respondents. Fisher’s t test was utilized to determine the significance of correlations. A p-value of equal to or less than .05 was considered statistically significant.Results: The study revealed that the sampled mothers have a high level of marital adjustment score (112.05± 21.83). Prenatal mothers responded in the study were highly confident and have high self-efficacy in breastfeeding first child currently bearing (4.55±.51). Lastly, it was found that there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy (β=-.052, p-value=.280).Conclusion: It was found  that there is a high level of marital adjustment and breastfeeding self-efficacy among sampled mothers. However, there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy. The study suggests incorporating co-parenting intervention involving father’s involvement and assistance with breastfeeding when creating interventions in breastfeeding.

scholarly journals Application and Validation of Breastfeeding Self-Efficacy Scale – Short Form (BSES - SF) in Adolescent Mothers

10.3823/2078 ◽  
2016 ◽  
Author(s):  
Livia Maria Damasceno dos Santos ◽  
Rebeca Silveira Rocha ◽  
Anne Fayma Lopes Chaves ◽  
Hilana Dayana Dodou ◽  
Ana Rita Pimentel Castelo ◽  
...  
Keyword(s):  
Adolescent Mothers ◽  
Self Efficacy ◽  
Short Form

scholarly journals Multiple Mediation of Self-Esteem, Perception of Social Self-efficacy, and Social Anxiety in the Relationship Between Peer Support and Autonomy in Adolescents

2021 ◽  
Author(s):  
Sinem E. Akbay ◽  
Junaisah M. Hadji Omar
Keyword(s):  
High School Students ◽  
Social Anxiety ◽  
Peer Support ◽  
Self Efficacy ◽  
Short Form ◽  
Self Esteem ◽  
Study Group ◽  
Social Self ◽  
School Students ◽  
The Relationship

The aim of this study is in the relationship between peer support and autonomy in adolescents; The aim of this study is to examine the mediating role of social self-efficacy perception, self-esteem and social anxiety variables in adolescents. The study group of the research consists of 462 high school students (237 women and 225 men). Of the students in the study group, 26% (120 people) were in the 9th grade, 28.6% (132 people) were in the 10th grade, 28.1% (130 people) were in the 11th grade and 16.5% ( 76 people) are studying in the 12th grade. Data collection tools used in the study; Adolescent Social Anxiety Scale, Rosenberg Self-Esteem Scale (Short Form), Social Self-Efficacy Perception Scale, Peer Support Scale, Adolescent Autonomy Scale were used. The data were analyzed with Regression-based method and Bootstrap methods. According to the findings obtained from the study, it was observed that as peer support increases in adolescents, individuals' self-esteem and social self-efficacy perceptions increase, and as a result, their autonomy levels increase. In addition, it is seen that the increase in peer support in adolescents decreases the social anxiety of the individuals and thus the level of autonomy increases. In addition, it was found that the established model explained 41% of autonomy in adolescents.

scholarly journals Lactation Counseling for Maintaining Exclusive Breastfeeding in Adolescent Mothers: A Trial Protocol

2021 ◽  
Author(s):  
Iliana Milena Ulloa Sabogal ◽  
Claudia Consuelo Domínguez-Nariño ◽  
Mary Alejandra Mendoza-Monsalve
Keyword(s):  
Latin American ◽  
Adolescent Mothers ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Controlled Trial ◽  
Control Group ◽  
Adult Women ◽  
Post Intervention ◽  
Breastfeeding Knowledge ◽  
Breastfeeding Rate

Abstract Adolescent mothers have lower rates of initiation, continuation, and exclusivity of breastfeeding, and even more so in the first pregnancy. Current interventions target adult women, and little evidence is available for breastfeeding promotion among adolescents. This is a pilot study protocol with a parallel, single-blind, randomized, controlled trial design, to evaluate the effectiveness of the intervention “Lactation Counseling” in first-time adolescent mothers to maintain exclusive breastfeeding in the first six months of life. The control group will receive routine education in prenatal care and prenatal and childbirth classes and, the experimental group will receive additionally the intervention “Lactation Counseling”, for four weeks, both conducted by trained nurses. The primary outcome will be the exclusive breastfeeding rate; and the secondary, the breastfeeding knowledge. Measurements will be taken at baseline, post-intervention, and two, four and six months after childbirth. This study will allow the evaluation of the feasibility of an intervention in low-income, Latin American population adolescents.

Impact of professionally facilitated peer support for family carers of people with dementia in a WeChat virtual community

2020 ◽  
pp. 1357633X2091083 ◽  
Author(s):  
Jing Han ◽  
Guifang Guo ◽  
Li Hong
Keyword(s):  
Peer Support ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Virtual Community ◽  
Family Carers ◽  
Post Intervention ◽  
Carer Burden ◽  
People With Dementia ◽  
Perceived Pressure

Introduction Dementia is an important issue affecting families and society. Family carers face challenges accessing support due to homebound duties of caring for people with dementia. Internet-based support provides feasible and accessible opportunities. Methods A single-group repeated-measures study was conducted with carers who provide primary care or regularly participate in care for relatives with dementia in a WeChat virtual community. Interventions included three to six months of peer and professional support, included peer emotional support, lectures and consultation, technique support and articles. Self-administered online questionnaires were used pre and post intervention to collect carers’ feedback on activities, indicators of depression, helplessness, perceived stress, carer burden, distress caused by responsive behaviours and self-efficacy. Results A total of 159 carers participated. Of these, 136 (85.5%) were active members according to the amount of information shared in community. A total of 92.4% of carers thought the help and support from the community were important or very important. There were statistically significant differences after intervention for depression ( p < 0.05), perceived stress ( p < 0.05), helplessness ( p < 0.001), self-efficacy total score ( p < 0.05) and two domains of gathering information and obtaining support ( p < 0.05). There was no statistically significant decrease after intervention for distress caused by responsive behaviours and carer burden ( p>0.05). Discussion Professional facilitated peer support based on WeChat virtual community is feasible and acceptable for family carers of people with dementia. It can reduce carers’ perceived pressure, helplessness and depression, and improve self-efficacy compared to pre participation.

scholarly journals A Pilot Nutrition and Cooking Skills Program Improves Fruit Intake, Nutrition Knowledge, and Attitudes Toward Fruit and Vegetable

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 957-957
Author(s):  
Lubna Alnaim ◽  
Matthew Taylor ◽  
Heather Gibbs ◽  
Kendra Spaeth ◽  
Debra Sullivan
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Self Efficacy ◽  
Vegetable Consumption ◽  
Nutrition Knowledge ◽  
Fruit And Vegetable ◽  
Post Intervention ◽  
Cooking Skills ◽  
Income Status ◽  
Hands On

Abstract Objectives Community-based intervention studies that aim at developing cooking skills have increased in the scientific literature and are related to healthier food practices. We conducted this pilot study to investigate the effect of a combined curriculum of nutrition education and hands-on cooking skills on the consumption of fruits and vegetables, nutrition knowledge, and self-efficacy in families with low-income status. Methods This pilot intervention study was designed with a two-month follow-up. The intervention was based on a combined curriculum of nutrition education and cooking skills. The study group participated in eight weekly hands-on cooking/nutrition sessions. Pre- and post-surveys were conducted to assess changes for five primary outcome measures: 1) nutrition knowledge, 2) fruit and vegetable intake, 3) self-efficacy toward fruit and vegetables, 4) perceived benefits of fruit and vegetable consumption; and 5) perceived barriers of fruit and vegetable consumption. Paired samples t-tests were used to assess the change outcomes from baseline to post-intervention. Results A sample of 38 participants were included in the study. The mean age of the intervention group was 38 (89% female, 65.7% Hispanic). Compared to the baseline, there was an increase in nutrition knowledge score from 7.17 to 8.05 (P = 0.032) after the intervention. Participants reported higher self-efficacy (21 vs. 23.6, P = 0.013) and lower perceived barrier (19 vs. 17, P = 0.03) scores post-intervention. Fruit intake increased (1.2 vs.1.6 cups, P = 0.01) after the intervention. Conclusions Cooking and nutrition interventions may be a feasible approach to improving attitudes and behaviors related to vegetable consumption in families with low-income status. Future studies are needed that rigorously evaluate the long-term impact on cooking skills, dietary intake, and health outcomes. Funding Sources Health Care Foundation of Kansas City, Crosslines, Inc, and Department of Dietetics and Nutrition

scholarly journals Effects of the Experience of Breastfeeding-Friendly Practices and Breastfeeding Intention and Self-Efficacy on Breastfeeding Behavior: A Cohort Study in Taiwan

2021 ◽  
Author(s):  
Yu-Wen Wang ◽  
Ying-Ju Chang
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Short Form ◽  
Breastfeeding Duration ◽  
Breastfeeding Intention ◽  
High Level ◽  
Determinants Of Breastfeeding

Abstract Background: Approximately 80% of births occurred in Baby-Friendly-accredited facilities in Taiwan, although the trend of exclusively breastfeeding infants until 6 months of age has stagnated in the last 10 years. To guide breastfeeding promotion interventions during postnatal stays and encourage mothers to continue breastfeeding for the first 6 months, the factors of breastfeeding behavior within 6 months post-delivery must be investigated. This study explored the relationships among breastfeeding intention, experience of breastfeeding-friendly practices, breastfeeding self-efficacy, and breastfeeding behavior at 4 and 6 months after childbirth.Methods: In this longitudinal cohort study, women who gave birth to healthy newborns at two Baby-Friendly hospitals in Taiwan and who were willing to breastfeed were recruited. Data were collected through a self-developed questionnaire measuring the experience of breastfeeding-friendly practices and through the Chinese version of the Breastfeeding Self-Efficacy Scale-Short Form during hospitalization and at 1, 2, 4, and 6 months after childbirth.Results: A total of 155 women completed the questionnaires 5 times within 6 months. The determinants of exclusive breastfeeding at 4 months and any breastfeeding at 6 months were longstanding breastfeeding intention during hospitalization, a high score for the experience of breastfeeding-friendly practices, and a high level of breastfeeding self-efficacy during that period. The in-hospital experience of breastfeeding-friendly practices did not predict breastfeeding behavior at 4 and 6 months. Breastfeeding intention (hazard ratio [HR] = 0.40–0.14) and in-hospital breastfeeding self-efficacy (HR = 0.98) were significant as in-hospital risk factors contributing to breastfeeding duration 6 months after childbirth.Conclusions: Longstanding breastfeeding intention, continuation of the experience of breastfeeding-friendly practices, and maintenance of a high level of breastfeeding self-efficacy were the determinants of breastfeeding at 4 and 6 months. Healthcare professionals in Taiwan must support breastfeeding-friendly practices and consider interactive interventions to promote continued breastfeeding at different stages during the first 6 months after childbirth based on the mother’s informed plan of breastfeeding and breastfeeding self-efficacy during their postnatal hospitalization.

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