scholarly journals Effectiveness of a breastfeeding program for mothers returning to work in Japan: a quasi-experimental study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kaori Nakada

Abstract Background Maternal employment has been described as a barrier to breastfeeding in many countries. In Japan, many mothers quit breastfeeding after returning to work because they do not know how to continue breastfeeding. The primary objective of this study was to investigate the effectiveness of a breastfeeding support program for mothers. The secondary objective was to explore the effectiveness of a pamphlet for mothers returning to work. Methods This was a quasi-experimental design study with a program group (n = 48), pamphlet group (n = 46) and comparison group (n = 47) that took place from February 2017 to August 2018. Participants in the program and pamphlet groups were women who planned to return to work within 4–12 months after giving birth, while the comparison group included women who had been back at work for at least 3 months. The program involved a 90-min breastfeeding class, a pamphlet, a newsletter, and email consultation. The pamphlet group was sent only the pamphlet, while the comparison group received no intervention. The outcome was breastfeeding continuation rate at 3 months after returning to work. Results The breastfeeding continuation rate 3 months after returning to work was significantly higher in the program group than in the comparison group (79.2% vs. 51.1%, p = 0.004). After adjusting for background factors, the program intervention had an effect on breastfeeding rates (adjusted odds ratio = 4.68, 95% confidence interval: 1.57, 13.96; p = 0.006). However, comparing the pamphlet and comparison groups revealed no significant differences in breastfeeding continuation rates at 3 months after returning to work (69.6% vs. 51.1%, p = 0.07). Conclusions Program intervention was associated with a significant increase in breastfeeding continuation rates 3 months after returning to work. Randomized controlled trials are needed to make this program applicable in practice. Pamphlet intervention resulted in no significant difference. Further study is necessary after examining the contents of the pamphlet.

2020 ◽  
Author(s):  
Kaori Nakada

Abstract Background: Maternal employment has been described as a barrier to breastfeeding in many countries. In Japan, many mothers quit breastfeeding after returning to work because they do not know how to continue breastfeeding. The primary objective of this study was to investigate the effectiveness of a breastfeeding support program for mothers. The secondary objective was to explore the effectiveness of a pamphlet for mothers returning to work.Methods: This was a quasi-experimental design study with a program group (n=48), pamphlet group (n=46) and comparison group (n=47) that took place from February 2017 to August 2018. Participants in the program and pamphlet groups were women who planned to return to work within 4–12 months after giving birth, while the comparison group included women who had been back at work for at least 3 months. The program involved a 90-min breastfeeding class, a pamphlet, a newsletter, and email consultation. The pamphlet group was sent only the pamphlet, while the comparison group received no intervention. The outcome was breastfeeding continuation rate at 3 months after returning to work.Results: The breastfeeding continuation rate 3 months after returning to work was significantly higher in the program group than in the comparison group (79.2% vs. 51.1%, p=0.004). After adjusting for background factors, the program intervention had an effect on breastfeeding rates (adjusted odds ratio=4.68, 95% confidence interval: 1.57, 13.96; p=0.006). However, comparing the pamphlet and comparison groups revealed no significant differences in breastfeeding continuation rates at 3 months after returning to work (69.6% vs. 51.1%, p=0.07).Conclusions: Program intervention was associated with a significant increase in breastfeeding continuation rates 3 months after returning to work. Randomized controlled trials are needed to make this program applicable in practice. Pamphlet intervention resulted in no significant difference. Further study is necessary after examining the contents of the pamphlet.


2020 ◽  
Author(s):  
Kaori Nakada

Abstract Background: Maternal employment has been described as a barrier to breastfeeding in many countries. In Japan, many mothers quit breastfeeding after returning to work because they do not know how to continue breastfeeding. The primary objective of this study was to investigate the effectiveness of a breastfeeding support program for mothers. The secondary objective was to explore the effectiveness of a pamphlet for mothers returning to work. Methods: This was a quasi-experimental design study with a program group (n=48), pamphlet group (n=46) and comparison group (n=47) that took place from February 2017 to August 2018. Participants in the program and pamphlet groups were women who planned to return to work within 4–12 months after giving birth, while the comparison group included women who had been back at work for at least 3 months. The program involved a 90-min breastfeeding class, a pamphlet, a newsletter, and email consultation. The pamphlet group was sent only the pamphlet, while the control group received no intervention. The outcome was breastfeeding continuation rate at 3 months after returning to work. Results: The breastfeeding continuation rate 3 months after returning to work was significantly higher in the program group than in the comparison group (79.2% vs. 51.1%, p=0.004). After adjusting for background factors, the program intervention had an effect on breastfeeding rates (adjusted odds ratio=4.68, 95% confidence interval: 1.57, 13.96; p=0.006). However, comparison of the pamphlet and comparison groups revealed no significant differences in breastfeeding continuation rates at 3 months after returning to work (69.6% vs. 51.1%, p=0.07). Conclusions: Program intervention resulted in a significant increase in breastfeeding continuation rates 3 months after returning to work. Randomized controlled trials are needed to make this program applicable in practice. Pamphlet intervention resulted in no significant difference. Further study is necessary after examining the contents of the pamphlet.


2020 ◽  
Author(s):  
Kaori Nakada

Abstract Background: Maternal employment has been described as a barrier to breastfeeding in many countries. In Japan, many mothers quit breastfeeding after returning to work because they do not know how to continue breastfeeding. The primary objective of this study was to investigate the effectiveness of a breastfeeding support program for mothers in Japan by comparing the breastfeeding continuation rate with a control group at 3 months after returning to work. The second objective was to explore the effectiveness of a pamphlet containing information to help mothers returning to work continue breastfeeding by comparing breastfeeding continuation rates in women given the pamphlet and a control group.Methods: This was a quasi-experimental design study with a program group (n=48), pamphlet group (n=46) and control group (n=47) that took place from February 2017 to August 2018. Participants in the program and pamphlet groups were women who planned to return to work within 4–12 months after giving birth, while the control group included women who had been back at work for at least 3 months. The program involved a 90-min breastfeeding class, a pamphlet, a newsletter, and email consultation. The pamphlet group was sent only the pamphlet, while the control group received no intervention. The outcome was breastfeeding continuation rate at 3 months after returning to work.Results: The breastfeeding continuation rate 3 months after returning to work was significantly higher in the program group than in the control group (79.2% vs. 51.1%, p=0.004). After adjusting for background factors, the program intervention had an effect on breastfeeding rates (adjusted odds ratio=4.68, 95% confidence interval: 1.57–13.96; p=0.006). However, comparison of the pamphlet and control groups revealed no significant differences in breastfeeding continuation rates at 3 months after returning to work (69.6% vs. 51.1%, p=0.07).Conclusions: Program intervention resulted in a significant increase in breastfeeding continuation rates 3 months after returning to work. Randomized controlled trials are needed to make this program applicable in practice. Pamphlet intervention resulted in no significant difference, but the proportion of breastfeeding continuation was high; therefore, further study is necessary after examining the contents of the pamphlet.


2022 ◽  
Vol 4 (4) ◽  
pp. 127-131
Author(s):  
Javaid Ahmad Mir ◽  
Nadiya Rashid

A newborn baby has only three demands. They are warmth in the arms of his mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three. While breastfeeding may not seem the right choice for every parent, it is the choice for every baby because it fulfills the physical needs as well as psychotic complementary of the child. The study aimedto find out the association of nipple soreness in experimental group and comparison group in terms of sample characteristics of postnatal mothers. A quasi experimental study was conducted on 70 postnatal mothers, (35 in experimental group and 35 in the comparison group) who breast feeds their babies were selected conveniently. Feeding pattern was assessed by LATCH scale four times in a day followed by the application of hind milk minimum four times in a day for three or four days as per discharge day of mother. The mother was asked to rub hind milk on nipples after feeding the baby and letting it air dry in front of researcher and nipple soreness scale was used to check the sore nipple at third and fifth day or at the day of discharge. Follow up of postnatal mothers was done telephonically by using interview questionnaire on day 15 in both groups. Study findings revealed that on 3rd day, the mean nipple soreness score was higher in comparison group (1.45) than experimental group (0.10) and thus there was significant difference (t value = 3.87) in nipple soreness score.Study concluded that breast milk application was effective in preventing sore nipples among postnatal mothers. Hence, it can be recommended to use breast milk for the prevention of sore nipple.


2021 ◽  
Vol 7 (3) ◽  
pp. 219-226
Author(s):  
Meidiana Dwidiyanti ◽  
Badrul Munif ◽  
Agus Santoso ◽  
Ashri Maulida Rahmawati ◽  
Rikhan Luhur Prasetya

Background: The COVID-19 pandemic significantly impacts students’ mental health. Most of them may experience depression. Due to restrictions and social distancing during the pandemic, counseling may not be applicable in detecting the problems. Therefore, an Islamic spiritual mindfulness-based application called DAHAGA is created in order to detect and reduce depression. It is believed that this innovative app could reduce mental health problems among students.Objective: This study aimed to determine the effect of DAHAGA on reducing depression among nursing students during the COVID-19 pandemic in Indonesia.Methods: This was a quasi-experimental study with a comparison group pretest/posttest design conducted from May to June 2020. Seventy students were selected using convenience sampling, of which 35 were assigned in an experimental group and a comparison group. The validated Indonesian Version-Beck Depression Inventory-II (BDI-II) was used for data collection. Paired t-test and independent t-test were used for data analysis.Results: There was a significant effect of DAHAGA on depression (p < 0.001). The level of depression after intervention (mean 11.49, SD 4.49) was lower than it before the intervention (mean 17.20, SD 4.94). Additionally, there was a significant difference in depression level between the experimental and comparison groups after the intervention with a p-value of < 0.001. Conclusion: The DAHAGA is proven effective in reducing depression. Therefore, this study offers a new and innovative app that fits with the COVID-19 pandemic to help Muslim students maintain their health status. The findings also support Islamic spiritual mindfulness as a part of nursing interventions among psychiatric nurses to deal with mental health problems, especially depression.


2021 ◽  
Vol 4 (6) ◽  
pp. 139-153
Author(s):  
Weizheng Zhang

Background: Caregivers’ strain mainly comes from lack of relevant care knowledge and nursing skills. Traditional health education is just a one-way information transmission mode without evaluation and feedback. Objective: To help caregivers’ memory, the researcher utilized a quasi-experimental design to measure the effectiveness of the teach-back method on caregivers’ strain in handling patients with prolonged immobilization. Method: A total of forty caregivers were averagely assigned into treatment (Teach-Back) and comparison group (traditional). Participant’s Data Sheet, The Zarit Burden Interview and Teach Back Assessment Tool was used to gather data. Results: There was a significant difference in caregivers’ strain before and after the Teach-Back Method in treatment (p<0.001) and comparison group (p <0.001). Likewise, a significant difference existed after the Teach-Back Method in the treatment group (p <0.001). Conclusion: The Teach-Back Method is an effective intervention in reducing caregivers’ strain in handling patients with prolonged immobilization.


2017 ◽  
Vol 3 (1) ◽  
pp. 70
Author(s):  
Nanik Rahayu

Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh pembelajaran dengan pendekatan guided dan Structured Inquiry terhadap kemampuan penguasaan konsep dan scientific skill siswa kelas XI SMA Negeri 3 Yogyakarta. Penelitian ini merupakan penelitian kuasi eksperimen menggunakan desain pretest posttest comparison group design. Sampel penelitian adalah dua kelas XI IPA yang diambil secara acak, satu kelas Guided Inquiry dan satu kelas Structured Inquiry. Data yang diambil berupa nilai penguasaan konsep dan keterampilan scientific skill. Data dianalisis dengan menggunakan Uji t. Hasil analisis menunjukkan bahwa pembelajaran menggunakan guided dan Structured Inquiry dapat meningkatakna penguasaan konsep siswa dengan perbedaan yang signifikan diantara keduanya. Nilai N-gain kemampuan penguasaan konsep pada kelas Guided Inquiry lebih tinggi dibandingkan kelas Structured Inquiry yang artinya bahwa pendekatan Guided Inquiry lebih efektif untuk meningkatkan penguasaan konsep siswa.Kata Kunci: pendekatan guided inquiry, pendekatan structured inquiry, penguasaan konsep, keterampilan scientific skill The Effect of Inquiry Learning Approach on the Mastery of Concepts and Scientific Skill of Digestive System AbstractThis research aims to reveal the effect of teaching by using the guided and Structured Inquiry approach on the ability of mastering concepts and scientific skill of Grade XI of SMAN 3 Yogyakarta. This research was quasi-experimental research conducted by using pretest-posttest comparison group design. The sample was two classes of grade XI majoring natural science established randomly, one Guided Inquiry class and one Structured Inquiry class. The data collected included the score of mastery of concepts and scientific skills t-test was used to analyze the data. The results of the study show that (1) teaching by using the Guided and Structured Inquiry approaches can improve students’ mastery of concepts and scientific skills with significant difference among both approaches. The score of N-gain mastery of concepts of the students in the Guided Inquiry class is higher than in Structured Inquiry class, which means that the Guided Inquiry approach is more effective in improving students’ mastery of concepts.Keywords: guided inquiry approach, structured inquiry approach, mastery of concepts, scientific skills


2017 ◽  
Vol 26 (2) ◽  
pp. 96-104
Author(s):  
Abby E. Garlock ◽  
Janet B. Arthurs ◽  
Robert J. Bass

ABSTRACTThe effects of providing education regarding comfort options available in the hospital setting on level of maternal comfort and pain during labor were explored in a quasi-experimental pretest/posttest comparison group design (N = 80). No significant difference was found in maternal comfort or pain between the intervention group that received comfort education and the control group. Comfort education did result in change for plans to maintain comfort during labor (p = .000), an increased use of comfort measures during labor (p = .000), and an increased probability of continuation with original plans for pain control during labor. Providing education for maintaining comfort during labor can allow women to make informed choices during labor.


2012 ◽  
Vol 21 (2) ◽  
pp. 80-89 ◽  
Author(s):  
Jane S. Grassley ◽  
Becky S. Spencer ◽  
Becky Law

This study’s purpose was to evaluate an intervention to facilitate grandmothers’ knowledge and support of breastfeeding. A pilot study with a quasi-experimental two-group posttest design was used to evaluate whether the intervention made a difference in grandmothers’ knowledge, attitudes, and intent to recommend breastfeeding. The 26 grandmothers in the intervention group attended A Grandmothers’ Tea program; the 23 grandmothers in the control group received written information. The intervention group had greater posttest knowledge scores than the control group but had no significant differences in attitudes or intent. However, a significant difference was evident between the attitude scores of grandmothers who breastfed their infants and of grandmothers who did not breastfeed their infants regardless of receiving the intervention.


2004 ◽  
Vol 50 (2) ◽  
pp. 292-314 ◽  
Author(s):  
Nancy Rodriguez ◽  
Vincent J. Webb

Prior studies of juvenile drug courts have been constrained by small samples, inadequate comparison groups, or limited outcome measures. The authors report on a 3-year evaluation that examines the impact of juvenile drug court participation on recidivism and drug use. A quasi-experimental design is used to compare juveniles assigned to drug court with those assigned to standard probation in Maricopa County, Arizona. Findings indicate drug court participants were less likely to recidivate than youths in the comparison group. Analyses of drug use show no significant difference between groups in marijuana use but reveal that drug court participants were more likely than juveniles in the comparison group to test positive for cocaine. Family stability, school attendance, and legal indicators were important predictors of drug court effectiveness. Last, findings indicate the majority of juveniles in drug court were unsuccessful in meeting program requirements and subsequently released to state-operated facilities or standard probation.


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