Breastfeeding self-efficacy: a cohort study

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.

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Association between duration of exclusive breastfeeding and nursing mothers’ self-efficacy for breastfeeding

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2019038303702 ◽

2021 ◽

Vol 55 ◽

Author(s):

Gécica Gracieli Wust de Moraes ◽

Marialda Moreira Christoffel ◽

Beatriz Rosana Gonçalves de Oliveira Toso ◽

Cláudia Silveira Viera

Keyword(s):

Exclusive Breastfeeding ◽

Postpartum Period ◽

Self Efficacy ◽

Negative Impact ◽

Short Form ◽

Sociodemographic Factors ◽

Early Weaning ◽

Preventive Actions ◽

Nursing Mothers ◽

Status Data

ABSTRACT Objective: To verify the association of nursing mothers’ self-efficacy for breastfeeding in the immediate postpartum period and six months after birth and obstetric and sociodemographic variables with the duration of exclusive breastfeeding. Method: Observational, longitudinal, prospective study which followed nursing mothers from the immediate postpartum period to the sixth month postpartum in a municipality in Southern Brazil. For data collection, a questionnaire with sociodemographic and obstetric variables and the scale Breastfeeding Self-Efficacy Scale - short form - were employed in the maternity ward and six months after birth. Inferential and descriptive statistics were employed. Results: A total of 158 nursing mothers have participated. The prevalence of exclusive breastfeeding in the sixth month was 36.70%, out of which 77.34% have presented a high self-efficacy score. Sociodemographic factors had a negative impact on exclusive breastfeeding. Conclusion: High levels of self-efficacy favor exclusive breastfeeding; however, such factor, in isolation, is not decisive for exclusive breastfeeding. Self-efficacy should be identified during the pre-natal period through mothers’ employment and marital status data to promote preventive actions against early weaning.

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PENGARUH EDUKASI ONLINE BERBASIS FAMILY CENTERED MATERNITY CARE TERHADAP SELF EFFICACY IBU POSTPARTUM DALAM PEMBERIAN ASI EKSKLUSIF

JURNAL KESEHATAN MERCUSUAR ◽

10.36984/jkm.v4i1.202 ◽

2021 ◽

Vol 4 (1) ◽

pp. 92-100

Author(s):

Rini Rahmayanti ◽

Dedi Adha ◽

Fitri Wahyuni S

Keyword(s):

Standard Deviation ◽

Online Education ◽

Exclusive Breastfeeding ◽

Maternity Care ◽

Self Efficacy ◽

The Self ◽

P Value ◽

The Mean ◽

Postpartum Mothers ◽

Family Centered

The coverage of exclusive breastfeeding for infants aged 0-5 months in Indonesia in 2018 is only 37.3%. Self-efficacy is one of the main factors affecting the behavior of exclusive breastfeeding. During the Covid-19 pandemic, the self-efficacy of mothers for breastfeeding decreased, so increasing efforts are needed. Increasing knowledge can be done by providing online education based on family centered maternity care (FCMC). The purpose of this study was to determine the effect of FCMC-based online education on the self-efficacy of postpartum mothers in exclusive breastfeeding. This type of research is pre-experimental with one group pretest-posttest design with a total sample of 10 postpartum mothers. Data were analyzed using paired t-test. The results showed that the mean self-efficacy before being given online education was 41 with a standard deviation of 4.37, the mean self-efficacy after being given peer education was 59.8 with a standard deviation of 3.4. There is a difference in the mean value before and after the online education intervention was given with p-value = 0.000 (p <0.05). There is an effect of FCMC-based online education on the self-efficacy of postpartum mothers in breastfeeding. Health servicesare expected to facilitate FCMC-based online education programs to increase self-confidence in breastfeeding.

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

10.21203/rs.3.rs-1165666/v1 ◽

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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AUTO EFICÁCIA NA AMAMENTAÇÃO EXCLUSIVA: AVALIAÇAO DOS DOMÍNIOS TÉCNICA E PENSAMENTOS INTRAPESSOAIS EM PUÉRPERAS

Enfermagem em Foco ◽

10.21675/2357-707x.2019.v10.n3.1597 ◽

2019 ◽

Vol 10 (3) ◽

Author(s):

Camila Mesquita De Lima ◽

Leilane Barbosa De Sousa ◽

Edmara Chaves Costa ◽

Marks Passos Santos ◽

Marianna Carvalho e Souza Leão Cavalcanti ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Self Efficacy ◽

Growth And Development ◽

Short Form ◽

Postpartum Women ◽

High Efficacy ◽

Evaluative Study ◽

The Individual ◽

Basic Health Units

Objetivo: Avaliar a autoeficácia de puérperas na amamentação exclusiva. Metodologia: Estudo avaliativo realizado por meio de entrevista com 80 puérperas cadastradas em unidades básicas de saúde da zona urbana do município de Acarape, Ceará. A investigação ocorreu de fevereiro a junho de 2017. Na coleta de dados foi utilizada a escala Breastfeeding Self- Efficacy Scale – Short Form. Resultados: Na análise individual, 70% das entrevistadas apresentaram eficácia alta, 25% apresentaram eficácia média e 5% (04) apresentaram eficácia baixa para amamentação exclusiva. Na análise global, verificou-se eficácia alta para 88% dos itens do domínio “Técnica” e para 100% itens do domínio “Pensamentos interpessoais”. Conclusão: O acompanhamento pré-natal, a consulta puerperal e a consulta de acompanhamento do crescimento e desenvolvimento da criança contribuem para a eficácia alta na amamentação exclusiva.Descritores: Aleitamento materno; Auto eficácia; Saúde materno-infantil.SELF-EFFECTIVENESS IN EXCLUSIVE BREASTFEEDING: EVALUATION OF TECHNICAL DOMAINS AND INTRAPESSIONAL THOUGHTS IN PUERPERASObjective: To evaluate the efficacy of postpartum women in exclusive breastfeeding. Methodology: Evaluative study carried out by means of an interview with 80 postpartum women enrolled in basic health units in the urban area of the municipality of Acarape, Ceará. The investigation was carried out from February to June 2017. The data collection was based on the Breastfeeding Self-Efficacy Scale - Short Form scale. Results: In the individual analysis, 70% of respondents had high efficacy, 25% presented mean efficacy and 5% (04) presented low efficacy for exclusive breastfeeding. In the overall analysis, high efficacy was observed for 88% of the items in the “Technical” domain and 100% items in the domain “Interpersonal thoughts”. Conclusion: Prenatal follow-up, puerperal consultation and follow-up consultation on the child’s growth and development contribute to the high efficacy of exclusive breastfeeding.Descriptors: Breast Feeding; Self Efficacy; Maternal and Child Health.AUTOEFICIENCIA EN LA LACTANCIA EXCLUSIVA: EVALUACIÓN TÉCNICA DEL DOMINIO Y PENSAMIENTOS INTRAPERSONALES EN PUERPERESObjetivo: Evaluar la autoeficiencia de puérperas en la lactancia exclusiva. Metodología: Estudio evaluatorio realizado por medio de una entrevista con 80 puérperas registradas en unidades básicas de salud de la zona urbana del municipio de Acarape, Ceará. La investigación ocurrió de febrero a junio de 2017. En la recolección de datos se utilizó la escala Breastfeeding Self-Efficacy Scale - Short Form. Resultados: En el análisis individual, el 70% de las entrevistadas presentaron eficacia alta, el 25% presentó eficacia media y el 5% (04) presentaron una eficiencia baja para la lactancia exclusiva. En el análisis global, se verificó eficacia elevada para el 88% de los ítems del dominio “Técnica” y para el 100% ítems del dominio “Pensamientos interpersonales”. Conclusión: El seguimiento prenatal, la consulta puerperal y la consulta de seguimiento del crecimiento y desarrollo del niño contribuyen a la eficacia alta en la lactancia exclusiva.Descriptores: Lactancia Materna; Autoeficiencia; Salud Maternoinfantil.

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Translation, Validation, and Psychometric Properties of Breastfeeding Self-Efficacy Scale—Short Form Among Iranian Women

Journal of Human Lactation ◽

10.1177/0890334419883572 ◽

2019 ◽

Vol 36 (2) ◽

pp. 227-235

Author(s):

Azadeh Asgarian ◽

Maryam Hashemi ◽

Mansoureh Pournikoo ◽

Tayebe-Sadat Mirazimi ◽

Hadi Zamanian ◽

...

Keyword(s):

Standard Deviation ◽

Psychometric Properties ◽

Self Efficacy ◽

Short Form ◽

Test Reliability ◽

Cronbach’S Alpha ◽

Related Factors ◽

Cronbach's Alpha ◽

Significant Difference ◽

The Mean

Background Iranian researchers have investigated breastfeeding self-efficacy and its related factors. However, there is no valid and reliable tool for assessing the breastfeeding self-efficacy of Iranian Farsi-speaking women. Research aim To examine the validity and reliability of the Breastfeeding Self-Efficacy Scale—Short Form among Iranian Farsi-speaking mothers. Methods We conducted this cross-sectional study at Izadi teaching hospital in Qom, Iran. Using convenience sampling, we recruited 174 mothers, who completed the questionnaire on the first postnatal day. A forward–backward translation method was used to translate the scale. Cronbach’s alpha and item-total characteristics were examined to test reliability. Construct validity was evaluated via principal component analysis (PCA), as well as known-groups validity. Results The mean (standard deviation) of sample age was 28.33 (5.38). The mean (standard deviation) of breastfeeding self-efficacy score was 54.32 (10.50), ranging from 24–70. Cronbach’s alpha (.92), inter-item correlations (.21–.72), and corrected item-total correlations (.44–.75) indicated the adequate reliability of the scale. PCA yielded one component with an eigenvalue of 6.97, explaining 49.8% of the total variance. There was no significant difference in the self-efficacy scores between primiparous and multiparous women. Breastfeeding self-efficacy was not significantly different between the groups in terms of the demographic characteristics. Conclusion The Farsi version of the Breastfeeding Self-efficacy Scale—Short Form is a valid and reliable instrument for Iranian Farsi-speaking mothers, with sound psychometric properties per the other studies worldwide.

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Real-world effectiveness of app-based treatment for urinary incontinence: a cohort study

BMJ Open ◽

10.1136/bmjopen-2020-040819 ◽

2021 ◽

Vol 11 (1) ◽

pp. e040819

Author(s):

Pontus Rygh ◽

Ina Asklund ◽

Eva Samuelsson

Keyword(s):

Urinary Incontinence ◽

Cohort Study ◽

Real World ◽

Short Form ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Healthcare Services ◽

International Consultation ◽

The Mean

ObjectivesThe efficacy of app-based treatment for stress urinary incontinence (SUI) has been demonstrated in a randomised controlled trial (RCT). In this study, we investigate the user characteristics and the effectiveness of the same app when freely available, and compare these results with the RCT.DesignProspective cohort study.ParticipantsDuring a 17-month period, 24 602 non-pregnant, non-postpartum women older than 18 years downloaded the app and responded anonymously to a questionnaire. Of these, 2672 (11%) responded to the 3-month follow-up.InterventionThree months’ use of the app Tät, containing information, a pelvic floor muscle training programme and lifestyle advice.Main outcome measuresChange in symptom severity (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)) and subjective improvement (Patient Global Impression of Improvement (PGI-I)).ResultsOf the respondents, 88% lived in Sweden and 75% (18 384/24 602) were incontinent with a mean age of 45.5 (SD 14.1) years. The UI types, based on symptoms, were SUI (53%), urgency UI (12%), mixed UI (31%) and undefined (4%). The mean ICIQ-UI SF score was 8.2 (SD 4.0) at baseline. The mean ICIQ-UI SF score reduction at follow-up was 1.31 (95% CI: 1.19 to 1.44) with a larger reduction in those with more severe incontinence at baseline (severe/very severe 3.23 (95% CI: 2.85 to 3.61), moderate 1.41 (95% CI: 1.24 to 1.59) and slight 0.24 (95% CI 0.06 to 0.42). When the results were weighted to match the distribution of severity in the RCT, the ICIQ-UI SF score reduction was 2.2 compared with 3.9 in the RCT. Regarding PGI-I, 65% experienced improvement compared with 92% in the RCT.ConclusionsThe app Tät was effective for self-management of UI even in the real world. Although the reduction in incontinence symptoms was less than in the RCT, two-thirds of the users improved. App-based treatment reaches many women without requiring resources from ordinary healthcare services.

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

10.1101/2020.02.10.20021808 ◽

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.

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Relationship between alexithymia and career decision -making self-efficacy among Tenth and Eleventh grade students in Muscat governorate

COUNS-EDU| The International Journal of Counseling and Education ◽

10.23916/0020190420520 ◽

2019 ◽

Vol 4 (2) ◽

pp. 45

Author(s):

Mohammad Sheikh Hammoud ◽

Bakkar S. Bakkar ◽

Yousef Abdulqader Abu Shendi ◽

Yousuf Saif Al Rujaibi

Keyword(s):

Gender Differences ◽

Decision Making ◽

Self Efficacy ◽

Short Form ◽

Career Decision ◽

Total Sample ◽

Career Decision Making ◽

The Mean ◽

The Relationship

The purpose of this study was to examine the relationship between alexithymia and career decision -making self-efficacy among Tenth and Eleventh grade students in Muscat governorate. To achieve this purpose, Alexithymia Scale (AS),and CDMSE Short Form were administered to a total sample of 556 students of Tenth and Eleventh grades ( (n = 278) males and (n = 278) females . Findings revealed that the level of alexithymia was less than the mean of items, while the level of CDMSE was more than the mean of items, as well as there was no significant correlational relationship between alexithymia and CDMSE. The findings also indicated that there were significant gender differences in alexithymia, while there were no significant gender differences in CDMSE. With regard to GPA, the findings revealed that there were no significant differences in alexithymia, while there were significant differences in CDMSE. Conclusion: It concludes that although there was no significant correlational relationship between alexithymia and career decision-making self-efficacy, alexithymia negatively affects individual’s decisions in life.

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

Journal of Human Lactation ◽

10.1177/0890334418775050 ◽

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.

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Breastfeeding Self-Efficacy and Its Relationship with the Perceived Stress and the Breastfeeding Performance in Iranian Mothers with Late Preterm Infants, 2019

10.21203/rs.3.rs-87806/v1 ◽

2020 ◽

Author(s):

Akram Kahforoushan ◽

Shirin Hasanpour ◽

Mojgan Mirghafourvand

Keyword(s):

Standard Deviation ◽

Linear Regression ◽

Multiple Linear Regression ◽

Preterm Infants ◽

Perceived Stress ◽

Self Efficacy ◽

Short Form ◽

Late Preterm ◽

Late Preterm Infants ◽

The Mean

Abstract BackgroundLate preterm infants suffer from many short-term and long-term problems after birth. The key factor in fighting these problems is effective breastfeeding. The present study aimedto determine the breastfeeding self-efficacy and its relationship with the perceived stress and breastfeeding performance in mothers with late preterm infants. MethodsIn this prospective study, 171 nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, who met the conditions of this study were selected through convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form (BSES- SF) was employed to measure breastfeeding self-efficacy and 14-item Perceived Stress Scale (PSS14) was used to measure the perceived stress during 24 hours after giving birth and when the child was 4 months old the breastfeeding performance was measured by the standard breastfeeding performance questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and Multiple Linear Regression.ResultsThe mean (standard deviation) of breastfeeding self-efficacy equaled 50.0 (7.8) from the scores ranging between13-65 and the mean (standard deviation) of the perceived stress equaled to 26.5 (8.8) from the scores ranging between 0-56. The median (25-75 percentiles) of breastfeeding performance score in the mothers equaled 2.0 (1.0 to 3.0) from the scores ranging between 0-6. On the basis of multiple linear regression and through adjusting the personal-social characteristic, by increasing the score of the breastfeeding self-efficacy, the perceived stress was decreased to a statistically significant amount (B=-0.1, 95%CI=-0.3 to 0.0), however, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). ConclusionDue to the modifiable variability of breastfeeding self-efficacy and its role in perceived maternal stress, the development of appropriate strategies to further increase breastfeeding self-efficacy and provide more support to these mothers and infants is of particular importance.

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