scholarly journals Effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in Mothers with Previous Unsuccessful Breastfeeding: A randomized controlled clinical trial

2019 ◽  
Author(s):  
fahimeh sehhatie shafaei ◽  
mojgan mirghafourvand ◽  
shiva havizari

Abstract Background: Breastfeeding is one of the most important factors in the health of infants. Monitoring the performance of mothers and providing feedback to them so that they increase self-efficacy, their interest in learning and their level of performance. The aim of this study was to evaluate the effect of prenatal counseling on the self-efficacy and frequency of breast-feeding problems in mothers with Previous Unsuccessful Breastfeeding.Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers in 2017-18. Participants were randomly assigned to intervention and control groups. The intervention group, four pre-natal counseling sessions and control group received routine care only. After childbirth, mothers received a counseling session up to 4 months after delivery, and the breastfeeding self-efficacy questionnaire (BSES) and the frequency of breast feeding problems checklist on the 15th, 2nd and 4th month by the intervention and control groups were completed.Results: The mean score of self-efficacy on the 15th day, in the 2 and 4 months after delivery in the intervention group and control group indicated a significant difference (P<0.05). Frequency of breastfeeding problems on the 15th, 2nd and 4th months after delivery was significantly different in most cases in the intervention group compared to the control group.Conclusion: The results of the study showed that prenatal counseling would increase the breastfeeding self-efficacy of mothers and lead to solving most breastfeeding problems during postpartum period. Trial registration: IRCT20100109003027N19 Key words: Self-efficacy, problems, exclusive breastfeeding, infant, counseling

2020 ◽  
Author(s):  
fahimeh sehhatie shafaei ◽  
mojgan mirghafourvand ◽  
shiva havizari

Abstract Background: Breastfeeding is one of the most important interfering factors in infants’ health. Monitoring mothers’ performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding.Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15th day, and 2nd and 4th month were completed both by the intervention and control groups.Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15th day, 2nd and 4th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15th day (p<0.001), and 2nd (p<0.001) and 4th (p<0.001) month after the delivery. The frequency of breastfeeding problems on the 15th (p=0.008), 2nd (p<0.001) and 4th (p<0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls.Conclusion: The results indicated that prenatal counseling can increase mothers’ breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period.Trial registration: IRCT20100109003027N19


2020 ◽  
Author(s):  
fahimeh sehhatie shafaei ◽  
mojgan mirghafourvand ◽  
shiva havizari

Abstract Background: Breastfeeding is one of the most important interfering factors in infants’ health. Monitoring mothers’ performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding. Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15 th day, and 2 nd and 4 th month were completed both by the intervention and control groups. Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15 th day, 2 nd and 4 th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15 th day (p<0.001), and 2 nd (p<0.001) and 4 th (p<0.001) month after the delivery. The frequency of breastfeeding problems on the 15 th (p=0.008), 2 nd (p<0.001) and 4 th (p<0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls. Conclusion : The results indicated that prenatal counseling can increase mothers’ breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period. Trial registration: IRCT20100109003027N19 Key words: Self-efficacy, problems, exclusive breastfeeding, infant, counseling


2020 ◽  
Author(s):  
fahimeh sehhatie shafaei ◽  
mojgan mirghafourvand ◽  
shiva havizari

Abstract Abstract Background: Breastfeeding is one of the most important interfering factors in infants’ health. Monitoring mothers’ performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding. Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15 th day, and 2 nd and 4 th month were completed both by the intervention and control groups. Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15 th day, 2 nd and 4 th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15 th day (p<0.001), and 2 nd (p<0.001) and 4 th (p<0.001) month after the delivery. The frequency of breastfeeding problems on the 15 th (p=0.008), 2 nd (p<0.001) and 4 th (p<0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls. Conclusion : The results indicated that prenatal counseling can increase mothers’ breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period. Trial registration: IRCT20100109003027N19 Key words: Self-efficacy, problems, exclusive breastfeeding, infant, counseling


2021 ◽  
pp. 026921552110411
Author(s):  
Hiromichi Takeda ◽  
Katsuhiko Takatori

Objective To assess the preliminary effects of a buddy-style intervention to improve exercise adherence. Design A parallel-group, open-label, pilot randomized controlled trial. Setting Adult day-care centers. Participants Sixty-five disabled older adults. Interventions All participants underwent a 12-week home exercise program, and the intervention group received a 5–10 min buddy-style intervention between older adults in the intervention group once weekly at an adult day-care center. Main measures Based on the exercise log calendar, the number of days of exercise was assessed for each of the three phases: 1–4 weeks, 5–8 weeks, and 9–12 weeks. Short physical performance battery was measured at baseline and after 12 weeks. Results Of the 590 screened older adults, 65 were recruited and 33 were assigned to the intervention group. One participant in each group withdrew before the program began, and four and five patients in the intervention and control groups, respectively, dropped out by the 12-week assessment. Analysis of covariance of the 28 and 26 patients in the intervention and control groups, respectively, for whom exercise log calendars could be retrieved, showed that the intervention group (24.4/28 days) exercised significantly more days than the control group (20.6/28 days) at 9–12 weeks ( P = 0.009). In the between-group effect of the intention-to-treat analysis of short physical performance battery, walking and standing test ( P = 0.790, P = 0.829) were not significantly different, and balance test ( P = 0.049) was significantly better in the control group. Conclusions There was a preliminary effect of the buddy-style intervention to improve exercise adherence.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hossein Shahnazi ◽  
Marzieh Araban ◽  
Mahmood Karimy ◽  
Mansooreh Basiri ◽  
Ali Ghazvini ◽  
...  

Abstract Background Service satisfaction ratings from clients are a good indicator of service quality. The present study aimed to investigate the impact of communication skills and self-efficacy training for healthcare workers on clients’ satisfaction. Methods A quasi-experimental study was conducted in health centers of Saveh University of Medical Science in Iran. Primary Healthcare (PHC; N = 105) workers and service recipients (N = 364) were randomly assigned to intervention and control groups. The intervention group received four 90-min training sessions consisting of lecture, film screening, role-playing, and discussion group. Before and 3 months after the intervention, a multi-part questionnaire (including demographics, self-efficacy and communication skills in PHC workers; and satisfaction questionnaire in service recipients) was completed by participants in both intervention and control groups. Results PHC worker mean scores of self-efficacy and communication skills after the educational program were increased in the intervention group compared to the control group (p < 0.05). Also, mean satisfaction scores for service recipients of the intervention group (PHC workers) generally significantly increased compared to the control group (p < 0.001). Conclusions The educational program improved the self-efficacy, and communication skills in health workers and improved client satisfaction overall. Our results support the application of self-efficacy and communication skills training for other medical groups who wish to improve clients satisfaction as an important health services outcome.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Somayeh Ansari ◽  
Parvin Abedi ◽  
Shirin Hasanpoor ◽  
Soheila Bani

Objective. This study aimed to determine the effect of educational program on Breastfeeding self-efficacy and duration of exclusive breastfeeding in pregnant women in Ahvaz, Iran. Methods. This randomized controlled trial was conducted on 120 nulliparous pregnant women who tended to breastfeed. The primary self-efficacy scores of samples were measured using Faux and Dennis breastfeeding self-efficacy questionnaire. Women were randomly recruited into two intervention and control groups. Educational program (two training sessions, each lasted two hours) with two days interval was performed for intervention group. One month after delivery, self-efficacy scores were determined. Six months after child birth, duration of exclusive breastfeeding was assessed. Data were analyzed by means of descriptive and inferential statistics. Findings. The breastfeeding self-efficacy in the intervention group increased significantly compared to the control group one month after delivery (123.6 versus 101.7, P<0.001). The duration of exclusive breastfeeding was significantly higher in the intervention group (5.03 mo versus 2.7 mo, P<0.001). Also, there was a significant relationship between breastfeeding self-efficacy and duration of exclusive breastfeeding (P<0.001). Conclusion. The educational program could increase the self-efficacy and exclusive breastfeeding duration of mothers. These results can draw the attention of authorities to the importance of educational programs for mothers regarding the exclusive breastfeeding.


2020 ◽  
Vol 7 (3) ◽  
pp. 191818 ◽  
Author(s):  
Anisa Rowhani-Farid ◽  
Adrian Aldcroft ◽  
Adrian G. Barnett

Sharing data and code are important components of reproducible research. Data sharing in research is widely discussed in the literature; however, there are no well-established evidence-based incentives that reward data sharing, nor randomized studies that demonstrate the effectiveness of data sharing policies at increasing data sharing. A simple incentive, such as an Open Data Badge, might provide the change needed to increase data sharing in health and medical research. This study was a parallel group randomized controlled trial (protocol registration: doi:10.17605/OSF.IO/PXWZQ ) with two groups, control and intervention, with 80 research articles published in BMJ Open per group, with a total of 160 research articles. The intervention group received an email offer for an Open Data Badge if they shared their data along with their final publication and the control group received an email with no offer of a badge if they shared their data with their final publication. The primary outcome was the data sharing rate. Badges did not noticeably motivate researchers who published in BMJ Open to share their data; the odds of awarding badges were nearly equal in the intervention and control groups (odds ratio = 0.9, 95% CI [0.1, 9.0]). Data sharing rates were low in both groups, with just two datasets shared in each of the intervention and control groups. The global movement towards open science has made significant gains with the development of numerous data sharing policies and tools. What remains to be established is an effective incentive that motivates researchers to take up such tools to share their data.


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Ainul Yaqin ◽  
Safitri Niken ◽  
Edi Dharmana

AbstrakPasien diabetes melllitus (DM) seringkali tidak patuh terhadap pola diet yang dianjurkan. Banyak pasien DM yang mengalami berat badan berlebih atau kurus. Ketidakpatuhan diet menyebabkan rendahnya kontrol glikemik, dan meningkatkan komplikasi, disability and mortality. Kepatuhan dipengaruhi oleh keyakinan diri/self efficacy (SE), di sisi lain program peningkatan SE terkait dietDM belum banyak diteliti. Self efficacy training (SET)mampu meningkatkan SEsehingga kepatuhan diet meningkat. Tujuan penelitian untuk menganalisis efek SET terhadap SE dan kepatuhan diet diabetesi. Metode menggunakan quasy experiment dengan rancangan post test nonequivalent control group. Sampel kelompok intervensi dan kontrol masing-masing 48 dan 51 orang. Intervensi dilakukan sebanyak 6 sesi selama 12 hari. Hasil menunjukkan mayoritas responden adalah perempuan dengan usia 58-67 tahun. SE diukur dengan kuisioner DIET-SE dan kepatuhan dengan PDAQ Selisih nilai mean SE kelompok intervensi dan kontrol setelah perlakuan adalah 4,27 dengan p=0,000 dan selisih mean kepatuhan diet kelompok intervensi dan kontrol adalah 5,94 dengan p=0,000. Hasil uji multivariat dengan MANOVA didapatkan ada efek SETpada kedua variabel dependen yang sangat bermakna (p=0,000), namun jika dilihat dari hasil selisih mean dengan kelompok kontrol, variabel kepatuhan memiliki peningkatan nilai mean yang lebih besar dibandingkan variabel SE. Kesimpulan penelitian SET dapat meningkatkan kepatuhan diet pasien DM melalui peningkatan SE. Kata kunci: sef efficacy training; self efficacy; kepatuhan  AbstractDiabetic Mellitus (DM) patients are often not adherent to the recommended dietary patterns. Many DM patients are overweight or underweight. Dietary adherence leads to lower glycemic control, and increases complications, disability and mortality. Adherence is influenced by self-efficacy (SE), on the other hand SE improvement programs related to DM diet has not been much studied. Self efficacy training (SET) is able to improve SE so that diet compliance increases. The objective of the study was to analyze the effects of SET on SE and adherence to the diabetic diet. The method used quasy experiment with post tes nonequivalent control group design. The sample of the intervention and control groups were each 48 1 person. Intervention conducted as much as 6 sessions for 12 days. Results showed the majority of respondents were women aged 58-67 years. SE is measured by a DIET-SE questionnaire and compliance with PDAQ. The mean difference of SE values of the intervention and control groups after treatment was 4.27 with p = 0,000 and the mean difference of dietary intervention group and intervention was 5.94 p = 0,000. The result of multivariate test with MANOVA showed that there was a SET effect on both highly significant dependent variables (p = 0.000_, but if seen from the result of mean difference with the control group, the compliance variable had higher mean value than the SE variable. Improving DM patient's compliance through SE enhancement. Keywords: self efficacy training; self efficacy; obedience


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Somayeh Mahdavikian ◽  
Masoud Fallahi ◽  
Alireza Khatony

Background and Objectives. There is limited and contradictory evidence about the effect of aromatherapy with peppermint and lavender essential oils on the fatigue of cardiac patients. Therefore, the present study was aimed to compare the effect of aromatherapy with peppermint and lavender essential oils on fatigue in cardiac patients. Methods. This randomized controlled clinical trial was conducted on 105 cardiac patients. They were randomly divided into three groups: peppermint essential oil (n = 35), lavender essential oil (n = 35), and control (n = 35). Fatigue Severity Scale (FSS) was used to collect data. The intervention was performed for 7 nights. Before and after the intervention, the questionnaire was completed by all patients. In each intervention group, patients inhaled 3 drops of lavender or peppermint essential oils. In the control group, patients inhaled 3 drops of aromatic placebo. Results. The results showed the average fatigue decreased in the study groups. There was no statistically significant difference between the two groups of lavender and peppermint in terms of mean fatigue after the intervention. However, there was a statistically significant difference between lavender and control groups ( P < 0.001 ), as well as peppermint and control groups ( P < 0.001 ). Conclusion. Aromatherapy with peppermint and lavender essential oils can reduce the fatigue of cardiac patients, so the use of these fragrances is recommended.


2018 ◽  
Author(s):  
Ayeesha Kamal ◽  
Adeel Khoja ◽  
Bushra Usmani ◽  
Shahvaiz Magsi ◽  
Aresha Malani ◽  
...  

BACKGROUND Pakistan is the sixth most populous nation in the world and has an estimated 4 million stroke survivors. Most survivors are taken care of by community-based caregivers, and there are no inpatient rehabilitation facilities. OBJECTIVE The objective of this study was to evaluate the effectiveness and safety of locally designed 5-min movies rolled out in order of relevance that are thematically delivered in a 3-month program to deliver poststroke education to stroke survivor and caregiver dyads returning to the community. METHODS This study was a randomized controlled, outcome assessor–blinded, parallel group, single-center superiority trial in which participants (stroke survivor-caregiver dyads) with first-ever stroke (both ischemic and hemorrhagic) incidence were randomized within 48 hours of their stroke into either the video-based education intervention group or the control group. The video-based education intervention group had health education delivered through short videos that were shown to the participants and their caregivers at the time of admission, before discharge, and the first and third months of follow-up after discharge. The control group had standardized care including predischarge education and counseling according to defined protocols. All participants enrolled in the video education intervention and control groups were followed for 12 months after discharge for outcome assessment in the outpatient stroke clinics. The primary outcome measures were the proportion of participants achieving control of blood pressure, blood sugar, and blood cholesterol in the video intervention versus the control group. Several predefined secondary outcomes were included in this study, of which we report the mortality and functional disability in this paper. Analysis was by performed using the intention-to-treat principle. RESULTS A total of 310 stroke survivors and their caregiver dyads (participant dyads) were recruited over a duration of 6 months. In total, 155 participant dyads were randomized into the intervention and control groups, each. The primary outcome of control of three major risk factors revealed that at 12 months, there was a greater percentage of participants with a systolic B<i>P</i>&lt;125 mm Hg (18/54, 33% vs 11/52, 21%; <i>P</i>=.16), diastolic B<i>P</i>&lt;85 mm Hg (44/54, 81% vs 37/52, 71%; <i>P</i>=.21), HbA<sub>1c</sub> level&lt;7% (36/55, 65% vs 30/40, 75%; <i>P</i>=.32), and low-density lipoprotein level&lt;100 mg/dL (36/51, 70% vs 30/45, 67%; <i>P</i>=.68) in the intervention group than in the control group. The secondary outcome reported is the mortality among the stroke survivors because the number of stroke-related complications was higher in the control group than in the intervention group (13/155, 8.4% vs 2/155, 1.3%), and this difference was statistically significant (<i>P</i>&lt;.001). CONCLUSIONS The Movies4Stroke trial failed to achieve its primary specified outcome. However, secondary outcomes that directly related to survival skills of stroke survivors demonstrated the effectiveness of the video-based intervention on improving stroke-related mortality and survival without disability. CLINICALTRIAL ClinicalTrials.gov NCT02202330; https://www.clinicaltrials.gov/ct2/show/NCT02202330


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