Effect of a Web-based Instruction Program on Breastfeeding Self-efficacy Among Pregnant Women

Authors

  • Jaruporn Phetyoo Instructor, Faculty of Nursing, Mahidol University
  • Kannika Kantaruksa Associate Professor, Faculty of Nursing, Chiang Mai University
  • Nuntaporn Sansiriphun Associate Professor, Faculty of Nursing, Chiang Mai University

Keywords:

web-based instruction program, self-efficacy, breastfeeding, pregnant women

Abstract

The success of breastfeeding depends on many factors. An important factor is maternal breastfeeding self-efficacy. The purpose of this quasi-experimental research was to study the effect of a web-based instruction program on breastfeeding self-efficacy among pregnant women. The subjects, 48 pregnant women in their third trimester, were recruited from the antenatal care unit, Maharaj Nakorn Chiang Mai Hospital from June to October 2015. Subjects were selected using the inclusion criteria and were assigned to a control group (23 subjects) or an experimental group (25 subjects). Each pair of subjects was matched for the control or experimental groups based on criteria of 1) level of breastfeeding self-efficacy score, 2) maternal age, 3) education level, and 4) duration of maternal leave. The research instrument was the web-based instruction program based on the breastfeeding self-efficacy concept and literature review. The data collection tool was the breastfeeding self-efficacy questionnaire developed by Dennis (2003) and translated into Thai by Jintrawet (2010). Data were analyzed using descriptive statistics and t-test.

The results of the study revealed that:

  1. After participating in the web-based instruction program, the experimental group had a significantly higher breastfeeding self-efficacy than before participating in the web-based instruction program (p<0.001).
  2. After participating in the web-based instruction program, the experimental group had a significantly higher breastfeeding self-efficacy than the control group (p<0.001).

          The result of this study demonstrates that the web-based instruction program can increase breastfeeding self-efficacy in pregnant women. Therefore, nurse-midwives should use this in practice to promote breastfeeding self-efficacy in pregnant women.

References

Ball, O. (2010). Breastmilk is a human right. Breastfeeding Review, 18 (3), 9-19.

Bandura, A. (1997). Insights. Self-efficacy. Harvard Mental Health Letter, 13(9), 4-6.

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.

Battersby, S. (2014). The role of the midwife in breastfeeding: Dichotomies and dissonance. British Journal of Midwifery, 22(8), 551-556.

Belfield, C. R., & Kelly, I. R. (2012). The Benefits of Breast Feeding across the Early Years of Childhood. Journal of Human Capital, 6 (3), 251-277.

Blyth, J. R., Creedy, K. D., Dennis, C. L., Moyle, W., Pratt, J., De Vries, M. S., & Healy, G. (2004). Breastfeeding duration in an Australian population: the influen ce of modifiable antenatal factors. Journal of Human Lactation, 20 (1), 30-8.

Dennis, C. L. (1999). Theoretical underpinnings of breastfeedin g confidence: a self-efficacy framework. Journal of Human Lactation, 15 (3), 195-201.

Dennis, C. L. (2003). The breastfeeding self-efficacy scale: psy chometric assessment of the short form. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, (6), 734-743.

Dennis, C. L. (2010). Development of the Breastfeeding Self-Efficacy Theory. Retrived form http://www.cindyleedennis.ca/research/1-breastfeeding/breast feeding-self-efficacy/

Dutta, S., Dutton, W. H., & Law, G. (2011). The New Internet World: A global perspective on freedom of expression, privacy, trust and security online. Insead Working Papers Collection, (89), 3-34.

Enebrink, P., Hogstrom, J., Forster, M., & Ghaderi, A. (2012). Internet-based parent management training: A randomized controlled study. Behaviour Research and Therapy, 50(4), 240-249. doi:10.1016/j.brat.2012.01.006

Electronic Transactions Development Agency. (2013). Thailand Internet User Profile 2013 Executive Summary. Retrieved from http://www.etda.or.th/internetuserprofile2013/

Giglia, R., & Binns, C. (2014). The effectiveness of the internet in improving breastfeeding outcomes: a systematic review. Journal of Human Lactation, 30 (2), 156-160.

Huang, M. Z., Kuo, S., Avery, M. D., Chen, W., Lin, K., & Gau, M. (2007). Evaluating effects of a prenatal web-based breastfeeding education programme in Taiwan. Journal of Clinical Nursing, 16(8), 1571-1579.

Hannula, L. S., Kaunonen, M. E., & Pukka, P. J. (2014). A study to promote breast feeding in Helsinki Metropolitan area in Finland. Midwifery, 30 (6), 696-704.

Jintrawet, U., Somboon, L., & Thongsawat, T. (2010). Evaluation of Self-efficacy in Breastfeeding (Doctoral dissertation, Chiangmai University). (In Thai)

Khan, B. H. (1997). Web-based Instruction: Education and technologies. New Jersey: Englewood Cliffs.

Kronborg, H., Maimburg, R. D., & Vaeth, M. (2012). Antenatal training to improve breastfeeding: a randomized trial. Midwifery, 28 (6), 784-790. doi:10.1016/j.midw.2011.08.016

Meedya, S., Fahy, K., & Kable, A. (2010).Factors that positively influence breastfeeding duration to 6 months: A literature review. Women and Birth, 23(4), 135-145.

Mousa, M. A. (2014). Breastfeeding for the prevention of breast cancer: Evidence Based Practice. Middle East Journal of Age & Ageing, 12(4), 8-10.

Noel-Weiss, J. N., Rupp, A., Cragg, B., Bassett, V., & Woodend, A. K. (2006). Randomized controlled trial to determine effects of prenatal breastfeeding workshop on maternal breastfeeding self-efficacy and breastfeeding duration. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(5), 616-624.

National Statistical Office. (2013). Thailand MICS Multiple Indicator Cluster Survey 2015-2016.Retrieved from http://www.childinfo.org/files/57-05-010-MICS_TH .pdf

Pate, B. L. (2009). Effectiveness of web-based programs in improving breastfeeding self-efficacy (Doctoral dissertation, University of Arkansas for Medical Sciences).

Petherick, A. (2010). Mother’s milk: a rich opportunity: research on the contents of milk and how breast-feeding benefits a growing child is surprising scientists. Nature, 468, 5-9.

Chaibarn, P. (2010). Effects of self-efficacy and social support enhancement intervention on exclusive breastfeeding behavior among first- time mothers. Nursing Journal, 37 (4), 70-81. (In Thai)

Planning Division Department of Health. (2015). Summary of the strategic development workshop for the Department of Health. Bangkok: Department of Health

Richman, S., & Cabrera, G. (2013). Breastfeeding and Postpartum Depression. In Pravikoff, D. (Ed.), Ipswich. Massachusetts: EBSCO Publishing.

Sillence, E., Briggs, P., Harris, P., & Fishwick, L. (2007). Going online for health advice: Changes in usage and trust practices over the last five years. Interacting with Computers, 19 (3), 397-406.

Stuebe, A. M., & Schwarz, E. B. (2010). The risks and benefits of infant feeding practices for women and their children. Journal of Perinatology, 30(3), 155-162.

Tawia, S. (2013). Breastfeeding, brain structure and function, cognitive development and educational attainment. Breastfeeding Review, 21 (3), 15-20.

Thammarat Pramotmanirat. (2013). Special Report: More Asian mothers surf the Internet. Retrieved from http://thaifinancialpost.com (In Thai)

Thulier, D., & Mercer, J. (2009). Variables associated with breastfeeding duration. Journal of Obstetric, Gynecologic & Neonatal Nursing, 38 (3), 259-268.

United Nations Children’s Fund [UNICEF]. (2013). Breastfeeding. Retrieved form http://www.unicef.org/nutrition/index_24824.html

Winter, L. F. (2013). Evidence-based interventions to support b reastfeeding. The Pediatric Clinics of North America, 60(1), 169-187. doi:10.1016/j.pcl.2012.09.007

World Health Organization [WHO]. (2001). Infant and young child nutrition. 54 th World Health Assembly (WHA 54.2). Geneva: WHO.

World Health Organization [WHO]. (2014). 10 facts on breastfeeding. Retrieved from http://www.who.int/features/factfiles/breastfeeding/en/United N ations Children’s

Downloads

Published

2020-05-14

How to Cite

Phetyoo , J., Kantaruksa , K., & Sansiriphun , N. (2020). Effect of a Web-based Instruction Program on Breastfeeding Self-efficacy Among Pregnant Women. Nursing Journal CMU, 47(2), 156–168. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/241803

Issue

Section

RESEARCH  ARTICLES