Effects of a Web-Based Instruction Program on Breastfeeding Knowledge and Exclusive Breastfeeding Among Adolescent mothers


  • Piyaporn Prasitwattanaseree Faculty of Nursing, Chiang Mai University
  • Kannika Kantaruksa Faculty of Nursing, Chiang Mai University
  • Nataya Ngampasutadol Maharaj Nakorn Chiang Mai Hospital


Breastfeeding, Adolescent mothers, Web-based instruction, Breastfeeding knowledge


Exclusive breastfeeding rates in adolescent mothers were lower than the targets of the World Health Organization, The United Nations Children's Fund, and Thailand. An important factor influencing breastfeeding by adolescent mothers was breastfeeding knowledge. This quasi-experimental research aimed to study the effect of a web-based instruction program on breastfeeding knowledge and exclusive breastfeeding rates among adolescent mothers. The participants consisted of 44 adolescent first-time pregnant women and were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments’ quality was evaluated by experts before being applied. Statistics used for data analysis included descriptive statistics, a t-test and a Chi-square test.

The results of the study revealed that:

  1. After participating in the web-based instruction program, the experimental group had a statistically significant higher mean score of breastfeeding knowledge than before participating in the program (p < .001).
  2. After participating in the web-based instruction program, the experimental group had statistically significant higher mean different scores for breastfeeding knowledge than the control group (p < .001).
  3. After participating in the web-based instruction program, the experimental group had statistically significant higher exclusive breastfeeding rates at 6 weeks postpartum than the control group (p = .004).

The results of this study demonstrate that a web-based instruction program can increase breastfeeding knowledge and enhance the exclusive breastfeeding rate in adolescent mothers. Therefore, nurse-midwives should use this program to educate and promote breastfeeding in adolescent mothers.


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Research Article