Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.

Objective: To evaluate the effectiveness of a theory‐based, Real‐time‐online Education and Support with Telephone follow‐ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. Study Design: Randomised controlled trial. Methods: Convenience sampling was u...

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Publicado en:Scandinavian Journal of Caring Sciences Vol. 39; no. 1; pp. 1 - 15
Autores principales: Wong, Mei Sze, Chien, Wai Tong
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
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      pub: Wiley-Blackwell
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        atl: Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.
      aug:
        au:
          Wong, Mei Sze
          Chien, Wai Tong
        affil: Faculty of Medicine, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong
      sug:
        subj:
          Primiparas Psychosocial Factors
          Mothers Education
          Chinese Persons Psychosocial Factors
          Online Education
          Education, Theory-Based
          Breast Feeding Education
          Outcomes of Education Evaluation
          After Care
          Telephone
          Postnatal Period
          Human
          Female
          Adult
          Randomized Controlled Trials
          Prospective Studies
          Repeated Measures
          Health Screening
          Outcome Assessment
          Fisher's Exact Test
          Chi Square Test
          T-Tests
          Data Analysis Software
          Adult: 19-44 years
          Female
      ab: Objective: To evaluate the effectiveness of a theory‐based, Real‐time‐online Education and Support with Telephone follow‐ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. Study Design: Randomised controlled trial. Methods: Convenience sampling was used to recruit 150 low‐risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3‐month real‐time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self‐efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate. Results: Then, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow‐ups with prompt and practical advice. Conclusions: The REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant‐care needs. Implications for Patient Care: The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks. Trial Registration: ClinicalTrials.gov identifier: NCT04741425
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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