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Completed

NCT Number: NCT07371845

Effect of Teach-Back Education on Breastfeeding and Bonding in Mothers of Preterm Infants

The aim of this randomized controlled experimental study is to contribute to the standardization of nursing interventions for premature mothers and to establish a scientific basis for breastfeeding education models in our country. It also aims to evaluate the effects of the following: digital privacy literacy, children's autonomy, decision-making ability, and privacy awareness. The hypotheses of the study are as follows:

H₁: Mothers who received Teach-Back training have a higher level of breastfeeding self-efficacy.

H₂: Mothers who received Teach-Back training have a higher level of mother-infant bonding.

H₀: There is no significant difference between the groups.

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Key information

Conditions

Premature Behavior Breast Feeding Feeding Behavior Female Urogenital Diseases and Pregnancy Complications Mother-Child Relationship Obstetric Labor Complications Obstetric Labor, Premature Pregnancy Complications Premature Birth Urogenital Diseases

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Atatürk Üniversitesi

Erzurum, Turkey (Türkiye)

About this study

The study will be conducted with mothers of premature babies who meet the inclusion criteria at the state hospital located in Tatvan district, affiliated with the Bitlis Provincial Health Directorate. Participants will be assigned to two groups using simple random sampling:

  • Experimental group: (Mothers who received Teach-Back training)
  • Control group: (Mothers who received routine discharge education). Data will be collected using the "Participant Identification Form", "Breastfeeding Self-Efficacy Scale for Mothers of Preterm Babies", "Mother-Infant Bonding Scale" and "Teach-Back Training Evaluation Form".

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being 18 years of age or older,
  • Having a baby born before the 37th week of gestation (being a mother of a premature baby),
  • Being able to read and understand Turkish,
  • Having actually started breastfeeding,
  • Having no hearing, visual, or cognitive communication impairment,
  • Not having a diagnosed serious psychiatric illness (major depression, anxiety disorder, etc.),
  • The baby not being in a serious clinical condition, not under palliative care or intensive life support,
  • Not participating in another breastfeeding education or counseling program at the same time,
  • Voluntarily agreeing to participate in the study.

Exclusion criteria

  • All mothers who do not meet the inclusion criteria will be excluded from the study.

Treatment and study plan

Teach-Back Education

Behavioral

A structured teach-back education program is provided to mothers of preterm infants to improve breastfeeding practices and enhance mother-infant bonding. Mothers are asked to repeat and demonstrate the information to confirm understanding.

Primary outcomes

  1. Participant Introduction Form

    Time frame: First week

    The form was prepared by the researcher in accordance with the literature to determine the sociodemographic (age, education level, income level, marital status, place of residence) and obstetric characteristics (number of pregnancies, mode of delivery, gestational age, birth weight, neonatal hospital stay, previous breastfeeding experience, etc.) of the mothers participating in the study. The form was developed using research examining the relationships between breastfeeding self-efficacy, mother-infant bonding, and maternal characteristics.

  2. The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

    Time frame: First Week

    This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy.

  3. Mother-to-Infant Bonding Scale

    Time frame: First Week

    This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683.

Secondary outcomes

  1. The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants

    Time frame: within the fist week

    This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy.

  2. Mother-to-Infant Bonding Scale

    Time frame: within the first week

    This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683.

  3. Teach-Back Training Evaluation Form

    Time frame: within the first week

    This form was prepared by the researcher to observe the comprehensibility and learning level of the Teach-back training given to the experimental group. The form evaluates the participant's ability to explain the information received in their own words, recall basic concepts, and express their application plan. A short checklist consisting of five items is completed observationally at the end of each session with a score of 0-2 (insufficient-partially sufficient). The form will only be used to monitor the quality of the training process. This evaluation approach is consistent with international guidelines for monitoring the process accuracy of the teach-back method.

Sponsors and collaborators

Lead sponsor

Ataturk University

Other

Registry information

Official study title

The Effect of Teach-Back Education Given to Mothers of Preterm Infants on Breastfeeding Success and Mother-Infant Bonding: A Randomized Controlled Trial

Acronym: TEACH-PRE

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 28, 2026
Registry last updated
Apr 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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