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NCT Number: NCT07705932

Investigation of the Effect of Video-Assisted Breastfeeding Education on State Anxiety, Breastfeeding Myths, and Breastfeeding Motivation in Primiparous Mothers

This randomized controlled trial aims to evaluate the effectiveness of a video-assisted breastfeeding education program for primiparous pregnant women. The intervention is designed to improve breastfeeding motivation, reduce breastfeeding myths, and decrease state anxiety related to breastfeeding. Pregnant women receiving antenatal care at Family Health Centers in Iğdır Province will be randomly assigned to either the intervention group or the control group. Participants in the intervention group will receive structured video-based breastfeeding education in addition to routine care, while the control group will receive routine antenatal and postnatal breastfeeding education only. The findings of this study are expected to provide evidence regarding the effectiveness of technology-supported breastfeeding education in promoting positive breastfeeding-related outcomes among first-time mothers.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

Breastfeeding is recognized as the optimal method of infant feeding and provides substantial health benefits for both infants and mothers. The World Health Organization recommends initiation of breastfeeding within the first hour after birth, exclusive breastfeeding for the first six months, and continued breastfeeding with appropriate complementary feeding up to two years of age or beyond. Despite these recommendations, exclusive breastfeeding rates remain below desired levels worldwide.

Successful breastfeeding is influenced by multiple psychological, educational, and sociocultural factors. Primiparous mothers frequently experience uncertainty, anxiety, inadequate confidence, and misconceptions regarding breastfeeding. Breastfeeding myths, such as concerns about insufficient milk supply or beliefs that certain maternal characteristics determine breastfeeding success, may negatively affect breastfeeding practices and continuation. Maternal anxiety has also been associated with reduced breastfeeding confidence and motivation.

Advances in information and communication technologies have created new opportunities for delivering breastfeeding education. Video-assisted educational interventions provide standardized, visually supported, and repeatedly accessible learning materials that may improve knowledge acquisition, reinforce practical skills, and increase maternal confidence. However, evidence regarding the effectiveness of structured video-assisted breastfeeding education on breastfeeding motivation, breastfeeding myths, and maternal state anxiety among primiparous women remains limited.

This study is designed as a parallel-group randomized controlled trial conducted in Family Health Centers in Iğdır Province, Türkiye. Eligible primiparous pregnant women will be randomly allocated to either a video-assisted breastfeeding education group or a routine care group. The educational intervention consists of three expert-developed video modules covering breastfeeding fundamentals, breastfeeding motivation, and common breastfeeding myths. Videos will be delivered weekly via WhatsApp during late pregnancy. Participants may view the videos as often as desired, and researchers will obtain feedback after each module through telephone or WhatsApp communication.

Women allocated to the control group will receive routine breastfeeding education provided within standard antenatal and postnatal healthcare services. Outcome assessments will be conducted before the intervention during pregnancy and again at eight weeks postpartum. The study aims to determine whether video-assisted breastfeeding education can improve breastfeeding-related psychological and behavioral outcomes compared with routine care alone.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Women aged 18 years or older.
  • Primiparous pregnant women.
  • Gestational age between 32 and 36 weeks.
  • Planning to breastfeed after delivery.
  • Singleton pregnancy.
  • Able to read and write in Turkish.
  • Using WhatsApp.
  • Willing to participate and provide written informed consent.

Exclusion criteria

  • High-risk pregnancy or serious obstetric complications.
  • Newborns with serious congenital anomalies or medical conditions requiring treatment and separation from the mother (e.g., dysphagia).
  • Mothers with severe nipple abnormalities that may prevent breastfeeding.
  • Withdrawal of informed consent at any stage of the study.

Treatment and study plan

Video-Assisted Breastfeeding Education

Behavioral

Participants will receive a structured video-assisted breastfeeding education program in addition to routine antenatal and postnatal care. The intervention consists of three educational video modules developed based on current evidence and expert opinion. The modules cover breastfeeding fundamentals, breastfeeding motivation, and common breastfeeding myths. Videos will be delivered weekly via WhatsApp during late pregnancy. Participants will be able to watch the videos repeatedly at their convenience. After each module, researchers will contact participants via telephone or WhatsApp to obtain feedback and answer questions.

Primary outcomes

  1. Breastfeeding Motivation

    Time frame: Baseline (32-36 weeks of pregnancy) and 8 weeks postpartum

    Breastfeeding motivation will be assessed using the Breastfeeding Motivation Scale to evaluate the effect of the video-assisted breastfeeding education program among primiparous women. The Breastfeeding Motivation Scale consists of 23 items and five subscales. Each item is rated on a 4-point Likert scale (1-4). The scale does not provide a total score; each subscale is evaluated separately. Higher subscale scores indicate higher breastfeeding motivation in the corresponding dimension.

Sponsors and collaborators

Lead sponsor

Bilecik Seyh Edebali Universitesi

Other

Registry information

Official study title

Investigation of the Effect of Video-Assisted Breastfeeding Education on State Anxiety, Breastfeeding Myths, and Breastfeeding Motivation in Primiparous Mothers: A Randomized Controlled Trial

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jul 15, 2026
Registry last updated
Jul 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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