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Completed

NCT Number: NCT06362876

The Effect of Breastfeeding Counseling Based on Motivational Interviewing

This research was planned to determine the effect of breastfeeding counseling based on motivational interviewing method and standard breastfeeding counseling on breastfeeding self-efficacy and breastfeeding results in women who had a cesarean section.

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Key information

Conditions

Breastfeeding Counseling Based on Motivational Interviewing Behavior Breast Feeding Feeding Behavior

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Mersin University

Mersin, 33180, Turkey (Türkiye)

About this study

This study was conducted between September 2023 and August 2024 as a single-blind randomized controlled study to determine the effect of breastfeeding counseling based on the motivational interview method and standard breastfeeding counseling on breastfeeding self-efficacy and breastfeeding results in women who had a cesarean section in Turkey. Participants who met the inclusion criteria were informed about the subject. The purpose of the study was explained to participants, and informed consent was obtained from all individuals who received motivational interviewing-based training or standard breastfeeding training. Data; When the research was approved, it was collected before the first counseling, in the first 48 hours after birth, and on the 14th day, 1st month and 3rd month after birth. CONSORT directive was followed in research planning

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Between September 2023 and August 2024
  • Living in Turkey
  • Seeing the poster about the research on social media and applying for the research
  • Those between the ages of 18-40,
  • Native speaker of Turkish,
  • 34-40 weeks of pregnancy. between weeks,
  • First pregnancy,
  • Having a singleton pregnancy,
  • Determining the type of birth as planned cesarean section,
  • Do not have any chronic disease or pregnancy complications,
  • There is no obstacle to breastfeeding,
  • Does not have any psychiatric disease,
  • Not receiving any individual, special training or counseling other than standard training and counseling regarding breastfeeding during pregnancy,
  • Women who are ambivalent about breastfeeding

Exclusion criteria

  • Not attending at least one of the counseling sessions to be held,
  • Under 34 weeks and over 40 weeks,
  • Participating in another training or receiving counseling regarding breastfeeding,
  • Those who have health problems during the education process,
  • Mother or baby has a health problem that will affect breastfeeding processes in the postpartum period,
  • Those who have situations that may interrupt breastfeeding (hospitalization, medication use, separation from the baby, etc.),
  • Leaving messages unanswered during the research process, not answering phone calls at least 5 times a week, and not returning to the researcher,
  • Women who developed a psychological condition or psychiatric disorder during the research process

Treatment and study plan

Breastfeeding Counseling Based on Motivational Interviewing

Behavioral

Breastfeeding Counseling Based on Motivational Interviewing Program The breastfeeding counseling based on motivational interviewing program consists of 6 sessions and 4 hours. It includes information about breastfeeding, motivational preparation for the breastfeeding experience.

Standard Breastfeeding Consultancy

Behavioral

Standart Breastfeeding Consultancy The standard breastfeeding consultancy program consists of 6session and 4 hours. It contains only information and applications about breastfeeding

Primary outcomes

  1. Level of breastfeeding self-efficacy

    Time frame: 34-40 weeks of pregnancy

    Women's breastfeeding self-efficacy during pregnancy were evaluated with the Breastfeeding Self-efficacy Scale.

    This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al.This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy.

    There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.

  2. Level of breastfeeding self-efficacy

    Time frame: Postpartum 24-48 hours

    Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale.

    This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy.

    There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.

  3. Level of breastfeeding self-efficacy

    Time frame: Postpartum 14. days

    Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale.

    This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy.

    There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.

  4. Level of breastfeeding self-efficacy

    Time frame: Postpartum 1. month

    Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale.

    This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy.

    There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.

  5. Level of breastfeeding self-efficacy

    Time frame: Postpartum 3. month

    Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale.

    This scale was developed by Dennis et al for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. This scale consisting of 14 items is a 5 point Likert type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy.

    There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.

  6. Breastfeeding Results Evaluation Form

    Time frame: Postpartum 24-48 hours

    The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.

  7. Breastfeeding Results Evaluation Form

    Time frame: Postpartum 14. days

    The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.

  8. Breastfeeding Results Evaluation Form

    Time frame: Postpartum 1. month

    The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.

  9. Breastfeeding Results Evaluation Form

    Time frame: Postpartum 3. month

    The breastfeeding process evaluation form was created by researchers as a result of a literature review. The breastfeeding results evaluation form consists of 13 questions. It is a measurement tool that primarily determines individuals' current breastfeeding status, breastfeeding intentions in the first 6 months, breastfeeding confidence-sufficiency and breastfeeding importance scores. Breastfeeding confidence-sufficiency and breastfeeding importance scores are in the range of 0-10, and it is accepted that the higher the score, the higher the importance and value given.

Sponsors and collaborators

Lead sponsor

Mersin University

Other

Registry information

Official study title

The Effect of Breastfeeding Counseling Based on Motivational Interviewing Method in Women Having Cesarean Delivery

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Apr 12, 2024
Registry last updated
Jun 24, 2025

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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