“…Primiparous women's sense of parental self‐efficacy is important to overcome these difficulties (Entsieh & Hallström, ). The experiences of women on baby care or breastfeeding (what they observed before), their perceived benefits, perceived barriers, information status, postnatal breastfeeding, and baby care impact her parental self‐efficacy (Cangöl & Şahin, ; Kaya & Şahin, ). In our study, the PSS scores of the women in the intervention group, who received web‐based education in the context of PHPM, was higher compared to the control group.…”
Section: Discussionmentioning
confidence: 99%
“…Using nursing theoretical models in education and nursing interventions provides a scientific basis for concepts and principles related to implementation and provides a systematic approach to care (Alligood, ). Pender's Health Promotion Model (PHPM) has been used in many studies, especially for breastfeeding education and the development of postnatal care program (Cangöl & Şahin, ; Sakala & Kazembe, ; Scott, Shreve, Ayers, & McElfish, ). This framework could likely provide primiparous women with the information that they need to care for their infants.…”
Objective
The study was conducted to examine the efficacy of a web‐based program, informed by Pender's Health Promotion Model, given to primiparous women on the growth and development of infant, infants’ health, and women's self‐efficacy level.
Methods
This randomized controlled study with a posttest design was conducted in three primary care clinics. The study group comprised 71 primiparous women and their infants (intervention group: N = 35; control group: N = 36). The women who are at the 33–37th gestational week in the intervention group participated in the web‐based program. They completed four education modules. Women in the control group received routine care in clinics. Data forms were completed in the first week and first, second, and third months postpartum. Breastfeeding status, weight, head circumference, development of infants and women's self‐efficacy were evaluated in the postnatal period up to 3 months.
Results
In the intervention group, the ratio of infants who were exclusively breastfed was higher compared to the control group. The mean scores for the LATCH instrument which measures breastfeeding status and Parental Self‐Efficacy Scale, were significantly higher in the intervention compared to the control group (p < .05).
Conclusion
The women who participated in the web‐based program demonstrated better self‐efficacy and their infants demonstrated better scores on measures of growth, development, and health than those in the control group.
“…Primiparous women's sense of parental self‐efficacy is important to overcome these difficulties (Entsieh & Hallström, ). The experiences of women on baby care or breastfeeding (what they observed before), their perceived benefits, perceived barriers, information status, postnatal breastfeeding, and baby care impact her parental self‐efficacy (Cangöl & Şahin, ; Kaya & Şahin, ). In our study, the PSS scores of the women in the intervention group, who received web‐based education in the context of PHPM, was higher compared to the control group.…”
Section: Discussionmentioning
confidence: 99%
“…Using nursing theoretical models in education and nursing interventions provides a scientific basis for concepts and principles related to implementation and provides a systematic approach to care (Alligood, ). Pender's Health Promotion Model (PHPM) has been used in many studies, especially for breastfeeding education and the development of postnatal care program (Cangöl & Şahin, ; Sakala & Kazembe, ; Scott, Shreve, Ayers, & McElfish, ). This framework could likely provide primiparous women with the information that they need to care for their infants.…”
Objective
The study was conducted to examine the efficacy of a web‐based program, informed by Pender's Health Promotion Model, given to primiparous women on the growth and development of infant, infants’ health, and women's self‐efficacy level.
Methods
This randomized controlled study with a posttest design was conducted in three primary care clinics. The study group comprised 71 primiparous women and their infants (intervention group: N = 35; control group: N = 36). The women who are at the 33–37th gestational week in the intervention group participated in the web‐based program. They completed four education modules. Women in the control group received routine care in clinics. Data forms were completed in the first week and first, second, and third months postpartum. Breastfeeding status, weight, head circumference, development of infants and women's self‐efficacy were evaluated in the postnatal period up to 3 months.
Results
In the intervention group, the ratio of infants who were exclusively breastfed was higher compared to the control group. The mean scores for the LATCH instrument which measures breastfeeding status and Parental Self‐Efficacy Scale, were significantly higher in the intervention compared to the control group (p < .05).
Conclusion
The women who participated in the web‐based program demonstrated better self‐efficacy and their infants demonstrated better scores on measures of growth, development, and health than those in the control group.
“…Sensitivity analysis for attrition bias caused a 20% increase (RR 1.20, 95% CI 1.11 to 1.29; 12 studies; 83,868 participants) due the removal of two studies [25,33]. Subgroup analysis by setting showed facility-based [24,25,27,33,51,63,75,88] and community-based [38,49,57,73,83] had significant effects without significant heterogeneity between subgroups. Subgroup analysis by timing of intervention showed postnatal [24,25,88] and prenatal/postnatal interventions [27,33,44,49,57,73,75,83] both had a significant effect, whereas prenatal interventions [38,51,63] had no effect on early initiation of breastfeeding.…”
Section: Study Selectionmentioning
confidence: 98%
“…Sensitivity analysis for high risk allocation concealment showed a 20% increase (RR 1.20, 95% CI 1.11 to 1.29; 10 studies; 83,565 participants) as ten studies remained [25,27,38,44,49,57,63,73,88]. Sensitivity analysis for attrition bias caused a 20% increase (RR 1.20, 95% CI 1.11 to 1.29; 12 studies; 83,868 participants) due the removal of two studies [25,33]. Subgroup analysis by setting showed facility-based [24,25,27,33,51,63,75,88] and community-based [38,49,57,73,83] had significant effects without significant heterogeneity between subgroups.…”
Section: Study Selectionmentioning
confidence: 99%
“…The breastfeeding education studies were con4ducted in a wide range of countries spanning four continents, i.e., twelve studies in Africa; one in Egypt [22]; two in Ghana [23,57]; two in Uganda [37,63]; one in Nigeria [38]; two in Tanzania [44,73]; two in Kenya [56,70]; one in South Africa [49]; one study in three countries of Africa [92]; Burkina Faso, Uganda and South Africa. Twenty-four studies were conducted in Asia; six in Bangladesh [26,27,51,53,89,95]; three in India [29,65,67]; one in Nepal [32]; two in Iran [39,75]; one in China [42]; one in Jordan [54]; one in Thailand [58]; one in Pakistan [83]; one in Malaysia [87]; two in Turkey [24,33]; one in Philippines [21]. One study was conducted in North America; in Mexico [66] and five in South America; in Brazil [25,68,81,86,93].…”
Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.
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