Exclusive BreastfeedingNCT04478682
Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
A study testing Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application in people with Exclusive Breastfeeding and Breastfeeding Support, run by Ahi Evran University Education and Research Hospital at 1 site in Turkey (Türkiye).
Trial summary
The research was planned as a randomized controlled experimental study in order to determine the effect of continuous breastfeeding support provided to mothers through WhatsApp messaging application on breastfeeding. Read more about this study
- Who is it for?
- Ages 18 to 49 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Exclusive Breastfeeding, Breastfeeding Support
- What is being tested?
- Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Dec 2020to 1 Sep 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 49 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- For the mother;
- 18 years and older
- Primipar,
- Having healthy pregnancy and uncomplicated birth,
- No health problems preventing breastfeeding (drug use, HIV, etc.),
- Not having any obstacle to communication (not knowing Turkish, mental retardation etc.),
Show all 13Show fewer
- Being literate,
- Having a smart phone and internet connection,
- It was determined to be able to use WhatsApp application. For baby;
- Being healthy and term
- No health problems preventing breastfeeding (Esophageal atresia, cleft palate, cleft lip etc.)
- Its weight is between 2500-4000 gr.
- It was determined that the Apgar Score was above 7.
Who cannot join
- Mothers with multiple pregnancies,
- Infants lying in NICU due to health problems in the postpartum period will be excluded from the scope of the research.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Zeynep Kamil Women And Chıldren Dıseases Tranıng And Research Hospıtal
Istanbul, Üsküdar, 34660
About this study
Official title: The Effect of Continuous Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application on Breastfeeding: A Randomized Controlled Trial
The research was planned as a randomized controlled experimental study in order to determine the effect of continuous breastfeeding support provided to mothers through WhatsApp messaging application on breastfeeding.
Research Hypotheses H0: Continuous breastfeeding support provided to mothers through WhatsApp messaging application has no effect on breastfeeding.
Read more
H1: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the rate of exclusive breastfeeding.
H2: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the breastfeeding duration of the mothers.
H3: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the rate of mothers giving their babies other foods than breast milk.
H4: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces bottle feeding rates.
H5: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the rate of pacifier use.
H6: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the incidence of mothers' breastfeeding problems.
H7: Continuous breastfeeding support provided to mothers through WhatsApp messaging application affects mothers' breastfeeding attitude positively.
H8: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the motivation of breastfeeding mothers.
Read the detailed description
METHOD:
Place of the Research:
The data of the research will be collected in the postpartum service of Zeynep Kamil Women And Chıldren Dıseases Tranıng And Research Hospıtal in Istanbul. After then 6 months of follow-up will be continued trough WhatsApp application.
The Universe and the Sample of the Research:
The universe of the research; It will comprise primipa mothers and babies who are hospitalized in the postpartum ward of the specified dates, deliver vaginal or cesarean delivery, and meet the sample selection criteria.
The sample of the research was determined by statistic analysis by power analysis. Power analysis was performed by using G * Power (v3.1.7) program to determine the number of samples. The power of the study is expressed as 1-β (olasılığı = type II error probability) and research should generally have 80% power. According to Cohen's effect size coefficients; Assuming that the evaluations to be made between the two independent groups will have a medium effect size (d = 0.5), considering the fact that there should be at least 64 people in the groups and there may be losses in the working process, each group decided to recruit 70 people. 140 people in total. it is given. Computerized randomization method will be used in the research.
In the collection of research data; Mother and Newborn Data Collection Form Postpartum Breastfeeding Evaluation and Follow-up Form Application Satisfaction Evaluation Form Breastfeeding Attitudes of The Evaluation Scale Primipara Breastfeeding Motivation Scale (PBMS) 5 data collection forms will be used.
Application of the research:
The researcher will briefly talk about the scope and content of the research by meeting with the mothers who meet the case selection criteria. Written consents will be obtained through the "Informed Volunteer Consent Form" asking mothers whether they want to participate in the study. Mothers who wish to participate in the study will be randomly determined by computer-assisted randomization method. Applications made after randomization will be carried out with the following steps; Experimental group; Information will be obtained from the mothers who agreed to participate in the study in line with the "Mother and Newborn Data Total Form", Mothers participating in the study will receive routine breastfeeding training at the hospital after birth, The breastfeeding attitude of the mother will be evaluated with the "Breastfeeding Attitude Scale", and the breastfeeding motivation of the mother will be evaluated with the "Breastfeeding Motivation Scale", In line with the needs of the mothers, breastfeeding support and motivation will be provided, In the first 1 month, basic standard information sharing (see "Basic Standard Information Sharing") will be made determined by the researcher. Later, information sharing will be made regarding the questions and problems of the mother, Individual breastfeeding support provided to mothers through WhatsApp will continue for 6 months, Mothers will be contacted once a week through WhatsApp and feedback will be received on the breastfeeding process, The questions of the mother regarding breastfeeding will be answered by text / voice message or video call, In the postpartum period (day 7, day 15, month 1, month 2, month 4 and month 6) mothers will be called by phone. Breastfeeding conditions will be evaluated with "Postpartum Breastfeeding Evaluation and Follow-up Form".
Breastfeeding attitudes of the mothers will be assessed with the Breastfeeding Attitudes of the Evaluation Scale" before breastfeeding education in hospital and through online survey at the 6th Month.
Breastfeeding motivations of the mothers will be assessed with the " Primipara Breastfeeding Motivation Scale " through online survey at the 6th Month.
The mothers' satisfaction with the continuous breastfeeding support provided through WhatsApp will be evaluated with the "Application Satisfaction Evaluation Form" through online survey.
Basic Standard Information Sharing; New coronavirus (COVID-19) and breastfeeding Suggestion on breastfeeding (motivational-enhancing videos that emphasize breastfeeding is instinctive) The importance of breast milk (positive effects on mother and baby will be explained) Sharing of health institutions emphasizing the importance of breastfeeding (WHO, UNICEF, Ministry of Health) Milk production of breasts (Frequent breastfeeding will be supported by videos) Baby holding the breast (Mothers will be emphasized that the baby's sucking ability instinctively and will be supported with videos) Skin-to-skin contact and breastfeeding Reasons for breastfeeding only for the first 6 months Symptoms that show that the baby is sucking effectively Control Group; Information will be obtained from the mothers who agreed to participate in the study in line with the "Mother and Newborn Data Total Form", Mothers participating in the study will receive routine breastfeeding training at the hospital after birth, The breastfeeding attitude of the mother will be evaluated with the "Breastfeeding Attitude Scale", and the breastfeeding motivation of the mother will be evaluated with the "Breastfeeding Motivation Scale", In line with the needs of the mothers, breastfeeding support and motivation will be provided, In the postpartum period (day 7, day 15, month 1, month 2, month 4 and month 6) mothers will be called by phone. Breastfeeding conditions will be evaluated with "Postpartum Breastfeeding Evaluation and Follow-up Form".
Breastfeeding attitudes of the mothers will be assessed with the Breastfeeding Attitudes of the Evaluation Scale" before breastfeeding education in hospital and through online survey at the 6th Month.
Breastfeeding motivations of the mothers will be assessed with the " Primipara Breastfeeding Motivation Scale " through online survey at the 6th Month.
Analysis:
NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) program will be used for statistical analysis of the research. Statistical significance will be accepted as p <0.05.
- Conditions
- Exclusive Breastfeeding, Breastfeeding Support
- Being tested
- Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
- Keywords
- Breastfeeding support, Exclusive breastfeeding, WhatsApp messaging application, Motivation, Attitude
- Medical subject headings
- Breast Feeding, Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Breastfeeding Support Provided to Mothers Through WhatsApp Messaging ApplicationOther
Breastfeeding support provided to mothers through WhatsApp messaging application will be maintained for the first 6 months after birth. In the first 1 month, standard information sharing will be made through whatsApp. Also, for the first 6 months, solutions generating shares will be made according to the problems and questions of the mother regarding breastfeeding.
| Study group | Role | What they receive |
|---|---|---|
| WhatsApp Messaging Application | Experimental | Continuous breastfeeding support will be provided for the first 6 months through WhatsApp messaging application. Mothers will be contacted once a week through WhatsApp and feedback will be received on the breastfeeding process. The questions of the mother regarding breastfeeding will be answered by text / voice message or video call. Receives: Other: Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application |
| Standard breastfeeding support | No intervention | She will receive standard breastfeeding support after delivery. Breastfeeding will not receive continuous breastfeeding support for the first 6 months after discharge. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Breastfeeding Attitudes of The Evaluation Scale
This scale assesses various aspects of attitudes that direct mothers' breastfeeding behavior. Examines breastfeeding as behavior.
The scale is a five-point Likert type consisting of 46 items, easy to apply, and which people can answer on their own, and it can be applied to all mothers. Some items in the scale (3, 4, 6, 7, 8, 11, 13, 15, 19, 23, 24, 26, 27, 28, 29, 30, 31, 32, 37, 38, 42, 43) As a positive attitude, I agree with the statement "I totally disagree" to 4-3-2-1-0, while some items (1, 2, 5, 9, 10, 12, 14, 16, 17, 18, 20, 21 (22, 25, 33, 34, 35, 36, 39, 40, 41, 44, 45, 46) are considered negative, and the opposite score is scored as 0-1-2-3-4 from the statement entirely agree. In this way, the total score that can be obtained from the scale is between 0 and 184. As the score increases, breastfeeding attitude is evaluated as positive.
Measured: In our study, will be applied before breastfeeding education in hospital and through online survey at postpartum 6th months for both groups
Primipara Breastfeeding Motivation Scale (PBMS)
This scale evaluates postpartum breastfeeding motivation level in primiparous. The scale consists of 24 items in total. After applying to the sample group, the factor analysis of the scale was made and it was determined to have 5 factors.
- Intrinsic motivation and integrated regulation
- Identified regulation
- Mirrored editing External regulation is examined in two sub-dimensions:
- External regulation (instrumental needs)
- External regulation (baby health) Scale items are rated from 1 = Never disagree to 4 = Strongly agree. The scale is in 4-point Likert type, and each item is scored between 1-4. The scale does not have a total score. The score of the sub-dimensions is calculated by taking the average of the scale sub-dimension scores. As the score obtained from the sub-dimension of the scale increases, the motivation representing that sub-dimension increases.
Measured: at postpartum 6th months through online survey for both groups
Application Satisfaction Evaluation Form
Evaluates the satisfaction of mothers from breastfeeding support provided through WhatsApp messaging application.
It is a form consisting of 10 questions by the researcher to evaluate the satisfaction of the mothers from the breastfeeding support given through the social media group (WhatsApp) by making use of the literature information.
The answer to each question will be evaluated as yes / no. In the tenth question, he will be asked to score the application. There will be a minimum of 1 and a maximum of 10 points.
Measured: at postpartum 6th months through online survey for only experimental group
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jul 2020
- Study start1 Dec 2020
- Primary completion28 Feb 2021
- Study completion1 Sep 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Exclusive BreastfeedingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized Controlled Study
- Masking
- None (open label)
- Enrolment
- 150 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ahi Evran University Education and Research Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sevda KORKUT ÖKSÜZ, Ahi Evran University Education and Research Hospital
- Investigators
- Sevda KORKUT ÖKSÜZ, R.A, Principal investigator, Kirsehir Ahi Evran Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04478682
- Sponsor's protocol ID
- AhiEvranU
- Status last verified
- Nov 2021
- First submitted
- 16 Jul 2020
- Last updated
- 29 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Balaguer Martinez JV, Valcarce Perez I, Esquivel Ojeda JN, Hernandez Gil A, Martin Jimenez MDP, Bernad Albareda M. [Telephone support for breastfeeding by primary care: a randomised multicentre trial]. An Pediatr (Engl Ed). 2018 Dec;89(6):344-351. doi: 10.1016/j.anpedi.2018.02.007. Epub 2018 Mar 22. Spanish.
PubMed 29576447Reiss K, Andersen K, Barnard S, Ngo TD, Biswas K, Smith C, Carpenter J, Church K, Nuremowla S, Pearson E. Using automated voice messages linked to telephone counselling to increase post-menstrual regulation contraceptive uptake and continuation in Bangladesh: study protocol for a randomised controlled trial. BMC Public Health. 2017 Oct 3;17(1):769. doi: 10.1186/s12889-017-4703-z.
PubMed 28974209Simonetti V, Palma E, Giglio A, Mohn A, Cicolini G. A structured telephonic counselling to promote the exclusive breastfeeding of healthy babies aged zero to six months: a pilot study. Int J Nurs Pract. 2012 Jun;18(3):289-94. doi: 10.1111/j.1440-172X.2012.02040.x.
PubMed 22621300Cavalcanti DS, Cabral CS, de Toledo Vianna RP, Osorio MM. Online participatory intervention to promote and support exclusive breastfeeding: Randomized clinical trial. Matern Child Nutr. 2019 Jul;15(3):e12806. doi: 10.1111/mcn.12806. Epub 2019 Apr 11.
PubMed 30825414Kapinos K, Kotzias V, Bogen D, Ray K, Demirci J, Rigas MA, Uscher-Pines L. The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial. J Med Internet Res. 2019 Sep 3;21(9):e13967. doi: 10.2196/13967.
PubMed 31482848Durmaz S, Ergin I, Durusoy R, Hassoy H, Caliskan A, Okyay P. WhatsApp embedded in routine service delivery for smoking cessation: effects on abstinence rates in a randomized controlled study. BMC Public Health. 2019 Apr 8;19(1):387. doi: 10.1186/s12889-019-6727-z.
PubMed 30961557Sevda KO, Sevil I. Continuous Lactation Support Provided Through the WhatsApp Messaging Application: A Randomized Controlled Trial. J Hum Lact. 2023 Nov;39(4):666-678. doi: 10.1177/08903344231192948. Epub 2023 Aug 30.
PubMed 37646262
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Continuous Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application on Breastfeeding: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT04478682
- Acronym / sponsor ID
- AhiEvranU
- Conditions
- Exclusive Breastfeeding, Breastfeeding Support
- Keywords
- Breastfeeding support, Exclusive breastfeeding, WhatsApp messaging application, Motivation, Attitude
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 150 participants (actual)
- Lead sponsor
- Ahi Evran University Education and Research HospitalUniversity, hospital or other
- Study start
- 1 Dec 2020 (actual)
- Primary completion
- 28 Feb 2021 (actual)
- Study completion
- 1 Sep 2021 (actual)
- First posted
- 21 Jul 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The research was planned as a randomized controlled experimental study in order to determine the effect of continuous breastfeeding support provided to mothers through WhatsApp messaging application on breastfeeding.
Research Hypotheses H0: Continuous breastfeeding support provided to mothers through WhatsApp messaging application has no effect on breastfeeding.
H1: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the rate of exclusive breastfeeding.
H2: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the breastfeeding duration of the mothers.
H3: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the rate of mothers giving their babies other foods than breast milk.
H4: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces bottle feeding rates.
H5: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the rate of pacifier use.
H6: Continuous breastfeeding support provided to mothers through WhatsApp messaging application reduces the incidence of mothers' breastfeeding problems.
H7: Continuous breastfeeding support provided to mothers through WhatsApp messaging application affects mothers' breastfeeding attitude positively.
H8: Continuous breastfeeding support provided to mothers through WhatsApp messaging application increases the motivation of breastfeeding mothers.
Detailed description
METHOD:
Place of the Research:
The data of the research will be collected in the postpartum service of Zeynep Kamil Women And Chıldren Dıseases Tranıng And Research Hospıtal in Istanbul. After then 6 months of follow-up will be continued trough WhatsApp application.
The Universe and the Sample of the Research:
The universe of the research; It will comprise primipa mothers and babies who are hospitalized in the postpartum ward of the specified dates, deliver vaginal or cesarean delivery, and meet the sample selection criteria.
The sample of the research was determined by statistic analysis by power analysis. Power analysis was performed by using G * Power (v3.1.7) program to determine the number of samples. The power of the study is expressed as 1-β (olasılığı = type II error probability) and research should generally have 80% power. According to Cohen's effect size coefficients; Assuming that the evaluations to be made between the two independent groups will have a medium effect size (d = 0.5), considering the fact that there should be at least 64 people in the groups and there may be losses in the working process, each group decided to recruit 70 people. 140 people in total. it is given. Computerized randomization method will be used in the research.
In the collection of research data; Mother and Newborn Data Collection Form Postpartum Breastfeeding Evaluation and Follow-up Form Application Satisfaction Evaluation Form Breastfeeding Attitudes of The Evaluation Scale Primipara Breastfeeding Motivation Scale (PBMS) 5 data collection forms will be used.
Application of the research:
The researcher will briefly talk about the scope and content of the research by meeting with the mothers who meet the case selection criteria. Written consents will be obtained through the "Informed Volunteer Consent Form" asking mothers whether they want to participate in the study. Mothers who wish to participate in the study will be randomly determined by computer-assisted randomization method. Applications made after randomization will be carried out with the following steps; Experimental group; Information will be obtained from the mothers who agreed to participate in the study in line with the "Mother and Newborn Data Total Form", Mothers participating in the study will receive routine breastfeeding training at the hospital after birth, The breastfeeding attitude of the mother will be evaluated with the "Breastfeeding Attitude Scale", and the breastfeeding motivation of the mother will be evaluated with the "Breastfeeding Motivation Scale", In line with the needs of the mothers, breastfeeding support and motivation will be provided, In the first 1 month, basic standard information sharing (see "Basic Standard Information Sharing") will be made determined by the researcher. Later, information sharing will be made regarding the questions and problems of the mother, Individual breastfeeding support provided to mothers through WhatsApp will continue for 6 months, Mothers will be contacted once a week through WhatsApp and feedback will be received on the breastfeeding process, The questions of the mother regarding breastfeeding will be answered by text / voice message or video call, In the postpartum period (day 7, day 15, month 1, month 2, month 4 and month 6) mothers will be called by phone. Breastfeeding conditions will be evaluated with "Postpartum Breastfeeding Evaluation and Follow-up Form".
Breastfeeding attitudes of the mothers will be assessed with the Breastfeeding Attitudes of the Evaluation Scale" before breastfeeding education in hospital and through online survey at the 6th Month.
Breastfeeding motivations of the mothers will be assessed with the " Primipara Breastfeeding Motivation Scale " through online survey at the 6th Month.
The mothers' satisfaction with the continuous breastfeeding support provided through WhatsApp will be evaluated with the "Application Satisfaction Evaluation Form" through online survey.
Basic Standard Information Sharing; New coronavirus (COVID-19) and breastfeeding Suggestion on breastfeeding (motivational-enhancing videos that emphasize breastfeeding is instinctive) The importance of breast milk (positive effects on mother and baby will be explained) Sharing of health institutions emphasizing the importance of breastfeeding (WHO, UNICEF, Ministry of Health) Milk production of breasts (Frequent breastfeeding will be supported by videos) Baby holding the breast (Mothers will be emphasized that the baby's sucking ability instinctively and will be supported with videos) Skin-to-skin contact and breastfeeding Reasons for breastfeeding only for the first 6 months Symptoms that show that the baby is sucking effectively Control Group; Information will be obtained from the mothers who agreed to participate in the study in line with the "Mother and Newborn Data Total Form", Mothers participating in the study will receive routine breastfeeding training at the hospital after birth, The breastfeeding attitude of the mother will be evaluated with the "Breastfeeding Attitude Scale", and the breastfeeding motivation of the mother will be evaluated with the "Breastfeeding Motivation Scale", In line with the needs of the mothers, breastfeeding support and motivation will be provided, In the postpartum period (day 7, day 15, month 1, month 2, month 4 and month 6) mothers will be called by phone. Breastfeeding conditions will be evaluated with "Postpartum Breastfeeding Evaluation and Follow-up Form".
Breastfeeding attitudes of the mothers will be assessed with the Breastfeeding Attitudes of the Evaluation Scale" before breastfeeding education in hospital and through online survey at the 6th Month.
Breastfeeding motivations of the mothers will be assessed with the " Primipara Breastfeeding Motivation Scale " through online survey at the 6th Month.
Analysis:
NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) program will be used for statistical analysis of the research. Statistical significance will be accepted as p <0.05.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized Controlled Study
| Arm | Type | Receives |
|---|---|---|
| WhatsApp Messaging Application | Experimental | Other: Breastfeeding Support Provided to Mothers Through WhatsApp Messaging ApplicationContinuous breastfeeding support will be provided for the first 6 months through WhatsApp messaging application. Mothers will be contacted once a week through WhatsApp and feedback will be received on the breastfeeding process. The questions of the mother regarding breastfeeding will be answered by text / voice message or video call. |
| Standard breastfeeding support | No intervention | –She will receive standard breastfeeding support after delivery. Breastfeeding will not receive continuous breastfeeding support for the first 6 months after discharge. |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (13 listed)
- For the mother;
- 18 years and older
- Primipar,
- Having healthy pregnancy and uncomplicated birth,
- No health problems preventing breastfeeding (drug use, HIV, etc.),
Key exclusion criteria (2 listed)
- Mothers with multiple pregnancies,
- Infants lying in NICU due to health problems in the postpartum period will be excluded from the scope of the research.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Breastfeeding Support Provided to Mothers Through WhatsApp Messaging ApplicationBreastfeeding support provided to mothers through WhatsApp messaging application will be maintained for the first 6 months after birth. In the first 1 month, standard information sharing will be made through whatsApp. Also, for the first 6 months, solutions generating shares will be made according to the problems and questions of the mother regarding breastfeeding. | Other | WhatsApp Messaging Application |
Primary outcome
Breastfeeding Attitudes of The Evaluation Scale
Time frame: In our study, will be applied before breastfeeding education in hospital and through online survey at postpartum 6th months for both groups
This scale assesses various aspects of attitudes that direct mothers' breastfeeding behavior. Examines breastfeeding as behavior. The scale is a five-point Likert type consisting of 46 items, easy to apply, and which people can answer on their own, and it can be applied to all mothers. Some items in the scale (3, 4, 6, 7, 8, 11, 13, 15, 19, 23, 24, 26, 27, 28, 29, 30, 31, 32, 37, 38, 42, 43) As a positive attitude, I agree with the statement "I totally disagree" to 4-3-2-1-0, while some items (1, 2, 5, 9, 10, 12, 14, 16, 17, 18, 20, 21 (22, 25, 33, 34, 35, 36, 39, 40, 41, 44, 45, 46) are considered negative, and the opposite score is scored as 0-1-2-3-4 from the statement entirely agree. In this way, the total score that can be obtained from the scale is between 0 and 184. As the score increases, breastfeeding attitude is evaluated as positive.
Primipara Breastfeeding Motivation Scale (PBMS)
Time frame: at postpartum 6th months through online survey for both groups
This scale evaluates postpartum breastfeeding motivation level in primiparous. The scale consists of 24 items in total. After applying to the sample group, the factor analysis of the scale was made and it was determined to have 5 factors. 1. Intrinsic motivation and integrated regulation 2. Identified regulation 3. Mirrored editing External regulation is examined in two sub-dimensions: 4. External regulation (instrumental needs) 5. External regulation (baby health) Scale items are rated from 1 = Never disagree to 4 = Strongly agree. The scale is in 4-point Likert type, and each item is scored between 1-4. The scale does not have a total score. The score of the sub-dimensions is calculated by taking the average of the scale sub-dimension scores. As the score obtained from the sub-dimension of the scale increases, the motivation representing that sub-dimension increases.
Application Satisfaction Evaluation Form
Time frame: at postpartum 6th months through online survey for only experimental group
Evaluates the satisfaction of mothers from breastfeeding support provided through WhatsApp messaging application. It is a form consisting of 10 questions by the researcher to evaluate the satisfaction of the mothers from the breastfeeding support given through the social media group (WhatsApp) by making use of the literature information. The answer to each question will be evaluated as yes / no. In the tenth question, he will be asked to score the application. There will be a minimum of 1 and a maximum of 10 points.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2021.
- Background: PubMed 29576447Balaguer Martinez JV, Valcarce Perez I, Esquivel Ojeda JN, Hernandez Gil A, Martin Jimenez MDP, Bernad Albareda M. [Telephone support for breastfeeding by primary care: a randomised multicentre trial]. An Pediatr (Engl Ed). 2018 Dec;89(6):344-351. doi: 10.1016/j.anpedi.2018.02.007. Epub 2018 Mar 22. Spanish.
- Background: PubMed 28974209Reiss K, Andersen K, Barnard S, Ngo TD, Biswas K, Smith C, Carpenter J, Church K, Nuremowla S, Pearson E. Using automated voice messages linked to telephone counselling to increase post-menstrual regulation contraceptive uptake and continuation in Bangladesh: study protocol for a randomised controlled trial. BMC Public Health. 2017 Oct 3;17(1):769. doi: 10.1186/s12889-017-4703-z.
- Background: PubMed 22621300Simonetti V, Palma E, Giglio A, Mohn A, Cicolini G. A structured telephonic counselling to promote the exclusive breastfeeding of healthy babies aged zero to six months: a pilot study. Int J Nurs Pract. 2012 Jun;18(3):289-94. doi: 10.1111/j.1440-172X.2012.02040.x.
- Background: PubMed 30825414Cavalcanti DS, Cabral CS, de Toledo Vianna RP, Osorio MM. Online participatory intervention to promote and support exclusive breastfeeding: Randomized clinical trial. Matern Child Nutr. 2019 Jul;15(3):e12806. doi: 10.1111/mcn.12806. Epub 2019 Apr 11.
- Background: PubMed 31482848Kapinos K, Kotzias V, Bogen D, Ray K, Demirci J, Rigas MA, Uscher-Pines L. The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial. J Med Internet Res. 2019 Sep 3;21(9):e13967. doi: 10.2196/13967.
- Background: PubMed 30961557Durmaz S, Ergin I, Durusoy R, Hassoy H, Caliskan A, Okyay P. WhatsApp embedded in routine service delivery for smoking cessation: effects on abstinence rates in a randomized controlled study. BMC Public Health. 2019 Apr 8;19(1):387. doi: 10.1186/s12889-019-6727-z.
- Derived from this study: PubMed 37646262Sevda KO, Sevil I. Continuous Lactation Support Provided Through the WhatsApp Messaging Application: A Randomized Controlled Trial. J Hum Lact. 2023 Nov;39(4):666-678. doi: 10.1177/08903344231192948. Epub 2023 Aug 30.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sevda KORKUT ÖKSÜZ, R.A principal investigator
Kirsehir Ahi Evran Universitesi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application in people with Exclusive Breastfeeding and Breastfeeding Support, run by Ahi Evran University Education and Research Hospital at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Breastfeeding Attitudes of The Evaluation Scale (time frame: In our study, will be applied before breastfeeding education in hospital and through online survey at postpartum 6th months for both groups). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04478682, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2021.