Video-Based Breastfeeding Education, Infant Feeding AttitudesViBE-IFANCT07728045
Evaluation of the Effect of Video-Based Breastfeeding Education Provided to Mothers Who Delivered by Cesarean Section and Vaginal Birth on Infant Feeding Attitudes
A study testing Video-Based Breastfeeding Education in people with Video-Based Breastfeeding Education, Infant Feeding Attitudes, run by Zonguldak Bulent Ecevit University at 1 site in Turkey (Türkiye).
Trial summary
The purpose of this randomized controlled study is to evaluate the effect of video-based breastfeeding education on infant feeding attitudes among primiparous mothers who delivered by cesarean section or vaginal birth. Read more about this study
- Who is it for?
- Any age, women onlyHealthy volunteers can take part
- Conditions the study is for
- Video-Based Breastfeeding Education, Infant Feeding Attitudes
- What is being tested?
- Video-Based Breastfeeding Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Apr 2025to 7 Jul 2026
- 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 Any age
- Women only
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- -Primiparous mothers (first childbirth). Mothers who delivered by cesarean section or vaginal birth. Currently breastfeeding their infant. No previous breastfeeding education or counseling. Able to communicate in Turkish.
Who cannot join
- Multiparous mothers. Mothers who were not breastfeeding. Mothers who had previously received breastfeeding education or counseling. Mothers who were unable to communicate in Turkish.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Zonguldak Kadın Doğum ve Çocuk Hastalıkları Hastanesi
Zonguldak, Zonguldak Province, 67100
About this study
The purpose of this randomized controlled study is to evaluate the effect of video-based breastfeeding education on infant feeding attitudes among primiparous mothers who delivered by cesarean section or vaginal birth. Breastfeeding education may improve mothers' knowledge and attitudes, thereby supporting optimal infant feeding practices.
The main questions this study aims to answer are:
Read more
Does video-based breastfeeding education improve infant feeding attitudes among primiparous mothers who deliver by vaginal birth? Does video-based breastfeeding education improve infant feeding attitudes among primiparous mothers who deliver by cesarean section? Is there a difference in infant feeding attitudes between mothers who receive video-based breastfeeding education and those who receive routine postpartum care? Does the effect of video-based breastfeeding education differ between mothers who deliver by cesarean section and those who deliver by vaginal birth?
Participants were randomly assigned to one of three groups: a cesarean section intervention group, a vaginal birth intervention group, or a control group. Mothers in the intervention groups received video-based breastfeeding education through a QR code in addition to routine postpartum care, while the control group received routine postpartum care only. Infant feeding attitudes were assessed at baseline and again three months after delivery using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS).
Read the detailed description
Breastfeeding is the recommended method of infant feeding because it provides substantial health benefits for both infants and mothers. However, many primiparous mothers experience difficulties initiating and maintaining breastfeeding, particularly after cesarean section. Digital educational interventions, such as video-based breastfeeding education, may improve maternal knowledge and infant feeding attitudes by providing standardized and accessible educational content.
This randomized controlled experimental study was conducted to evaluate the effect of video-based breastfeeding education on infant feeding attitudes among primiparous mothers who delivered by cesarean section or vaginal birth. The study used a pretest-posttest design with a three-month follow-up and was conducted at Zonguldak Women and Children's Hospital in Türkiye between April 15, 2025, and October 30, 2025.
The target sample size was determined using G*Power version 3.1.9.7. A minimum of 84 participants was required to achieve 80% statistical power with a significance level of 0.05. To compensate for possible loss to follow-up, the target sample size was increased to 90 participants. A total of 111 mothers were initially enrolled, and the study was completed with 90 participants after follow-up.
Participants were randomly assigned to one of three groups: a vaginal birth intervention group, a cesarean section intervention group, or a control group. Mothers in the intervention groups completed baseline assessments and then received standardized video-based breastfeeding education through a QR code that provided access to an educational video. The control group received routine postpartum care without the educational intervention.
Data were collected using a Sociodemographic Information Form and the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The educational video was developed based on current breastfeeding guidelines and expert review. Its quality was evaluated using the DISCERN instrument before implementation, and a pilot test was conducted to assess comprehensibility before use in the main study.
Infant feeding attitudes were assessed at baseline and again three months after delivery. Follow-up data were collected electronically using Google Forms distributed through WhatsApp, with telephone reminders provided when necessary to maximize participant retention.
The primary objective of the study was to determine whether video-based breastfeeding education improves infant feeding attitudes among primiparous mothers and whether its effectiveness differs between mothers who delivered by cesarean section and those who delivered by vaginal birth.
- Being tested
- Video-Based Breastfeeding Education
- Keywords
- Infant feeding attitudes, breastfeeding, vaginal birth, cesarean section, video-based education.
- Medical subject headings
- Breast Feeding
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Video-Based Breastfeeding EducationBehavioural
The intervention consisted of a standardized video-based breastfeeding education program developed by the researcher based on current evidence and international breastfeeding guidelines. The educational content was reviewed by experts using the Written Materials Suitability Assessment Form and subsequently converted into a two-dimensional animated educational video with technical support from a graphic designer and a software developer. The quality and reliability of the video were evaluated using the DISCERN instrument, and its comprehensibility was assessed in a pilot study involving five mothers before implementation. The final educational video was approximately 9 minutes in duration and was delivered to participants through a QR code linking to a YouTube video. Mothers in the intervention groups viewed the video in addition to receiving routine postpartum care.
| Study group | Role | What they receive |
|---|---|---|
| Cesarean Section Intervention Group | Experimental | All mothers in the intervention groups were initially administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). Subsequently, the mothers received video-based breastfeeding education prepared by the researcher, which was accessible on YouTube via a QR code. Immediately following the education, the BBTÖ (post-test) was re-administered to the same mothers.
At the end of the three-month follow-up period, a personalized Google Forms link containing the BBTÖ was sent to each mother via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided reminders and information. Receives: Behavioral: Video-Based Breastfeeding Education |
| Vaginal Birth Intervention Group | Experimental | All mothers in the intervention groups were initially administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). Subsequently, the mothers received video-based breastfeeding education prepared by the researcher, which was accessible on YouTube via a QR code. Immediately following the education, the BBTÖ (post-test) was re-administered to the same mothers.
At the end of the three-month follow-up period, a personalized Google Forms link containing the BBTÖ was sent to each mother via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided reminders and information. Receives: Behavioral: Video-Based Breastfeeding Education |
| Control Group(Vaginal Birth +Cesarean Section) | No intervention | All mothers in the control group who gave birth vaginally or via cesarean section and agreed to participate in the study were included. These mothers were administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). No educational intervention was provided to the control group, and the mothers were informed that a follow-up would be conducted via WhatsApp after three months. Data security was ensured by assigning a unique identification number to each mother. At the end of the three-month follow-up period, follow-up data were collected from each mother in the control group by sending a personalized Google Forms link containing the BBTÖ via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided information. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Infant Feeding Attitudes
Infant feeding attitudes were assessed using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The scale was used to evaluate the effect of video-based breastfeeding education on maternal infant feeding attitudes. Higher scores indicate more positive attitudes toward breastfeeding.
Measured: 3 months after delivery
Infant Feeding Attitudes
Infant feeding attitudes were assessed using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The scale was used to evaluate the effect of video-based breastfeeding education on maternal infant feeding attitudes. Higher scores indicate more positive attitudes toward breastfeeding.
Measured: Baseline and 3 months after delivery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2026
- Study start1 Apr 2025
- Primary completion25 Oct 2025
- Study completion7 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Video-Based Breastfeeding Education, Infant Feeding AttitudesStudies 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
- Masking
- None (open label)
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zonguldak Bulent Ecevit University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sumaya Siddique Ahmed, Zonguldak Bulent Ecevit University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07728045
- Sponsor's protocol ID
- 569181
- Other IDs
- 26.02.2025/569181
- Acronym
- ViBE-IFA
- Status last verified
- Jul 2026
- First submitted
- 22 Jul 2026
- Last updated
- 27 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared because the informed consent obtained from participants did not include permission for public data sharing, and sharing individual-level data could compromise participant confidentiality and privacy.
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Effect of Video-Based Breastfeeding Education Provided to Mothers Who Delivered by Cesarean Section and Vaginal Birth on Infant Feeding Attitudes
- ClinicalTrials.gov ID
- NCT07728045
- Acronym / sponsor ID
- ViBE-IFA / 569181
- Keywords
- Infant feeding attitudes, breastfeeding, vaginal birth, cesarean section, video-based education.
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Zonguldak Bulent Ecevit UniversityUniversity, hospital or other
- Study start
- 1 Apr 2025 (actual)
- Primary completion
- 25 Oct 2025 (actual)
- Study completion
- 7 Jul 2026 (actual)
- First posted
- 27 Jul 2026 (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 purpose of this randomized controlled study is to evaluate the effect of video-based breastfeeding education on infant feeding attitudes among primiparous mothers who delivered by cesarean section or vaginal birth. Breastfeeding education may improve mothers' knowledge and attitudes, thereby supporting optimal infant feeding practices.
The main questions this study aims to answer are:
Does video-based breastfeeding education improve infant feeding attitudes among primiparous mothers who deliver by vaginal birth? Does video-based breastfeeding education improve infant feeding attitudes among primiparous mothers who deliver by cesarean section? Is there a difference in infant feeding attitudes between mothers who receive video-based breastfeeding education and those who receive routine postpartum care? Does the effect of video-based breastfeeding education differ between mothers who deliver by cesarean section and those who deliver by vaginal birth?
Participants were randomly assigned to one of three groups: a cesarean section intervention group, a vaginal birth intervention group, or a control group. Mothers in the intervention groups received video-based breastfeeding education through a QR code in addition to routine postpartum care, while the control group received routine postpartum care only. Infant feeding attitudes were assessed at baseline and again three months after delivery using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS).
Detailed description
Breastfeeding is the recommended method of infant feeding because it provides substantial health benefits for both infants and mothers. However, many primiparous mothers experience difficulties initiating and maintaining breastfeeding, particularly after cesarean section. Digital educational interventions, such as video-based breastfeeding education, may improve maternal knowledge and infant feeding attitudes by providing standardized and accessible educational content.
This randomized controlled experimental study was conducted to evaluate the effect of video-based breastfeeding education on infant feeding attitudes among primiparous mothers who delivered by cesarean section or vaginal birth. The study used a pretest-posttest design with a three-month follow-up and was conducted at Zonguldak Women and Children's Hospital in Türkiye between April 15, 2025, and October 30, 2025.
The target sample size was determined using G*Power version 3.1.9.7. A minimum of 84 participants was required to achieve 80% statistical power with a significance level of 0.05. To compensate for possible loss to follow-up, the target sample size was increased to 90 participants. A total of 111 mothers were initially enrolled, and the study was completed with 90 participants after follow-up.
Participants were randomly assigned to one of three groups: a vaginal birth intervention group, a cesarean section intervention group, or a control group. Mothers in the intervention groups completed baseline assessments and then received standardized video-based breastfeeding education through a QR code that provided access to an educational video. The control group received routine postpartum care without the educational intervention.
Data were collected using a Sociodemographic Information Form and the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The educational video was developed based on current breastfeeding guidelines and expert review. Its quality was evaluated using the DISCERN instrument before implementation, and a pilot test was conducted to assess comprehensibility before use in the main study.
Infant feeding attitudes were assessed at baseline and again three months after delivery. Follow-up data were collected electronically using Google Forms distributed through WhatsApp, with telephone reminders provided when necessary to maximize participant retention.
The primary objective of the study was to determine whether video-based breastfeeding education improves infant feeding attitudes among primiparous mothers and whether its effectiveness differs between mothers who delivered by cesarean section and those who delivered by vaginal birth.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cesarean Section Intervention Group | Experimental | Behavioral: Video-Based Breastfeeding EducationAll mothers in the intervention groups were initially administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). Subsequently, the mothers received video-based breastfeeding education prepared by the researcher, which was accessible on YouTube via a QR code. Immediately following the education, the BBTÖ (post-test) was re-administered to the same mothers. At the end of the three-month follow-up period, a personalized Google Forms link containing the BBTÖ was sent to each mother via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided reminders and information. |
| Vaginal Birth Intervention Group | Experimental | Behavioral: Video-Based Breastfeeding EducationAll mothers in the intervention groups were initially administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). Subsequently, the mothers received video-based breastfeeding education prepared by the researcher, which was accessible on YouTube via a QR code. Immediately following the education, the BBTÖ (post-test) was re-administered to the same mothers. At the end of the three-month follow-up period, a personalized Google Forms link containing the BBTÖ was sent to each mother via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided reminders and information. |
| Control Group(Vaginal Birth +Cesarean Section) | No intervention | –All mothers in the control group who gave birth vaginally or via cesarean section and agreed to participate in the study were included. These mothers were administered the "Sociodemographic Data Form" and the "Baby Feeding Attitude Scale (BBTÖ)" (pre-test). No educational intervention was provided to the control group, and the mothers were informed that a follow-up would be conducted via WhatsApp after three months. Data security was ensured by assigning a unique identification number to each mother. At the end of the three-month follow-up period, follow-up data were collected from each mother in the control group by sending a personalized Google Forms link containing the BBTÖ via WhatsApp, accompanied by a brief informational message. When necessary, the researcher contacted the mothers by phone, introduced themselves, and provided information. |
Who may qualify
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- -Primiparous mothers (first childbirth). Mothers who delivered by cesarean section or vaginal birth. Currently breastfeeding their infant. No previous breastfeeding education or counseling. Able to communicate in Turkish.
Key exclusion criteria (1 listed)
- Multiparous mothers. Mothers who were not breastfeeding. Mothers who had previously received breastfeeding education or counseling. Mothers who were unable to communicate in Turkish.
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 |
|---|---|---|
| Video-Based Breastfeeding EducationThe intervention consisted of a standardized video-based breastfeeding education program developed by the researcher based on current evidence and international breastfeeding guidelines. The educational content was reviewed by experts using the Written Materials Suitability Assessment Form and subsequently converted into a two-dimensional animated educational video with technical support from a graphic designer and a software developer. The quality and reliability of the video were evaluated using the DISCERN instrument, and its comprehensibility was assessed in a pilot study involving five mothers before implementation. The final educational video was approximately 9 minutes in duration and was delivered to participants through a QR code linking to a YouTube video. Mothers in the intervention groups viewed the video in addition to receiving routine postpartum care. | Behavioural | Cesarean Section Intervention Group, Vaginal Birth Intervention Group |
Primary outcome
Infant Feeding Attitudes
Time frame: 3 months after delivery
Infant feeding attitudes were assessed using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The scale was used to evaluate the effect of video-based breastfeeding education on maternal infant feeding attitudes. Higher scores indicate more positive attitudes toward breastfeeding.
Infant Feeding Attitudes
Time frame: Baseline and 3 months after delivery
Infant feeding attitudes were assessed using the Turkish version of the Iowa Infant Feeding Attitude Scale (IIFAS). The scale was used to evaluate the effect of video-based breastfeeding education on maternal infant feeding attitudes. Higher scores indicate more positive attitudes toward breastfeeding.
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 27 Jul 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared because the informed consent obtained from participants did not include permission for public data sharing, and sharing individual-level data could compromise participant confidentiality and privacy.
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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Video-Based Breastfeeding Education in people with Video-Based Breastfeeding Education, Infant Feeding Attitudes, run by Zonguldak Bulent Ecevit University 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 1 inclusion and 1 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 27 Jul 2026. 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?
Infant Feeding Attitudes (time frame: 3 months after delivery). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 27 Jul 2026.