Successful breastfeeding promotion: a motivational instructional model applied and tested
| ISRCTN | ISRCTN47056748 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN47056748 |
| Secondary identifying numbers | EAT/1863/01 (The Research and Development Office Northern Ireland) |
- Submission date
- 02/07/2007
- Registration date
- 16/07/2007
- Last edited
- 19/05/2017
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Prof Marlene Sinclair
Scientific
Scientific
Room 24L12, University of Ulster
Jordanstown
Belfast (Northern Ireland)
BT37 OQB
United Kingdom
| Phone | +44 (0)28 90 368118 |
|---|---|
| m.sinclair1@ulster.ac.uk |
Study information
| Study design | Intervention single-centred single-blind trial (women were blind to group, stickers indicated group to midwives). Prior to recruitment a randomised table was created |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Successful breastfeeding promotion: a motivational instructional model applied and tested |
| Study objectives | Breastfeeding initiation rates have increased over the last decade; however, breastfeeding duration rates have not (Infant Feeding Survey 2002). One fifth of women reportedly stop breastfeeding before leaving hospital. This study tested a motivational intervention delivered through routine midwife instruction with the intention of increasing women's motivation to sustain breastfeeding while receiving instruction from midwives. The null hypothesis tested that there was no difference in the motivational outcomes of women who received the motivationally-enhanced version of midwife instruction and those who received current midwife instruction in accordance with best practice. |
| Ethics approval(s) | Received from University of Ulster Research Ethical Committee in October 2004, transferred to Office for Research Ethics Committees Northern Ireland (ORECNI) in May 2006 (ref: 03/97). |
| Health condition(s) or problem(s) studied | Breastfeeding promotion |
| Intervention | Control group: The control group received breastfeeding instruction in step with the Baby Friendly Initiative and according to National Institute for Clinical Excellence (NICE) guidelines. Intervention group: The intervention group received a motivationally-enhanced version of the same instruction which was called 'Designer Breastfeeding'. As a result both groups received a two-hour antenatal infant feeding class, a breastfeeding book and midwife support for the first three postnatal weeks. |
| Intervention type | Other |
| Primary outcome measure | Using seven point Likert scales women's motivational profile was measured in relation to three motivational factors: 1. Total value placed on breastfeeding 2. Total perceived midwife support 3. Total expectancy for successful breastfeeding The Breastfeeding Instructional Motivation Measurement Tool was developed specifically for this study. Using factor analysis (n = 199) the reliability coefficients for the three motivational factors were satisfactory (Cronbach Alpha .8622, .8751, .8549). Data were collected on discharge from hospital by structured interview. Primary outcomes were measured on discharge from hospital. |
| Secondary outcome measures | 1. Breastfeeding behaviour was measured as a secondary outcome on discharge from hospital and at 3 weeks postnatal 2. Breastfeeding initiation was defined according to the Department of Health as giving one breastfeed or one episode of expressed breastmilk 3. Duration of breastfeeding was categorised in accordance with the Index of Breastfeeding Status (cited by Harmon-Jones, 2006), which classified breastfeeding on a scale in accordance with the amount of breastmilk the infant is receiving (1 = 100% breastmilk, 2 = more than 80% breastmilk and less than 20% other, 3 = 50 - 80% breastmilk, 4 = 50% breastmilk, 5 = 20 - 50% breastmilk, 6 = less than 20% breastmilk, 7 = 100% artificial milk). Secondary outcomes were measured on discharge from hospital, and were repeated at 3 weeks postnatal (in the community and just prior to transfer of care to the health visiting services). |
| Overall study start date | 01/12/2005 |
| Completion date | 01/10/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Female |
| Target number of participants | Assessed for eligibility (n = 234), excluded (n = 34), declined (n = 9), consented (n = 182), completed (n = 144) |
| Key inclusion criteria | 1. All consenting primgravida women (20 weeks gestation) who attended at the time of recruitment 2. Inclusion criteria included their intention to have their baby at the research hospital 3. No age limit was applied |
| Key exclusion criteria | 1. Incidents where a mother and baby were separated, for example when a baby was admitted to the neo-natal unit and did not receive routine instruction 2. Women who had already commenced the 'young mums' parentcraft program prior to 20 weeks gestation (19 years old or less) 3. Women who for ethical reasons were considered vulnerable, for example, women who neither spoke or understood English 4. Women who declined to participate |
| Date of first enrolment | 01/12/2005 |
| Date of final enrolment | 01/10/2006 |
Locations
Countries of recruitment
- United Kingdom
Study participating centre
Room 24L12, University of Ulster
Belfast (Northern Ireland)
BT37 OQB
United Kingdom
BT37 OQB
United Kingdom
Sponsor information
University of Ulster (UK)
University/education
University/education
Shore Road
Jordanstown
Belfast (Northern Ireland)
BT37 OQB
Northern Ireland
United Kingdom
| Phone | +44 (0)8 700 400 700 |
|---|---|
| online@ulster.ac.uk | |
| Website | http://www.ulster.ac.uk/ |
"ROR" |
https://ror.org/01yp9g959 |
Funders
Funder type
Government
The Research and Development Office of Northern Ireland (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 31/12/2013 | Yes | No |
Editorial Notes
19/05/2017: Publication reference added
