Research Proposal

TITLE
Effect of individualized breast feeding self efficacy intervention on breast feeding self
efficacy among postnatal mothers admitted in a tertiary care hospital in Ernakulam District
BACKGROUND
Breastfeeding is the normative standard for infant feeding and is beneficial to the
health of both mother and infant. In developed and developing countries alike, numerous
studies provide strong evidence that breastfeeding decreases the incidence and/or severity of
a wide range of diseases in infants and mothers .1 The WHO recommends that for the first six
months of life, infants should be exclusively breastfed to achieve optimal growth,
development, and health. Thereafter, infants should receive nutritionally adequate and safe
complementary foods, while continuing to breastfeed for up to two years or more.2 The
benefits of breast-feeding, to both mother and baby, have long been recognized. 3Despite
strong evidences in support of EBF for the first six months of life, its prevalence has
remained low worldwide 4,5 and it is estimated that only about one-third of infants were
exclusively breastfed for the first six months of life. 6
PURPOSE
Poor practices and attitudes toward exclusive breastfeeding have been reported to be
among the major reasons for poor health outcomes among children, particularly in
developing countries. Nonetheless, the promotion and acceptance of practices, such as
exclusive breastfeeding, are especially important in developing countries with high levels of
poverty, and that are characterized by a high burden of disease and low access to clean water
and adequate sanitation.7 Recently, maternal breastfeeding self-efficacy has been highlighted
as an important psychometric factor for improving breastfeeding outcomes.8
Breastfeeding self-efficacy interventions are important for improving breastfeeding

outcomes. However, the circumstances that may influence the effectiveness of the
interventions are unclear, especially in the context of hospitals with suboptimal infant feeding
practices. Thus, we aimed to evaluate the effect of a self-efficacy intervention on
breastfeeding self-efficacy among postnatal mothers.
OBJECTIVES
To evaluate the effect of effect of individualized breast feeding self efficacy

intervention on breast feeding self efficacy among postnatal mothers
To find the association between mean pre-test self efficacy score and selected
variables of women
OPERATIONAL DEFINITION
Knowledge
Refers to mothers confidence in her ability to breastfeed her new infant as measured
by Breast Feeding Self Efficacy Scale Short Form.
Effect
Refers to the significant change in breast feeding self efficacy following the
intervention as evidenced by difference between pretest and post test score rated on Breast
Feeding Self Efficacy Scale Short Form.
Postnatal mothers
Refers to females who are admitted in postnatal wards following child birth.
Individualized breast feeding self efficacy Intervention

Refers to systematically organized one to one counselling service clubbed with skill training
session on breast feeding to enable postnatal mothers to breast feed their newborns with
confidence .The Intervention lasts for 15-20 minutes.
ASSUMPTIONS
1. Knowledge and skill on breast feeding vary among young adults
2. Sociopersonal variables influence breast feeding self efficacy
HYPOTHESES
H1 :Individualized breast feeding self efficacy Intervention significantly improves breast

feeding self efficacy among postnatal mothers
RESEARCH METHODOLOGY
Research Approach
Quantitative experimental research approach
Research Design
One group Pre test post -test design
Research Settings
Postnatal wards of MOSC Medical College Hospital ,Kolenchery
Population
Post natal mothers
Sample
Postnatal mothers admitted in the postnatal wards of MOSC Medical college Hospital ,
Kolenchery
Sampling Technique
Total enumerative sampling
Inclusion criteria
1. Postnatal mothers admitted in the setting
2. Postnatal mothers whose newborns are along with them
TOOLS
TOOL I :
Demographic data sheet
TOOL II
BFES-SF
PLAN FOR DATA COLLECTION

After obtaining ethical clearance from IRB, Institutional permission will be obtained.
Total enumerative sampling will be used to enrol subjects. Informed written consent form and
patient information sheet will be distributed and consent will be taken from subjects.
The investigator will assess the breast feeding self efficacy among postnatal mothers
using standardized tool.
One to one counselling service clubbed with skill training session on breast feeding to
enable postnatal mothers to breast feed their newborns with confidence will be implemented
on the same day. The Intervention lasts for 15-20 minutes.
4
Tele follow up will be done at 2 weeks and 4 weeks by using same tool used for pre-test.
PLAN FOR DATA ANALYSIS
The data will be analysed using appropriate descriptive and inferential statistics.
Statistical package SPSS version 23 will be used for analysis
SOURCE OF FUNDING
MOSC Medical College Hospital ,Kolenchery
ETHICAL CLEARANCE
Ethical clearance will be obtained from IRB, MOSC Medical College Hospital
Kolenchery.
Administrative permission will be obtained from concerned authority.
Informed written consent will be obtained from subjects
Anonymity and confidentiality will be ensured.
REFERENCE
1 American Academy of Pediatrics, Section on Breastfeeding Breastfeeding and the use of human milk.
Pediatrics. 2012;129:e827e841. doi: 10.1542/peds.2011-3552.
2 WHO. Exclusive breastfeeding for six months best for babies everywhere. World Health Organization; 2011.
(Cited 2014 July 21). Available from: http://www.who.int.
3 Dennis CL. Breastfeeding initiation and duration: a 19902000 literature review. J Obstet Gynecol Neonatal
Nurs. 2002;31:1232.
4 Li R, Darling N, Maurice E, Barker L, Grummer-Strawn LM. Breastfeeding rates in the United States by
characteristics of the child, mother or family: the 2002 National Immunization Survey. Pediatrics. 2005;115:31
7.
5 Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeed J. 2012;28:12.
6 WHO. The WHO Global Data Bank on Infant and Young Child Feeding. WHO Nutrition for Health and
Development; 2009. (Cited 2014 July 21). Available from: http://www.who.int.
7 Magawa R. Knowledge, attitudes and practices regarding exclusive breastfeeding in Southern Africa-Part 2.
2012. (Cited 2014 July 21). Available from : http://www.consultancyafrica.com.
8 Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: A literature
review. Women Birth. 2010;23:135145

Research Proposal

Uploaded by

Copyright:

Available Formats

Research Proposal

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Research Proposal

Uploaded by

Copyright:

Available Formats

TITLE

Breastfeeding self-efficacy interventions are important for improving breastfeeding

To evaluate the effect of effect of individualized breast feeding self efficacy

Individualized breast feeding self efficacy Intervention

H1 :Individualized breast feeding self efficacy Intervention significantly improves breast

Demographic data sheet

PLAN FOR DATA COLLECTION

PLAN FOR DATA ANALYSIS

You might also like