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Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.

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Title: Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.
Authors: Wong, Mei Sze, Chien, Wai Tong
Source: Scandinavian Journal of Caring Sciences. Mar2025, Vol. 39 Issue 1, p1-14. 14p.
Subjects: Education of mothers, Breastfeeding, Repeated measures design, Philosophy of education, T-test (Statistics), Educational outcomes, Puerperium, Fisher exact test, Primiparas, Randomized controlled trials, Chi-squared test, Longitudinal method, Online education, Telephones, Medical screening, Health outcome assessment, Data analysis software, Psychosocial factors, Patient aftercare
Geographic Terms: Hong Kong (China)
Abstract: Objective: To evaluate the effectiveness of a theory‐based, Real‐time‐online Education and Support with Telephone follow‐ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. Study Design: Randomised controlled trial. Methods: Convenience sampling was used to recruit 150 low‐risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3‐month real‐time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self‐efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate. Results: Then, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow‐ups with prompt and practical advice. Conclusions: The REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant‐care needs. Implications for Patient Care: The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks. Trial Registration: ClinicalTrials.gov identifier: NCT04741425 [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
  Group: Ti
  Data: Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.
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  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Wong%2C+Mei+Sze%22">Wong, Mei Sze</searchLink><br /><searchLink fieldCode="AR" term="%22Chien%2C+Wai+Tong%22">Chien, Wai Tong</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Mar2025, Vol. 39 Issue 1, p1-14. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Education+of+mothers%22">Education of mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Breastfeeding%22">Breastfeeding</searchLink><br /><searchLink fieldCode="DE" term="%22Repeated+measures+design%22">Repeated measures design</searchLink><br /><searchLink fieldCode="DE" term="%22Philosophy+of+education%22">Philosophy of education</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+outcomes%22">Educational outcomes</searchLink><br /><searchLink fieldCode="DE" term="%22Puerperium%22">Puerperium</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Primiparas%22">Primiparas</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Online+education%22">Online education</searchLink><br /><searchLink fieldCode="DE" term="%22Telephones%22">Telephones</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+aftercare%22">Patient aftercare</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hong+Kong+%28China%29%22">Hong Kong (China)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To evaluate the effectiveness of a theory‐based, Real‐time‐online Education and Support with Telephone follow‐ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. Study Design: Randomised controlled trial. Methods: Convenience sampling was used to recruit 150 low‐risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3‐month real‐time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self‐efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate. Results: Then, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow‐ups with prompt and practical advice. Conclusions: The REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant‐care needs. Implications for Patient Care: The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks. Trial Registration: ClinicalTrials.gov identifier: NCT04741425 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=184019140
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.13320
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 1
    Subjects:
      – SubjectFull: Education of mothers
        Type: general
      – SubjectFull: Breastfeeding
        Type: general
      – SubjectFull: Repeated measures design
        Type: general
      – SubjectFull: Philosophy of education
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Educational outcomes
        Type: general
      – SubjectFull: Puerperium
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Primiparas
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Online education
        Type: general
      – SubjectFull: Telephones
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Hong Kong (China)
        Type: general
    Titles:
      – TitleFull: Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial.
        Type: main
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          Name:
            NameFull: Wong, Mei Sze
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          Name:
            NameFull: Chien, Wai Tong
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            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
          Identifiers:
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              Value: 02839318
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              Value: 39
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            – TitleFull: Scandinavian Journal of Caring Sciences
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