Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Universitat de Girona | OTHER |
Not provided
Not provided
Not provided
Not provided
The study is a randomized control trial to assess the effect of a salutogenic intervention on breastfeeding initiation and duration of exclusive breastfeeding in Lebanon. In this Salutogenic intervention, infant feeding helpers will provide subjects of the intervention group breastfeeding related information , and will support these subjects by counseling and guiding them to find general resistance resources. This aims to increase sense of coherence and its parameters: comprehensibility, manageability and meaningfulness, which are the base of salutogenesis.
Pregnant women were recruited in their 3rd trimester of pregnancy and were randomly assigned to either an intervention or control group.
Both groups received standard breastfeeding education at the maternity ward. Additionally, the intervention is based on informative and supportive videos and a whatsapp group for interpersonal support. Videos and whatsapp groups were created and moderated by Infant Feeding Helpers. These are women from the same socio-economical background as the subjects, and have previous history of breastfeeding a minimum of 6 months exclusive breastfeeding.
The aim of the intervention was to increase initiation and duration of breastfeeding by increasing comprehensibility, manageability and meaningfulness of the breastfeeding period and therefore by enhancing their sense of coherence.
Chi-squared tests were used for descriptive statistics, Wilcoxon test was used for pre- post results of SOC and (SE) within each group. The change in pre-post SOC, SOC parameters and SE scores between control and intervention groups was analyzed with Quade non parametric.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral: videos | Experimental | 4 videos are created and distributed to subjects in the intervention group. Video 1: 10 days before delivery Video 2: the day of the delivery Video 3: 1 week postpartum Video 4: 1 month postpartum Videos content: encouraging message, information related to breastfeeding management This is arm in applied in all subjects on the intervention group |
|
| Behavioral: Whatsapp group | Experimental | 4 Whatsapp groups were created. Each Whatsapp group was moderated by 1 infant feeding helper. Each whatsapp group consisted of 10-15 subjects. Mothers asked breastfeeding related questions to infant feeding helpers and also exchange experience with the other mothers on the group. This is arm in applied in all subjects on the intervention group. Mothers of the intervention group joined their corresponding whatsapp group 10 days before expected delivery date and the duration of the intervention involving the whatsapp group was until 6 months postpartum. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Videos with breastfeeding education material and encouraging messages | Behavioral | Distributed videos aim to increase breastfeeding related knowledge and to receive support |
|
| Measure | Description | Time Frame |
|---|---|---|
| breastfeeding initiation | Number of women who breastfed their infants within 1 hour after birth | 1 hour after birth |
| Duration of Exclusive breastfeeding | number of women who are exclusively breastfeeding at 6 months postpartum. Exclusive breastfeeding indicates feeding infants only breastmilk without any other complementary food nor beverage. | at 6 months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Mean change in Self- esteem in participants from baseline to 6 months postpartum | Measuring the scores of the Rosenberg Self Esteem Scale- 10 items. Scores are from 0 to 30. Higher scores indicate higher self esteem | The first measurement was taken 10 days before delivery and the second measurement was taken at 6 months postpartum |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Pregnant women and breastfeeding mothers
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lebanese International University | Beirut | 146404 | Lebanon |
Informed consent form, scores of self esteem and scores of sense of coherence
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
Not provided
Not provided
| ID | Term |
|---|---|
| D014743 | Videotape Recording |
| ID | Term |
|---|---|
| D013637 | Tape Recording |
| D001296 | Audiovisual Aids |
| D018961 | Educational Technology |
| D013672 | Technology |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Whatsapp group | Behavioral | The Whatsapp group is used in the intervention as a platform for interpersonal exchange of information and experience, in addition to peer support. |
|
| The Change in Sense of Coherence (SOC) scores from baseline to 6 months postpartum |
The score of the "Sense of Coherence- 13 items" questionnaire. The minimum score is 13, and the maximum score is 91. Higher score indicates higher sense of coherence |
| 1st measurement: 10 days before delivery. 2nd measurement: 6 months postpartum. Score measurements were taken twice per subject for comparison at the end of the intervention. |
| D013676 |
| Technology, Industry, and Agriculture |
| D013690 | Television |