Effect of Teach-Back Education on Breastfeeding and Bonding in Mothers of Preterm Infants

The Effect of Teach-Back Education Given to Mothers of Preterm Infants on Breastfeeding Success and Mother-Infant Bonding: A Randomized Controlled Trial

The aim of this randomized controlled experimental study is to contribute to the standardization of nursing interventions for premature mothers and to establish a scientific basis for breastfeeding education models in our country. It also aims to evaluate the effects of the following: digital privacy literacy, children's autonomy, decision-making ability, and privacy awareness. The hypotheses of the study are as follows:

H₁: Mothers who received Teach-Back training have a higher level of breastfeeding self-efficacy.

H₂: Mothers who received Teach-Back training have a higher level of mother-infant bonding.

H₀: There is no significant difference between the groups.

The study will be conducted with mothers of premature babies who meet the inclusion criteria at the state hospital located in Tatvan district, affiliated with the Bitlis Provincial Health Directorate. Participants will be assigned to two groups using simple random sampling:

1. Experimental group: (Mothers who received Teach-Back training)
2. Control group: (Mothers who received routine discharge education). Data will be collected using the "Participant Identification Form", "Breastfeeding Self-Efficacy Scale for Mothers of Preterm Babies", "Mother-Infant Bonding Scale" and "Teach-Back Training Evaluation Form".

Inclusion Criteria:

• Being 18 years of age or older,
• Having a baby born before the 37th week of gestation (being a mother of a premature baby),
• Being able to read and understand Turkish,
• Having actually started breastfeeding,
• Having no hearing, visual, or cognitive communication impairment,
• Not having a diagnosed serious psychiatric illness (major depression, anxiety disorder, etc.),
• The baby not being in a serious clinical condition, not under palliative care or intensive life support,
• Not participating in another breastfeeding education or counseling program at the same time,
• Voluntarily agreeing to participate in the study.

Exclusion Criteria:

• All mothers who do not meet the inclusion criteria will be excluded from the study.