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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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teach-back Education Group | Experimental | Mothers receive teach-back education on breastfeeding and infant care. |
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| Control Group | No Intervention | Mothers receive routine care without teach-back education. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Teach-Back Education | Behavioral | A structured teach-back education program is provided to mothers of preterm infants to improve breastfeeding practices and enhance mother-infant bonding. Mothers are asked to repeat and demonstrate the information to confirm understanding. |
| Measure | Description | Time Frame |
|---|---|---|
| Participant Introduction Form | The form was prepared by the researcher in accordance with the literature to determine the sociodemographic (age, education level, income level, marital status, place of residence) and obstetric characteristics (number of pregnancies, mode of delivery, gestational age, birth weight, neonatal hospital stay, previous breastfeeding experience, etc.) of the mothers participating in the study. The form was developed using research examining the relationships between breastfeeding self-efficacy, mother-infant bonding, and maternal characteristics. | First week |
| The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants | This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy. | First Week |
| Mother-to-Infant Bonding Scale | This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683. | First Week |
| Measure | Description | Time Frame |
|---|---|---|
| The Breastfeeding Self-Efficacy Scale for Mothers of Ill and/or Preterm Infants | This scale was developed by Wheeler and Dennis (2013) and adapted into Turkish by Aluş Tokat et al. (2020). It is an 18-item scale with a 5-point Likert scale (1=Not sure at all, 2=Not sure at all, 3=Sometimes sure, 4= Sure, 5=Very sure). The minimum score obtainable on the scale is 18, and the maximum is 90. A higher score indicates high breastfeeding self-efficacy. |
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Inclusion Criteria:
Exclusion Criteria:
prematüre bebek anneleri
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| Name | Affiliation | Role |
|---|---|---|
| fatma güdücü tüfekci | Ataturk University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atatürk Üniversitesi | Erzurum | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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Participants will be divided into two groups: an experimental group and a control group.
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Data collection tools will be collected by an interviewer independent of the research.
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| within the fist week |
| Mother-to-Infant Bonding Scale | This scale was developed by Taylor et al. (2005), and its Turkish validity and reliability study was conducted by Aydemir-Karakulak (2009). The scale consists of 8 items. It uses a 4-point Likert scale (1 = none - 4 = very much). Scores on the scale range from 0 to 24. The Cronbach alpha coefficient was found to be 0.683. | within the first week |
| Teach-Back Training Evaluation Form | This form was prepared by the researcher to observe the comprehensibility and learning level of the Teach-back training given to the experimental group. The form evaluates the participant's ability to explain the information received in their own words, recall basic concepts, and express their application plan. A short checklist consisting of five items is completed observationally at the end of each session with a score of 0-2 (insufficient-partially sufficient). The form will only be used to monitor the quality of the training process. This evaluation approach is consistent with international guidelines for monitoring the process accuracy of the teach-back method. | within the first week |
| D000091642 | Urogenital Diseases |
| D005247 | Feeding Behavior |
| D001519 | Behavior |