Download or read book Does Breastfeeding Education Improve Breastfeeding Self efficacy Among Low income Women written by Aney Paul and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Breastfeeding is a natural process that promotes health, prevents infant and childhood diseases, and reduces healthcare costs. Despite evidence supporting the importance of breastfeeding during the first year of life, breastfeeding rates in the United States remain low. The purpose of this evidence-based practice (EBP) change project was to increase maternal self-efficacy of breastfeeding among low-income women by providing one-on-one breastfeeding education. This study examined the effectiveness of breastfeeding education on improving breastfeeding self-efficacy, the major determinant of breastfeeding outcomes. Methods used included one-onone educational sessions about the benefits and challenges of breastfeeding, positioning, latching-on, breastfeeding self-efficacy, exclusivity and duration, as well as a hands-on demonstration, to a convenience sample of 38 post-partum mothers. The Breastfeeding Self- Efficacy Scale-Short Form (BSES-SF) was used to evaluate the maternal self-efficacy of breastfeeding. The results demonstrated that self-efficacy-based breastfeeding education significantly increased breastfeeding exclusivity and duration among low-income women. There was a 34 % increase in exclusivity, and 29% and 45% increases in durations of nine and 12 months, respectively. A potential implication of this EBP change project to clinical practice is the use of self-efficacy-based breastfeeding education to successfully promote breastfeeding exclusivity and duration." -- Abstract.
Download or read book The Effect of a Breast feeding Self efficacy Intervention on Breast Feeding Self efficacy and Duration written by Wajed Hatamleh and published by . This book was released on 2006 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Breastfeeding has long been recognized as the preferred method of feeding in the first year of life (American Academy of Pediatrics, 1997). Extensive research confirms the nutritional, economic, biomedical, immunological, and psychological advantages of breast milk. Despite the clear benefits of breastfeeding to mother and infant, breastfeeding rates today continue to remain below the recommended levels in the United States (US), most notably among low-income mothers. Research has shown that breastfeeding self-efficacy is one predictive factor affecting breastfeeding duration. Theoretical Framework: Dennis's (1999) Breastfeeding Self-Efficacy Theory, was the basis for this study. Using this theory, the Breastfeeding Self-Efficacy Intervention Program (BSEIP) was developed. The intervention consisted of a one-hour program delivered during the last trimester of pregnancy. The BSEIP consisted of measures to increase breastfeeding self-efficacy, including education, practice, and demonstration of breastfeeding techniques. Social support and practical advice were provided in the first two-weeks of the postpartum period. Methods: A quasi-Experimental design was used to test the effect of the BSEIP on duration of breastfeeding. A convenience sample of 36 low-income predominately non-Hispanic White women was recruited from two prenatal clinics on the outskirts of a large metropolitan area. All women indicated their intent to breastfeed their infant. Women were assigned by prenatal clinic to either receive or not receive the BSEIP. Data were collected using the Breastfeeding Self-Efficacy Scale (BSES) and a demographic profile. Women were contacted by telephone at two and six weeks postpartum to determine if they were still breastfeeding and to complete the BSES. Results: Women who received the BSEIP had greater breastfeeding self-efficacy at two and six weeks postpartum than women who did not receive the intervention; women who received the intervention also increased their self-efficacy scores over time. The mean duration of breastfeeding between the two Groups was also statistically significant: Women who received the intervention breastfed for an average of 28.82 days compared to 11.86 days for women who did not receive the intervention. Implications: The results of this study suggest that the one-hour BSEIP during the last trimester of the prenatal period may increase the duration of breastfeeding in low-income women who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.
Download or read book Predictors of Breastfeeding Intention Among Low income Women written by Sharon Elizabeth Kotan and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Results: Women who intended to breastfeed were more often Hispanic or White, had attended college, had fewer children, more breastfeeding knowledge, higher levels of self-efficacy, and perceived fewer barriers to breastfeeding than women who did not intend to breastfeed. Conclusion: Women and groups identified as being at risk for not intending to breastfeed can be targeted for intensive support and education to improve breastfeeding rates in this country.
Download or read book Barriers and Facilitators to Infant Feeding Among Low income African American Women written by Cecilia Eykyn Barbosa and published by . This book was released on 2014 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective The purpose of the mixed methods study was to compare barriers and facilitators encountered by low-income African American women who engaged in different infant feeding practices. Methods Using the positive deviance approach and modified Integrated Model as theoretical frameworks, the research began with a qualitative study that informed a survey examining intention, skills, and environmental factors differentiating women's infant feeding practices. Results Twenty-eight and 190 low-income African American adult women participated in focus groups or interviews and a survey, respectively. In the qualitative study, positive deviants, who breastfed for at least four months, seemed to have stronger breastfeeding intentions, self-efficacy and breastfeeding support than other women. In the final multinomial multiple logistic regression, for a one unit increase in the PBC scale of the revised Breastfeeding Attrition Prediction Tool, there was a 50% (OR 1.5[1.3-1.7]) and an 18% (OR 1.18 [1.03-1.3]) increase in the odds of breastfeeding at least three months (positive deviance) compared to only formula-feeding and breastfeeding for less than three months, respectively. Women who did not smoke postpartum were 4.3 [1.5-12.3] and 5.6 [2.1-15.1] times as likely to be positive deviants; women who had C-sections were 3.6 [1.3-9.6] and 2.9 [1.0-7.8] times as likely to be positive deviants compared to only formula-feeding and breastfeeding for less than three months, respectively. Women who ranked WIC full breastfeeding packages as most valuable were 14.9 [4.8-45.5] and 16.1 [5.3-50.0] times as likely to be positive deviants compared to only formula-feeding and breastfeeding for less than three months, respectively. Discussion High breastfeeding self-efficacy was associated with positive deviance, although the qualitative study findings suggested that general self-efficacy may also influence breastfeeding success. The likelihood of not smoking being associated with longer duration of breastfeeding is consistent with previous research. The C-section results may reflect a longer length of hospital stay leading to increased mastery of breastfeeding prior to discharge. Analysis of participants' valuation of WIC infant feeding incentives led to the suggestion that WIC incentives be re-examined. Further exploration of these findings and subsequent interventions may lead to improved breastfeeding rates among low-income African American women.
Download or read book Developing a Culturally Grounded Breastfeeding Assessment for Low income African American Women written by Rebecca Reno and published by . This book was released on 2016 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: The benefits of breastfeeding for mothers and infants have been well established in the literature, as have pervasive racial disparities in breastfeeding initiation and duration. The American Academy of Pediatrics recommends exclusive breastfeeding to 6 months of age, and Healthy People 2020 aims to have 60.6% of all infants exclusively breastfed to 6 months of age. A review of existing literature revealed a dearth of research focused specifically on the breastfeeding beliefs or behaviors of low-income, African American women. Reported studies are either atheoretical or utilize health behavior theories focusing on individual-level factors. Little attention has been paid to the unique sociocultural context within which this population is situated. Further, many existing breastfeeding interventions were not specifically designed for low-income African American women, and therefore may overlook their unique barriers to breastfeeding. Taken together, critical feminist theory and a social cultural model could provide a more comprehensive, culturally grounded framework from which to understand breastfeeding disparities, and to begin working to address them. Utilizing these two theories, a multi-phase, mixed methods research study was designed to identify breastfeeding barriers and supportive factors for low-income African American women, and to help empower them to meet their breastfeeding goals through the design and testing of a breastfeeding assessment process. Phase 1 utilized a community-based participatory action research methodology called group model building to answer the following research question: How do low-income, pregnant and postpartum African American women describe breastfeeding within their socio-cultural context, including factors that help or hinder breastfeeding? In Phase 2A, the set of statements that emerged from Phase 1 activities were evaluated by breastfeeding scholars and practitioners for inclusion in a set of Q-sort cards. These cards formed the foundation of a Dynamic Breastfeeding Assessment Process (D-BAP). In Phase 2B, the D-BAP was tested with a sample of lactation specialists and pregnant women to answer the research question: What would an assessment process look like if it were informed by the perspectives of the women as captured in the model building process? Finally, in Phase 3 the D-BAP underwent feasibility testing. Mixed methods were used to answer two research questions: 3A. How do pregnant, low-income African American women experience the culturally grounded Dynamic Breastfeeding Assessment Process? 3B. When the Dynamic Breastfeeding Assessment Process is delivered, is there a measurable difference in breastfeeding self-efficacy and intent among pregnant, low-income African American women? Completion of the D-BAP was hypothesized to be associated with increased breastfeeding intent and higher levels of breastfeeding self-efficacy. A pre-post, paired-samples design was utilized in Phase 3. The Phase 1 and 2 activities successfully resulted in a testable Dynamic Breastfeeding Assessment Process. In Phase 3, women who participated in the D-BAP demonstrated a statistically significant increase in breastfeeding self-efficacy, but not in their breastfeeding intent. The qualitative and quantitative findings from this study can inform future research, particularly as it pertains to supporting low-income African American women to meet their breastfeeding goals: a critically important public health and social work goal.
Download or read book Significance of Breastfeeding Education In hospital Support and Maternal Self efficacy on Initiating and Sustaining Exclusive Breastfeeding written by Pik Yuk Kam and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exclusive breastfeeding (EBF) for the baby's first six months after birth, and continue breastfeed (BF) up to two years and beyond, has been an ultimate goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) (Willumsen, 2013). BF has been recognized as having numerous health benefits for mothers and babies as well as cost-saving to families, and environmental friendly to the world. The aim of this study is to examine the effects of provision of BF education and EBF policies to health care professionals and mothers; intensive BF support to mothers, and the increase of staffing ratios on the improvement of EBF rate in the in-patient hospital setting. The significant drop of EBF rate (from 80-90% down to 60-70%) in the past few months at the author's baby-friendly hospital (BFH) drew the departmental managers' intention to initiate a pilot study to improve and maintain the EBF rate to required level (75%). Based on the research studies, low EBF rates could be increased by using intensified BF education and support from lactation consultants and nursing staff; strategies such as appropriate staffing ratios, collaboration of family members and support groups. Mothers who have health problems and unexpected birth experiences should receive extra BF support from health professionals and family members. To obtain the informal approval from key stakeholders is critical for the development of the implementation plan. Meetings are needed to address the issues; the evidence to support the proposed solutions and the urgency to change. After approval, a BF committee for the project will be formed and meeting will be carried out at a regular basis. The study takes a four-week period emphasizing on Breastfeeding Bundle (BFB) (Include: skin-to-skin care after delivery, initiate BF within the first hour, rooming-in, and no pacifier or supplement other than breast milk except medically indicated). Data collection for the evaluation process is chart review. The standard data measuring table will be used to assess the rate. BF committee members will review charts of discharged mothers and babies. Percentage of practicing skin-to-skin care, initiation of BF, BF education, and satisfaction will be calculated. Using the data collected at discharge from postpartum unit to identify the perinatal BF rates and the type of feeding. Previous studies concluded low EBF rates could be increased by intensified BF education and support; appropriate staffing ratios, and collaboration of family members and support groups. To disseminate the results, key committee members need to schedule meetings with the stakeholders to report the project outcome, to receive their input, and to ensure this EBP can be continued to sustain in the long run after implementation. Strategies for effective dissemination of results are presenting by PowerPoint, sending e-mails, posters, or flyers, et cetera.
Download or read book Breastfeeding Education in a Historically Underserved Population written by Karen R. Huvala McKearney and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Infant feeding methods are most often determined by a mother prior to the birth of her newborn. Interventions geared toward increasing maternal breastfeeding knowledge, self-efficacy, and intent have been shown to be effective in improving breastfeeding exclusivity rates. The purpose of this evidence-based practice change project was to increase knowledge regarding the benefits of breastfeeding exclusivity and intent to exclusively breastfeed in a historically underserved population through the implementation of an empowerment breastfeeding education class. The program was offered to pregnant women who were planning to deliver their newborns in one of two northern Manhattan affiliated nurseries. The mothers were primarily Latina, speak Spanish or English, and have either Medicaid coverage or no insurance at the time of the visit. Overall, this population is particularly prone to low breastfeeding exclusivity. A prenatal class in both Spanish and English was provided to five expectant mothers. The contents of the program included material on the importance of breastfeeding exclusivity, education designed to improve breastfeeding self-efficacy, and advanced decision making strategies to prepare mothers for potential obstacles. Participants completed a pre- and post-course Likert scale survey as well as general demographic information. Given the small sample size, frequencies and percentages were used to evaluate the data. Pre- and post-test differences were measured at the level of the group as well as the individual. Participants demonstrated an increase in breastfeeding exclusivity knowledge and belief in their ability to know whether their babies are getting enough breast milk. All mothers in this group had intended to exclusively breastfeed for at least the first two weeks postpartum prior to taking the class. " -- Abstract.
Download or read book Breastfeeding Education written by Rhonda Coffey and published by . This book was released on 2014 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this research study was to examine the level of self-efficacy for new mothers attending a formal breastfeeding education compared to those that did not. Participants were asked to complete the Breast Feeding Self-Efficacy Scale - Short Form via telephone. Twenty primigravida mothers who were breastfeeding at the time of discharge agreed to participate. A Pearson correlation coefficient was calculated examining the relationship between the participants' level of self-efficacy and participation in formal breastfeeding. The Pearson correlation coefficient was positive but was not statistically significant ( r (18)= .250, p > .05) indicating no relationship between the participant's self-efficacy score and participation in formal breastfeeding education.
Download or read book Breast Feeding written by Jaiby M. Varghese and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breastfeeding is proven to be a better choice for both the mother and the baby. If widely adopted it has the potential to increase the overall health and welfare of the community and the country. The percentage of exclusive breastfeeding among new mothers needs to be improved. The role of healthcare workers in this endeavor is important and crucial. This paper proposes a study to find out effective ways to help and educate mothers in breastfeeding their infants. The research question is developed using the PICOT method. The saving that can be realized by the positive health effects of the breast milk alone is enough to convince the management and get approval for this project. It proposes to educate the healthcare workers and mothers to help them meet the challenges ahead. Each interaction between the healthcare professional and the patient is important in this context. The peer to peer interaction between mothers can also play an important role in helping them overcome any fears and uncertainties. This paper suggests the use of Breastfeeding Self-efficacy theory proposed by Cindy-Lee Dennis as the foundation for the implementation. The associated Breastfeeding Self-efficacy scale can be used as a measurement tool and can help to estimate the progress of the implementation. It is beneficial to keep the stake holders informed about the progress of the intervention using all the available methods.
Download or read book An Educational Approach to Improve Breastfeeding Rates Among Low Income Women and to Promote Endorsement of Lactation Among Future Physicians written by and published by . This book was released on 1987 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Sample Sizes for Clinical Trials written by Steven A. Julious and published by CRC Press. This book was released on 2009-08-26 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on various real-world applications, Sample Sizes for Clinical Trials takes readers through the process of calculating sample sizes for many types of clinical trials. It provides descriptions of the calculations with a practical emphasis.Focusing on normal, binary, ordinal, and survival data, the book explores a range of trials, including su
Download or read book Talk in interaction written by Markku Haakana and published by Suomalaisen Kirjallisuuden Seura. This book was released on 2009-01-01 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the recent decades Conversation Analysis has developed into a distinctive method for analyzing talk in interaction. The method is utilized in several disciplines sharing an interest in social interaction, like anthropology, linguistics, social psychology, and sociology, and it has been applied to a great variety of languages and types of interaction. Conversation Analysis then is coming of age as a truly comparative enterprise. This volume presents and discusses comparative approaches to analyzing interactional practices and structures. The contributors to the volume have their background in sociology, linguistics, and logopedics. They offer comparative analyses of activity types, participant roles and identities, displays of emotion, and design of actions such as questions and corrections. The languages covered by the chapters include English, Finnish, German, and Swedish. This volume is of interest to all those interested in the research of language and social interaction. Because of its methodological nature, the book can also be utilized in teaching and in learning the discovery procedures typical of Conversation Analysis.
Download or read book Review of WIC Food Packages written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-08-06 with total page 587 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. This, the second report of this series, provides a summary of the work of phase I of the study, and serves as the analytical underpinning for phase II in which the committee will report its final conclusions and recommendations.
Download or read book SYSTEMATIC REVIEW OF THE EFFEC written by Lee-Man Yeung and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "A Systematic Review of the Effectiveness of Interventions to Increase Women's Confidence in Breastfeeding" by Lee-man, Yeung, 楊莉敏, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background Breastfeeding is the gold standard in infant nutrition. Despite increasing mothers choose to breastfeed, low exclusivity remains. One of the top-ranked and yet modifiable reasons is perceived insufficient milk that results in low confidence in breastfeeding. To date, no review examined the effectiveness of intervention in increasing women's confidence in breastfeeding. Purpose The purpose of this review was to examine intervention studies that aimed at enhancing women's confidence or self-efficacy in breastfeeding. Design and methods A systematic review was performed. Ten articles were identified through electronic database searches with a prior inclusion and exclusion criteria. Results Inconsistent findings were found in the review and could not conclude which particular intervention could improve maternal breastfeeding self-efficacy or confidence due to the wide variety of approaches tested. However, in studies that reported increase in breastfeeding self-efficacy after intervention, breastfeeding outcomes in terms of duration and exclusivity improved. Conclusion Future research with better design and longer follow-up is recommended to evaluate the long-term effect of these interventions. An environment conducive to building up women's confidence in breastfeeding is needed. Subjects: Breastfeeding
Download or read book Global Strategy for Infant and Young Child Feeding written by World Health Organization and published by World Health Organization. This book was released on 2003 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: WHO and UNICEF jointly developed this global strategy to focus world attention on the impact that feeding practices have on the nutritional status, growth and development, health, and thus the very survival of infants and young children. The strategy is the result of a comprehensive two-year participatory process. It is based on the evidence of nutrition's significance in the early months and years of life, and of the crucial role that appropriate feeding practices play in achieving optimal health outcomes. The strategy is intended as a guide for action; it identifies interventions with a proven positive impact; it emphasizes providing mothers and families the support they need to carry out their crucial roles, and it explicitly defines the obligations and responsibilities in this regards of governments, international organizations, and other concerned parties.
Download or read book Review of WIC Food Packages written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-06-25 with total page 1063 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. In this third report, the committee provides its final analyses, recommendations, and the supporting rationale.
Download or read book The Impact of Antenatal Breastfeeding Education on Young Women s Breastfeeding Self efficacy and Breastfeeding Rates written by Nicola Jane Jackson and published by . This book was released on 2014 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:
