Promoting positive attitudes to breastfeeding

The development and evaluation of a theory‐based intervention with school children involving a cluster randomised controlled trial

Bibliographic Data

ID15536692
AuthorsMelanie Giles (0000-0003-1815-3489, University of Ulster, corresponding author), Samantha Millar (Queen's University Belfast), Cherie Armour (0000-0002-2930-2227, University of Ulster), Carol Mcclenahan (University of Ulster), John Mallett (0000-0001-7539-3329, University of Ulster), Barbara Stewart‐knox (0000-0002-6741-3657, University of Ulster)
Year2013
Volume11
Issue4
Pages656-672
Publication date2013-09-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12079
PMID24028173
OpenAlexW2154636085
LanguageEN
Citations received5
References cited59

The objective of this study was to design, implement and evaluate an intervention based on the theory of planned behaviour (TPB) to enhance young peoples' motivations to breastfeed/support a partner to breastfeed. Six semi-structured focus groups were first conducted with 48 13-14-year-olds from two schools in Northern Ireland. The salient beliefs elicited were subsequently used to design a TPB-based questionnaire that was then administered to 2021 13-14-year-old pupils (852 males; 1169 females) from 36 post-primary schools to identify the most important determinants of breastfeeding. The results were used to inform the design and implementation of an intervention package that was subsequently evaluated using a cluster randomised controlled trial involving 44 randomly selected schools across Northern Ireland. Questionnaires were administered to 18 intervention and 26 control schools at baseline and again at 1 and 6 months post-intervention to evaluate its effectiveness. Multi-level modelling was employed to analyse the data. The results revealed significant effects on women's intention to breastfeed, β = 0.208, t(1275) = 2.715, P = 0.007; attitudes, β = 0.223, t(1275) = 4.655, P < 0.001; moral attitudes, β = 0.231, t(1275) = 4.211, P < 0.001; subjective norm, β = 0.118, t(1275) = 2.521, P = 0.012; and knowledge, β = 0.109, d.f. (1275) = 7.843, P < 0.001. However, for men, the results revealed significant effects on only the construct of knowledge, β = 0.104, t(541) = 4.345, P < 0.001.The research has provided evidence to support the need for breastfeeding education in schools and has shown how a theoretical framework may be used to inform the design and evaluation of a health behaviour intervention

Breastfeeding · Cluster (spacecraft · Cluster randomised controlled trial · Control (management · Family medicine · Focus group · Intervention (counseling · Norm (philosophy · Randomized controlled trial · Theory of planned behavior · Breastfeeding Practices and Influences · Child and Adolescent Psychosocial and Emotional Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Internal Medicine · Pediatrics

Tools

Open DOISci-HubOpen Access