The effects of a breastfeeding self-efficacy intervention on short-term breastfeeding outcomes among primiparous mothers in Wuhan, China
Article first published online: 8 JAN 2014
© 2014 John Wiley & Sons Ltd
Journal of Advanced Nursing
Volume 70, Issue 8, pages 1867–1879, August 2014
How to Cite
2014) The effects of a breastfeeding self-efficacy intervention on short-term breastfeeding outcomes among primiparous mothers in Wuhan, China. Journal of Advanced Nursing 70(8), 1867–1879. doi: 10.1111/jan.12349, , & (
- Issue published online: 18 JUL 2014
- Article first published online: 8 JAN 2014
- Manuscript Accepted: 7 DEC 2013
- breastfeeding duration;
- breastfeeding exclusivity;
- breastfeeding self-efficacy;
- primiparous mothers;
- self-efficacy intervention;
- self-efficacy theory;
- short-term breastfeeding outcomes
To evaluate the effects of a breastfeeding intervention on primiparous mothers' breastfeeding self-efficacy, breastfeeding duration and exclusivity at 4 and 8 weeks postpartum.
Few studies have examined the effects of breastfeeding self-efficacy on improved breastfeeding outcomes among primiparous mothers in China.
An experimental pre-test and posttest, two-group design was used in the study.
A total of 74 participants were recruited to the study from a tertiary hospital in central China, from June–October 2012. An individualized, standardized nursing intervention based on the Self-Efficacy Theory was delivered to enhance mothers' breastfeeding self-efficacy, breastfeeding duration and exclusivity at 4 and 8 weeks postpartum. Participants were randomly assigned to an intervention or referent group. Participants in the intervention group received three individualized, self-efficacy-enhancing sessions. Participants in the referent group received standard care.
Participants in the intervention group showed significantly greater increases in breastfeeding self-efficacy, exclusivity and duration than participants in the control group at 4 and 8 weeks postpartum (except for duration at 4 weeks). High baseline breastfeeding self-efficacy predicted higher breastfeeding self-efficacy later and more exclusive breast-feeding.
The findings in this study suggest that intervention aimed at increasing self-efficacy has a significant impact on maternal breastfeeding self-efficacy and short-term breastfeeding outcomes.