Breastfeeding Promotion in Lebanon Through a Salutogenic Intervention

Nabiha Ramadan

Status: Completed

Conditions: Exclusive Breastfeeding; Breast Feeding; Salutogenesis

Treatments: Behavioral: Videos with breastfeeding education material and encouraging messages; Behavioral: Whatsapp group

Study type: Interventional

Funder types: Other

Identifiers

NCT06286176

LIUIRB-200311-NR1

Details and patient eligibility

About

The study is a randomized control trial to assess the effect of a salutogenic intervention on breastfeeding initiation and duration of exclusive breastfeeding in Lebanon. In this Salutogenic intervention, infant feeding helpers will provide subjects of the intervention group breastfeeding related information , and will support these subjects by counseling and guiding them to find general resistance resources. This aims to increase sense of coherence and its parameters: comprehensibility, manageability and meaningfulness, which are the base of salutogenesis.

Full description

Pregnant women were recruited in their 3rd trimester of pregnancy and were randomly assigned to either an intervention or control group.

Both groups received standard breastfeeding education at the maternity ward. Additionally, the intervention is based on informative and supportive videos and a whatsapp group for interpersonal support. Videos and whatsapp groups were created and moderated by Infant Feeding Helpers. These are women from the same socio-economical background as the subjects, and have previous history of breastfeeding a minimum of 6 months exclusive breastfeeding.

The aim of the intervention was to increase initiation and duration of breastfeeding by increasing comprehensibility, manageability and meaningfulness of the breastfeeding period and therefore by enhancing their sense of coherence.

Chi-squared tests were used for descriptive statistics, Wilcoxon test was used for pre- post results of SOC and (SE) within each group. The change in pre-post SOC, SOC parameters and SE scores between control and intervention groups was analyzed with Quade non parametric.

Enrollment: 101 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women
• Singleton
• Healthy
• New born not admitted to Neonatal Intensive Care Unit
• Residing in Lebanon

Exclusion criteria

• Pregnant with more than 1 fetus
• Mothers with a health condition contraindicating breastfeeding
• Newborn admitted to NICU

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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101 participants in 2 patient groups

Behavioral: videos

Experimental group

Description:

4 videos are created and distributed to subjects in the intervention group. Video 1: 10 days before delivery Video 2: the day of the delivery Video 3: 1 week postpartum Video 4: 1 month postpartum Videos content: encouraging message, information related to breastfeeding management This is arm in applied in all subjects on the intervention group

Treatment:

Behavioral: Videos with breastfeeding education material and encouraging messages

Behavioral: Whatsapp group

Experimental group

Description:

4 Whatsapp groups were created. Each Whatsapp group was moderated by 1 infant feeding helper. Each whatsapp group consisted of 10-15 subjects. Mothers asked breastfeeding related questions to infant feeding helpers and also exchange experience with the other mothers on the group. This is arm in applied in all subjects on the intervention group. Mothers of the intervention group joined their corresponding whatsapp group 10 days before expected delivery date and the duration of the intervention involving the whatsapp group was until 6 months postpartum.

Treatment:

Behavioral: Whatsapp group