Document Type : Original Article

Authors

1 Shiraz University of Medical Sciences, Shiraz, Iran

2 Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

3 Researh Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

4 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

5 Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran

Abstract

Background: The present study aimed to compare the effect face-to -face and distance learning on knowledge, attitude and practice of females about breastfeeding in Shiraz, Iran.
Methods: This randomized controlled trial was conducted in Shiraz, Iran in 2019 on 313 women who were referred to health centers (93 face-to face group, 105 distance learning group, and 115 control group). The study outcomes included knowledge, attitude, and practice of the women about breastfeeding which were measured at the onset and one-month post-intervention. The data were analyzed using SPSS 21 software.
Results: Mean changes of knowledge and attitude were significantly higher in the face-to-face and distance learning intervention groups compared to the control group (P<0.05). Mean practice changes from the baseline until one month after the intervention was significantly higher in the face to-face intervention group compared to the control group (P=0.015) and in the face-to-face intervention group compared to the distance learning intervention group (P=0.002).
Conclusion: The present study showed that both face-to-face and distance learning breastfeeding interventions effectively increased the mothers’ knowledge and attitudes, and that faceto- face intervention would led to improved practice.

Keywords

  1. Exclusive breastfeeding for optimal growth, development and health of infants. http://www.who.int/elena/titles/exclusive_breastfeeding/en/ (2017). Accessed 15 July 2017.
  2. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC, Group TL. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016 Jan 30; 387(10017):475-90. DOI: 10.1016/S0140-6736(15)01024-7 PMID: 26869575.  
  3. Shattnawi KK. Healthcare professionals' attitudes and practices in supporting and promoting the breastfeeding of preterm infants in NICUs. Advances in Neonatal Care. 2017 Oct 1; 17(5):390-9. doi: 10.1097/ANC.0000000000000421 PMID: 28787301.
  4. Baba Ahmadi A, Pajouhideh ZS, Mohammadi S. Prevalence of exclusive breastfeeding and its related factors in Iran: A systematic review and meta-analysis. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2021; 24(5):103-15. doi: 22038/IJOGI.2021.18576.
  5. Darby-Carlberg, Cheryl Lynn, "Attitudes of young adults about breastfeeding and the association of breastfeeding exposure" (2010). UNLV Theses, Dissertations, Professional Papers, and Capstones. 195. doi: 34917/1439129
  6. Palda VA, Guise J-M, Wathen CN. Interventions to promote breast-feeding: applying the evidence in clinical practice. Canadian Medical Association Journal. 2004; 170(6):976-8 % 0820-3946. doi: 10.1503/cmaj.1031197 PMID: 15023925.
  7. Lawrence RA, Lawrence RM. Breastfeeding E-Book: A Guide for the Medical Professional: Elsevier Health Sciences; 2010.
  8. Almasi H, Saberi H, Moravveji SA. The pattern of exclusive breast feeding in neonates under healthcares in health centers of Kashan city during 2006. Kaums Journal (FEYZ). 2010 Jul 10; 14(2):163.
  9. Mardazad N, Nahidi F, Jannasari S, Amiri Z. Assessment of effect of mother consulting on weighting of low birth weight neonate. Jentashapir Journal of Cellular and Molecular Biology. 2012; 3(3): 417-426.
  10. Bahri N, Bagheri S, Erfani M, Rahmani R, Tolidehi H. The comparison of workshop-training and booklet-offering on knowledge, health beliefs and behavior of breastfeeding after delivery. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2012; 15(32):14-22. doi: 22038/IJOGI.2012.155.
  11. Kamali Z, Rasouli B, Roodpeyma SH, Haji Mirsadeghi Z, Eivani MJ. Assessment of breastfeeding and related factors in three hospitals of Tehran, 2008. Iranian Journal of Nutrition Sciences & Food Technology. 2013 Mar 10; 7(5):125-34.
  12. Sharifirad G, Golshiri P, Shahnazi H, Barati M, Hassanzadeh A. The impact of educational program based on BASNEF model on breastfeeding behavior of pregnant mothers in Arak. Journal of Arak University of Medical Sciences. 2010 Apr 10; 13(1):63-70.
  13. Mokhtary L, Khorami Marekani A, Habibpoor Z. The effect of face to face education and pamphlet giving on knowledge of mothers about breast feeding. The Journal of Urmia Nursing and Midwifery Faculty. 2014 Dec 10; 12(9):825-32.
  14. Flax VL, Negerie M, Ibrahim AU, Leatherman S, Daza EJ, Bentley ME. Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations. The Journal of nutrition. 2014 Jul 1; 144(7):1120-4. DOI: 10.3945/jn.113.190124   PMID: 24812071.
  15. BabazadeT MF, Zibaee N. Impact of educational intervention on mother Empowerment about proper nutrition in 0-2 years' infants covered by Homes of Health district 18 of Tehran. Iran J Health Educ Health Promot. 2014; 2(3):242-50.
  16. Keramat A, Masoumi SZ, Shobeiri F, Raei M, Andarzgoo M, Babazadeh R. Effectiveness of educational program related to persuade women for breast feeding based on theory of planned behavior (TPB). Avicenna Journal of Nursing and Midwifery Care. 2013 Jul 10; 21(2):21-31.
  17. Akbarzadeh M, Bahmani N, Moatari M, PourAhmad S. The impact of the BASNEF educational programme on breastfeeding behaviour in Iran. British Journal of Midwifery. 2013 Apr; 21(4):276-84. doi: 12968/bjom.2013.21.4.276.
  18. Heidari B, Etemadifar S, Raeisi M. The Effectiveness of a supportive educative program on mothers’ knowledge and behavior about breast feeding in health care centers of Shahrekord city 2012. Journal of Clinical Nursing and Midwifery. 2016 Apr 10; 5(1):67-75.
  19. Panahi F, Simbar M, Lotfi R, Rahimzadeh M. The effect of parents' training on their knowledge, attitudes and practice in exclusive breastfeeding up to four months: A randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2017;20(5):48-57.
  20. Hanafi MI, Shalaby SAH, Falatah N, El-Ammari H. Impact of health education on knowledge of, attitude to and practice of breastfeeding among women attending primary health care centres in Almadinah Almunawwarah, Kingdom of Saudi Arabia: controlled pre–post study. Journal of Taibah University Medical Sciences. 2014;9(3):187-93. doi: org/10.1016/j.jtumed.2013.11.011.
  21. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Effectiveness of educational intervention on exclusive breast feeding in primipara women: application of planned behavior theory. Razi Journal of Medical Sciences. 2015;21(127):12-23.
  22. Masoumi SZ, Khalili A, Roshanaei G, Ahmadi S. Effects of exclusive breastfeeding consultation for mothers on continuation of breastfeeding and weight-gaining of late preterm infants hospitalized in Fatemieh Hospital in Hamadan, 2016. International Journal of Medical Research & Health Sciences. 2016;5(9):61-6.
  23. Wajed H. Prenatal breastfeeding intervention program to increase breastfeeding duration among low income women. Health. 2012;4(03):143. doi:10.4236/health.2012.43022.
  24. Forster DA, McLachlan HL, Lumley J. Factors associated with breastfeeding at six months postpartum in a group of Australian women. International breastfeeding journal. 2006 Dec;1(1):1-12. doi:10.1186/1746-4358-1-18 PMID: 
  25. Saba MS, Bazmamoun H, Razavi Z. Comparison of Face to Face Education with Other Methods to Pregnant Mothers in Increase Exclusive Breast Feeding. Scientific Journal of Hamadan University of Medical Sciences. 2005;12(3):42-47. eng.