基于理论的健康教育干预(SeBF干预):面对面和WhatsApp交流对卡塔尔世界杯8强波胆分析母乳喂养自我效能感的影响集群随机对照试验%A Mohamad Pilus,Farahana %A Ahmad,Norliza %A Mohd Zulkefli,Nor Afiah %A Mohd Shukri,Nurul Husna %+马来西亚布特拉大学医学与健康科学学院社区卫生学系，马来西亚雪当，雪当，43400，马来西亚，60 97692424,lizaahmad@upm.edu.my %K自我效能%K母乳喂养%K干预%K社会认知理论%D 2022 %7 14.9.2022 %9原始论文%J JMIR Mhealth Uhealth %G英文%X马来西亚的纯母乳喂养率仍然不令人满意。以往的研究表明，母乳喂养自我效能感是纯母乳喂养的决定因素之一，可以通过社会认知理论来提高。马来西亚人广泛使用的WhatsApp可以作为提供健康教育干预措施的平台。目的:本研究旨在开发、实施和评估基于社会认知理论的基于面对面和基于whatsapp的健康教育干预，即母乳喂养自我效能感(SeBF)模块对雪兰莪州某地区母亲自我效能感、知识和态度的影响。方法:该研究是一项双臂、平行、单盲、集群随机对照试验，干预组和对照组涉及居住在雪兰莪州一个地区的初产妇或多胎母亲，她们在以前的怀孕期间没有完全母乳喂养。将本区12家妇幼门诊随机分为6个干预组和6个对照组。172名孕妇随机分为干预组(n=86)和对照组(n=86)。对照组接受常规护理。 The primary outcome was breastfeeding self-efficacy, while secondary outcomes were knowledge and attitude toward breastfeeding. Each subject was assessed at 4 time points: at baseline, immediately after the intervention, 4 weeks post partum, and 8 weeks post partum. Generalized mixed model analysis was applied to measure the effect of health education on breastfeeding self-efficacy, knowledge, and attitude after the intervention. Results: The response rate was 81% (139/172), with the dropout rate being 7% (6/86) in the intervention group and 31% (27/86) in the control group. In the intent-to-treat analysis, the intervention group showed a significant increase in the mean total breastfeeding self-efficacy score 8 weeks after delivery compared with the control group (F21,601=111.73, P<.001). In addition, the mean total score for breastfeeding knowledge increased significantly in the intervention group after the intervention compared to the control group (F21,601=8.33, P<.001). However, no significant difference was found in the mean total score for breastfeeding attitude after the intervention (F21,602=5.50, P=.47). Conclusions: Face-to-face and WhatsApp-based participation in the SeBF program, designed on the basis of social cognitive theory, contributed to improved self-efficacy and knowledge about breastfeeding. Further studies need to be conducted with a longer duration (until 6 months post partum) to evaluate its effectiveness in increasing exclusive breastfeeding. Furthermore, new strategies in health education need to be developed to improve breastfeeding attitudes. Trial Registration: Thaiclinicaltrials.org TCTR20200213004; https://www.thaiclinicaltrials.org/show/TCTR20200213004 %M 36103244 %R 10.2196/31996 %U https://mhealth.www.mybigtv.com/2022/9/e31996 %U https://doi.org/10.2196/31996 %U http://www.ncbi.nlm.nih.gov/pubmed/36103244