TY -非盟的穆罕默德纤毛,Farahana AU -艾哈迈德,Norliza盟——穆罕默德Zulkefli也Afiah盟——穆罕默德(Shukri Nurul Husna PY - 2022 DA - 2022/9/14 TI -面对面的效果和WhatsApp通信的理论基础健康教育干预对母乳喂养自我效能(SeBF干预):乔-集群随机对照试验场地JMIR Mhealth Uhealth SP - e31996六世- 10 - 9千瓦-自我效能千瓦母乳喂养KW -干预KW -社会认知理论AB -背景: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。主要指标为母乳喂养自我效能感，次要指标为母乳喂养知识和态度。 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 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/9/e31996 UR - https://doi.org/10.2196/31996 UR - http://www.ncbi.nlm.nih.gov/pubmed/36103244 DO - 10.2196/31996 ID - info:doi/10.2196/31996 ER -