Using the Information-Motivation-Behavioral Framework to Promote Rational Medicine Use Among Breastfeeding Women: A
Ritah Nakijoba1, Lynn M Atuyambe2, Simon Peter Asiimwe1
1Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Summary
An Information-Motivation-Behavioral Skills (IMB) intervention significantly improved breastfeeding women's knowledge, motivation, and safe medication practices in Uganda. This highlights the potential of IMB-based education for enhancing maternal health outcomes.
Area of Science:
- Public Health
- Health Behavior Science
- Maternal Health
Background:
- Rational medicine use during breastfeeding is a global challenge, particularly in low- and middle-income countries.
- Suboptimal medication practices contribute to antimicrobial resistance and adverse drug reactions.
- The Information-Motivation-Behavioral Skills (IMB) model's effectiveness in promoting safe medication practices among breastfeeding women requires further investigation.
Purpose of the Study:
- To assess the impact of an IMB-based educational intervention on knowledge, attitudes, and practices related to medication use among breastfeeding women.
- To evaluate the association between the IMB model and improved medication adherence and safety in urban Ugandan settings.
Main Methods:
- A quasi-experimental study involving 184 breastfeeding women in Kampala, Uganda.
- Intervention group received 12 weekly IMB-based health education sessions; control group received standard education.
- Outcomes (knowledge, motivation, behavior) measured at baseline and 3 months using questionnaires; analyzed with repeated-measures ANOVA and mixed-effects models.
Main Results:
- The IMB intervention group showed significantly greater improvements in knowledge (89% vs. 80%), motivation (81% vs. 70%), and behavior (91% vs. 81%) compared to the control group at 3 months (p < 0.001).
- Mixed-effects regression confirmed significant differences between groups, with the intervention group demonstrating superior gains in all measured outcomes.
- The intervention demonstrated a statistically significant positive association with improved medication knowledge, motivation, and practices.
Conclusions:
- The IMB-based educational intervention effectively enhanced breastfeeding women's knowledge, motivation, and practices regarding medication use.
- Findings support the integration of IMB-based programs into routine health education for breastfeeding mothers.
- This approach holds promise for improving rational medicine use and mitigating antimicrobial resistance in maternal health contexts.
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