基于理论的教育干预对提高捐奶行为的有效性:一个集群随机对照试验
Shirin Shahbazi Sighaldeh1,2, Maryam Moridi1, Anoshirvan Kazemnejad3
1Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
International breastfeeding journal
|March 23, 2025
概括
基于计划行为 (TPB) 的教育干预理论显著改善了母乳养母亲关于捐奶的知识,态度和行为. 该计划增加了牛奶捐赠率,支持人类牛奶银行的可持续性.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 孕产妇和儿童的健康
背景情况:
- 哺乳母亲参与母乳捐赠对于人类牛奶银行 (HMB) 来说至关重要.
- 了解影响捐奶行为因素对于开发有效干预措施至关重要.
- 计划行为理论 (TPB) 提供了一个探索行为决定因素的框架.
研究的目的:
- 评估基于TPB的教育干预对母乳养母亲的知识,态度,感知行为控制和捐奶意图的影响.
- 评估干预对实际捐奶行为的影响.
主要方法:
- 进行了一个集群随机对照试验 (CRT),涉及67名母乳养的母亲.
- 干预组每周接受四次基于TPB原则的教育课程;对照组接受例行护理.
- 关于知识,态度,主观规范,感知行为控制,意图和捐赠行为的数据是使用基于TPB的调查问卷在干预前,干预后立即和干预后三个月收集的.
主要成果:
- 在所有测量变量中,干预组和对照组之间没有观察到显著的基线差异.
- 干预组在干预后立即和三个月内显著改善了知识,态度,主观规范,感知行为控制和意图 (P <0.05).
- 干预后三个月,干预组的8名母亲捐赠了牛奶,而对照组没有 (P = 0.002).
结论:
- 基于TPB的教育干预有效地提高了母乳养母亲的捐奶行为.
- 实施此类计划可以增加牛奶捐赠率,从而支持人乳银行的建立和可持续性.
- 基于行为理论的有针对性的教育策略在促进关键的公共卫生行为方面是有效的.
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