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Background <p>Despite the well-documented benefits of breastfeeding, exclusive breastfeeding rates remain suboptimal globally. This study aimed to assess the impact of a health literacy-based educational intervention on breastfeeding self-efficacy among primiparous women.</p> Methods <p>A randomized clinical trial was conducted with 77 primiparous pregnant mothers in Chalus, Iran. Participants were allocated to an intervention group (<i>n</i> = 38) receiving a structured education program via Skyroom and WhatsApp, or a control group (<i>n</i> = 39) receiving routine care. Breastfeeding self-efficacy was assessed using the BSES-SF questionnaire at baseline, immediately post-intervention, and at three and six weeks postpartum. Data were analyzed using SPSS version 20 with chi-square, Fisher’s exact, Mann-Whitney, and mixed model tests.</p> Results <p>At baseline, the groups had similar self-efficacy scores (intervention: 40.84 ± 10.62 vs. control: 38.07 ± 7.52, <i>p</i> = 0.264). The intervention group demonstrated a significantly greater increase in self-efficacy immediately post-intervention (61.57 ± 5.05 vs. 45.01 ± 6.76; <i>p</i> &lt; 0.0001), and this significant difference was maintained at three weeks (58.47 ± 5.44 vs. 48.23 ± 7.14; <i>p</i> &lt; 0.0001) and six weeks (57.47 ± 5.31 vs. 49.48 ± 6.59; <i>p</i> &lt; 0.0001) post-intervention.</p> Conclusion <p>A health literacy-based education program significantly improved breastfeeding self-efficacy in primiparous women. This approach, particularly when delivered via accessible digital platforms, shows promise as an effective strategy to promote exclusive breastfeeding.</p>

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Effect of health literacy-based education on the self-efficacy of primiparous breastfeeding women: a randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月1日

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  • Zohreh Shahhosseini,
  • Negin Kalvani,
  • Roya Nikbakht,
  • Malihe Nourollahpour Shiadeh

摘要

Background

Despite the well-documented benefits of breastfeeding, exclusive breastfeeding rates remain suboptimal globally. This study aimed to assess the impact of a health literacy-based educational intervention on breastfeeding self-efficacy among primiparous women.

Methods

A randomized clinical trial was conducted with 77 primiparous pregnant mothers in Chalus, Iran. Participants were allocated to an intervention group (n = 38) receiving a structured education program via Skyroom and WhatsApp, or a control group (n = 39) receiving routine care. Breastfeeding self-efficacy was assessed using the BSES-SF questionnaire at baseline, immediately post-intervention, and at three and six weeks postpartum. Data were analyzed using SPSS version 20 with chi-square, Fisher’s exact, Mann-Whitney, and mixed model tests.

Results

At baseline, the groups had similar self-efficacy scores (intervention: 40.84 ± 10.62 vs. control: 38.07 ± 7.52, p = 0.264). The intervention group demonstrated a significantly greater increase in self-efficacy immediately post-intervention (61.57 ± 5.05 vs. 45.01 ± 6.76; p < 0.0001), and this significant difference was maintained at three weeks (58.47 ± 5.44 vs. 48.23 ± 7.14; p < 0.0001) and six weeks (57.47 ± 5.31 vs. 49.48 ± 6.59; p < 0.0001) post-intervention.

Conclusion

A health literacy-based education program significantly improved breastfeeding self-efficacy in primiparous women. This approach, particularly when delivered via accessible digital platforms, shows promise as an effective strategy to promote exclusive breastfeeding.