Abstract
Aims
To assess the effect of the education programme on three constructs of health visitors’ breastfeeding support: knowledge, self-efficacy and action competence. Furthermore, the study aimed to confirm the factor structure of these three constructs.
Background
Health professionals are key in supporting breastfeeding women but studies report gaps in health professionals’ breastfeeding support knowledge and competences. The present intervention study aimed to strengthen the breastfeeding support of families to improve breastfeeding rates. Health visitors received an interactive education programme to enhance their breastfeeding support knowledge, self-efficacy and action competence, including e-learning and a two-day course of lectures, role plays and discussions.
Design
A pre- and post-test study was applied in a cluster randomised trial
Methods
Cluster units were Danish municipal health visiting programmes, randomised by stratifying for region and annual births per cluster. Health visitors from 21 clusters (11 intervention, 10 control) participated. The knowledge, self-efficacy and action competence were assessed in self-reported questionnaires before and after education (n=368; intervention n=176, control n=196). To analyse the effects, the intention-to-treat principle and linear mixed models were applied. Confirmatory Factor Analysis was used to confirm the factor structures of the hypothesised knowledge, self-efficacy and action competence constructs.
Results
158 health visitors in the control arm and 157 in the intervention arm completed the baseline questionnaire and were analysed in intention-to-treat analyses. 125 and 116, respectively, completed the follow-up questionnaire and were analysed in sensitivity analyses. Health visitors in both trial arms had high levels of self-efficacy and action competence at baseline. Mean treatment effect of the education programme was 0.5 points (CI95 % 0.1–0.8) for knowledge, 2.4 points (CI95 % 1.6–3.3) for self-efficacy and 1.4 points (CI95 % 0.7–2.0) for action competence. The factor structure of the items used to measure knowledge, self-efficacy and action competence were confirmed.
Conclusions
The education programme improved the self-reported breastfeeding support knowledge, self-efficacy and action competence of health visitors. The factor structures of the instruments used to measure effects were confirmed by confirmatory factor analysis.
To assess the effect of the education programme on three constructs of health visitors’ breastfeeding support: knowledge, self-efficacy and action competence. Furthermore, the study aimed to confirm the factor structure of these three constructs.
Background
Health professionals are key in supporting breastfeeding women but studies report gaps in health professionals’ breastfeeding support knowledge and competences. The present intervention study aimed to strengthen the breastfeeding support of families to improve breastfeeding rates. Health visitors received an interactive education programme to enhance their breastfeeding support knowledge, self-efficacy and action competence, including e-learning and a two-day course of lectures, role plays and discussions.
Design
A pre- and post-test study was applied in a cluster randomised trial
Methods
Cluster units were Danish municipal health visiting programmes, randomised by stratifying for region and annual births per cluster. Health visitors from 21 clusters (11 intervention, 10 control) participated. The knowledge, self-efficacy and action competence were assessed in self-reported questionnaires before and after education (n=368; intervention n=176, control n=196). To analyse the effects, the intention-to-treat principle and linear mixed models were applied. Confirmatory Factor Analysis was used to confirm the factor structures of the hypothesised knowledge, self-efficacy and action competence constructs.
Results
158 health visitors in the control arm and 157 in the intervention arm completed the baseline questionnaire and were analysed in intention-to-treat analyses. 125 and 116, respectively, completed the follow-up questionnaire and were analysed in sensitivity analyses. Health visitors in both trial arms had high levels of self-efficacy and action competence at baseline. Mean treatment effect of the education programme was 0.5 points (CI95 % 0.1–0.8) for knowledge, 2.4 points (CI95 % 1.6–3.3) for self-efficacy and 1.4 points (CI95 % 0.7–2.0) for action competence. The factor structure of the items used to measure knowledge, self-efficacy and action competence were confirmed.
Conclusions
The education programme improved the self-reported breastfeeding support knowledge, self-efficacy and action competence of health visitors. The factor structures of the instruments used to measure effects were confirmed by confirmatory factor analysis.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | 104033 |
| Tidsskrift | Nurse Education in Practice |
| Vol/bind | 78 |
| Antal sider | 10 |
| ISSN | 1471-5953 |
| DOI | |
| Status | Udgivet - 2024 |
Bibliografisk note
Funding Information:NordeaFonden (grant ID: 02-2019-00267) and Det Obelske FamilieFond (grant ID: 29763) funded the research carried out in this study and the development and implementation of the intervention. The funders had no role in the data collection, data analyses or interpretations of the findings in the study.
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© 2024 The Authors