Application of the Extended Theory of Planned Behavior to Predict Exclusive Breastfeeding Intention, In Pregnant Nulliparous Women. A Cross-Sectional Study

Farahnaz Yazdanpanah; Mostafa Nasirzadeh; Hassan Ahmadinia; Mahdi Abdolkarimi

doi:10.17533/udea.iee.v40n2e04

Authors

Farahnaz Yazdanpanah
Mostafa Nasirzadeh
Hassan Ahmadinia
Mahdi Abdolkarimi University of Medical Sciences https://orcid.org/0000-0002-2781-2821

DOI:

https://doi.org/10.17533/udea.iee.v40n2e04

Keywords:

pregnant women, health behavior, social support, self efficacy, breast feeding

Abstract

This study investigated the effect of Extended Theory of Planned Behavior (ETPB) extended theory of planned behavior in comparison with the Theory Of Planned Behavior (TPB) in explaining the intention of Exclusive Breastfeeding Intention (EBF) in Pregnant nulliparous women of Kerman (Iran).

Methods. In this descriptive study, 249 pregnant women in Kerman participated via simple random sampling. The research instruments included Questionnaire related to the structures of the theory of planned behavior, breastfeeding self-efficacy and social support questionnaire for breastfeeding.

Results. The results of the correlation test showed a significant relationship between all constructs of the theory of extended planned behavior and the intention of EBF. The highest correlation belonged to the construct of subjective norms (r=0.49). Path regression coefficients in the second model showed that the Self-Efficacy mediator variable is fully capable of meaningful mediation between Social Support and Intention (p<0.001; B=0.383). The conceptual diagram of Structural equation modeling showed a higher explained variance or R2 index for the intention variable for the developed model compared to that of the first model, i.e. (the first model: R2=0.37, the second model: R2=0.46). The goodness-of-fit index had a better status for the developed model.

Conclusion. Extended TPB with social support and breastfeeding self-efficacy constructs can be appropriate model for predicting the intention and behavior of EBF.

|Abstract

= 23 veces | PDF

= 22 veces|

Downloads

Download data is not yet available.

References

1. World Health Organization. Exclusive breastfeeding for optimal growth, development and health of infants [Internet]; Geneve: WHO; 2019.

2. Mokhtarian T, Farhood D, Malmir M, Mokhtarian TA. Moral Imperative of Breastfeeding & Commitment to the Children’s Rights . Ethics. Inf. Techno. 2017; 12 (1) :5-9. (Persian)

3. Saodah H, Azlina I, Juliawati M. Unsuccessful Exclusive Breastfeeding and Associated Factors among the Healthcare Providers in East Coast, Malaysia. Korean J. Fam. Med. 2020; 44(1):416-421.

4. Naomi C. Bartle. Harvey k. Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self‐efficacy, and breastfeeding outcomes. Br. J. Health Psychol. 2017, 22(4):263-85.

5. Taheri Z, Bakouei F. The Relationship between Mothers’ Empowerment in Breastfeeding with Exclusive Breast Feeding in Infants. J. Babol Univ. Medical Sci. 2019; 21(1):85-92.

6. Saied¹ H, Mohamed¹ A, Suliman A, Al Anazi W. Breastfeeding knowledge, attitude and barriers among Saudi women in Riyadh. J. Nat. Sci. Res. 2013; 3(12):6-13.

7. Pakpour A, Alijanzadeh M, Pouresmaeil M, Taherkhani F, Mohammadgholiha R, Jozi N. Predictive Factors Associated with Breastfeeding Initiation and Duration Behaviors of 6-months Postpartum Mothers Referred to Health Centers in the City of Qazvin Based on Theory of Planned Behavior. Spring Iran J. Health Educ. Health Promot. 2016; 4(1):20-30. (Persian)

8. Lau CYK, Lok KYW, Tarrant M. Breastfeeding Duration and the Theory of Planned Behavior and Breastfeeding Self-Efficacy Framework: A Systematic Review of Observational Studies. Matern. Child Health J. 2018; 22(3):327-42.

9. Mahmudian H RM. Women and low childbearing action: the case study of kurdish women. Women's strategic studies. 2012; 144(55):173-225. (Persian)

10. Wang J, Liu W, Zhao Q, Xiao M, Peng D, An Application of the Theory of Planned Behavior to Predict the Intention and Practice of Nursing Staff Toward Physical Restraint Use in Long-Term . Care Facilities: Structural Equation Modeling. Psychol. Res. Behav. Manag. 2021; 14:275-87.

11. Farzaneh Z, Asadollahi Z, Asadpour M, Rahaei Z, Sardari F, Rezaeaian M. Predictors of Oral Health Condition among Pregnant Mothers in Rafsanjan City Based on Theory of Planned Behavior in 2016: A Descriptive Study. J. Rafsanjan Univ. Med. Sci. 2020; 19(1):65-80. (Persian)

12. Brockway M, Bensies K, Abdoul Aziz K. Breastfeeding self-efficacy and breastmilk feeding for moderate and late preterm infants in the Family Integrated Care trial: a mixed methods protocol. Int. Breastfeed. J. 2018; 13:29.

13. Brockway M, Benzies K, Hayden KA. Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. J. Hum. Lact. 2017; 33(3):486–99.

14. Maleki N, Amel Barez M, Karimi F. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J. Matern. Fetal Neonatal Med. 2020; 33(18):3097-102.

15. Sanjari S, Mohammadi Soleimani M, Khanjani N, Mohseni M, Ahmadi Tabatabaei S V. The Relationship Between Demographic Factors, Healthy Family and Social Health with Exclusive Breastfeeding in Women Referred to Kashani Hospital of Jiroft in 2014. J. Rafsanjan Univ. Med. Sci. 2016; 15(2):165-78. (Persian)

16. Gefen D, Straub D, Boudreau M‑C. Structural equation modeling and regression: Guidelines for research practice. Comm. Assoc. Inform. Syst. 2000; 4:1-77.

17. Alami A, Moshki M, Alimardani A. Development and validation of theory of planned behavior questionnaire for exclusive breastfeeding. J. Neyshabur Univ. Med. Sci. 1971; 2(4):45-53. (Persian)

18. Araban M, Falahiyan Mehrjardi F, Shahry P, Montazeri A. The Persian version of Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF): translation and psychometric assessment. Payesh Health Monit. 1972; 15(1):87-93. (Persian)

19. Boateng GO, Martin SL, Collins SM, Natamba BK, Young SL. Measuring exclusive breastfeeding social support: Scale development and validation in Uganda. Matern. Child. Nutr. 2018; 14 (3):e12579.

20. Haghighi M, Varzandeh R. Maternal knowledge and attitude toward exclusive breastfeeding in six months after birth in Shiraz, Iran. Int. J. Pediatr. 2016; 4(11):3759-67.

21. Moafi F, H. Hajnasiri H, Hosseini T, Alimoradi Z, Bajalan Z. Breastfeeding Self-Efficacy and Its Associated Factors in Women who Gave Birth in Kosar Hospital of Qazvin in 2016-2017: A Descriptive Study. J. Rafsanjan. Univ. Med. Sci. 2019; 17(11):1003-16. (Persian)

22. Scott V, Taylor Y, Basquin C, Venkitsubramanian K, Impact of Key Workplace Breastfeeding Support Characteristics on Job Satisfaction, Breastfeeding Duration, and Exclusive Breastfeeding Among Health Care Employees. Breastfeed Med. 2019; 14(6):416-23.

23. Saffari M, Pakpour AH, Chen H. Factors influencing exclusive breastfeeding among Iranian mothers: a longitudinal populationbased study. Health Promot. Perspect. 2017; 7(1):34-41.

24. Meredith Brockway, RN, IBCLC1, Karen Benzies, RN1,and K. Alix Hayden, Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and MetaAnalysis. J. Hum. Lact. 2017; 33(3):486–99.

25. Temple Newhook J, Newhook LA, Midodzi WK, Murphy Goodridge J, Burrage L, Gill N, et al. Poverty and breastfeeding: comparing determinants of early breastfeeding cessation incidence in socio-economically marginalized and privileged populations in the final study. Health Equity. 2017; 1(1): 96–102.

26. Senghore T, Omotosho TA, Ceesay O, Williams DCH. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: a cross-sectional study. Int. Breastfeed. J. 2018; 13:9.

27. Bajoulvand R, González-Jiménez E, Imani Nasab MH, Ebrahimzadeh F. Predicting exclusive breastfeeding among Iranian mothers: Application of the theory of planned behavior using structural equation modeling. Iranian J. Nursing Midwifery Res. 2019; 24:323-9.

28. Jamei F, Ostovar A, Javadzade H. Predictors of Exclusive Breastfeeding among Nulliparous Iranian Mothers: Application of the Theory of Planned Behavior. Int. J. Pediatr. 2017; 5(3):4457-67.

29. Ratnasari D, Paramashanti BA, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac. J. Clin. Nutr. 2017; (Suppl 1):S31-S35.

30. Tengku I, Wan AM, Mohd B, The extended Theory of Planned Behavior in explaining exclusive breastfeeding intention and behavior among women in Kelantan, Malaysia. Nutr. Res. Pract. 2016; 10(1):49-55.