The Effect of Stress Inoculation Training on Breastfeeding Self-Efficacy and Perceived Stress of Mothers With Low Birth Weight Infants: A Clinical Trial
Objective: Mothers with low birth weight infants experience more stress, which results in reduced breastfeeding self-efficacy and exclusive breastfeeding; In this regard, stress Inoculation Training (SIT) is one of the effective ways for inoculation against stress and psychological distress; Therefore, this study aimed to investigate the effect of SIT on breastfeeding self-efficacy and perceived stress of mothers with low birth weight infants.
Materials and methods: This clinical trial study was conducted from October to December 2017 on 100 mothers with low birth weight infants; the infants had been hospitalized in the neonatal intensive care unit (NICU) in Kermanshah, Iran. The eligible mothers were randomly divided into two groups, i.e., intervention (n = 50) and control (n = 50) groups.
Results: The mean score of breastfeeding self-efficacy, before SIT (33.82 ± 8.92) compared to after SIT (42.02 ± 8.83), significantly increased (p < 0.001), though no statistically significant difference was reported in the control group (p > 0.05). The mean score of perceived stress was significantly reduced after SIT (26.29 ± 6.49) compared to values before SIT (31.25 ± 5.82) (p < 0.001).
Conclusion: The present study showed that on the one hand, SIT can effectively increase the breastfeeding self-efficacy in mothers with low birth weight infants; on the other hand, it can reduce their perceived stress. Therefore, the need for holding in-service training courses is felt in order to train the caregiving personnel, especially nurses, in applying the SIT technique.
2. Allen PJ, Vessey JA, Schapiro N. Primary Care of the Child with a Chronic Condition E-Book: Elsevier Health Sciences, Mosby; 5 edition, 2009.
3. Datar A, Jacknowitz A. Birth weight effects on children's mental, motor, and physical development: evidence from twins data. Maternal child health journal 2009;13:780-94.
4. Lenja A, Demissie T, Yohannes B, Yohannis M. Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study. Int Breastfeed J 2016;11:32.
5. Otsuka K, Taguri M, Dennis CL, Wakutani K, Awano M, Yamaguchi T, et al. Effectiveness of a breastfeeding self-efficacy intervention: do hospital practices make a difference? Matern child health J 2014;18:296-306.
6. von Stumm S, Plomin R. Breastfeeding and IQ Growth from Toddlerhood through Adolescence. PloS one 2015;10:e0138676.
7. Ahmadi S, Kazemi F, Masoumi SZ, Parsa P, Roshanaei G. Intervention based on BASNEF model increases exclusive breastfeeding in preterm infants in Iran: a randomized controlled trial. International breastfeeding journal 2016;11:30.
8. Pillitteri A. Maternal & child health nursing: Care of the childbearing & childrearing family: Lippincott Williams & Wilkins; 2010.
9. Cristofalo EA, Schanler RJ, Blanco CL, Sullivan S, Trawoeger R, Kiechl-Kohlendorfer U, et al. Randomized trial of exclusive human milk versus preterm formula diets in extremely premature infants. J Pediatr 2013;163:1592-5.e1.
10. Lassi ZS, Middleton PF, Crowther C, Bhutta ZA. Interventions to Improve Neonatal Health and Later Survival: An Overview of Systematic Reviews. EBioMedicine 2015;2:983-1000.
11. Bener A. Psychological distress among postpartum mothers of preterm infants and associated factors: a neglected public health problem. Brazilian Journal of Psychiatry 2013;35:231-6.
12. Ahlqvist-Bjorkroth S, Vaarno J, Junttila N, Pajulo M, Raiha H, Niinikoski H, et al. Initiation and exclusivity of breastfeeding: association with mothers' and fathers' prenatal and postnatal depression and marital distress. Acta obstetricia et gynecologica Scandinavica 2016;95:396-404.
13. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review 1977;84:191-215.
14. Rahmatnejad L, Bastani F. An investigation of Breast Feeding Self Efficacy and its Relationship with exclusive breast feeding. Alborz University Medical Journal 2012;1:31-6.
15. Blyth R, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM. Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self‐efficacy theory. Birth. 2002;29:278-84.
16. Meichenbaum D, Cameron R. Stress Inoculation Training. In: Meichenbaum D, Jaremko ME, editors. Stress Reduction and Prevention. Boston, MA: Springer US; 1989: 115-54.
17. Kashani F, Kashani P, Moghimian M, Shakour M. Effect of stress inoculation training on the levels of stress, anxiety, and depression in cancer patients. Iran J Nurs Midwifery Res 2015;20:359-64.
18. HasanzadehlifShagard M, Tarkhan M, Taghizadeh ME. Effectiveness of stress inoculation training on perceived stress in pregnant women with infertility. J Holist Nurs Midwifery 2013;23:27-34.
19. Esmaeili Z, Esmaeili L, Dabbashi F. Effectiveness of stress inoculation training on psychological well being in women with diabetes mellitus type 2. International Journal of Educational and Psychological Researches 2016;2:88-93.
20. Cecil MA, Forman SG. Effects of stress inoculation training and coworker support groups on teachers' stress. Journal of School Psychology 1990;28:105-18.
21. Hajizadeh E, Asghari M. looking research methods and statistical analysis, Tehran: Jahad university press 2011.
22. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003;32:734-44.
23. 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 2016;15:87-93.
24. Karbandi S, Hosseini SM, Hosseini SA, Sadeghi F, Hesari M, Masoudi R.Evaluating the Effectiveness of Using a Progressive Muscle Relaxation Techniqueon the Self-Efficacy of Breastfeeding in Mothers With Preterm Infants. J Nurs Res 2017;25:283-8.
25. Khorsandi M, Vakilian K, Salehi B, Goudarzi MT, Abdi M. The effects of stress inoculation training on perceived stress in pregnant women. J Health Psychol 2016;21:2977-82.
26. Karlou C, Papadopoulou C, Papathanassoglou E, Lemonidou C, Vouzavali F, Zafiropoulou-Koutroubas A, et al. Nurses' Caring Behaviors Toward Patients undergoing Chemotherapy in Greece: A Mixed-Methods Study. Cancer nursing 2018; 41: 399-408.
|Issue||Vol 12, No 3 (September 2018)|
|Infant Low Birth Weight Breast Feeding Self Efficacy|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|