{"title":"Improving College Students’ Breastfeeding Knowledge, Attitude, and Intention Through Smartphone Breastfeeding App in Nigeria","authors":"","doi":"10.1016/j.jneb.2024.05.102","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Suboptimal breastfeeding practices contribute to child malnutrition in developing countries like Nigeria. Deficits in adolescents and young adults’ knowledge, attitude, and intention towards breastfeeding significantly influence suboptimal breastfeeding practices, which impacts child health outcomes.</p></div><div><h3>Objective</h3><p>To assess the effectiveness of a smartphone application (BF101) in improving breastfeeding knowledge, attitude, and intention among college students.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A quasi-experimental study was conducted among final-year students at Emmanuel Alayande College of Education, Oyo, Nigeria. Participants were allocated to the intervention (n = 210) and control (n = 210) groups. The intervention group received access to BF101 app on their phone, featuring six modules covering various aspects of breastfeeding.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Pre- and post-intervention assessments of the breastfeeding knowledge, intention, and attitude of the participants were assessed using validated breastfeeding knowledge, attitude and intention questionnaire. Responses were scored and categorized as either adequate or inadequate for knowledge and intention, and positive or negative for the attitude.</p></div><div><h3>Results</h3><p>The study revealed that the intervention group showed significant improvements in breastfeeding knowledge, attitude and intention; the overall proportion of participants with adequate knowledge increased from 1.9% to 71.4%. Additionally, 42.8% of participants who initially lacked adequate breastfeeding knowledge transitioned to having sufficient knowledge after the intervention. Significant increase was reported in participants’ positive attitude towards breastfeeding, from 11% to 65.2%; 28.4% were identified to have transitioned from having negative at baseline to positive attitude after the intervention. Similarly, participants with the overall intention to breastfeed improved from 20.9% to 51.9%, although only 5% transitioned from lacking the intention to breastfeed to expressing future breastfeeding intention. However, no significant improvements were observed in the breastfeeding knowledge, attitude and intention of participants in the control group.</p></div><div><h3>Conclusions</h3><p>The findings underscore the effectiveness of a Smartphone-based breastfeeding education in improving breastfeeding knowledge, attitude, and intention among college students in Nigeria. Smartphone-based interventions could be an effective targeted approach to addressing gaps in breastfeeding education and avenue to prepare young adults for parenthood.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1499404624002021","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Suboptimal breastfeeding practices contribute to child malnutrition in developing countries like Nigeria. Deficits in adolescents and young adults’ knowledge, attitude, and intention towards breastfeeding significantly influence suboptimal breastfeeding practices, which impacts child health outcomes.
Objective
To assess the effectiveness of a smartphone application (BF101) in improving breastfeeding knowledge, attitude, and intention among college students.
Study Design, Settings, Participants
A quasi-experimental study was conducted among final-year students at Emmanuel Alayande College of Education, Oyo, Nigeria. Participants were allocated to the intervention (n = 210) and control (n = 210) groups. The intervention group received access to BF101 app on their phone, featuring six modules covering various aspects of breastfeeding.
Measurable Outcome/Analysis
Pre- and post-intervention assessments of the breastfeeding knowledge, intention, and attitude of the participants were assessed using validated breastfeeding knowledge, attitude and intention questionnaire. Responses were scored and categorized as either adequate or inadequate for knowledge and intention, and positive or negative for the attitude.
Results
The study revealed that the intervention group showed significant improvements in breastfeeding knowledge, attitude and intention; the overall proportion of participants with adequate knowledge increased from 1.9% to 71.4%. Additionally, 42.8% of participants who initially lacked adequate breastfeeding knowledge transitioned to having sufficient knowledge after the intervention. Significant increase was reported in participants’ positive attitude towards breastfeeding, from 11% to 65.2%; 28.4% were identified to have transitioned from having negative at baseline to positive attitude after the intervention. Similarly, participants with the overall intention to breastfeed improved from 20.9% to 51.9%, although only 5% transitioned from lacking the intention to breastfeed to expressing future breastfeeding intention. However, no significant improvements were observed in the breastfeeding knowledge, attitude and intention of participants in the control group.
Conclusions
The findings underscore the effectiveness of a Smartphone-based breastfeeding education in improving breastfeeding knowledge, attitude, and intention among college students in Nigeria. Smartphone-based interventions could be an effective targeted approach to addressing gaps in breastfeeding education and avenue to prepare young adults for parenthood.
期刊介绍：
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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