{"title":"Effectiveness of Telemedicine-Based Intervention on Breastfeeding Self-Efficacy in Iranian Women: A Systematic Review and Meta-Analysis.","authors":"Zahra Hadizadeh-Talasaz, Sedigheh Abdollahpour","doi":"10.18502/ijph.v54i1.17571","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding self-efficacy (BSE) is a modifiable factor that can enhance breastfeeding rates. Telemedicine constitutes safe and low-cost health services that can be developed for the interaction between professionals and clients. Therefore, this study aimed to review the effectiveness of telemedicine-based intervention on BSE in Iranian women.</p><p><strong>Methods: </strong>This systematic and meta-analysis review was performed according to PRISMA guidelines. English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex was searched until Aug 1, 2023 to identify randomized control trials about telemedicine-based interventions on BSE in Iran. The search strategy was focused on terms and eligibility criteria. Data analysis was done using CMA V.2 software. The risk of bias in the included studies was assessed.</p><p><strong>Results: </strong>Out of 385 articles, eight articles that met the inclusion criteria were included in the meta-analysis. The overall result demonstrated that telemedicine-based interventions have a positive impact on BSE compared with the control, especially in the long-term intervention (pooled SMD= 1.27; 95% CI= 1.01-1.53, <i>P-</i>value<0/001); heterogeneity (Cochrane's Q-value=51.94, <i>P</i><0/001, I2=76.90%). In addition, twelve weeks of postpartum had more effect on BSE than the others. Also, breastfeeding intervention in the postpartum period was more effective compared with pregnancy. The publication bias among included studies was assessed by funnel plot.</p><p><strong>Conclusion: </strong>This review could give insight to healthcare providers into the effect of telemedicine on BSE. Therefore, by strengthening BSE through telemedicine interventions, especially for women who do not have the conditions for face-to-face counseling, we can expect positive results.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"13-23"},"PeriodicalIF":1.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787846/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18502/ijph.v54i1.17571","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Breastfeeding self-efficacy (BSE) is a modifiable factor that can enhance breastfeeding rates. Telemedicine constitutes safe and low-cost health services that can be developed for the interaction between professionals and clients. Therefore, this study aimed to review the effectiveness of telemedicine-based intervention on BSE in Iranian women.
Methods: This systematic and meta-analysis review was performed according to PRISMA guidelines. English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex was searched until Aug 1, 2023 to identify randomized control trials about telemedicine-based interventions on BSE in Iran. The search strategy was focused on terms and eligibility criteria. Data analysis was done using CMA V.2 software. The risk of bias in the included studies was assessed.
Results: Out of 385 articles, eight articles that met the inclusion criteria were included in the meta-analysis. The overall result demonstrated that telemedicine-based interventions have a positive impact on BSE compared with the control, especially in the long-term intervention (pooled SMD= 1.27; 95% CI= 1.01-1.53, P-value<0/001); heterogeneity (Cochrane's Q-value=51.94, P<0/001, I2=76.90%). In addition, twelve weeks of postpartum had more effect on BSE than the others. Also, breastfeeding intervention in the postpartum period was more effective compared with pregnancy. The publication bias among included studies was assessed by funnel plot.
Conclusion: This review could give insight to healthcare providers into the effect of telemedicine on BSE. Therefore, by strengthening BSE through telemedicine interventions, especially for women who do not have the conditions for face-to-face counseling, we can expect positive results.
期刊介绍：
Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.
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