Interventions to Enhance Breastfeeding Self-Efficacy Among Breastfeeding Mothers in the United States: A Scoping Review

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2025-08-01 DOI:10.1016/j.jneb.2025.05.022

Uduak David M.Sc., Oluwatosin Leshi PhD, Imosi Olatunji M. Sc, Katie Kavanagh PhD, RDN, LDN, CLC

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引用次数: 0

Abstract

Background

Breastfeeding self-efficacy (BFSE) has been shown to play an important role in breastfeeding success and continuity in many countries. However, there is limited interventions that explore the implication of breastfeeding knowledge in enhancing BFSE of breastfeeding mothers in the United States.

Objective

This study aimed to conduct a scoping review to explore and synthesize existing interventions designed to enhance BFSE among breastfeeding mothers in the United States, thus exploring their content and approaches as well as identifying gaps and opportunities for future research.

Study Design, Settings, Participants

Five databases (PubMed, EMBASE, CINAHL, Web of Science and Scopus) were searched for relevant publications published to find studies that involved BFSE as an intervention outcome. Two reviewers screened titles, abstracts and full text independently against the review’s eligibility criteria including studies spanning from pregnancy to postpartum period as target population, peer-reviewed studies on intervention that focused on enhancing BFSE as concept, and those conducted in English and in the United States between 2010 and 2024 using the Population, Concept and Context framework.

Measurable Outcome/Analysis

Data synthesis was achieved by extracting and analyzing study characteristics, findings, and recommendations made for future BFSE studies.

Results

Ten studies were included in this review; 7 were randomized control trials. Interventions that incorporated educational content demonstrated positive impacts on BFSE across various programs. Computer-based education, home-based support, motivational interviewing, peer mentoring and breastmilk expression programs significantly improved BFSE through tailored, culturally sensitive, and interactive approaches. Interventions that integrated theory-based educational components into web-based digital tools resulted in enhanced BFSE scores. Programs with interactive formats, such as role-playing and group workshops, also yielded higher BFSE scores than standard care.

Conclusions

Integrating interactive educational components effectively enhances BFSE. Future research should move beyond breastfeeding knowledge to exploring innovative strategies that could have much effect on breastfeeding self-efficacy.

Funding

None

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干预措施，以提高母乳喂养自我效能感在美国的母乳喂养母亲：范围审查

在许多国家，母乳喂养自我效能（BFSE）已被证明在母乳喂养的成功和连续性中发挥着重要作用。然而，在美国，探索母乳喂养知识对提高母乳喂养母亲的BFSE的影响的干预措施有限。目的本研究旨在进行范围综述，探索和综合旨在提高美国母乳喂养母亲BFSE的现有干预措施，从而探索其内容和方法，并确定未来研究的差距和机会。研究设计、设置、参与者在PubMed、EMBASE、CINAHL、Web of Science和Scopus等5个数据库中检索相关出版物，以发现将BFSE作为干预结果的研究。两位审稿人根据审查的资格标准独立筛选标题、摘要和全文，包括从怀孕到产后作为目标人群的研究，以增强BFSE为概念的同行评议干预研究，以及2010年至2024年间在英语和美国使用人口、概念和背景框架进行的研究。可测量的结果/分析通过提取和分析研究特征、发现和对未来BFSE研究的建议来实现数据合成。结果本综述纳入了10项研究；其中7项为随机对照试验。结合教育内容的干预措施在不同的项目中对BFSE有积极的影响。基于计算机的教育、基于家庭的支持、动机性访谈、同伴指导和母乳表达项目通过量身定制、文化敏感和互动的方法显著改善了BFSE。将基于理论的教育组件整合到基于网络的数字工具的干预措施提高了BFSE分数。具有互动形式的项目，如角色扮演和小组研讨会，也比标准护理获得更高的BFSE分数。结论整合互动式教育组件可有效提高BFSE。未来的研究应该超越母乳喂养知识，探索可能对母乳喂养自我效能有很大影响的创新策略。FundingNone

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

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.