The Impact of Education based on PRECEDE Model on Breast-feeding behavior in Nulliparous

Introduction: The most useful application of the PRECEDE model is the explanation of the factors associated with behavior. The purpose of this study was to determine the effect of education based on PRECEDE model on breast feeding behavior of Nulliparous mothers. Method: This randomized clinical trial was performed on 90 mothers referred to health centers in Gonabad, during 1397 to 1398.The samples were randomly divided into two intervention and control groups. Then, in two stages were evaluated. Data collection tools are a two-part questionnaire for demographic information and breast feeding behavior measurement tool based on the structures of the PRECEDE model including Predisposing factors((19 questions of knowledge and 11 questions of attitude), Reinforcing structures (9 items), Enabling structure (8 questions), Self-efficacy (10 questions), Behavioral and social assessment (7 questions). Behavioral testing was also performed with IBFAT standard tools. Data analysis was performed using SPSS 25 software, independent t-test and Mann-Whitney test. Results: According to the findings, there was no significant difference between the experimental and control groups in terms of knowledge, attitude, reinforcement factors and enabling factors before educational intervention (p>0/05). After educational intervention, there was a significant difference between the control and experimental groups in terms of knowledge, attitude, reinforcement factors and enabling factors and breast feeding behavior(p <0/001). Mean and standard deviation of the tool Infant Breastfeeding Behavior there were significant differences between the two groups. Conclusion: Breast feeding education based on PRECEDE model can improve the attitude, reinforcing and enabling factors and breast feeding behavior in nulliparous mothers.