Motivational Interviewing Inadequate Milk and Cortisol

Motivation Clinical Trial

Official title:

The Effect of Motivational Interviews to Mothers With Insufficient Milk Perception on Breastfeeding Motivation and Cortisol Level

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06344663
• Other study ID #: KSIU-SBF-ES-02
• Status: Recruiting
• Start date: March 25, 2024
• Est. completion date: December 25, 2024

Study information

• Verified date: March 2024
• Source: Kahramanmaras Sutcu Imam University
• Contact: eda sever
• Phone: +90 532 232 10 96
• Email: edaseverr[@]icloud.com
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Motivational interviewing is a technique used in many fields. No study has been found in national and international databases investigating the effect of motivational interviewing on the perception of insufficient milk, breastfeeding motivation and cortisol level. The study aimed to evaluate the effect of motivational interviews on the perception of insufficient milk, breastfeeding motivation and cortisol level.

Description:

Motivational interviewing; It is an evidence-based and client-centered approach that finds and eliminates the person's complex emotions, motivates, and increases the person's self-efficacy and motivation in the decision-making process. Breast milk is the only physiological baby food that contains the nutrients necessary for babies' absorption in appropriate quantity and quality. It is very important for the mother and baby's health that the mother starts breastfeeding her baby as early as possible and that the baby is fed only breast milk for the first six months. The perception of insufficient milk is defined as the mother thinking that she cannot produce milk or believing that there is too little milk in her breasts. The main reasons are; The mother's stay in the hospital longer than normal during the postpartum period, the mother's separation from her baby, and therefore the late establishment of the emotional bond between the mother and the baby may trigger the perception of insufficient milk. Cortisol is a glucocorticoid steroid hormone that is released in the human body during stress and whose release is regulated through the hypothalamic-pituitary adrenal (HPA) system. Stress and fear of birth cause insufficient milk secretion. Stress and fear in the mother can prevent early skin-to-skin contact between the mother and the baby by affecting the oxytocin hormone.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 130
• Est. completion date: December 25, 2024
• Est. primary completion date: March 25, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Those aged 18 and over
• Those who feed their babies only with breast milk
• Do you believe that you produce enough milk to feed your baby?" in the Insufficient Milk Perception Scale. Those who answered "No" to the question
• Having given birth at 37>gestational weeks
• Having a baby weighing at least 2500 grams
• Giving birth vaginally
• Primiparous

Exclusion Criteria:

• Cannot speak Turkish
• Mothers who did not agree to participate in the research

Related Conditions & MeSH terms

• Motivation

Intervention

Other:
• motivational interview
Before starting the interview, mothers will be informed about the interview intervals, duration, how many times it will be held, and that, unlike other interviews, the topic will be determined and the mother's opinions on this subject will be obtained. Each meeting will last approximately 15-30 minutes

Locations

Country	Name	City	State
Turkey	Eda Sever	Kahramanmaras	Onikisubat

Sponsors (1)

Lead Sponsor	Collaborator
Kahramanmaras Sutcu Imam University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Visual Analog Scale (VAS)	Satisfaction Level Rating with Motivational Interviewing Application is a scale developed by Hayes and Patterson in 1921, used to express some values that cannot be measured with numbers.	1 month
Primary	Insufficient Milk Perception Scale (ANN)	The Insufficient Milk Perception Scale is a scale developed by McCarterSpaulding (2001) to measure mothers' beliefs about whether they produce sufficient milk. It consists of 6 questions	1 month
Secondary	Breastfeeding Motivation Scale (EMS)	Based on the self-determination theory of the "Breastfeeding Motivation Scale" (EMS), Peleg et al. It was developed by in 2015. After the scale was applied to the sample group, factor analysis was performed and it was determined that it had 5 factors. These factors; It consists of integrated, identified, introjected, external regulation and internal motivation.	1 month