NCT06569017

The Effect of Artificial Intelligence Supported and Nurse-Led Online Breastfeeding Counseling

The Effect of Artificial Intelligence Supported and Nurse-Led Online Breastfeeding Counseling on Mothers' Breastfeeding Competence: A Randomized Controlled Study

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (estimated)
• Sponsor: Kafkas University · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Breastfeeding is the gold standard in infant nutrition in the first 12 months of life (1). Breastfeeding self-efficacy perception is one of the most important factors affecting mothers\' breastfeeding duration and success in the postpartum period (2,3).Although AI has traditionally been the domain of powerful mainframes and data centers, new approaches have the capacity to put the power of AI directly into the hands of patients (4).Therefore, considering the importance of breastfeeding education and counseling, this study will determine the effect of training and use of a mobile application-supported artificial intelligence tool and nurse-led online breastfeeding counseling on mothers; breastfeeding self-efficacy perception, breastfeeding success, infant feeding attitude and postpartum depression levels. Thus, the effectiveness of the artificial intelligence tool and nurse-led breastfeeding counseling will be compared.

Detailed description

Breastfeeding positively affects mother-infant bonding (5). Breast milk is the healthiest food source for the nutrition and development of the newborn (6). Mortality and morbidity rates from infectious diseases are lower in breastfed babies (4). It is stated that breastfeeding provides protection against postpartum bleeding, postpartum depression, ovarian and breast cancer, heart disease and type 2 diabetes (3). The rate of exclusive breastfeeding in the first 6 months in the world is 43% (2). Although breastfeeding is a common practice in Turkey, the rate of babies exclusively breastfed is 45% in the first three months, 4-5. 6-8% to 14% per month. It was determined that it decreased to 4% per month (7). Continuing breastfeeding effectively and breastfeeding success strengthens the bond between mother and baby (4). Breastfeeding self-efficacy is associated with positive breastfeeding outcomes (5). However, it has been determined that there is a positive relationship between breastfeeding self-efficacy and breastfeeding success (8). In a study conducted with mothers whose babies were followed in the neonatal intensive care unit, it was determined that there was a positive relationship between the mothers; breastfeeding success and breastfeeding self-efficacy (Y5). Studies have determined that mothers; attitudes towards breastfeeding their babies have a significant impact on their baby's feeding behavior (5-7). When mothers develop a positive attitude towards infant nutrition, the time to start breastfeeding and the transition to breastfeeding and complementary feeding can be positively affected (6-8). However, mothers; attitudes towards breastfeeding are affected by the mothers; mood. In a study, it was determined that there was a relationship between the mother's mood and breastfeeding attitude (8). In a different study, it was found that there was a negative relationship between the mother's anxiety level and breastfeeding success (5). However, postpartum depression can occur in the postpartum period (4). Mothers with depressive symptoms experience more anxiety about breastfeeding their babies (8). It has been reported that mothers who are stressed and anxious about taking care of the baby also worry about breastfeeding, and the breastfeeding rate is lower in these mothers (8). While the mother's inability to breastfeed her baby may be a risk factor for depression, the mother may stop breastfeeding depending on the development of depression (6-8). Nowadays, the use of artificial intelligence has become inevitable to improve the quality of nursing care (8-10). Chat-Generative Pre-Trained Transformer (Chat-GPT) (9), a system developed by Open AI (AI), extracts a wealth of information from a variety of online sources, including books, articles, and websites, and through human-like feedback It improves text creation abilities (7). It uses deep learning, which simulates human learning, to produce human-like answers to questions. Deep learning refers to the use of multiple layers of filters, each of which provides an output score that serves as input for the next layer (9). Providing education to health professionals, especially nurses, on health-related issues, including breastfeeding, is an important part of nurses; professional roes (9). The aim of this study is to determine the effect of artificial intelligence-supported and nurse-led online breastfeeding counseling on mothers; breastfeeding competencies.

Conditions

• Artificial Intelligence
• Nursing Caries
• Breastfeeding
• Breast Feeding, Exclusive

Interventions

Type	Name	Description
OTHER	1) Artificial intelligence supported working group	Pregnant women will be a personal information form, breastfeeding diagnosis and evaluation scale, postnatal breastfeeding self-efficacy scale, Lowa infant nutrition attitude scale and Edinburgh postpartum depression scale. Pregnant women in the artificial intelligence-supported study group were aged 32-37. Starting from the first week of pregnancy, a mobile breastfeeding consultancy application supported by IOS and Android will be installed on smart phones. Pregnant women will be expected to use this application actively until birth and submit their questions about breastfeeding to this artificial intelligence-supported mobile application and receive instant answers. After these applications, the breastfeeding diagnosis and evaluation scale, postnatal breastfeeding self-efficacy scale, Lowa baby nutrition attitude scale and Edinburgh postpartum depression scale will be applied again to pregnant women on the first postpartum day, sixth day, third week and third month.
OTHER	Online breastfeeding counseling group led by a nurse	The forms that will be applied to pregnant women in all three groups at the first meeting will also be applied to this group. 32-37 in the nurse-led online breastfeeding counseling group. Primiparous pregnant women at the gestational age will be offered 1.5 hours of breastfeeding counseling by one of the researchers, between the 32nd and 37th weeks of pregnancy, with the participation of small groups of five pregnant women in each interactive session. Pregnant women in this group will receive only one session of breastfeeding training. These trainings, which will be given by the nurse, will be carried out online via video call via WhatsApp application. After these applications, the breastfeeding diagnosis and evaluation scale, postnatal breastfeeding self-efficacy scale, Lowa baby nutrition attitude scale and Edinburgh postpartum depression scale will be applied again to pregnant women on the first postpartum day, sixth day, third week and third month.

Timeline

• Start date: 2024-09-01
• Primary completion: 2025-09-01
• Completion: 2025-12-01
• First posted: 2024-08-23
• Last updated: 2024-08-23