Volume 22, Issue 12 (12-2024)
Nursing and Midwifery Journal 2024, 22(12): 1072-1084 |
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Research code: 10931
Ethics code: IR.UMSU.REC.1400.469
Clinical trials code: IRCT20220407054443N1
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Nemati S, Bayrami R, Didarloo A, Dehgan K. THE EFFECT OF EDUCATION BASED ON THEORY OF PLANNED BEHAVIOR ON THE INTENTION AND BEHAVIOR OF KANGAROO MOTHER CARE IN MOTHERS OF PREMATURE INFANTS: A QUASI-EXPERIMENTAL STUDY. Nursing and Midwifery Journal 2024; 22 (12) :1072-1084
URL: http://unmf.umsu.ac.ir/article-1-5302-en.html
URL: http://unmf.umsu.ac.ir/article-1-5302-en.html
1- Master of Counseling in Midwifery, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Associate Professor in Reproductive Health, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,rozabayrami@yahoo.com
3- Professor in Health Education and Health Promotion, Faculty of Health, Urmia University of Medical Sciences, Urmia, Iran
4- Associate Professor in Neonatal and Perinatal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
2- Associate Professor in Reproductive Health, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,
3- Professor in Health Education and Health Promotion, Faculty of Health, Urmia University of Medical Sciences, Urmia, Iran
4- Associate Professor in Neonatal and Perinatal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (256 Views)
Background & Aim: One of the most effective ways to prevent complications associated with hospitalization of premature infants in Neonatal Intensive Care Unit (NICU) is to involve parents actively in the care of the baby. This study aimed to determine the effect of training based on the Theory of Planned Behavior (TPB) on the intention and behavior of Kangaroo Mother Care (KMC) in mothers of premature infants.
Materials & Methods: A quasi-experimental study was performed with the participation of 60 mothers with premature infants hospitalized in the NICU in 2022 in Urmia City, Iran. Kosar and Shahid Motahhari hospitals were randomly assigned (via lottery) to the intervention and control groups, respectively. The intervention group received four sessions of education based on the structures of the TPB over a week. Data were collected using the researcher-made questionnaire, which included demographic information, questions related to the TPB and awareness. Data were analyzed by SPSS software (version 16) using chi-square and independent sample t-tests at a significance level of P< 0.05.
Results: There was no significant difference in the mean scores of intentions and behavior of KMC between the intervention and control groups before the educational intervention. (p>0.05). However, there was a significant difference in intention and KMC behavior between the two groups (P=0.0001).
Conclusion: TPB-based training has been effective for mothers with premature babies improved KMC intention and behavior. The use of this strategy is suggested by midwives and nurses in the clinical environment.
Materials & Methods: A quasi-experimental study was performed with the participation of 60 mothers with premature infants hospitalized in the NICU in 2022 in Urmia City, Iran. Kosar and Shahid Motahhari hospitals were randomly assigned (via lottery) to the intervention and control groups, respectively. The intervention group received four sessions of education based on the structures of the TPB over a week. Data were collected using the researcher-made questionnaire, which included demographic information, questions related to the TPB and awareness. Data were analyzed by SPSS software (version 16) using chi-square and independent sample t-tests at a significance level of P< 0.05.
Results: There was no significant difference in the mean scores of intentions and behavior of KMC between the intervention and control groups before the educational intervention. (p>0.05). However, there was a significant difference in intention and KMC behavior between the two groups (P=0.0001).
Conclusion: TPB-based training has been effective for mothers with premature babies improved KMC intention and behavior. The use of this strategy is suggested by midwives and nurses in the clinical environment.
Keywords: Kangaroo Mother Care, Neonatal Intensive Care Unit, Premature Infants, Quasi-Experimental Study, Theory of Planned Behavior
References
1. Heidarnia MA, Abadi A, Motlagh ME, Heidarzadeh M, Habibelahi A, Dalili H, et al. Neonatal mortality rate in Iran: the Iranian Perinatal Mortality Surveillance System. J Pediatr Neonat Individual Med 2018;7(2):e070217. [URL:] [DOI:10.7363/070217]
2. Ohuma EO, Moller AB, Bradley E, Chakwera S, Hussain-Alkhateeb L, Lewin A, et al. National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. Lancet 2023;402(10409):1261-71. [PMID: 37805217] [DOI:10.1016/S0140-6736(23)00878-4] [PMID]
3. World Health Organization. Preterm birth. 2018. Accessed 2022 Jan 1. https://www.who.int/news-room/fact-sheets/detail/preterm-birth [URL:]
4. Fallah Rostami F, Soleimani F, Norouzi M, Hatamizadeh N, Mokhtarinouri J, Poshtmashhadi M. Preterm Infant Neurodevelopmental Care Training Program and Mother-Infant Attachment. Int J Womens Health Reprod Sci 2020;8(2):192-7. [URL:] [DOI:10.15296/ijwhr.2020.30]
5. Steyn E, Myburgh C, Poggenpoel M. Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa. Curationis 2017;40(1):1-8. [PMID: 28281766] [DOI:10.4102/curationis.v40i1.1698] [PMCID: PMC6091584]
6. Chan GJ, Valsangkar B, Kajeepeta S, Boundy EO, Wall S. What is kangaroo mother care? Systematic review of the literature. J Glob Health 2016;6(1):010701. [PMID: 27231546] [DOI:10.7189/jogh.06.010701] [PMCID: PMC4871067]
7. Sivanandan S, Sankar MJ. Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis. BMJ Glob Health 2023;8(6):e010728. [PMID: 37277198] [DOI:10.1136/bmjgh-2022-010728] [PMCID: PMC10254798]
8. Zahedpasha Y, Salarmanesh A, Khafri S, Mouodi S, Arzani A. The effect of kangaroo mother care on mental health of mothers with premature infants. J Babol Univ Med Sci 2018;20(6):7-13. [URL:]
9. Sharma H, Ruikar M. Kangaroo mother care (KMC) for procedural pain in infants: A meta-analysis from the current evidence of randomized control trials and cross-over trials. J Family Med Prim Care 2022;11(4):1250-6. [PMID: 35516684] [DOI:10.4103/jfmpc.jfmpc_1383_21] [PMCID: PMC9067180]
10. Stefana A, Lavelli M. Parental engagement and early interactions with preterm infants during the stay in the neonatal intensive care unit: protocol of a mixed-method and longitudinal study. BMJ Open 2017;7(2):e013824. [PMID: 28153932] [DOI:10.1136/bmjopen-2016-013824] [PMCID: PMC5293994]
11. Sivanandan S, Sankar MJ. Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis. BMJ Glob Health 2023;8(6):e010728. [PMID: 37277198] [DOI:10.1136/bmjgh-2022-010728] [PMCID: PMC10254798]
12. Randa MB, Malesela JM. Women's experiences providing kangaroo mother care in an academic hospital in Tshwane, Gauteng. Afr J Reprod Health 2023;27(12):101-5. [PMID: 38158890] [DOI:10.29063/ajrh2023/v27i12.12]
13. Lasiuk GC, Comeau T, Newburn-Cook C. Unexpected: an interpretive description of parental traumas' associated with preterm birth. BMC Pregnancy Childbirth 2013;13(Suppl 1):S13. [PMID: 23445715] [DOI:10.1186/1471-2393-13-S1-S13] [PMCID: PMC3561145]
14. Ghasemi M, Dehdari T, Mohagheghi P, Gohari M, Zargrzadh Z. Mothers' Performance on Caring for their Premature Infants: A Pilot Study. Iran J Nurs 2013;25(9). [URL:]
15. Getie BA, Yismaw AE, Tiguh AE. Kangaroo mother care knowledge and practice among mothers who gave birth to preterm and low birth weight babies in Amhara regional state referral hospitals, North West Ethiopia. Int J Afr Nurs Sci 2022;17:100470. [URL:] [DOI:10.1016/j.ijans.2022.100470]
16. Yilmaz G, Küçük Alemdar D. The Effect of Supportive Nursing Interventions on Reducing Stress Levels of Mothers of Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Trial. Clin Nurs Res 2022;31(5):941-51. [PMID: 34555952] [DOI:10.1177/10547738211047359]
17. Glanz K, Rimer BK, Viswanath K. Health behaviour and health education: theory, research, and practice. Hoboken, NJ: Wiley; 2008. [Google Books:]
18. Bashirian S, Haidarnia A, Allahverdipour H, Hajizadeh E. Application of theory of planned behavior in predicting factors of substance abuse in adolescents. J Adv Biomed Sci 2013;2(3):156-62. (Persian) [URL:]
19. Mahbubi Ghazaani F, Roozbahani N, Shamsi M. Predictive Factors of Exclusive Breastfeeding Intention in Pregnant Women. J Arak Uni Med Sci 2015;18(5):68-76. (Persian) [URL:]
20. Khani Jeihooni A, Moayedi ZS, Momenabadi V, Ghalegolab F, Afzali Harsini P. Effect of Educational Intervention Based on Theory of Planned Behavior (TPB) on Doing Breast Self-examination in a Sample of Iranian Women. Breast Cancer 2023;26(17). [PMID: 36727092] [DOI:10.1177/11782234221145417] [PMCID: PMC9884953]
21. Najafi S, Mohammadkhah F, Harsini PA, Sohrabpour M, Khani Jeihooni A. Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women. BMC Womens Health 2023;23:249. [PMID: 37161434] [DOI:10.1186/s12905-023-02411-2] [PMCID: PMC10170798]
22. Besharati F, Hazavehei SMM, Moeini B, Moghimbeigi A. Effect of educational interventions based on theory of planned behavior (TPB) in selecting delivery mode among pregnant women referred to Rasht health centers. J Adv Med Biomed Res 2011;19(77):94-106. (Persian) [URL:]
23. Ajzen I. Constructing a theory of planned behavior questionnaire. Amherst, MA; 2006. [URL:]
24. Grove SK, Gray JR. Understanding nursing research: Building an evidence-based practice. 8th ed. St. Louis, MO: Elsevier; 2022. [Elsevier Book:]
25. Arshad SM, Khani-Jeihooni A, Moradi Z, Kouhpayeh SA, Kashfi SM, Dehghan A. Effect of theory of planned behavior-based educational intervention on breastfeeding behavior in pregnant women in Fasa city. J Educ Community Health 2017;4(2):55-63. [URL:] [DOI:10.21859/jech.4.2.55]
26. Fathi B, Ghorbanzadeh S, Alinejad V, Moradi Z, Firouzian S, Khanzadeh Z, et al. Predictors of exclusive breastfeeding intention in Iranian pregnant women: An application of theory of planned behavior. Nurs Midwifery J 2024;22(1):16-26. (Persian). [URL:] [DOI:10.61186/unmf.22.1.16]
27. Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and Conducting Knowledge, Attitude, and Practice Surveys in Psychiatry: Practical Guidance. Indian J Psychol Med 2020;42(5):478-81. [PMID: 33414597] [DOI:10.1177/0253717620946111] [PMCID: PMC7750837]
28. Rahmanian V, Kohpeima Jahromi V, Rastgoo F, Najafi F, Sharifi N. The effect of educational intervention based on the theory of planned behavior in pregnant women and individuals affecting their exclusive breastfeeding: a controlled trial. J Educ Community Health 2022;9(1):60-8. [URL:] [DOI:10.34172/jech.2022.10]
29. Sohrabi M, Arshadi Bostanabad M, Ghorbani F. Mothers knowledge of newborn care and its relationship with individual, social, and cultural factors. Nurs Midwifery J 2024;22(9):733-46. (Persian). [URL:] [DOI:10.61186/unmf.22.9.733]
30. Tabatabai Seresht AS, Tavakoli R, Mahmodi M. The Effect of Education Based on Theory of Planned Behavior in Mothers About Behavior Prevention from Development Retardation in Children Aged One Year in Qom. Iran J Health Educ Health Promot 2019;7(3):263-73. (Persian). [URL:] [DOI:10.29252/ijhehp.7.3.263]
31. Alizadeh M, Miri MR, Moasheri N, Ataee M, Moodi M. Evaluation of the Predictive Power of the Theory of Planned Behavior on the Intention of Infertile Couples to Solve the Problem of Infertility. J Health Syst Res 2016;12(2):196-201. (Persian). [URL:]
32. Pakpour A, Alijanzadeh M, Pouresmaeil M, Taherkhani F, Mohammadgholiha R, Jozi N. Predictive Factors Associated with Breastfeeding Initiation and Duration Behaviors of 6-months Postpartum Mothers Referred to Health Centers in the City of Qazvin Based on Theory of Planned Behavior. J Health Educ Health Promot 2016;4(1):20-30. (Persian). [URL:] [DOI:10.18869/acadpub.ihepsaj.4.1.20]
33. Sabouri M, Tol A, Hajimiri K, Shakibazadeh E, Yaseri M, Mohebbi B. Determinants of health care empowerment among married women in reproductive age based on Theory of Planned Behavior. J Nurs Educ 2019;8(5):10-8. (Persian). [URL:]
34. Nazari M, Jokar F, Ghahramani L, Kaveh M. Factors Related to the Breastfeeding Intention Based on the Theory of Planned Behavior in Nursing Mothers of the Rural Area of Baiza in 2018. J Health 2020;11(4):489-96. (Persian). [URL:] [DOI:10.29252/j.health.11.4.489]
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