Results of Interventions to Increase Breastfeeding Self-Efficacy: Systematic Review and Meta-Analysis

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dc.authorid0000-0002-5950-2553
dc.authorid0000-0003-1134-9016
dc.contributor.authorTanriverdi, Dogan Cagri
dc.contributor.authorKaraahmet, Aysu Yildiz
dc.contributor.authorBilgic, Fatma Sule
dc.date.accessioned2026-02-03T12:00:43Z
dc.date.available2026-02-03T12:00:43Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAim The objective of this study was to determine the effectiveness of various interventions-including educational programmes, counselling, mobile applications, peer support and home visits-on improving breastfeeding self-efficacy, breastfeeding success and infant-feeding attitudes in pregnant and postpartum women. Method The literature review for this systematic review was conducted between September and October 2024 by searching four electronic databases. Studies related to 'in vivo' were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) published within the last decade were eligible for inclusion in the review. Result The analysis was conducted with 3677 women and a total of 26 studies. Subgroup analysis showed no significant difference in breastfeeding self-efficacy before the intervention (MD: -0.53, 95% CI: -1.43 to 0.38, p = 0.25), while a significant increase was observed after the intervention (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Breastfeeding success also improved significantly postintervention (MD: 1.22, 95% CI: 0.52 to 1.92, p = 0.0007). No significant change was found in infant-feeding attitudes (SMD: 0.01, 95% CI: -0.18 to 0.16, p = 0.47). Postnatal interventions were significantly more effective than antenatal ones in increasing breastfeeding self-efficacy (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Conclusion Subgroup analyses demonstrated that interventions significantly increased breastfeeding self-efficacy and success, particularly when delivered in the postnatal period. Antenatal interventions were not found to be effective. These findings highlight the importance of the timing of maternal support, suggesting that postnatal interventions are more beneficial in improving breastfeeding-related outcomes.
dc.identifier.doi10.1111/ijn.70063
dc.identifier.issn1322-7114
dc.identifier.issn1440-172X
dc.identifier.issue5
dc.identifier.pmid40990417
dc.identifier.scopus2-s2.0-105016908790
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1111/ijn.70063
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34681
dc.identifier.volume31
dc.identifier.wosWOS:001603546400023
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal of Nursing Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectbreastfeeding success
dc.subjectinfant-feeding attitude
dc.subjectmeta-analysis
dc.subjectself-efficacy
dc.subjectsystematic review
dc.titleResults of Interventions to Increase Breastfeeding Self-Efficacy: Systematic Review and Meta-Analysis
dc.typeArticle

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