Title: Prenatal Breastfeeding Education for Hispanic Women Purpose: In 2001, 73% of Hispanic women initiated breastfeeding, but only 32.8% continued to breastfeed for 6 months. These rates fall short of Healthy People 2010 goals that 75% will initiate and 50% will continue to breastfeed for 6 months. The purpose of this randomized clinical trial is to determine the mediating role of breastfeeding self-efficacy in the promotion of breastfeeding initiation and duration among Hispanic women. Theoretical/Conceptual Framework: Pender’s Health Promotion Model guided the development of a culturally appropriate Prenatal Breastfeeding Education (PBE) intervention for Hispanic women. Subjects: Pregnant Hispanic women. Method: It is hypothesized that those randomized to receive the PBE will have higher Breastfeeding Self-Efficacy-Short Form (BSES-SF) scores at 2-weeks post intervention and 2-weeks postpartum than those in the control group. Breastfeeding initiation and duration rates at 6-weeks postpartum are hypothesized to be higher in the intervention group than in the control group. Anticipated Method of Analysis: Breastfeeding initiation rates and the percentage of those breastfeeding at 6-weeks postpartum will be compared between groups using a chi-square test. Breastfeeding duration rates will be evaluated by looking at the distribution of time to cessation of breastfeeding using the Kaplan-Meier curve and log-rank test. A t-test will compare BSES-SF scores for the two groups at baseline, 2-weeks post intervention, and 2-weeks postpartum. To determine the mediating role of breastfeeding self-efficacy, the 2-week post-intervention BSES-SF scores of those breastfeeding at 6-weeks postpartum in each group will be grouped into low, intermediate, or high scores and compared by chi-square test. Results: Data collection is complete, and analysis is in progress. Conclusions: Findings will inform the nursing profession about the role of breastfeeding self-efficacy in promoting breastfeeding initiation and duration among Hispanic women. Keywords: breastfeeding, self-efficacy, Hispanic
Session #1219 - Poster Session I
The 29th Annual MNRS Research Conference (April 1-4, 2005)