ArticleFrontiers in psychology2023
Using the theory of planned behavior model to predict factors influencing breastfeeding behavior among preterm mothers at week 6 postpartum: the mediating effect of breastfeeding intention.
Article in Frontiers in psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mechanistic Pathways Underlying Breastfeeding Challenges Following Cesarean Delivery: A Systematic Review.Nutrients · 2026Pooled it
- Family-Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- A Qualitative Study on TPB-Based Factors for Breastfeeding Cessation in Women With Gestational Diabetes Mellitus in the Early Postpartum Period.Journal of pregnancy · 2026Article
- Longitudinal studies on breastfeeding among preterm infants: a scoping review.BMC pregnancy and childbirth · 2025Article
- Factors influencing breastfeeding initiation, duration, and early cessation: a focus on maternal and infant characteristics.International breastfeeding journal · 2025Article
- Breastfeeding trajectory of mothers of preterm infants within 6 months postpartum: A longitudinal study.International journal of nursing studies advances · 2025Article
- Increasing breastfeeding initiation and duration in women with a body mass index ≥ 30 kg/mInternational breastfeeding journal · 2025Article
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11 authors.
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Abstract
Background: Exclusive breastfeeding (EBF) in the first 6 weeks postpartum is key to continued breastfeeding. This study aimed to explore the role of EBF-related predictors (particularly breastfeeding intention) in breastfeeding behavior among preterm mothers at week 6 postpartum based on the theory of planned behavior (TPB). Methods: A total of 352 mothers of preterm infants were recruited, 340 of whom participated in this study. Prior to discharge, participants completed the Chinese versions of the modified Breastfeeding Attrition Predictive Tool, the Breastfeeding Knowledge Questionnaire (BKQ), the Infant Feeding Intention, and the Edinburgh Postnatal Depression Scale. Responses to the items of the Breastfeeding Behavioral Questionnaire (BBQ) were also collected by telephone at week 6 postpartum. The final analyses included 321 participants who completed the full two-wave data collection. Results: The fitness indices of the modified TPB model were acceptable. Breastfeeding knowledge and EBF before discharge positively impacted breastfeeding intention, whereas depression had a negative impact. Before discharge, breastfeeding intention fully mediated the impacts of breastfeeding attitude, social and professional support, knowledge, depression, and EBF on breastfeeding behavior and partially mediated the influence of perceived breastfeeding control on breastfeeding behavior. Conclusion: These findings indicate that TPB accurately predicts breastfeeding behavior among preterm mothers at week 6 postpartum, and breastfeeding intention is key to the above-mentioned EBF-related factors and breastfeeding behavior. The findings underline the need for further longitudinal studies and corresponding interventions for preterm mothers with a high risk of EBF attrition.
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