Evidence map›Paper›PMID 39865520›Full record

Trial reportScandinavian journal of caring sciences2025

Effects of an Online Theory-Based Educational Programme for Primiparous Women on Improving Breastfeeding-Related Outcomes: A Randomised Controlled Trial.

Mei Sze Wong, Wai Tong Chien

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of caring sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04741425 (Effects of an Online Theory-based Educational Programme for Primiparous Women on Improving Breastfeeding Related Outcomes), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04741425 nacompletednot on this map

Effects of an Online Theory-based Educational Programme for Primiparous Women on Improving Breastfeeding Related Outcomes: A Randomised Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2021 to 2022Enrolled190ConditionsBreastfeeding, Exclusive, Self EfficacyArmsREST intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mei Sze WongFaculty of Medicine, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong.ORCID 0000-0002-8269-6907
Wai Tong ChienFaculty of Medicine, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong.ORCID 0000-0001-5321-5791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a theory-based, Real-time-online Education and Support with Telephone follow-ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. STUDY

designRandomised controlled trial.

methodsConvenience sampling was used to recruit 150 low-risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3-month real-time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self-efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate.

resultsThen, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow-ups with prompt and practical advice.

conclusionsThe REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant-care needs. IMPLICATIONS FOR PATIENT CARE: The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks.

trial registrationClinicalTrials.gov identifier: NCT04741425.

Indexed as

Breast FeedingMothersParityPatient Education as TopicAdultFemaleHumansPregnancyYoung Adultbreast feedingbreastfeeding self‐efficacyeducationlactationprimiparous

Identifiers

PMID39865520
PMCPMC11771633

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.