Evidence map›Paper›PMID 40121460›Full record

Trial reportInternational breastfeeding journal2025

Effectiveness of a theory-based educational intervention on enhancing milk donation behavior: a cluster randomized controlled trial.

Shirin Shahbazi Sighaldeh, Maryam Moridi, Anoshirvan Kazemnejad, Vafa Ghorban Sabagh, Fatemeh Shateranni

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Shirin Shahbazi SighaldehMidwifery and Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Maryam MoridiMidwifery and Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Anoshirvan KazemnejadDepartment of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Vafa Ghorban SabaghBreastfeeding Research Center-Family Health Institute, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh ShateranniMidwifery and Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. fshateranni@razi.tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to assess the impact of an educational intervention based on the theory of planned behavior (TPB) on breastfeeding mothers' knowledge, attitude, subjective norms, perceived behavioral control regarding donor human milk (DHM), intention to donate milk and milk donation behavior.

methodThis cluster randomized controlled trial (CRT) was performed on 67 breastfeeding mothers (intervention, n = 33; control, n = 34) in health centers affiliated to Tehran University of Medical Sciences (TUMS) from April 2023 to October 2023. Four weekly 60-min educational sessions were conducted based on the TPB through lectures, group discussions, psychodrama method, videos and pictures display for mothers in the intervention group, while the control group received only routine care. The data collection tool was a researcher-made questionnaire based on the TPB. It assessed breastfeeding mothers' knowledge, attitudes, subjective norms, perceived behavioral control regarding milk donation, intention to donate milk, and actual milk donation behavior. The questionnaire was completed by participants in both groups before, immediately and three months after the intervention.

resultsThe findings indicated that both the intervention and control groups were similar in terms of demographic and obstetrics variables. Additionally, before the intervention, there were no significant differences between the two groups regarding knowledge (P = 0.552), attitude (P = 0.734), subjective norms (P = 0.813), perceived behavioral control (P = 0.453), intention to donate milk (P=0.476) and actual milk donation behavior (P = 0.105). However, the intervention group showed significant improvements in the mean score of noted variables immediately and three months after the intervention (P < 0.05). Moreover, regarding the frequency of milk donations, three months after the intervention, eight mothers in the intervention group had donated milk, whereas none of the mothers in the control group had done so (P = 0.002).

conclusionOur findings showed that the TPB-based educational intervention significantly enhanced milk donation behavior among breastfeeding mothers. Given that donor mothers are crucial for the establishment and sustainability of human milk banks (HMBs), such programs should be implemented to increase milk donation rates and support the development of HMBs.

trial registrationirct.ir (IRCT20230124057203N1) registered February 14, 2023.

Indexed as

Breast FeedingHealth EducationHealth Knowledge, Attitudes, PracticeMilk, HumanMothersTissue DonorsAdultFemaleHumansIntentionIranMilk BanksSurveys and QuestionnairesYoung AdultBreastfeedingBreast milkDonor milkHealth educationIranMilk banksNewborn

Identifiers

PMID40121460
PMCPMC11929187

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.