Evidence map›Paper›PMID 42138880›Full record

Trial reportRevista da Associacao Medica Brasileira (1992)2026

The effect of gamified breastfeeding education on breastfeeding self-efficacy and ınfant feeding attitudes of pregnant women: a randomized controlled study.

Ozlem Ulku Bulut, Zehra Golbasi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06344806 (The Effect of Breastfeeding Education Through Gamification on Breastfeeding Self-Efficacy and Infant Nutrition Attitudes of Pregnant Women), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06344806 nacompletednot on this map

The Effect of Breastfeeding Education Through Gamification on Breastfeeding Self-Efficacy and Infant Nutrition Attitudes of Pregnant Women: A Randomized Controlled Study

TypeinterventionalSponsorLokman Hekim UniversityRan2023 to 2023Enrolled60ConditionsBreastfeedingArmsGamified Breastfeeding Education
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ozlem Ulku BulutLokman Hekim University, Faculty of Health Sciences - Ankara, Turkey.ORCID http://orcid.org/0000-0003-0810-3381
Zehra GolbasiLokman Hekim University, Faculty of Health Sciences - Ankara, Turkey.ORCID http://orcid.org/0000-0002-0410-7433

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the effect of gamified breastfeeding education on breastfeeding self-efficacy and infant feeding attitudes of pregnant women.

methodsA total of 60 primiparous women in the third trimester of pregnancy were randomly assigned to experimental (n=30) and control (n=30) groups. Data were collected using the Sociodemographic and Obstetric Characteristics Form, Breastfeeding Self-Efficacy Scale-Antenatal Form, and the Iowa Infant Feeding Attitude Scale. The experimental group received a gamified breastfeeding education program designed by the researchers and developed based on Werbach and Hunter's D6 Gamification Framework. The program was delivered via a secure Web 2.0 platform and included the interactive digital game "Discovering Breastfeeding" and an educational escape room-style activity enriched with visual and auditory elements. The intervention aimed to enhance participants' motivation, engagement, and learning through game mechanics such as goals, feedback, challenges, and rewards. The control group received routine hospital antenatal education. Pretest and posttest data were analyzed using appropriate statistical methods.

resultsNo significant difference was found between the groups in baseline measurements. However, post-test scores revealed that women in the experimental group showed a significant improvement in both breastfeeding self-efficacy and infant feeding attitudes compared to the control group (p<0.05). Effect sizes indicated a strong impact of the intervention.

conclusionGamified breastfeeding education based on digital and interactive learning principles effectively enhanced pregnant women's self-efficacy and attitudes toward infant feeding. Incorporating gamification into maternal health education may increase motivation, promote positive behavioral change, and contribute to better breastfeeding outcomes for mothers and infants.The trial was registered in the clinicaltrials.gov notification system (Clinical Trials Number: NCT06344806).

Indexed as

Breast FeedingPregnant PeoplePrenatal EducationSelf EfficacyVideo GamesAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInfant, NewbornPregnancySocioeconomic FactorsYoung Adult

Identifiers

PMID42138880
PMCPMC13170080

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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.