Self-efficacy, Social Support, Therapeutic Support and the Initiation and Duration of Breasfeeding in Adolescent Mothers
Review TypeNone: Degree-based Submission
Repository Posting Date2019-09-18T20:21:15Z
Author(s)Birk, Deborah L.
Author DetailsDeborah L. Birk, PhD, RN
Lead Author Sigma AffliationTau Iota
Level of EvidenceCross-Sectional
Research ApproachQuantitative Research
This longitudinal investigation examines self-efficacy, social support and therapeutic support as predictors of initiation and duration of breastfeeding in adolescent mothers. It proposes that prenatal levels of self-efficacy, social support and therapeutic support are significant predictors of breastfeeding initiation in adolescent mothers. It also proposes that postpartum levels of these variables are significant predictors of the number of days breastfeeding after delivery in adolescent mothers. Sixty-one pregnant adolescents were recruited from home health agencies, childbirth education classes and a teen pregnancy outpatient clinic in the St. Louis community. The three study variables, derived from Bandura's Social Learning Theory, were examined using the Breastfeeding Self-Efficacy Scale, Hughes Breastfeeding Social Support Scale and Therapeutic Support Scale. Univariate analysis identified no differences between the adolescent mothers who initiated breastfeeding and those who did not initiate regarding scores of self-efficacy, social support and therapeutic support. Analysis of variance showed no differences for those adolescent mothers who initiated or continued breastfeeding when examining prenatal and one-week postpartum scores. Hierarchical regression was calculated predicting number of days breastfeeding based on the adolescent's age, highest grade level completed, therapeutic support scores, social support scores, and self efficacy scores. No significant predictors were identified in the prenatal or postpartum scores regarding days of breastfeeding after delivery, although self-efficacy was closest to approach significance. In a secondary analysis of self-efficacy, social support and therapeutic support, univariate analysis indicated that each of the variables increased significantly over the first month postpartum. An examination of the mean plots further illustrated the positive correlation and linear trend of increasing scores across duration of breastfeeding for all constructs measured. The significance of increasing scores of self-efficacy, social support and therapeutic support and the implications for nursing practice regarding the initiation and duration of breastfeeding in adolescent mothers are discussed.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3193772; ProQuest document ID: 305387549. The author still retains copyright.
Degree GrantorUniversity of Missouri - Saint Louis
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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