Abstract：
OBJECTIVE: To assess the effect of the education programme on three constructs of health visitors\' breastfeeding support: knowledge, self-efficacy and action competence. Furthermore, the study aimed to confirm the factor structure of these three constructs.
BACKGROUND: Health professionals are key in supporting breastfeeding women but studies report gaps in health professionals\' breastfeeding support knowledge and competences. The present intervention study aimed to strengthen the breastfeeding support of families to improve breastfeeding rates. Health visitors received an interactive education programme to enhance their breastfeeding support knowledge, self-efficacy and action competence, including e-learning and a two-day course of lectures, role plays and discussions.
METHODS: A pre- and post-test study was applied in a cluster randomised trial METHODS: Cluster units were Danish municipal health visiting programmes, randomised by stratifying for region and annual births per cluster. Health visitors from 21 clusters (11 intervention, 10 control) participated. The knowledge, self-efficacy and action competence were assessed in self-reported questionnaires before and after education (n=368; intervention n=176, control n=196). To analyse the effects, the intention-to-treat principle and linear mixed models were applied. Confirmatory Factor Analysis was used to confirm the factor structures of the hypothesised knowledge, self-efficacy and action competence constructs.
RESULTS: 158 health visitors in the control arm and 157 in the intervention arm completed the baseline questionnaire and were analysed in intention-to-treat analyses. 125 and 116, respectively, completed the follow-up questionnaire and were analysed in sensitivity analyses. Health visitors in both trial arms had high levels of self-efficacy and action competence at baseline. Mean treatment effect of the education programme was 0.5 points (CI95 % 0.1-0.8) for knowledge, 2.4 points (CI95 % 1.6-3.3) for self-efficacy and 1.4 points (CI95 % 0.7-2.0) for action competence. The factor structure of the items used to measure knowledge, self-efficacy and action competence were confirmed.
CONCLUSIONS: The education programme improved the self-reported breastfeeding support knowledge, self-efficacy and action competence of health visitors. The factor structures of the instruments used to measure effects were confirmed by confirmatory factor analysis.
BACKGROUND: Clinical Trials: NCT05311631. First posted April 5, 2022.
BACKGROUND: Health professionals are key in supporting breastfeeding women but studies report gaps in health professionals\' breastfeeding support knowledge and competences. The present intervention study aimed to strengthen the breastfeeding support of families to improve breastfeeding rates. Health visitors received an interactive education programme to enhance their breastfeeding support knowledge, self-efficacy and action competence, including e-learning and a two-day course of lectures, role plays and discussions.
METHODS: A pre- and post-test study was applied in a cluster randomised trial METHODS: Cluster units were Danish municipal health visiting programmes, randomised by stratifying for region and annual births per cluster. Health visitors from 21 clusters (11 intervention, 10 control) participated. The knowledge, self-efficacy and action competence were assessed in self-reported questionnaires before and after education (n=368; intervention n=176, control n=196). To analyse the effects, the intention-to-treat principle and linear mixed models were applied. Confirmatory Factor Analysis was used to confirm the factor structures of the hypothesised knowledge, self-efficacy and action competence constructs.
RESULTS: 158 health visitors in the control arm and 157 in the intervention arm completed the baseline questionnaire and were analysed in intention-to-treat analyses. 125 and 116, respectively, completed the follow-up questionnaire and were analysed in sensitivity analyses. Health visitors in both trial arms had high levels of self-efficacy and action competence at baseline. Mean treatment effect of the education programme was 0.5 points (CI95 % 0.1-0.8) for knowledge, 2.4 points (CI95 % 1.6-3.3) for self-efficacy and 1.4 points (CI95 % 0.7-2.0) for action competence. The factor structure of the items used to measure knowledge, self-efficacy and action competence were confirmed.
CONCLUSIONS: The education programme improved the self-reported breastfeeding support knowledge, self-efficacy and action competence of health visitors. The factor structures of the instruments used to measure effects were confirmed by confirmatory factor analysis.
BACKGROUND: Clinical Trials: NCT05311631. First posted April 5, 2022.
摘要：
目的：评估教育计划对三种健康访问者结构的影响：“母乳喂养支持：知识，自我效能感和行动能力。此外，本研究旨在确认这三个结构的因子结构。
背景：卫生专业人员是支持母乳喂养妇女的关键，但研究报告称卫生专业人员在母乳喂养支持知识和能力方面存在差距。本干预研究旨在加强家庭对母乳喂养的支持，以提高母乳喂养率。健康访客接受互动教育计划，以提高他们的母乳喂养支持知识，自我效能感和行动能力，包括电子学习和为期两天的讲座课程，角色扮演和讨论。
方法：在一项集群随机试验中应用了一项测试前和测试后研究方法：集群单位是丹麦市政健康访问计划，按地区和每个集群的年度出生情况进行分层。来自21个集群的健康访客(11个干预，10控制）参与。知识,在教育前后的自我报告问卷中评估了自我效能和行动能力(n=368;干预措施n=176,对照组n=196).为了分析影响，采用意向治疗原则和线性混合模型。验证性因子分析用于确认假设知识的因素结构，自我效能感和行动能力建构。
结果：对照组的158名健康访客和干预组的157名访客完成了基线问卷，并在意向治疗分析中进行了分析。分别为125和116，完成随访问卷并进行敏感性分析.两个试验组的健康访问者在基线时的自我效能和行动能力都很高。教育计划的平均治疗效果为0.5分（CI95%0.1-0.8）的知识，自我效能感2.4分（CI95％1.6-3.3），行动能力1.4分（CI95％0.7-2.0）。用于衡量知识的项目的因素结构，自我效能感和行动能力得到证实。
结论：教育计划提高了自我报告的母乳喂养支持知识，健康访问者的自我效能感和行动能力。通过验证性因子分析确认了用于测量效果的仪器的因子结构。
背景：临床试验：NCT05311631。首次发布于2022年4月5日。
背景：卫生专业人员是支持母乳喂养妇女的关键，但研究报告称卫生专业人员在母乳喂养支持知识和能力方面存在差距。本干预研究旨在加强家庭对母乳喂养的支持，以提高母乳喂养率。健康访客接受互动教育计划，以提高他们的母乳喂养支持知识，自我效能感和行动能力，包括电子学习和为期两天的讲座课程，角色扮演和讨论。
方法：在一项集群随机试验中应用了一项测试前和测试后研究方法：集群单位是丹麦市政健康访问计划，按地区和每个集群的年度出生情况进行分层。来自21个集群的健康访客(11个干预，10控制）参与。知识,在教育前后的自我报告问卷中评估了自我效能和行动能力(n=368;干预措施n=176,对照组n=196).为了分析影响，采用意向治疗原则和线性混合模型。验证性因子分析用于确认假设知识的因素结构，自我效能感和行动能力建构。
结果：对照组的158名健康访客和干预组的157名访客完成了基线问卷，并在意向治疗分析中进行了分析。分别为125和116，完成随访问卷并进行敏感性分析.两个试验组的健康访问者在基线时的自我效能和行动能力都很高。教育计划的平均治疗效果为0.5分（CI95%0.1-0.8）的知识，自我效能感2.4分（CI95％1.6-3.3），行动能力1.4分（CI95％0.7-2.0）。用于衡量知识的项目的因素结构，自我效能感和行动能力得到证实。
结论：教育计划提高了自我报告的母乳喂养支持知识，健康访问者的自我效能感和行动能力。通过验证性因子分析确认了用于测量效果的仪器的因子结构。
背景：临床试验：NCT05311631。首次发布于2022年4月5日。
