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dc.contributor.authorGiles, M.*
dc.contributor.authorMillar, S.*
dc.contributor.authorArmour, C.*
dc.contributor.authorMcClenahan, C.*
dc.contributor.authorMallett, J.*
dc.contributor.authorStewart-Knox, Barbara*
dc.date.accessioned2017-05-17T09:06:41Z
dc.date.available2017-05-17T09:06:41Z
dc.date.issued2015-10
dc.identifier.citationGiles M, Millar S, Armour C et al (2015) Promoting positive attitudes to breastfeeding: the development and evaluation of a theory-based intervention with school children involving a cluster randomised controlled trial. Maternal & Child Nutrition. 11(4): 656-672.en_US
dc.identifier.urihttp://hdl.handle.net/10454/12001
dc.descriptionNoen_US
dc.description.abstractThe objective of this study was to design, implement and evaluate an intervention based on the theory of planned behaviour (TPB) to enhance young peoples' motivations to breastfeed/support a partner to breastfeed. Six semi-structured focus groups were first conducted with 48 13–14-year-olds from two schools in Northern Ireland. The salient beliefs elicited were subsequently used to design a TPB-based questionnaire that was then administered to 2021 13–14-year-old pupils (852 males; 1169 females) from 36 post-primary schools to identify the most important determinants of breastfeeding. The results were used to inform the design and implementation of an intervention package that was subsequently evaluated using a cluster randomised controlled trial involving 44 randomly selected schools across Northern Ireland. Questionnaires were administered to 18 intervention and 26 control schools at baseline and again at 1 and 6 months post-intervention to evaluate its effectiveness. Multi-level modelling was employed to analyse the data. The results revealed significant effects on women's intention to breastfeed, β = 0.208, t(1275) = 2.715, P = 0.007; attitudes, β = 0.223, t(1275) = 4.655, P < 0.001; moral attitudes, β = 0.231, t(1275) = 4.211, P < 0.001; subjective norm, β = 0.118, t(1275) = 2.521, P = 0.012; and knowledge, β = 0.109, d.f. (1275) = 7.843, P < 0.001. However, for men, the results revealed significant effects on only the construct of knowledge, β = 0.104, t(541) = 4.345, P < 0.001.The research has provided evidence to support the need for breastfeeding education in schools and has shown how a theoretical framework may be used to inform the design and evaluation of a health behaviour intervention.en_US
dc.description.sponsorshipResearch and Development Office of Northern Ireland: Northern Ireland Research and Development Office. Grant Number: RSG/2584/03RRG3.33en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1111/mcn.12079en_US
dc.subjectTheory of planned behaviour; Breastfeeding; Health interventionen_US
dc.titlePromoting positive attitudes to breastfeeding: the development and evaluation of a theory-based intervention with school children involving a cluster randomised controlled trialen_US
dc.status.refereedYesen_US
dc.date.application2013-09-13
dc.typeArticleen_US
dc.type.versionNo full-text in the repositoryen_US


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