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Using the theory of planned behavior to examine effectiveness of an educational intervention on infant feeding in China.

机译:利用计划行为理论来检查中国婴幼儿喂养的有效性。

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OBJECTIVE: To determine the effectiveness of an educational intervention on infant feeding behaviors and mothers' psychosocial mediating variables based on the Theory of Planned Behavior (TPB), and to assess the predictive effect of mediating variables on mothers' intention and feeding practices. METHODS: We did a cluster-randomized trial in 8 paired townships of Laishui County, China during 2006-2007. 599 mothers with infants aged 2-4-mo were enrolled at the baseline survey, of whom 485 were followed up after 11-mo intervention. RESULTS: The intervention group had significantly higher scores than controls in knowledge, attitudes, self-efficacy, intention, norm beliefs, as well as feeding behaviors (Hotellings T-square=143.96, P<0.01). Mothers' intention towards recommended feeding behaviors was positively associated with mothers' attitudes, subjective norms and self-efficacy at baseline, and was associated with their attitudes, self-efficacy, and knowledge at post-intervention evaluation. Intervention, mothers' knowledge, intention and subjective norm of villagers were independent predictors of their feeding behaviors after intervention. CONCLUSIONS: Findings from this study suggested that TPB is an appropriate theory for explaining the effect of psychosocial factors such as knowledge, attitudes, self-efficacy, subjective norms, and intentions on infant feeding behaviors, and a useful guideline to design the targets and key approaches for infant feeding interventions.
机译:目的:确定教育干预对婴儿喂养行为和母亲心理社会调解变量的有效性,基于计划行为(TPB),评估介导变量对母亲的意图和喂养实践的预测效果。方法:在2006 - 2007年期间,我们在中国的莱斯县的8个配对乡镇进行了一项集群随机试验。 599名患有2-4-MO婴儿的母亲在基线调查中注册,其中485名在11-Mo干预后跟进。结果:干预组的得分明显高于知识,态度,自我效能,意图,规范信念以及饲养行为(Hotellings T-Square = 143.96,P <0.01)。母亲对推荐的喂养行为的意图与母亲的态度,主观规范和基线的自我效能相关,与干预后评估的态度,自我效能和知识有关。村民的干预,母亲的知识,意图和主观规范是干预后他们饲养行为的独立预测因子。结论:本研究的结果表明,TPB是一种适当的理论,用于解释婴儿喂养行为的知识,态度,自我效率,主观规范和意图等心理社会因素,以及设计目标和关键的有用指导婴儿喂养干预方法。

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