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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:以计划行为理论(TPB)为基础,确定教育干预对婴儿喂养行为和母亲心理社会中介变量的有效性,并评估中介变量对母亲意愿和喂养实践的预测效果。方法:2006-2007年,我们在中国涞水县8个配对乡镇进行了一项整群随机试验。在基线调查中,599名有2-4个月婴儿的母亲被纳入研究,其中485名在干预11个月后得到随访。结果:干预组在知识、态度、自我效能、意向、规范信念以及喂养行为方面的得分显著高于对照组(Hotellings T-square=143.96,P<0.01)。在基线检查时,母亲对推荐喂养行为的意愿与母亲的态度、主观规范和自我效能呈正相关,并与干预后评估时的态度、自我效能和知识呈正相关。干预、母亲的知识、意愿和村民的主观常模是干预后喂养行为的独立预测因子。结论:本研究的结果表明,TPB是一个合适的理论,可以解释知识、态度、自我效能、主观规范和意图等心理社会因素对婴儿喂养行为的影响,是设计婴儿喂养干预目标和关键方法的有用指南。

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