Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers

The pathways through which behavior change interventions impact breastfeeding practices have not been well studied. This study aimed to examine: (1) the effects of exposure to mass media and interpersonal counseling on exclusive breastfeeding (EBF) and hypothesized psychosocial determinants (i.e. kn...

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Autores principales: Nguyen, Phuong Hong, Kim, Sunny S., Nguyen, Tuan T., Hajeebhoy, Nemat, Tran, Lan Mai, Alayon, Silvia, Ruel, Marie T., Rawat, Rahul, Frongillo, Edward A., Menon, Purnima
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2016
Materias:
Acceso en línea:https://hdl.handle.net/10568/147600
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author Nguyen, Phuong Hong
Kim, Sunny S.
Nguyen, Tuan T.
Hajeebhoy, Nemat
Tran, Lan Mai
Alayon, Silvia
Ruel, Marie T.
Rawat, Rahul
Frongillo, Edward A.
Menon, Purnima
author_browse Alayon, Silvia
Frongillo, Edward A.
Hajeebhoy, Nemat
Kim, Sunny S.
Menon, Purnima
Nguyen, Phuong Hong
Nguyen, Tuan T.
Rawat, Rahul
Ruel, Marie T.
Tran, Lan Mai
author_facet Nguyen, Phuong Hong
Kim, Sunny S.
Nguyen, Tuan T.
Hajeebhoy, Nemat
Tran, Lan Mai
Alayon, Silvia
Ruel, Marie T.
Rawat, Rahul
Frongillo, Edward A.
Menon, Purnima
author_sort Nguyen, Phuong Hong
collection Repository of Agricultural Research Outputs (CGSpace)
description The pathways through which behavior change interventions impact breastfeeding practices have not been well studied. This study aimed to examine: (1) the effects of exposure to mass media and interpersonal counseling on exclusive breastfeeding (EBF) and hypothesized psychosocial determinants (i.e. knowledge, intention, beliefs, social norms, and self‐efficacy); and (2) the pathways through which exposure to mass media and interpersonal counseling are associated with EBF. We used survey data from mothers with children < 2 year (n = 2045) from the 2013 process evaluation of Alive & Thrive's program in Viet Nam. Multiple linear regression analyses and structural equation modeling were used to estimate effects. Exposure to mass media only, interpersonal counseling only, both or neither was 51%, 5%, 19% and 25%, respectively. Exposure to both mass media and interpersonal counseling had additive effects on EBF as well as on related psychosocial factors, compared with no exposure. For example, EBF prevalence was 26.1 percentage points (pp) higher in the group that received interpersonal counseling only, 3.9 pp higher in the mass media group and 31.8 pp higher in the group that received both interventions. As hypothesized, more than 90% of the total effect of the two interventions on EBF was explained by the psychosocial factors measured. Our findings suggest that combining different behavior change interventions leads to greater changes in psychosocial factors, which in turn positively affects breastfeeding behaviors.
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spelling CGSpace1476002025-11-12T04:48:43Z Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers Nguyen, Phuong Hong Kim, Sunny S. Nguyen, Tuan T. Hajeebhoy, Nemat Tran, Lan Mai Alayon, Silvia Ruel, Marie T. Rawat, Rahul Frongillo, Edward A. Menon, Purnima education therapy mass media psychological factors mothers behaviour breastfeeding The pathways through which behavior change interventions impact breastfeeding practices have not been well studied. This study aimed to examine: (1) the effects of exposure to mass media and interpersonal counseling on exclusive breastfeeding (EBF) and hypothesized psychosocial determinants (i.e. knowledge, intention, beliefs, social norms, and self‐efficacy); and (2) the pathways through which exposure to mass media and interpersonal counseling are associated with EBF. We used survey data from mothers with children < 2 year (n = 2045) from the 2013 process evaluation of Alive & Thrive's program in Viet Nam. Multiple linear regression analyses and structural equation modeling were used to estimate effects. Exposure to mass media only, interpersonal counseling only, both or neither was 51%, 5%, 19% and 25%, respectively. Exposure to both mass media and interpersonal counseling had additive effects on EBF as well as on related psychosocial factors, compared with no exposure. For example, EBF prevalence was 26.1 percentage points (pp) higher in the group that received interpersonal counseling only, 3.9 pp higher in the mass media group and 31.8 pp higher in the group that received both interventions. As hypothesized, more than 90% of the total effect of the two interventions on EBF was explained by the psychosocial factors measured. Our findings suggest that combining different behavior change interventions leads to greater changes in psychosocial factors, which in turn positively affects breastfeeding behaviors. 2016-06-30 2024-06-21T09:23:04Z 2024-06-21T09:23:04Z Journal Article https://hdl.handle.net/10568/147600 en Open Access application/pdf Wiley Nguyen, Phuong Hong; Kim, Sunny S.; Nguyen, Tuan T.; Hajeebhoy, Nemat; Tran, Lan M.; Alayon, Silvia; Ruel, Marie T.; Rawat, Rahul; Frongillo, Edward A.; Menon, Purnima. 2016. Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers. Maternal and Child Nutrition 12(4): 713 - 725. https://doi.org/10.1111/mcn.12330
spellingShingle education
therapy
mass media
psychological factors
mothers
behaviour
breastfeeding
Nguyen, Phuong Hong
Kim, Sunny S.
Nguyen, Tuan T.
Hajeebhoy, Nemat
Tran, Lan Mai
Alayon, Silvia
Ruel, Marie T.
Rawat, Rahul
Frongillo, Edward A.
Menon, Purnima
Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title_full Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title_fullStr Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title_full_unstemmed Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title_short Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
title_sort exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among vietnamese mothers
topic education
therapy
mass media
psychological factors
mothers
behaviour
breastfeeding
url https://hdl.handle.net/10568/147600
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