Outcome evaluation of an educational program for Japanese midwives to promote breast awareness for women |
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| Institution: | 1. St. Luke''s International University, 10-1 Akashi-cho, Chuo-ku, Tokyo 104-0044, Japan;2. St. Luke''s Birth Clinic, 1-24 Akashi-cho, Chuo-ku, Tokyo 104-0044, Japan;3. Osaka Medical College, 3-3 hacchonawate-cho, Takatsuki City, Osaka 569-0096, Japan;1. Adiyaman University School of Medicine, Department of Obstetric and Gynecology, Adiyaman, Turkey;2. Adiyaman University School of Medicine, Department of Pediatrics, Adiyaman, Turkey;3. Adiyaman University Education and Research Hospital, Department of Obstetric and Gynecology, Adiyaman, Turkey;4. Koç University School of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey;1. Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Niels Jernes Vej, 14, 9220 Aalborg Øst, Denmark;2. Department of Midwifery, University College of Northern Denmark, Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark;1. Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, SE-118 83 Stockholm, Sweden;2. The Department of Health Sciences: Child, Family & Reproductive Health, Health Sciences Centre, Lund University, PO Box 157, S-221 00 Lund, Sweden;1. University of Kentucky, Lexington, KY, USA;2. University of Pittsburgh, Pittsburgh, PA 15213, USA;1. Department of Obstetrics and Gynecology, Hospital Universitario de la Ribera, Crta. Corbera km 1, 46.600 Valencia, Spain |
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| Abstract: | AimThe objective of this study was to evaluate educational approaches for midwives to promote breast awareness for postnatal women by measuring the knowledge, attitude and practice of midwives.MethodsA nonequivalent control design comparing two intervention groups and control group was used. Participants were Japanese midwives agreeing to this study. Midwives in the program group attended the program; those in the text group only read the textbook. Midwives in the control group neither attended the program nor learned by textbook. All measurements were administered at baseline, one-month post-program, and three-month post-program.ResultsAmong 215 participants, 168 midwives (45 program, 62 text, and 61 control) remained until three month follow-up. The knowledge test score was found to have significant mutual interactions between the three groups and time (F = 14.2, df = 4, p < 0.001). However, the attitudes did not differ between the three groups. Implementation rates for midwifery practice incorporating breast awareness education for postpartum women were different at one month and three months between the three groups. Implementation of breast awareness education at three months revealed the following factors: program group (OR 5.4, 95%CI 1.3–21.8]; text group: OR 0.7, 95%CI 0.2–2.7]) and implementation of breast awareness education at the first time measurement (OR 18.6, 95%CI 4.6–73.9]).ConclusionsThe results of this study showed that the educational program increased midwives’ knowledge and contributed to the continuation implementing breast awareness education for postpartum women about three months after testing. |
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| Keywords: | Midwives Breast awareness Continuing education Comparative study Postnatal |
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