The effect of solution-focused approach on breastfeeding self-efficacy: Randomized controlled study

Aim: This study aims to determine the effect of a solution-focused approach applied to women on breastfeeding success and breastfeeding self-efficacy. Method: The research is a randomized controlled study with a pretest-posttest control group. The research was conducted between October 2022 and December 2023 at Eskişehir Osmangazi University Health Practice and Research Hospital, Gynecology and Obstetrics service. The sample of the study consisted of 80 women (Intervention: 40, Control: 40). Data were collected using the Postpartum period data collection form, Breastfeeding Self-Efficacy Scale-Short Form, and LATCH Breastfeeding Diagnostic Measurement Tool. Data analysis was done with the SPSS package program. Results: The pretest mean LATCH scale score of the participants in the intervention group 7.92 ± 1.25, the mean posttest score 9.49 ± 1.13, the pretest mean score of the participants in the control group 7.78 ± 1.24, the mean post-test score 8.20 ± 1.27. The breastfeeding self-efficacy scale pre-test mean score of the intervention group, to which the solution-focused approach program apply, 42,72 ± 3.51, the post-test mean score 59.36 ± 3.17, and the pre-test mean score of the control group 40.74 ± 5.29, The post-test mean score 47.42 ± 7.32. A highly positive and significant relationship was found between the post-test LATCH Scale of the intervention group and the EMSS (p=0.00). In the intervention group, a significant relationship was observed between breastfeeding status in the first 30 minutes and the LATCH and EEMS scales. Scale scores were found to be higher in those who breastfed within the first 30 minutes. Considering the breastfeeding results, it was found that the intervention group had a higher rate of breastfeeding in the first 6 months. Conclusion: The solution-focused approach is an effective approach to increasing breastfeeding success and breastfeeding self-efficacy. Keywords: Breastfeeding, Self-sufficiency, Solution-oriented approac