Relationship between Attitude, Subjective Norm, Perceived Behavioral Control, and Mothers, Intention to Use Donor Human Milk

Authors

  • Bubpha Yotthong 0819597901
  • Pissamai Wattanasit

Keywords:

Perceived behavioral control, Intension to use donor human milk, Attitude, Subjective norm

Abstract

This study was employed to describe level and relationship between attitude, subjective norm, perceived behavioral control, and intention to use donor human milk among mothers. A purposive sample of 220 mothers with newborn admitted in the NICU was recruited. Data were collected using the Attitude, Subjective Norm, Perceived Behavioral Control, and Intention to Use Donor Breast Milk Questionnaire. The content validity of the questionnaire was determined by experts yielding content validity index .95. The Cronbach’s alpha coefficients of the questionnaire was .89. Descriptive statistics were used for data analysis. Pearson's product moment correlation coefficient was examined for correlation between variables.
The results showed that (1) the mothers had positive attitude toward using donor human milk. Subjective norm toward using donor human milk, perceived behavioral control toward using donor human milk, and intention to use donor human milk were at a moderate level, and (2) attitude, subjective norm, and perceived behavioral control had a moderate significant positive correlation with intention to use donor human milk among mothers (r = .38, p < .01; r = .58, p < .01; and r = .36,
p < .01, respectively).
The findings of this study can be used as a guideline to explore strategies to enhance mothers’ positive attitude, subjective norm, and perceived behavioral control toward using donor breast milk, which in turn will increase mothers’ intention to use donor breast milk later.

References

Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.

Ambruzzi, A.M., Biasini, A., Profeti, C., Bertino, E., De Nisi, G., Moro, G.E., … Arslanoglu, S. (2019). The second Italian human milk banks survey. Journal of Food Nutrition and Metabolism, 1(1), 1-6.

Batbarska, O., Zielinska, M., Pawlus, B., & Wesolowska, A. (2017). Characteristics of the regional human milk bank in Poland - donors, recipients and nutritional value of human milk. Annals of the National Institute of Hygiene, 68(4), 395-400.

Battersby, C., Alves Mousinho, R.M., Longford, N., & Modi, N. (2018). Use of pasteurized human donor milk across neonatal networks in England. Early Human Development, 118, 32-36.

Can, S., & Unulu, M. (2019). Knowledge of mother regarding wet nursery and breast milk banking. Ankara Medical Journal, 19(1), 60-70.

Chansiri, S., Phahuwatanakorn, W., & Yusamran, C. (2017). Influences of breastfeeding attitude, subjective norm, and self-efficacy on intention to exclusive breastfeeding among teenage pregnant women. Journal of Nursing Science, 35(4), 49-60.

Cortez, J., Makker, K., Kraemer, D.F., Neu, J., Sharma, R., & Hudak, M.L. (2018). Maternal milk feedings reduce sepsis, necrotizing enterocolitis and improve outcomes of premature infants. Journal of Perinatology, 38(1), 71-74.

Ergin, A., & Uzun, U. (2018). Turkish women’s knowledge, attitudes, and behaviors on wet-nursing, milk sharing and human milk banking. Maternal and Child Health Journal, 22(4), 454-460.

Ericson, J., Flacking, R., Hellström Westas, L., & Eriksson, M. (2016). Changes in the prevalence of breastfeeding in preterm infants discharged from neonatal units: a register study over 10 years. BMJ Open, 6:e012900, 1-9.

Gelano, T.F., Bacha, Y.D., Assefa, N., Motumma, A., Roba, A.A., Ayele, Y., & Tsige, F. (2018). Acceptability of donor breast milk banking, its use for feeding infants, and associated factors among mothers in Eastern Ethiopia. International Breastfeeding Journal, 13(1), 1-10.

Hat Yai Hospital. (2020). Neonatal Intensive Care Unit. Breastfeeding rates in the Neonatal Intensive Care Unit between July 2019 and February 2020.

Iloh, K.K., Osuorah, C.Dl., Ndu, I.K., Asinobi, I.N., Obumneme – Anyim, I.N., Ezeudu, C.E., … Obu, H.U. (2018). Perception of donor breast milk and determinants of its acceptability among mothers in a developing community: A cross-sectional multi-center study in South-east Nigeria. International Breastfeeding Journal, 13(1), 1-12.

Jamei, F., Ostovar, A., & Javadzade, H. (2017). Predictors of exclusive breastfeeding among nulliparous Iranian mothers: Application of the Theory of Planned Behavior. International Journal Pediatrics, 5(3), 4457-4467.

Kadioglu, M., Avcialpar, D., & Sahin, N. H. (2018). Turkish women’s attitudes and views regarding human milk banking. Journal of Clinical Practice, 16(2), 1069-1076.

Kaewvichien, S., Thavonvattana, S., Junmast, W., Sangtun, S., & Thaor, S. (2019). The development of breastfeeding support model for premature infants with a high risk of having critical condition at Queen Sirikit National Institute of Child Health. Thai Journal of Cardio-Thoracic Nursing, 30(2), 141-158.

Kantorowska, A., Wei, J.C., Cohen, R.S., Lawrence, R.A., Gould, J.B., & Lee, H.C. (2016). Impact of donor milk availability on breast milk use and necrotizing enterocolitis rates. Pediatrics, 137(3), 1-8.

Karadag, A., Ozdemir, R., Ak, M., Ozer, A., Dogan, D.G., & Elkiran, O. (2015). Human milk banking and milk kinship: Perspectives of mothers in a Muslim country. Journal of Tropical Pediatrics, 61(3), 188-196.

Kimani-Murage, E.W., Wanjohi, M.N., Kamande, E.W., Macharia, T.N., Mwaniki, E., Zerfu, T., … Israel-Ballard, K. (2019). Perceptions on donated human milk and human milk banking in Nairobi, Kenya. Maternal and Child Nutrition, 15(4), 1-14.

Leattrakannon, P., Kantaraksa, K., & Sansiripan, N. (2016). Attitude, subjective norm, perceived behavioral control and intention of encourage breastfeeding. Nursing Journal, 43(1), 45-56.

Liu, X.-H., Han, S.-P., Wei, Q.-F., Zheng, F.-Y., Zhang, T. Chen, H.-M., & Mao, M. (2019). The data and characteristics of the human milk banks in mainland China. World Journal of Pediatrics, 15(2), 190-197.

Lubbe, W., Oosthuizen, C.S., Dolman, R.C., & Covic, N. (2019). Stakeholder attitudes towards donating and utilizing donated human breastmilk. International Journal of Environmental Research and Public Health, 16(10), 1-10.

Maastrup, R., Rom, A. L., Walloee, S., Sandfeld, H.B., & Kronborg, H. (2021). Improved exclusive breastfeeding rates in preterm infants after a neonatal nurse training program focusing on six breastfeeding-supportive clinical practices. PLoS ONE, 16(2): e0245273.

Mahidol University, Faculty of Medicine Ramathibodi Hospital. (2019). Ramathibodi Human Milk Bank. Retrieved from https://www.medmahidol.ac.th/th/news/announcements/09122014-1734-th

Mahidol University, Faculty of Medicine Siriraj Hospital. (2019). Siriraj Human Milk Bank. Retrieved from https://www.si.mahidol.ac.th/th/division/sirirajmilkbank/

Meier, P., Patel, A., & Esquerra-Zwiers, A. (2017). Donor human milk update: Evidence, mechanisms, and priorities for research and practice. Journal of Pediatrics, 180, 15-21.

Ozdemir, R., Ak, M., Karatas, M., Ozer, A., Dogan, D.G., & Karadag, A. (2015). Human milk banking and milk kinship: Perspectives of religious officers in a Muslim country. Journal of Perinatology, 35, 137–141.

Pal, A., Soontarapornchai, K., Noble, L., & Hand, I. (2019). Attitudes towards donor breast milk in an inner city population. International Journal of Pediatrics, 2(1), 1-4.

Polit, D.F., & Hungler, B.P. (1999). Nursing research: Principle and method. (6th ed.). Philadelphia: Lippincott.

Prince of Songkla University, Faculty of Medicine. (2018). History of Department of Pediatrics. Retrieved from https://peddepartpsu.wixsite.com/pediatricpsu/blank-1

Srisatidnarakun, B. (2010). The methodology in nursing research. (5th ed). Bangkok: U & I Inter Media.

Tato, R. (2018). Nursing research: Concepts to application. Bangkok: Chulalongkorn University Printing House. (in Thai)

Tengku Ismail, T.A., Wan Muda, W.A., & Bakar, M.I. (2016). The extended Theory of Planned Behavior in explaining exclusive breastfeeding intention and behavior among women in Kelantan, Malaysia. Nutrition Research and Practice, 10(1), 49–55.

World Health Organization. (2011). Guidelines on optimal feeding of low birthweight infants in low-and middle-income countries. WHO Document Production Services. Geneva: Switzerland. Retrieved from

https://apps.who.int/iris/bitstream/handle/10665/85670/9789241548366 eng.pdf ? sequence=1&isAllowed=y&ua=1

Additional Files

Published

2022-05-14

How to Cite

Yotthong, B., & Wattanasit, P. (2022). Relationship between Attitude, Subjective Norm, Perceived Behavioral Control, and Mothers, Intention to Use Donor Human Milk. Princess of Naradhiwas University Journal, 14(2), 95–112. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/249711

Issue

Section

บทความวิจัย