Aan Fitri Ries Sutrisno, Desi Trianita, Fransisca Retno Asih

ENHANCING PREGNANT WOMEN'S BREASTFEEDING SELF-EFFICACY THROUGH ANIMATED EDUCATIONAL VIDEO INTERVENTION

Introduction

Enhancing pregnant women's breastfeeding self-efficacy through animated educational video intervention. Boost pregnant women's breastfeeding self-efficacy with animated educational videos. A study shows this intervention significantly improves BSE, supporting exclusive breastfeeding success.

Abstract

Background: The prevalence of exclusive breastfeeding remains low globally, with only 44% of infants receiving it during the first six months. One contributing factor is low Breastfeeding Self-Efficacy (BSE). In Indonesia, 56% of mothers have low BSE due to inadequate education, limited family support, and psychological challenges. Animated video-based education is considered effective in increasing BSE among pregnant women, potentially enhancing exclusive breastfeeding success. This study aimed to examine the effect of breastfeeding preparation education using animation videos on BSE in third-trimester pregnant women at Tanah Kalikedinding Public Health Center, Surabaya, in 2022. Method: A quasi-experimental design with a pretest-posttest and control group was used. Seventy-four pregnant women (37 per group) were selected through consecutive sampling and met inclusion criteria: gestational age 28–36 weeks, single healthy pregnancy, ability to use WhatsApp, Google Forms, and Zoom, and willingness to participate. Exclusion criteria included serious medical conditions or hearing/vision impairments. The intervention group received an animated video titled “Manfaat ASI dan Persiapan Menyusui” (5 minutes/day for 3 days), along with Q&A and video sharing. The control group was directed to read breastfeeding material from the KIA book. Data were analyzed using Mann-Whitney and Wilcoxon tests via SPSS25. Result: Results showed a significant increase in BSE in the intervention group (mean increase = 4.97) compared to a decrease in the control group (mean decrease = 2.49), with p = 0.000. Conclusion: In conclusion, animated video-based education effectively improves breastfeeding self-efficacy and may support the success of exclusive breastfeeding programs.

Review

This study addresses a critical public health challenge: the persistently low rates of exclusive breastfeeding globally and the contributing factor of low Breastfeeding Self-Efficacy (BSE) among pregnant women, particularly in Indonesia. The authors propose an innovative approach, utilizing animated educational videos, to enhance BSE in third-trimester pregnant women. The research's objective to examine the effect of this video-based intervention on BSE is highly relevant, given the potential of improved self-efficacy to positively influence exclusive breastfeeding success. The premise that an engaging and accessible digital medium can overcome barriers associated with traditional education methods, such as inadequate information and psychological challenges, is compelling and timely. Methodologically, the study employs a robust quasi-experimental design with a pretest-posttest and control group, allowing for a comparative analysis of the intervention's impact. The selection of 74 participants through consecutive sampling and the establishment of clear inclusion and exclusion criteria enhance the study's internal validity, minimizing potential confounding factors. The intervention itself, consisting of a short daily animated video over three days complemented by Q&A and video sharing, appears well-structured. Contrasting this with a control group reading material from a standard KIA book provides a meaningful comparison against routine care. While the quasi-experimental design means participants were not randomly assigned, which can introduce some selection bias, the careful selection process and specific criteria mitigate this to an extent. The use of appropriate non-parametric statistical tests (Mann-Whitney and Wilcoxon) for data analysis further strengthens the rigor of the findings. The results unequivocally demonstrate the effectiveness of the animated video intervention. A statistically significant increase in BSE was observed in the intervention group, in stark contrast to a decrease in the control group (p = 0.000), highlighting the potent positive impact of the animated content. This finding strongly supports the conclusion that animated video-based education is an effective strategy for improving breastfeeding self-efficacy among pregnant women. The implications of this study are significant, suggesting that such accessible and engaging digital interventions could be integrated into existing antenatal care programs to bolster exclusive breastfeeding initiatives. Future research could explore the long-term impact on actual breastfeeding rates, assess the cost-effectiveness of this approach, and evaluate its applicability across broader and more diverse populations to confirm generalizability.

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