{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T08:06:47Z","timestamp":1779782807594,"version":"3.53.1"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009570","name":"Srinakharinwirot University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009570","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005790","name":"thammasat university","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005790","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding is a key strategy for improving maternal and infant health; however, Thailand continues to fall short of national and international breastfeeding targets. Village Health Volunteers (VHVs) play an essential role in community-based breastfeeding support, yet many lack structured training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>This study examined the effectiveness of a participatory learning capacity-building program on breastfeeding knowledge, perception, and skills among female VHVs in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A quasi-experimental two-group, pretest\u2013posttest design was implemented with 80 VHVs from Phra Ajarn Subdistrict, Ongkharak District. The experimental group received a participatory breastfeeding program consisting of experiential training, collaborative home visits, and follow-up evaluation. A validated assessment instrument measured breastfeeding knowledge, perception, and skills. Statistical analyses included paired-samples and independent-samples\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests (\u03b1\u2009=\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      VHVs in the experimental group showed significant improvements in breastfeeding knowledge (M_pre\u2009=\u20097.48; M_post\u2009=\u20098.88;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and skills (M_pre\u2009=\u20097.98; M_post\u2009=\u20099.28;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Perceptions toward breastfeeding showed no significant change (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.19). Post-intervention, the experimental group demonstrated significantly higher knowledge (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.05) and skills (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) than controls, with no group difference in perception (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.17).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Participatory learning enhanced VHVs\u2019 breastfeeding knowledge and practical skills, supporting its use in community-level maternal\u2013child health promotion. However, perceptions remained unchanged, suggesting that attitudinal shifts may require longer-term or culturally integrated strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261446114","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:59:20Z","timestamp":1779515960000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of a Participatory Learning Capacity-Building Program on Knowledge, Perception, and Breastfeeding Skills Among Female Village Health Volunteers in Thailand"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7402-6110","authenticated-orcid":false,"given":"Paradee","family":"Boonperm","sequence":"first","affiliation":[{"name":"Department of Maternal\u2013Child Nursing and Midwifery, Faculty of Nursing, Srinakharinwirot University, Nakhon Nayok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-1417","authenticated-orcid":false,"given":"Natthapat","family":"Buaboon","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Thammasat University, Pathum Thani, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5898-5734","authenticated-orcid":false,"given":"Chadaporn","family":"Vatanavilai","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Srinakharinwirot University, Nakhon Nayok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0234-2369","authenticated-orcid":false,"given":"Wanphen","family":"Chauyjitt","sequence":"additional","affiliation":[{"name":"Department of Maternal\u2013Child Nursing and Midwifery, Faculty of Nursing, Srinakharinwirot University, Nakhon Nayok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Ahmed A. 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