{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:55Z","timestamp":1792787755969,"version":"4.5.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Karadeniz Technical University Scientific Research Projects Coordination Unit","award":["TDK-2023-10842."],"award-info":[{"award-number":["TDK-2023-10842."]}],"id":[{"id":"https:\/\/ror.org\/03z8fyr40","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Early breastfeeding cessation due to physiological and psychosocial factors limits long-term maternal and infant health benefits. Relactation, the reinitiation of breastfeeding, is a promising strategy to restore lactation and improve well-being. This study aimed to evaluate the effect of education and follow-up based on Pender\u2019s Health Promotion Model (HPM) on relactation success among mothers who had discontinued breastfeeding or experienced low milk supply.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This randomized controlled trial was conducted between July and December 2023 in a hospital and five family health centers in eastern T\u00fcrkiye. Seventy-three mothers (38 intervention, 35 control) with infants aged 15 days to 4 months who had ceased breastfeeding or used formula for 2\u20138 weeks were included. The intervention group received 8 weeks of relactation education and follow-up based on the HPM, whereas the control group received routine postnatal care. Data were collected using a personal information form, the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Breastfeeding Motivation Scale (BMS), the LATCH tool, and a tool for assessing the level of maternal milk intake (IMDAT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At the final follow-up, 65.8% of mothers in the intervention group achieved complete relactation, compared to 8.6% in the control group. The intervention group also had significantly higher BSES-SF, LATCH, and IMDAT scores. However, no significant differences were found in the BMS intrinsic motivation and identified regulation subscales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>HPM-based education and follow-up significantly enhanced relactation success, self-efficacy, and breastfeeding skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261470188","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:11:31Z","timestamp":1784621491000},"page":"654-669","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Relactation Success: A Randomized Controlled Trial of Health Promotion Model-Based Education and Follow-Up"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0476-496X","authenticated-orcid":false,"given":"Ay\u015fe","family":"Da\u015ftan Yilmaz","sequence":"first","affiliation":[{"name":"Department of Medical Services and Techniques, Refahiye Bahar Y\u0131ld\u0131r\u0131m Health Services Vocational School, Erzincan Binali Y\u0131ld\u0131r\u0131m University, Erzincan, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u0131ymet","family":"Ye\u015fil\u00e7i\u00e7ek \u00c7alik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Nursing, Faculty of Health Science, Karadeniz Technical University, Trabzon, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_4_2_1","first-page":"50","volume-title":"Breastfeeding and Human Milk Feeding Counseling: Current Approaches","author":"Ba\u015fl\u0131 M","year":"2021","unstructured":"1.Ba\u015fl\u0131 M, , \u00d6zsoy S. 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