{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:37:36Z","timestamp":1786653456573,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding is essential for optimal infant growth and maternal health; however, low breastfeeding self-efficacy and insufficient counseling are major barriers to sustained breastfeeding. Mobile health (mHealth) applications offer accessible, continuous support that may enhance breastfeeding confidence, continuity, and effective problem-solving.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the effect of breastfeeding counseling delivered via a smartphone application on breastfeeding self-efficacy, breastfeeding duration, and breastfeeding-related problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This randomized controlled prospective study was conducted among 60 primiparous women in the postpartum period at the gynecology service of a Training and Research Hospital in Turkey. The study comprised four phases: development of a smartphone application, participant randomization and selection, implementation and follow-up, and data analysis. Participants were allocated to either an intervention group receiving app-based breastfeeding counseling or a control group receiving routine care. Outcomes included breastfeeding self-efficacy, breastfeeding duration, and breastfeeding problems, assessed at predefined follow-up intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Women in the intervention group demonstrated significantly higher breastfeeding self-efficacy scores than those in the control group across all follow-up measurements (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05; \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      = 0.79; large effect size). At six months postpartum, breastfeeding continuation rates were significantly higher in the intervention group compared with the control group (93% vs. 75%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Additionally, breastfeeding problem scores were significantly lower in the intervention group than in the control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05; \u03b7\u00b2 = 0.73).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breastfeeding counseling delivered via a smartphone application significantly improved breastfeeding self-efficacy, reduced breastfeeding-related problems, and increased breastfeeding duration among primiparous women. These findings suggest that mHealth-based breastfeeding counseling is an effective and feasible intervention that can be integrated into routine postpartum care to support successful breastfeeding. ClinicalTrials number was obtained for the study (No: NCT07426185).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_506_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:00:20Z","timestamp":1777572020000},"page":"390-400","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Breastfeeding Counseling with Smartphone App on Breastfeeding Self-Efficacy, Breastfeeding Duration, and Problems"],"prefix":"10.4103","volume":"29","author":[{"given":"BK","family":"\u0130bis","sequence":"first","affiliation":[{"name":"Department of Women\u2019s Health and Diseases Nursing, Ege University Faculty of Nursing, Ege University, \u0130zmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Ertem","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Health and Diseases Nursing, Ege University Faculty of Nursing, Ege University, \u0130zmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260506","doi-asserted-by":"crossref","first-page":"100","DOI":"10.16948\/zktb.80388","article-title":"Factors affecting breastfeeding and breastfeeding counselling","volume":"45","author":"Cang\u00f6l","year":"2014","journal-title":"Zeynep Kamil T\u0131p B\u00fclteni"},{"key":"R2-20260506","first-page":"9","article-title":"Postpartum evaluation of the mothers' knowledge about breastfeeding and the importance of breast milk","volume":"23","author":"\u00c7akmak","year":"2019","journal-title":"Turk J Fam Med"},{"key":"R3-20260506","first-page":"209","article-title":"A cross-sectional evaluation of breastfeeding success and related factors in newborn baby mothers","volume":"24","author":"\u00d6zkan","year":"2022","journal-title":"K\u0131r\u0131kkale Univ Fac Med J"},{"key":"R4-20260506","first-page":"S-102","article-title":"Technology-based interventions for breastfeeding education and breastfeeding support","author":"Bak\u0131r","year":"2022","journal-title":"2nd Int Breastfeeding Truth Congr"},{"key":"R5-20260506","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1080\/07399332.2018.1526289","article-title":"Factors affecting breastfeeding motivation in primiparous mothers: An application of breastfeeding motivation scale based on self-determination theory","volume":"40","author":"M\u0131zrak \u015eahin","year":"2019","journal-title":"Health Care Women Int"},{"key":"R6-20260506","first-page":"131","article-title":"Practices for facilitating breastfeeding and lactation care","volume":"4","author":"Onat","year":"2018","journal-title":"Turk Klin J Obstet Womens Health Dis Nurs-Spec Top"},{"key":"R7-20260506","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1046\/j.1523-536X.2002.00202.x","article-title":"Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy theory","volume":"29","author":"Blyth","year":"2002","journal-title":"Birth"},{"key":"R9-20260506","first-page":"51","article-title":"How to improve nursing practices-based on theory and model for successful breastfeeding","volume":"10","author":"Tokat","year":"2008","journal-title":"J Nurs Res Dev"},{"key":"R11-20260506","doi-asserted-by":"crossref","first-page":"e213","DOI":"10.5210\/ojphi.v10i2.9306","article-title":"Food trends and popular nutrition advice online \u2013 implications for public health","volume":"10","author":"Ramachandran","year":"2018","journal-title":"Online J Public Health Inform"},{"key":"R12-20260506","first-page":"254","article-title":"Evaluation of recommendations for foods that increase the amount of breast milk in daily newspapers","author":"\u00dcnal","year":"2019","journal-title":"1st Int \u201cBreastfeeding Truth\u201d Congr. 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