The Effect of Self-Efficacy Training Package on Maternal Self-Confidence of Primiparous Women in Infant Care

Document Type : Original Article


1 Lecturer of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Ph.D. Student of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Lecturer of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Maternal Parental Self-Efficacy (MPSE) has been identified as a major determinant of competence in parenting behaviors and responsibility. Confidence is also a key variable in the process of coping with motherhood and maternal role attainment. In some studies, self efficacy promotional strategies led to improve maternal-child outcomes. So, the aim of this study was to determine the effectiveness of self-efficacy training package on maternal self confidence of primiparous women in infant care.
Methods: This randomized clinical trial was conducted in 2013on 61 primiparous women referred to health centers of Mashhad, Iran for giving second postpartum care. Women were randomly divided into two groups of intervention and control. Training package based on Bandura's self-efficacy strategies was prepared and implemented for the intervention group. The research instruments were Parental Expectations Survey and Lips Maternal Confidence, that were completed before and after the intervention. Data were analyzed with SPSS software version 16, independent t-test, chi-square, Man-Whitney, Wilcoxon and Pearson tests. P value less than 0.05 was considered significant.
Results: The mean score of maternal self-efficacy and confidence was not statistically different between the two groups before the intervention (p>0.05). After implementation of the training package, significant increase in efficacy was observed in the intervention group (205/4±5/22) compared to the control (186/8±42/7) (p=0.039). But according to the results of the independent t-test, there was not a significant difference in the confidence mean scores after the intervention between two groups (p>0.05). After the intervention, there was a significant linear relationship between self-efficacy and confidence scores in the intervention group (p=0.001).
Conclusion: Maternal training and support in infant caring based on self-efficacy strategies increase maternal self-efficacy, but it has no significant increase on maternal self-confidence.


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