Wu Lin, Li Xiaoxin, Ismail Hairul Nizam, Guo Pengyue, Yang Jing
Center of Mental Health Education, Huaqiao University, Quanzhou, 362000, China.
School of Educational Studies, Universiti Sains Malaysia, 11800, Penang, Malaysia.
Reprod Health. 2025 Apr 5;22(1):46. doi: 10.1186/s12978-025-02001-5.
Breastfeeding provides health benefits for both mothers and children. However, most families face challenges in initiating and maintaining breastfeeding owing to psychosocial factors. Despite the importance of these factors and their practical implications, comprehensive review research based on a robust theory in this area is lacking. This narrative review addresses this research gap by exploring the utility of the extended theory of planned behavior (ETPB) in understanding and promoting breastfeeding.
A systematic search was conducted using the relevant Web of Science, Scopus, EBSCO, PubMed, and PsycINFO; 22 studies published between January 2000 and March 2023 were identified.
These included studies understanding the psychosocial factors of breastfeeding by introducing the ETPB framework, incorporating psychosocial factors such as affective attitude, instrumental attitude, injunctive norms, descriptive norms, perceived behavioral control, breastfeeding self-efficacy, moral norms, breastfeeding knowledge, and breastfeeding self-identity. Based on these factors, intervention strategies for breastfeeding enhancement were categorized into professional breastfeeding education, interpersonal social support, and personalized breastfeeding services.
The 22 breastfeeding studies related to the ETPB model demonstrate its effectiveness in explaining the psychosocial factors influencing breastfeeding intention and duration. The model's application in intervention studies suggests that more diverse and proactive approaches are required to empower mothers. Future research should address societal context and cultural influences and expand interventions beyond essential information provision.
母乳喂养对母亲和孩子都有健康益处。然而，由于心理社会因素，大多数家庭在开始和维持母乳喂养方面面临挑战。尽管这些因素很重要及其实际影响，但该领域缺乏基于强有力理论的全面综述研究。本叙述性综述通过探讨计划行为扩展理论（ETPB）在理解和促进母乳喂养方面的效用，填补了这一研究空白。
使用相关的科学网、Scopus、EBSCO、PubMed和PsycINFO进行系统检索；确定了2000年1月至2023年3月期间发表的22项研究。
这些研究包括通过引入ETPB框架来理解母乳喂养的心理社会因素，纳入了情感态度、工具性态度、指令性规范、描述性规范、感知行为控制、母乳喂养自我效能感、道德规范、母乳喂养知识和母乳喂养自我认同等心理社会因素。基于这些因素，增强母乳喂养的干预策略分为专业母乳喂养教育、人际社会支持和个性化母乳喂养服务。
与ETPB模型相关的22项母乳喂养研究证明了其在解释影响母乳喂养意愿和持续时间的心理社会因素方面的有效性。该模型在干预研究中的应用表明，需要更多样化和积极主动的方法来增强母亲的能力。未来的研究应关注社会背景和文化影响，并将干预措施扩展到提供基本信息之外。
