The Effect of an Antenatal Intervention on Breastfeeding Self-Efficacy, Intent, and Breastfeeding Initiation Rates Among Inner City Adolescents

Primary Submission Contact

Jamie L El Harit

Faculty Sponsor

Julie Koch

Faculty Sponsor Email Address





Doctor of Nursing Practice

Document Type

Poster Presentation




Breastfeeding has been correlated with many health benefits to both infants and mothers. According to Healthy People 2020, infants who are breastfed have improved nutritional, immunological, developmental, and social outcomes (USDHHS, 2014). Despite the benefits and the focused international efforts to increase levels of breastfeeding, adolescents remain largely unaware and continue to have among the lowest rates of initiation (Spear, 2006; CDC, 2013). A thorough literature review was performed and a synthesis of evidence was developed which demonstrated that needs-based, repeated antenatal education including breastfeeding peer counselor supports was best practice for engaging the adolescent population. This resulted in the recommended intervention for this EBP project. Utilizing Social Cognitive Theory as the theoretical framework and the Stetler Model for Evidence-Based Practice as a model for practice change, an intervention was implemented incorporating an Internationally Board Certified Lactation Consultant (IBCLC) and peer counselors. The purpose of this EBP project was to reduce the disparities of breastfeeding initiation by increasing breastfeeding self-efficacy and intention in an inner-city specialty high school. Pre- and post-intervention breastfeeding self-efficacy and intended infant feeding preference were collected, utilizing the Prenatal Breastfeeding Self-Efficacy Scale (BSES) and self-report. Data were analyzed utilizing t-test to determine impact of the intervention.

Biographical Information about Author(s)

Jamie Lynn El Harit graduated with her Bachelor of Science in Nursing from Valparaiso University in 1995. She currently works as a lead PI consultant at a large, tertiary academic medical center. She holds certification as an American Society for Quality Six Sigma Black Belt and has been leading performance improvement teams to improve safety, quality, and efficiency of care. Jamie will receive her Doctorate in Nursing Practice as a Family Nurse Practitioner in May 2015.

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