Empowering breastfeeding mothers: How self-directed learning boosts confidence-unveiling the two-round Delphi method
International Journal of Public Health Science

Abstract
Promoting breastfeeding self-efficacy through self-directed learning requires behavior, goal setting, and self-reinforcement. This research aims to collect insights from health professionals on strategies for improving maternal confidence in breastfeeding using self-directed learning and existing knowledge. An in-depth exploration through a two-round Delphi method rooted in the self-efficacy theory of self-directed learning for breastfeeding mothers was conducted, involving expert input and an extensive literature review. Four key documents were identified, each undergoing rigorous expert rating to ensure quality. Six essential elements for health professionals to guide breastfeeding mothers were established, focusing on lactation physiology, successful initiation, confidence building, adversity management, cultural beliefs, and public breastfeeding. Three crucial topics, including prior knowledge, personal attributes, and autonomous processes, were designed to enhance self-efficacy through self-directed learning. In conclusion, the study emphasizes the vital role of health professionals in supporting mothers through comprehensive breastfeeding guidance and encouraging self-directed learning.
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