Comparison of the effects of educational programs on the development of infants aged 1-3 months based on the BASNEF model and application of acupressure on the GB-21 point

Document Type: Original Article


1 Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

2 School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

3 Community-based Psychiatric Care Research Center, School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

4 Instructor of Islamic Azad University, Shahr-e-Babak branch, Iran

5 Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran


Breastfeeding plays a pivotal role in the promotion of health and prevention of psychological problems in children. This study aimed to compare the effects of breastfeeding educational programs on the development of infants aged 1-3 months based on the model of Belief, Attitude, Subjective Norm, and Enabling Factors (BASNEF) and application of acupressure on the GB-21 point.
Methods: This quasi-experimental study was conducted on 150 pregnant women (gestational age: 36-41 weeks) receiving care in the educational clinics affiliated to Shiraz University of Medical Sciences, Iran. Subjects were divided into two intervention groups (educational and acupressure) and one control group. In intervention groups, in addition to routine prenatal care, pregnant women received training based on the BASNEF model and instructed acupressure. Mothers in the control group received only standard care during pregnancy. After the intervention, data were collected using Denver developmental screening test. Data analysis was performed in SPSS V.16 using one-way analysis of variance (ANOVA).
Results: Among developmental gross motor skills, a significant difference was observed between the intervention and control groups regarding the ability to breast lift by relying on the arm (P=0.016). In terms of fine motor skills, a significant difference was observed in holding the rattle by infant (P=0.034). Moreover, time of acquiring individual and social developmental skills was higher in intervention groups compared to the control group. However, the difference was not statistically significant (P≥0.05). Therefore, no significant differences were observed between the two interventional groups in this regard (P≥0.05).
Conclusion: According to the results of this study, instructed acupressure on the GB-21 pointcould improve some gross motor and fine motor skills in infants. Therefore, it is recommended that the developmental indicators in infants aged 1-3 months be evaluated in longer periods.


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