Effect of the board game as educational technology on schoolchildren's knowledge on breastfeeding1.
Fernanda Demutti Pimpão Martins, Luciana Pedrosa Leal, Francisca Márcia Pereira Linhares and 3 others
PMID 30183874WHAT IT FOUND
In schoolchildren, breastfeeding knowledge scores were higher after a board game than in children with no game at 7 and 30 days.
The gain was in what children knew, not proof that breastfeeding behavior changed.
Key findings
01The main outcome was mean breastfeeding knowledge score on a 0 to 21 point scale, tested at 7 and 30 days after baseline.
02The intervention group had higher knowledge scores than control at 7 and 30 days, with baseline scores similar.
03At 7 days, mean scores were 19.68 for intervention and 17.59 for control; at 30 days, mean scores were 20.16 and 17.71.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured knowledge scores, not actual breastfeeding practices, so it cannot show behavior change. Many assessed children were not analysed, and the paper reports 171 assessed and 99 participated, so losses may affect the result. The intervention group is listed as 48 in the flow/results text and 49 in a table. Children knew whether they played the game, and only some data collectors were blinded. In the intervention group, all children present in class played the game, but only children with guardian consent were analysed. The game was created and validated for this study, so it may not be available or transferable to other settings. Follow-up was only 30 days. The sample was third-grade children in municipal public schools in Recife, Brazil, which may not represent other populations.
The easy way to misread this
Do not conclude that the board game improves breastfeeding behavior. The study measured children's knowledge scores only, and the authors say the results do not extend to behavioral changes.