Development and Preliminary Evaluation of ASIApp for Breastfeeding Education: A Single-Group Pretest–Posttest Study in Makassar

Abstract

Exclusive breastfeeding requires sustained practical and social support. This study examined development and preliminary evaluation of asiapp for breastfeeding education using a digital educational product development followed by a single-group pretest–posttest pilot. The study took place at RSKDIA Pertiwi maternity hospital, Makassar, Indonesia, in 2026 and included 10 mothers in a preliminary usability trial and 33 breastfeeding mothers recruited purposively for the main pretest–posttest evaluation. The intervention consisted of Android ASIApp application with breastfeeding information, interactive navigation and learning materials. Outcomes were assessed using structured questionnaires on breastfeeding knowledge, attitudes, reported practices and self-confidence; separate media and content expert appraisal. The application received an overall assessment of 82% from the media expert review and 79% from the content expert review. In the main pilot (n = 33), the thesis reports improvements in questionnaire-derived knowledge, attitudes, practices and confidence after use, with reported tests below the 0.05 threshold. The available outcome tables do not establish the percentage of infants exclusively breastfed through six months; the stronger thesis wording about breastfeeding success should therefore be interpreted as changes in short-term educational measures. In interpretation, a mobile application may consolidate anticipatory guidance, practical explanations and confidence-building information into a reusable resource. The current findings principally address acceptability and proximal maternal outcomes, not sustained infant-feeding behaviour. The design and measurement constraints mean that associations should not be represented as definitive causal effects.