. ) Nims University Rajasthan, Jaipur Office of the Director-Research Ref: No. NURJ/DR/2019/124925 Date: 02.12.2019 To, Ms. Usha Rani D/o Sh. Durga Prasad D-5/G-3, Dilshad Colony, Delhi - 110095 Mob. : 09968383266 E-mail : usharani20jan@gmail.com Enrol. No. 124925 Subject: Comments on Thesis entitled “A STUDY TO ASSESS THE KNOWLEDGE AND PRACTICE REGARDING TECHNIQUES OF BREAST FEEDING AMONG PRIMI PARA. MOTHERS IN SELECTED HOSPITAL OF DELHI WITH A VIEW TO DEVELOP SELF INSTRUCTIONAL MODULE”. Dear Ms. Usha Rani, This has reference to evaluation report on your Ph.D. Thesis (Hard Bound). The following comments have been received on your Ph.D. Thesis. 1s Examiner Comments: 1. Title need to be changed as evaluation of the SIM has been done. “STUDY TO DEVELOP AND EVALUATE THE EFFECTIVENESS OF A SELF INSTRUCTIONAL MODULE ON TECHNIQUES OF BREAST FEEDING AMONG THE PRIMIPARA MOTHERS IN TERMS OF KNOWLEDGE AND PRACTICE REGARDING TECHNIQUES OF BREAST FEEDING AMONG PRIMIPARA MOTHERS IN SELECTED HOSPITAL OF DELHI” 2. Objectives need to be modified and added v. To evaluate the effectiveness of SIM in terms of knowledge & practice after administration of SIM vi. To find out the relationship between Knowledge and Practice after administration of SIM vil. Objective 3 to be shifted as objective vii V11. To determine the association after administration of SIM in terms of: * Knowledge and selected variable ‘* Practice and selected variables 3. Hypotheses to be made for objective v, vi, vii. 4, Make the following changes in Tools \ — I © Blue print of knowledge questionnaire to be made () ) ‘Campus Address: Phones: +91-9116010492 Nims University Rajasthan, Jaipur | Fax: (0141) 2605050, Jaipur-Delhi Highway (NH-ICy | Email: phd@nimsuniversity.org Jaipur-303121 (Rajasthan) Website : www.nimsuniversity.org,Nims University Rajasthan, Jaipur Office of the Director-Research Area distribution of practice questionnaire in percentages © Content distribution of SIM to be made and follow the norms of a module © Content is incomplete and missing in SIM-but questions are there in * Translation of tool and SIM should be done in local language and copy to be attached with theses. K-questionnaire © QNumbers 1,2, .7,8,10,11,12,13,14,15,16,17 & 21-30 * Out of 30 questions 25 questions no content added in SIM * Question 16 & 17 answer key is given as ’ but there is not option of “E” given in questions. Practice checklist instead of practice questionnaire Minimum 20 items of practice should be there but only 9 items, which is not covered in the content for practice. Questions No. 3-9 content is not included in the SIM Demonstration on breast feeding and techniques should have been done and return demo with observation should have been used for evaluation of practice with the check list instead of questionnaire Area for knowledge & practice should be same as content of SIM al Chapter-3: Material and Methods ( « In plan for data analysis Mdn, Modé, paired ‘t’ test to check the effectiveness of SIM were written, but none of this statistics were used in Chapter-4. ‘* Schematic representation of Research Design is not written. Chapter-4: Analysis © Table 2 level of knowledge N= 20 or 200... * Analysis of H1 & H2 not done, whether accepted or rejected not mentioned. * Section 6 is to be corrected as 5. Chapter-5: Discussion need to be written properly Overall all the study needs modification of contents of SIM and repeating the data collection and analysis. SIM should not be used a method of treatment for mothers instead structured teaching program. If the mothers are educated then use information booklet. Campus Address: Phones: +91-9116010492 Nims University Rajasthan, Jaipur | Fax: (0141) 2605050, Jaipur-Delhi Highway (NE-IIC) - | Email: phd@nimsuniversity.org eee eran Website : www.nimsuniversity.orgNims University Rajasthan, Jaipur Office of the Director-Research Chapter-I: Introduction- Problem selected is of great importance keeping in view the National Health Programmes for child health. Importance and need for the study justified. Problem statement, objectives and definition of terms stated clearly. Hypothesis, assumptions, limitations of the study stated and conceptual framework of the study explained. Chapter-II: Review of Literature- Review of Literature well organized, is relevant and updated, except on effectiveness of self instructional module should be clearly explained. Chapter-III: Material and Methods- Development and Validations of self instructional module should be mentioned properly. R-Value = 0.85 for which tool? Does not explain development & validation of SIM Chapter-V: Discussions Discussion with related/ reviewed studies as to how these findings are similar or different. Page 20-Under review of related literature not a single study an effectiveness of SIM on breast feeding techniques covered. Page 21-Heading is studies related to effectiveness of structured teaching programme. Under this five studies are on treatment strategies and one an Antenatal education and postnatal strategies to improve rate of EBF. Page 29-Separate reliability is not stated for Questionnaire and observation checklist Name of the tool & method of estimating reliability should be clearly stated. Page 44-Table -4 is about association of knowledge with selected demographic variables. Whereas title and table also states Knowledge & Practice regarding breast feeding techniques. Page 45-Table-S Note in the table column it states Knowledge & Practice whereas it is only association of practices with selected demographic variables. Page 46-Section -6 Gives findings and effectiveness of SIM but there is No mention of development and validation of SIM, but you have tested? SIM given as in appendix is just like Information on Breast Feeding Technique, lack features of a SIM. ‘Campus Address: Phones: +91-9116010492 Nims University Rajasthan, Jaipur Fax: (0141) 2605050, Jaipur-Delhi Highway (NH-1Q)- | Email: phd@nimsuniversity org Jaipur-303121 (Rajasthan) Website : www.nimsuniversity.org,) Nims University Rajasthan, Jaipur Office of the Director-Research Chapter-VI: Summary and Conclusion- Page 5. Hypothesis - Ho2 (Null) H2 (Research) Language not correct. For e.g, Signi. Asso. or No Signi. Asso. .. It should be stated as “There will be significant Asso. of knowledge and practices of Primipara mothers with their selected variables.” Hypotheses are assumptions so should be written in future tense. Page 5- The term “SIM” not defined operationally. Page 6-Assumptions ~ There is not assumptions regarding effect of SIM on knowledge & practices of primipara mothers. @ Page 6- Limitations are actually “Delimitations” that describe the scope of study. It could be stated as: The study is delimited to: a) Primipara Mothers b) Assessment of Knowledge and Practices of Mothers regarding breast feeding technique Page 9- Conceptual framework modifying factors analysed in the study data could be reflected in the conceptual framework. Page 56- Limitations stated are not the Boe These are delimitations which describe scope of study. Remarks e © Corrections in r/o Page 44 & 45 (Tables -4 & 5) may be made. * A Note on development of SIM on Breast feeding may be attached in Chapter Ill. In the light of above you are required to submit revised thesis with the approval of your supervisor. y ta Director-fegearch Ce: 1) Supervisor 2) Scholar file Campus Address: Phones: +91-9116010492 ‘Nims University Rajasthan, Jaipur Fax: (0141) 2605050, Jaipur-Delhi Highway (NH-I1C) | Email: _ phd@nimsuniversity.org Jaipur-306121 (Rajasthan) Website : www.nimsuniversity.org