Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention.
breastfeeding
feasibility
infant feeding
motivational interviewing
peer-support
pregnancy
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
03
07
2018
revised:
11
09
2018
accepted:
12
09
2018
pubmed:
25
9
2018
medline:
7
1
2020
entrez:
25
9
2018
Statut:
ppublish
Résumé
An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peer-support intervention informed by motivational interviewing (MI; Mam-Kind). Peer-supporters were trained to deliver the Mam-Kind intervention that provided intensive one-to-one peer-support, including (a) antenatal contact, (b) face-to-face contact within 48 hr of birth, (c) proactive (peer-supporter led) alternate day contact for 2 weeks after birth, and (d) mother-led contact for a further 6 weeks. Peer-supporters completed structured diaries and audio-recorded face-to-face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peer-supporters. Interview data were analysed thematically to assess intervention acceptability. Audio-recorded peer-support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peer-supporters delivered the Mam-Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peer-supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peer-supporters reported difficulties in adapting from an expert-by-experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peer-support using a MI-informed approach. Refinement of the intervention is needed to further develop peer-supporters' skills in providing mother-centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial.
Identifiants
pubmed: 30246923
doi: 10.1111/mcn.12703
pmc: PMC7198929
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12703Subventions
Organisme : Department of Health
ID : 13/18/05
Pays : United Kingdom
Organisme : National Institute for Health Research Health Technology Assessment programme
ID : NIHR HTA grant 13/18/05
Pays : International
Organisme : Health Technology Assessment Programme
ID : 13/18/05
Pays : International
Informations de copyright
© 2018 John Wiley & Sons Ltd.
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