Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention
MetadataDangos cofnod eitem llawn
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.
Maternal & Child Nutrition;
Copeland, L., Merrett, L., McQuire, C., Grant, A., Gobat, N., Tedstone, S., Playle, R., Channon, S., Sanders, J., Phillips, R. and Hunter, B. (2019) 'Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention', Maternal & Child Nutrition, 15(2), p.e12703.
Dynodwr Gwrthrych Digidol (DOI)https://doi.org/10.1111/mcn.12703
Article published in Maternal & Child Nutrition available at https://doi.org/10.1111/mcn.12703
Yn dangos eitemau sy’n perthyn drwy deitl, awdur, pwnc a chrynodeb.
Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer Phillips, Rhiannon; Copeland, L.; Grant, A.; Sanders, J.; Gobat, N.; Tedstone, S.; Stanton, H.; Merrett, L.; Rollnick, S.; Robling, M.; Brown, A.; Hunter, B.; Fitzsimmons, D.; Regan, S.; Trickey, H.; Paranjothy, S. (BMC / Springer, 2018-04-11)Background Many women in the UK stop breastfeeding before they would like to, and earlier than is recommended by the World Health Organization (WHO). Given the potential health benefits for mother and baby, new ways of ...
A novel peer-support intervention using motivational interviewing for breastfeeding maintenance:a UK feasibility study Paranjothy, S.; Copeland, L.; Merrett, L.; Grant, A.; Phillips, Rhiannon; Gobat, N.; Sanders, J.; Fitzsimmons, D.; Hunter, B.; Regan, S.; Playle, R. (NIHR Journals Library, 2017-12)Background In total, 81% of women in the UK start breastfeeding, but fewer than half continue beyond 6 weeks. Peer support in the early postnatal period may encourage women to breastfeed for longer. Objective To develop ...
Grant, A.; McEwan, K.; Tedstone, S.; Greene, G.; Copeland, L.; Hunter, B.; Sanders, J.; Phillips, Rhiannon; Brown, A.; Robling, M.; Paranjothy, S. (Wiley, 2017-07-07)Peer support is recommended by the World Health Organization for the initiation and continuation of breastfeeding, and this recommendation is included in United Kingdom (U.K.) guidance. There is a lack of information about ...