Staff acceptability of contingency management to promote longer breastfeeding duration at WIC

Autor: Dianne Zeigler, Mara Humphreys, Yukiko Washio
Rok vydání: 2015
Předmět:
Zdroj: Drug and Alcohol Dependence. 156:e235
ISSN: 0376-8716
DOI: 10.1016/j.drugalcdep.2015.07.632
Popis: Drug and Alcohol Dependence 156 (2015) e183–e245 e235 Staff acceptability of contingency management to promote longer breastfeeding duration at WIC Yukiko Washio1,∗, Mara Humphreys2, Dianne Zeigler2 1 Treatment Research Institute, Philadelphia, PA, United States 2 Temple University, Philadelphia, PA, United States Aims: The current study conducted a qualitative feasibility interviewwith staff at the Special Supplemental Nutrition Program forWomen, Infants, and Children (WIC) in a mid-Atlantic region to apply contingency management (CM) for health behavior such as breastfeeding. Methods: We surveyed 10 WIC staff at the two WIC offices that are part of the ongoing pilot study to increase breastfeeding duration among Puerto Rican mothers. The survey asked whether they would support the weekly peer support group meetings and CM, whether they think these programsmight be helpful to Puerto Rican mothers to breastfeed, and whether perceived barriers and pro-CM beliefs influence their decision making to implement CM. Results: More than half the participants answered that they would be willing to help weekly peer support group meetings (i.e., seven out of 10 participants) and CM program (i.e., eight out of 10 participants) to increase breastfeeding among Puerto Rican mothers, and all thought that these programs would be helpful (scale 3–5). Except for oneparticipant, all otherparticipants ratedahigher percentage of survey items in the category of pro-CM beliefs than that for perceived barriers as strong influence or very strong influence to make a decision to implement CM. Conclusions: This study demonstrated that the CM program in conjunctionwithweekly peer supportmeetings to increase breastfeeding duration among Puerto Rican mothers at a WIC setting was acceptable to WIC staff, increasing the potential to implement and sustain such programs withinWIC programs that are available nation-wide. Financial support: This study was supported by an NIH grant, 1R03HD077057. http://dx.doi.org/10.1016/j.drugalcdep.2015.07.632 A very brief intervention for cannabis users in an emergency department setting Lisa Webb1,∗, Nicole Clement1, Etty Matalon1, Tibbetts Joel1, Jan Copeland2 1 National Cannabis Prevention and Information Centre, UNSW Medicine, Sydney, NSW, Australia 2 National Cannabis Prevention and Information Centre, University of NSW, Sydney, NSW, Australia Aims: To explore the feasibility and acceptability of a very brief intervention for cannabis use in an ED setting and to test the hypothesis that cannabis and related problemswill be significantly reduced at 1 month follow-up compared with ED baseline. Methods: A pre-post design feasibility testing pilot study of a BI (5–10min) delivered opportunistically to cannabis users (n=70) presenting to a hospital emergency department. The BI consists of 3 components: screening, assessment, and brief personalised feedback delivered by a trained researcher within the ED at Prince of Wales Hospital, Sydney. Follow-up data was collected 1-month following presentation to the ED. Results: The intervention was feasible and acceptable to participants. Comparedwith baseline, participants reported significantly fewer days of cannabis use (p
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