Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention
| Autor: | Nina Gobat, Rebecca Playle, Laura Merrett, Deborah Fitzsimmons, Sue Channon, Cheryl McQuire, Amy Brown, Michael Robling, Aimee Grant, Rhiannon Phillips, Julia Sanders, Sally Tedstone, Billie Hunter, Lauren Copeland, Shantini Paranjothy |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
0301 basic medicine infant feeding breastfeeding education Motivational interviewing Breastfeeding Motivational Interviewing Peer support motivational interviewing Peer Group law.invention 03 medical and health sciences 0302 clinical medicine Nursing Randomized controlled trial law Intervention (counseling) Humans Medicine 030212 general & internal medicine Wales 030109 nutrition & dietetics Nutrition and Dietetics business.industry Qualitative interviews Public Health Environmental and Occupational Health Obstetrics and Gynecology Original Articles Patient Acceptance of Health Care Breast Feeding England peer‐support Pediatrics Perinatology and Child Health Feasibility Studies Female pregnancy Process evaluation business Breast feeding feasibility |
| Zdroj: | Copeland, L, Merrett, L, McQuire, C, Grant, A, Gobat, N, Tedstone, S, Playle, R, Channon, S, Sanders, J, Phillips, R, Hunter, B, Brown, A, Fitzsimmons, D, Robling, M & Paranjothy, S 2018, ' Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention ', Maternal and Child Nutrition . University of Bristol-PURE Matern Child Nutr |
| ISSN: | 1740-8695 |
| Popis: | 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. Semi-structured 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. |
| Databáze: | OpenAIRE |
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