A breast feeding education and promotion program: Effects on knowledge, attitudes, and support for breast feeding

Sciacca, John; Dube, David A.; Phipps, Brenda L.; Ratliff, Michael I.

doi:10.1007/bf02277064

Cited by 61 publications

(82 citation statements)

References 40 publications

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“…[13][14][15] However, it is difficult to compare our findings with previous studies which used smaller, non-representative samples and more intensive interventions. Oakley et al [16] for example, found that 590 working-class women breastfed more after a median of 5 prenatal telephone and home contacts.…”

Section: Discussionmentioning

confidence: 95%

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Chao

Goldfinger

Gozalians

et al. 2016

JER

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Background: Exclusive breastfeeding is the healthiest and most economical form of infant nutrition. Although research has indicated that professional support increases the length of time women breastfeed, the optimal timing of provider encouragement to sustain mothers' breastfeeding is unknown. We evaluated the impact of the timing of provider encouragement on breastfeeding initiation and three-month duration, especially among racial/ethnic minority mothers who have been underrepresented in breastfeeding outcomes research. Methods:We used data from the 2010 Los Angeles Mommy and Baby (LAMB) Survey. LAMB is a population-based mail survey, distributed to women in Los Angeles County who recently gave birth to a live infant. Participants were asked about their perceptions of provider encouragement of breastfeeding at three specific time points: during prenatal care visits, during the birth hospital stay after the baby was born, and during early well-baby checkups. Mothers were asked whether they breastfed or pumped breast milk to feed their baby after delivery and if they were still breastfeeding at the time of the survey.Results: Overall, 87.6% of LA County mothers initiated breastfeeding after delivery. At 3 months, 60% were still breastfeeding. Adjusted logistic regression analysis showed a positive association between provider encouragement at the delivery hospital and breastfeeding initiation (aOR = 2.7, 95% CI = 1.60-3.96) that was significant across all races/ethnicity. Encouragement during well-baby checkups was positively associated with breastfeeding at 3 months (aOR = 1.5, 95% CI = 1.22-1.93). This latter association was found among all races and ethnicities, except for Black mothers. There was no association between encouragement provided during prenatal care and breastfeeding practices. Conclusions:The optimal timing of provider encouragement on breastfeeding initiation is likely during the birth hospitalization, while sustained breastfeeding likely requires professional support after discharge. Culturally appropriate interventions to maintain positive breastfeeding practices must be identified, especially for black mothers.

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Section: Discussionmentioning

confidence: 95%

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Chao

Goldfinger

Gozalians

et al. 2016

JER

View full text Add to dashboard Cite

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“…Two targeted healthy adults who were not at risk of a specific chronic illness (Niederhauser, Maddock, LeDoux, & Arnold, 2005; Wallace, Raglin, & Jastremski, 1995), two had no control group (Homan, Litt, & Norman, 2012; Shoham, Rohrbaugh, Trost, & Muramoto, 2006), two targeted the at‐risk individuals through their female partners (Chan, Leung, Wong, & Lam, 2008; Matsuo et al ., 2010), partner inclusion was not compulsory in three (de Vries, Bakker, Mullen, & van Breukelen, 2006; Prestwich et al ., 2005; Wakefield & Jones, 1998), and three did not target physical health issues (Fisher, Wynter, & Rowe, 2010; Midmer, Wilson, & Cummings, 1995; Sciacca, Dube, Phipps, & Ratliff, 1995). …”

Section: Resultsmentioning

confidence: 99%

Health behaviour change interventions for couples: A systematic review

Arden‐Close

McGrath

2017

British J Health Psychol

148

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ObjectivesPartners are a significant influence on individuals’ health, and concordance in health behaviours increases over time in couples. Several theories suggest that couple‐focused interventions for health behaviour change may therefore be more effective than individual interventions.DesignA systematic review of health behaviour change interventions for couples was conducted.MethodsSystematic search methods identified randomized controlled trials (RCTs) and non‐randomized interventions of health behaviour change for couples with at least one member at risk of a chronic physical illness, published from 1990–2014.ResultsWe identified 14 studies, targeting the following health behaviours: cancer prevention (6), obesity (1), diet (2), smoking in pregnancy (2), physical activity (1) and multiple health behaviours (2). In four out of seven trials couple‐focused interventions were more effective than usual care. Of four RCTs comparing a couple‐focused intervention to an individual intervention, two found that the couple‐focused intervention was more effective.ConclusionsThe studies were heterogeneous, and included participants at risk of a variety of illnesses. In many cases the intervention was compared to usual care for an individual or an individual‐focused intervention, which meant the impact of the couplebased content could not be isolated. Three arm studies could determine whether any added benefits of couple‐focused interventions are due to adding the partner or specific content of couple‐focused interventions. Statement of contribution What is already known on this subject? Health behaviours and health behaviour change are more often concordant across couples than between individuals in the general population.Couple‐focused interventions for chronic conditions are more effective than individual interventions or usual care (Martire, Schulz, Helgeson, Small, & Saghafi, 2010). What does this study add? Identified studies targeted a variety of health behaviours, with few studies in any one area.Further assessment of the effectiveness of couple‐focused versus individual interventions for those at risk is needed.Three‐arm study designs are needed to determine benefits of targeting couples versus couple‐focused intervention content.

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“…[15][16][17][18] Most randomized trials of such interventions, however, have had time-intensive interventions that occurred as adjuncts to routine preventive visits rather than within them. Little information is available on whether pediatricians or other clinicians can affect breastfeeding rates via specific advice or practices during routine preventive visits.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

et al. 2004

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ABSTRACT. Background. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months of life. Recent statistics indicate that initiation and maintenance of exclusive breastfeeding are low in the United States. Unfortunately, little information is available on how clinicians and health care organizations can best promote continuation of exclusive breastfeeding.Objective. To identify clinicians' opinions and management practices that are associated with continuation of exclusive breastfeeding.Methods. We conducted a prospective cohort study of low-risk mother-newborn pairs in a large, multispecialty group practice in which the mother was breastfeeding at 4 weeks. Mothers completed telephone interviews at 4 and 12 weeks postpartum, and their data were linked with their obstetric and pediatric clinicians' responses to a cross-sectional mailed survey conducted during the same time period. Obstetric and pediatric clinicians included medical doctors, nurse practitioners, and nurse midwives. Overall response rates were 63% for mothers and 82% for clinicians (54 obstetric and 67 pediatric clinicians). Bivariate and multivariate analyses were conducted to identify the characteristics of clinicians and mothers that predicted exclusive breastfeeding at 12 weeks.Results. Of the 288 mothers who were breastfeeding at 4 weeks and had a complete 12-week interview, 152 (53%) were exclusively breastfeeding their infants at 12 weeks. Mothers who discontinued exclusive breastfeeding were more likely to have experienced problems with their infant latching on or sucking (odds ratio [OR]: 3.8; 95% confidence interval [CI]: 1.5-9.7) or report that a health care provider recommended formula supplementation (OR: 2.3; 95% CI: 1.1-5.0).Clinicians reported limited time during preventive visits to address breastfeeding problems as a very important barrier to promoting breastfeeding. Obstetric providers were least confident in resolving problems with mothers not producing enough breast milk. Pediatric providers were least confident in resolving problems with breast pain or tenderness or cracked or painful nipples.In the final multivariate model, mothers whose pediatric providers recommended formula supplementation if an infant was not gaining enough weight (OR: 3.2; 95% CI: 1.04, 9.7) or who considered their advice to mothers on breastfeeding duration to be not very important (OR: 2.2; 95% CI: 1.2-3.9) were more likely to have discontinued exclusive breastfeeding by 12 weeks postpartum. Black mothers were significantly more likely to discontinue exclusive breastfeeding by 12 weeks.Conclusions. Clinicians' practices regarding formula supplementation of healthy infants and their opinions about the importance of their breastfeeding advice are associated with the likelihood that mothers will continue exclusive breastfeeding. Policies to enhance clinicians' abilities to address breastfeeding problems within the constraints of busy practices could improve their ability to support exclusive breastfeeding. Pediatrics 2004...

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A breast feeding education and promotion program: Effects on knowledge, attitudes, and support for breast feeding

Cited by 61 publications

References 40 publications

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Evaluating the impact of provider breastfeeding encouragement timing: Evidence from a large population-based study

Health behaviour change interventions for couples: A systematic review

Opinions and Practices of Clinicians Associated With Continuation of Exclusive Breastfeeding

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