The peer-professional interface in a community-based, breast feeding peer-support project

Curtis, Penny; Woodhill, R.; Stapleton, Helen

doi:10.1016/j.midw.2006.04.003

Cited by 26 publications

(57 citation statements)

References 26 publications

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“…201 Three studies accounted for prior history of depression or depressive symptoms in the analysis and found inconsistent results. 192,195,200 One of these analyzed data separately for women with and without a prior history of depression symptoms; enrolled women (N=181) reported data on breastfeeding status at 6 weeks (any vs. none) and were grouped by prior history of depression symptoms (none, prepregnancy, or prenatal depression, but EPDS <10 postpartum; and EPDS ≥10 postpartum, regardless of previous history). Breastfeeding status at 6 weeks did not differ significantly by depression symptom history (p=0.14).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies did not describe whether women had a prior history of depression. 184,187,188 Three studies were conducted in the United States; [189][190][191] 2 in Canada; 192,193 2 in the United Kingdom; 184,194 and 1 each in Europe, 195 Australia, 196 Denmark, 197 Hong Kong, 198 Spain, 199 Sweden, 200 and the United Arab Emerites. 201 In general, studies followed women over time (6 weeks to 8 months postpartum) and measured both depression symptoms and breastfeeding duration/exclusivity.…”

Section: Characteristicsmentioning

confidence: 99%

“…Breastfeeding status at 6 weeks did not differ significantly by depression symptom history (p=0.14). 200 The second study was a secondary analysis of women enrolled in an RCT of an unsuccessful prenatal support intervention to reduce postpartum depression. 192 At 8 weeks postpartum, current breastfeeding status (any breastfeeding vs. no breastfeeding) was not associated with subclinical postpartum depression (EPDS scores 10-12); however, in a prediction model adjusting for history of depression, country where the mother was born, and depressive symptoms during pregnancy, not breastfeeding at 8 weeks was associated with a higher risk of major postpartum depression (EPDS≥13, adjusted OR, 2.12; 95% CI, 1.21 to 3.70).…”

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confidence: 99%

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Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Feltner¹,

Weber²,

Stuebe³

et al. 2018

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ii Key Messages Purpose of ReviewTo summarize the effectiveness of community, workplace, and health care system-based programs and policies aimed at supporting and promoting breastfeeding, and to determine the association between breastfeeding and maternal health Key Messages• Baby-Friendly Hospital Initiative (BFHI) is associated with improved rates of breastfeeding initiation and duration.• Health care staff education combined with postpartum home visits may be effective for increasing breastfeeding duration.• Health care staff education alone (with no additional breastfeeding support services) may not be effective for increasing breastfeeding initiation rates.• For women enrolled in the WIC Program, peer-support interventions offered by WIC agencies may improve rates of breastfeeding initiation and duration.• Breastfeeding is associated with reduced maternal risk of breast and ovarian cancer, hypertension, and type 2 diabetes.• Workplace, school-based, and community-based interventions and underlying socioeconomic factors need further research.iii This report was funded by the Office on Women's Health at the Office of the Assistant Secretary for Health (OASH) and the Centers for Disease Control and Prevention (CDC) through an interagency agreement with the Agency for Healthcare Research and Quality (AHRQ) and is based on research conducted by the RTI International-University of North Carolina Evidencebased Practice Center (EPC) under contract to AHRQ, Rockville, MD (Contract No. 290-2015-00011-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.The information in this report is intended to help health care decisionmakers-patients and clinicians, health system leaders, and policymakers, among others-make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.AHRQ or U.S. Department of Health and Human Service...

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Section: Resultsmentioning

confidence: 99%

Section: Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

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Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Feltner¹,

Weber²,

Stuebe³

et al. 2018

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“…Then I figured out (it was incorrect information about teething symptoms) so I actually told him he was talking out his arse'. 108 Evidence of changing norms also arose from the Smoking in Schools programme, where teachers working with a 'tightly knit' grade 8 community used a Diffusion of Innovations approach, 109 through which students identified those who were perceived to be popular opinion leaders rather than using a top-down form of selection. This sort of engagement was key in finding young people with whom other students would want to engage and demonstrated that teachers were willing to respect students' tacit knowledge, giving them some autonomy in engaging with others: 'The intervention .…”

Section: Acting Together To Change Values and Normsmentioning

confidence: 99%

“….'. 108 This was addressed by liaison midwives working with colleagues to facilitate acceptance of the volunteers and reduce the potential for opposition from colleagues.…”

Section: Component Definitionmentioning

confidence: 99%

Can community-based peer support promote health literacy and reduce inequalities? A realist review

Harris

Springett

Croot

et al. 2015

Public Health Research

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BackgroundCommunity-based peer support (CBPS) has been proposed as a potentially promising approach to improve health literacy (HL) and reduce health inequalities. Peer support, however, is described as a public health intervention in search of a theory, and as yet there are no systematic reviews exploring why or how peer support works to improve HL.ObjectiveTo undertake a participatory realist synthesis to develop a better understanding of the potential for CBPS to promote better HL and reduce health inequalities.Data sourcesQualitative evidence syntheses, conceptual reviews and primary studies evaluating peer-support programmes; related studies that informed theoretical or contextual elements of the studies of interest were included. We conducted searches covering 1975 to October 2011 across Scopus, Global Health (including MEDLINE), ProQuest Dissertations & Theses database (PQDT) [including the Education Resources Information Center (ERIC) and Social Work Abstracts], The King’s Fund Database and Web of Knowledge, and the Institute of Development Studies supplementary strategies were used for the identification of grey literature. We developed a new approach to searching called ‘cluster searching’, which uses a variety of search techniques to identify papers or other research outputs that relate to a single study.Study eligibility criteriaStudies written in English describing CBPS research/evaluation, and related papers describing theory, were included.Study appraisal and synthesis methodsStudies were selected on the basis of relevance in the first instance. We first analysed within-programme articulation of theory and appraised for coherence. Cross-programme analysis was used to configure relationships among context, mechanisms and outcomes. Patterns were then identified and compared with theories relevant to HL and health inequalities to produce a middle-range theory.ResultsThe synthesis indicated that organisations, researchers and health professionals that adopt an authoritarian design for peer-support programmes risk limiting the ability of peer supporters (PSs) to exercise autonomy and use their experiential knowledge to deliver culturally tailored support. Conversely, when organisations take a negotiated approach to codesigning programmes, PSs are enabled to establish meaningful relationships with people in socially vulnerable groups. CBPS is facilitated when organisations prioritise the importance of assessing community needs; investigate root causes of poor health and well-being; allow adequate time for development of relationships and connections; value experiential cultural knowledge; and share power and control during all stages of design and implementation. The theory now needs to be empirically tested via further primary research.LimitationsAnalysis and synthesis were challenged by a lack of explicit links between peer support for marginalised groups and health inequalities; explicitly stated programme theory; inconsistent reporting of context and mechanism; poor reporting of intermediate process outcomes; and the use of theories aimed at individual-level behaviour change for community-based interventions.ConclusionsPeer-support programmes have the potential to improve HL and reduce health inequalities but potential is dependent upon the surrounding equity context. More explicit empirical research is needed, which establishes clearer links between peer-supported HL and health inequalities.Study registrationThis study is registered as PROSPERO CRD42012002297.FundingThe National Institute for Health Research Public Health Research programme.

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Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis

Glenton

Colvin

Carlsen³

et al. 2013

Cochrane Database of Systematic Reviews

288

272

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Rather than being seen as a lesser trained health worker, LHWs may represent a different and sometimes preferred type of health worker. The close relationship between LHWs and recipients is a programme strength. However, programme planners must consider how to achieve the benefits of closeness while minimizing the potential drawbacks. Other important facilitators may include the development of services that recipients perceive as relevant; regular and visible support from the health system and the community; and appropriate training, supervision and incentives.

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The peer-professional interface in a community-based, breast feeding peer-support project

Cited by 26 publications

References 26 publications

Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

Can community-based peer support promote health literacy and reduce inequalities? A realist review

Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis

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