Trial reportPublic health nutrition2017
Exclusive breast-feeding promotion among HIV-infected women in South Africa: an Information-Motivation-Behavioural Skills model-based pilot intervention.
Trial report in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Nutritional counseling strategies in breastfeeding: a scoping review.Frontiers in nutrition · 2026Pooled it
- Exclusive breastfeeding policy, practice and influences in South Africa, 1980 to 2018: A mixed-methods systematic review.PloS one · 2019Pooled it
- Comparison of the effectiveness of video and breastfeeding simulator support to mothers who could not breastfeed their babies in the neonatal intensive care unit: a randomized controlled study.BMC pregnancy and childbirth · 2025Trial
- Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2019Trial
- Using the Information-Motivation-Behavioral Framework to Promote Rational Medicine Use Among Breastfeeding Women: A Quasi-Experimental Intervention Study in Uganda.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2026Article
- Impact of a Nutrition Knowledge Intervention on Knowledge and Food Behaviour of Women Within a Rural Community.Nutrients · 2024Article
- [Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes].Journal of Korean Academy of Nursing · 2024Article
- Womandla Health: development and rationale of a behavioral intervention to support HIV treatment adherence among postpartum women in South Africa.BMC women's health · 2023Article
- Article
- Pathways linking social support, self-efficacy, and exclusive breastfeeding among women in northern Uganda.Global public health · 2022Article
- Feasibility of a Theory-Based, Online Tailored Message Program to Motivate Healthier Behaviors in College Women.Nutrients · 2022Article
- Promoting the practice of exclusive breastfeeding: a philosophic scoping review.BMC pregnancy and childbirth · 2022Article
- Breastfeeding and weaning practices among mothers in Ghana: A population-based cross-sectional study.PloS one · 2021Article
- Reported infant feeding practices and contextual influences on breastfeeding: qualitative interviews with women registered to MomConnect in three South African provinces.International breastfeeding journal · 2020Article
- A study on effectiveness of video assisted counselling in establishing and sustaining appropriate breast feeding practices.Journal of family medicine and primary care · 2020Article
- Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic.JMIR pediatrics and parenting · 2020Article
- Breastfeeding Practices Among Women Living with HIV in KwaZulu-Natal, South Africa: An Observational Study.Maternal and child health journal · 2020Observational
- Knowing versus doing: The value of behavioral change models for emotional communication in oncology.Patient education and counseling · 2019Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveExclusive breast-feeding (EBF) provides optimal nutrition for infants and mothers. The practice of EBF while adhering to antiretroviral medication decreases the risk of mother-to-child transmission of HIV from approximately 25 % to less than 5 %. Thus the WHO recommends EBF for the first 6 months among HIV-infected women living in resource-limited settings; however, EBF rates remain low. In the present study our aim was to design and implement a pilot intervention promoting EBF among HIV-infected women.
designThe Information-Motivation-Behavioural Skills (IMB) model was applied in a brief motivational interviewing counselling session that was tested in a small randomized controlled trial.
settingPietermaritzburg, South Africa, at two comparable rural public health service clinics. SUBJECTS: Sixty-eight HIV-infected women in their third trimester were enrolled and completed baseline interviews between June and August 2014. Those randomized to the intervention arm received the IMB-based pilot intervention directly following baseline interviews. Follow-up interviews occurred at 6 weeks postpartum.
resultsWhile not significantly different between trial arms, high rates of intention and practice of EBF at 6-week follow-up were reported. Findings showed high levels of self-efficacy being significantly predictive of breast-feeding initiation and duration regardless of intervention arm.
conclusionsFuture research must account for breast-feeding self-efficacy on sustaining breast-feeding behaviour and leverage strategies to enhance self-efficacy in supportive interventions. Supporting breast-feeding behaviour through programmes that include both individual-level and multi-systems components targeting the role of health-care providers, family and community may create environments that value and support EBF behaviour.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.