SynthesisMaternal & child nutrition2018
A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings.
Synthesis in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- The content, experiences and outcomes of interventions designed to increase early skin-to-skin contact in high-income settings: A mixed-methods systematic review.Acta paediatrica (Oslo, Norway : 1992) · 2023Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- The benefits, challenges and impacts of accessing social media group support for breastfeeding: A systematic review.Maternal & child nutrition · 2022Pooled it
- Remote provision of breastfeeding support and education: Systematic review and meta-analysis.Maternal & child nutrition · 2022Pooled it
- Non-profit breastfeeding organisations' peer support provision in areas of socio-economic deprivation in the UK: A meta-ethnography.Maternal & child nutrition · 2022Pooled it
- A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings.Maternal & child nutrition · 2018Pooled it
- Peer support intervention (ABA-feed) to improve breastfeeding: UK based, multicentre, parallel group, randomised controlled trial.BMJ (Clinical research ed.) · 2026Trial
- First-time mothers' experiences of receiving proactive telephone-based peer support for breastfeeding in Australia: a qualitative study.International breastfeeding journal · 2022Trial
- Implementing a successful proactive telephone breastfeeding peer support intervention: volunteer recruitment, training, and intervention delivery in the RUBY randomised controlled trial.International breastfeeding journal · 2021Trial
- Volunteers' experiences of providing telephone-based breast-feeding peer support in the RUBY randomised controlled trial.Public health nutrition · 2020Trial
- Breastfeeding peer support by telephone in the RUBY randomised controlled trial: A qualitative exploration of volunteers' experiences.PloS one · 2020Trial
- Effect of Motivational Interviewing on Exclusive Breastfeeding in Working Mothers: A Randomized Controlled Trial.Journal of primary care & community healthTrial
- Co-Development of an Evidence-Based Breastfeeding Support Intervention, Optimised for Delivery in Healthcare Settings, and Adaptations for Mothers With Long-Term Conditions: The Action for Breastfeeding (A4B) Programme.Maternal & child nutrition · 2026Article
- Feasibility of the breastfeeding peer support application-perspectives of peer supporters and breastfeeding mothers.International breastfeeding journal · 2025Article
- Breastfeeding with primary low milk supply: a phenomenological exploration of mothers' lived experiences of postnatal breastfeeding support.International breastfeeding journal · 2025Article
- Peer support interventions in maternal and child healthcare delivery in sub-Saharan Africa: protocol for a realist review.Systematic reviews · 2023Article
- Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support.Maternal & child nutrition · 2023Article
- A realist review of health passports for Autistic adults.PloS one · 2023Review
- Successful management of a breastfeeding mother with severe eczema of the nipple beginning from puberty: A case report.World journal of clinical cases · 2022Article
- Beyond early initiation: A qualitative study on the challenges of hospital-based postpartum breastfeeding support.PLOS global public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
The World Health Organisation guidance recommends breastfeeding peer support (BFPS) as part of a strategy to improve breastfeeding rates. In the UK, BFPS is supported by National Institute for Health and Care Excellence guidance and a variety of models are in use. The experimental evidence for BFPS in developed countries is mixed and traditional methods of systematic review are ill-equipped to explore heterogeneity, complexity, and context influences on effectiveness. This review aimed to enhance learning from the experimental evidence base for one-to-one BFPS intervention. Principles of realist review were applied to intervention case studies associated with published experimental studies. The review aimed (a) to explore heterogeneity in theoretical underpinnings and intervention design for one-to-one BFPS intervention; (b) inform design decisions by identifying transferable lessons developed from cross-case comparison of context-mechanism-outcome relationships; and (c) inform evaluation design by identifying context-mechanism-outcome relationships associated with experimental conditions. Findings highlighted poor attention to intervention theory and considerable heterogeneity in BFPS intervention design. Transferable mid-range theories to inform design emerged, which could be grouped into seven categories: (a) congruence with local infant feeding norms, (b) integration with the existing system of health care, (c) overcoming practical and emotional barriers to access, (d) ensuring friendly, competent, and proactive peers, (e) facilitating authentic peer-mother interactions, (f) motivating peers to ensure positive within-intervention amplification, and (g) ensuring positive legacy and maintenance of gains. There is a need to integrate realist principles into evaluation design to improve our understanding of what forms of BFPS work, for whom and under what circumstances.
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Identifiers
What OpenQuestion holds
Registered trials
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.