Evidence map›Paper›PMID 29310619›Full record

Trial reportBMC pregnancy and childbirth2018

Valuing breastfeeding: a qualitative study of women's experiences of a financial incentive scheme for breastfeeding.

Maxine Johnson, Barbara Whelan, Clare Relton, Kate Thomas, Mark Strong, Elaine Scott, Mary J Renfrew

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Breastfeeding practices among Syrian refugees in Turkey.International breastfeeding journal · 2022
    Article
  4. Article
  5. Postpartum care indications and methodological quality:a systematic review of guidelines.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maxine JohnsonSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK. m.johnson@sheffield.ac.uk.ORCID 0000-0003-0850-234X
Barbara WhelanSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Clare ReltonSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Kate ThomasSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Mark StrongSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Elaine ScottSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Mary J RenfrewMother and Infant Research Unit, School of Nursing and Health Sciences, University of Dundee, Dundee, UK.

Funding

Medical Research Council MR/J000434/1
6 · The paper itself

Abstract

backgroundA cluster randomised controlled trial of a financial incentive for breastfeeding conducted in areas with low breastfeeding rates in the UK reported a statistically significant increase in breastfeeding at 6-8 weeks. In this paper we report an analysis of interviews with women eligible for the scheme, exploring their experiences and perceptions of the scheme and its impact on breastfeeding to support the interpretation of the results of the trial.

methodsSemi-structured interviews were carried out with 35 women eligible for the scheme during the feasibility and trial stages. All interviews were recorded and verbatim transcripts analysed using a Framework Analysis approach.

resultsWomen reported that their decisions about infant feeding were influenced by the behaviours and beliefs of their family and friends, socio-cultural norms and by health and practical considerations. They were generally positive about the scheme, and felt valued for the effort involved in breastfeeding. The vouchers were frequently described as a reward, a bonus and something to look forward to, and helping women keep going with their breastfeeding. They were often perceived as compensation for the difficulties women encountered during breastfeeding. The scheme was not thought to make a difference to mothers who were strongly against breastfeeding. However, women did believe the scheme would help normalise breastfeeding, influence those who were undecided and help women to keep going with breastfeeding and reach key milestones e.g. 6 weeks or 3 months.

conclusionsThe scheme was acceptable to women, who perceived it as rewarding and valuing them for breastfeeding. Women reported that the scheme could raise awareness of breastfeeding and encourage its normalisation. This provides a possible mechanism of action to explain the results of the trial.

trial registrationThe trial is registered with the ISRCTN registry, number 44898617 , https://www.isrctn.com.

Indexed as

Health Knowledge, Attitudes, PracticeMotivationAchievementAdolescentAdultBreast FeedingChoice BehaviorDecision MakingFemaleHumansInterviews as TopicPeer InfluenceProfessional-Patient RelationsQualitative ResearchRewardYoung AdultBreastfeedingFinancial incentivesQualitative

Identifiers

PMID29310619
PMCPMC5759235

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.