Evidence map›Paper›PMID 29642864›Full record

ArticleBMC pregnancy and childbirth2018

Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer.

Rhiannon Phillips, Lauren Copeland, Aimee Grant, Julia Sanders, Nina Gobat, Sally Tedstone, Helen Stanton, Laura Merrett, Stephen Rollnick, Michael Robling and 6 more

Abstract read
In one paragraph

Article 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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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

16 authors.

Rhiannon PhillipsDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK. PhillipsR19@cardiff.ac.uk.ORCID 0000-0002-4256-4598
Lauren CopelandDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK.
Aimee GrantCentre for Trials Research, Cardiff University, Cardiff, UK.
Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Nina GobatDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK.
Sally TedstoneRoyal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Helen StantonCentre for Trials Research, Cardiff University, Cardiff, UK.
Laura MerrettDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK.
Stephen RollnickDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK.
Michael RoblingCentre for Trials Research, Cardiff University, Cardiff, UK.
Amy BrownDepartment of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK.
Billie HunterSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Deborah FitzsimmonsDepartment of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK.
Sian ReganInvolving People Wales Public and Patient Involvement Representative, Cardiff, UK.
Heather TrickeyCentre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHER), Cardiff University, Cardiff, UK.
Shantini ParanjothyDivision of Population Medicine, Neuadd Meirionnydd, Cardiff University, Heath Park, Cardiff, CF14 4YS, UK.

Funding

Department of Health 13/18/05Health Technology Assessment Programme 13/18/05
6 · The paper itself

Abstract

backgroundMany women in the UK stop breastfeeding before they would like to, and earlier than is recommended by the World Health Organization (WHO). Given the potential health benefits for mother and baby, new ways of supporting women to breastfeed for longer are required. The purpose of this study was to develop and characterise a novel Motivational Interviewing (MI) informed breastfeeding peer-support intervention.

methodsQualitative interviews with health professionals and service providers (n = 14), and focus groups with mothers (n = 14), fathers (n = 3), and breastfeeding peer-supporters (n = 15) were carried out to understand experiences of breastfeeding peer-support and identify intervention options. Data were audio-recorded, transcribed, and analysed thematically. Consultation took place with a combined professional and lay Stakeholder Group (n = 23). The Behaviour Change Wheel (BCW) guided intervention development process used the findings of the qualitative research and stakeholder consultation, alongside evidence from existing literature, to identify: the target behaviour to be changed; sources of this behaviour based on the Capability, Opportunity and Motivation (COM-B) model; intervention functions that could alter this behaviour; and; mode of delivery for the intervention. Behaviour change techniques included in the intervention were categorised using the Behaviour Change Technique Taxonomy Version 1 (BCTTv1).

resultsBuilding knowledge, skills, confidence, and providing social support were perceived to be key functions of breastfeeding peer-support interventions that aim to decrease early discontinuation of breastfeeding. These features of breastfeeding peer-support mapped onto the BCW education, training, modelling and environmental restructuring intervention functions. Behaviour change techniques (BCTTv1) included social support, problem solving, and goal setting. The intervention included important inter-personal relational features (e.g. trust, honesty, kindness), and the BCTTv1 needed adaptation to incorporate this.

conclusionsThe MI-informed breastfeeding peer-support intervention developed using this systematic and user-informed approach has a clear theoretical basis and well-described behaviour change techniques. The process described could be useful in developing other complex interventions that incorporate peer-support and/or MI.

Indexed as

Peer GroupSocial SupportAdultBehavior TherapyBreast FeedingFathersFemaleFocus GroupsHealth PersonnelHumansMaleMiddle AgedMothersMotivationMotivational InterviewingQualitative ResearchBehaviour change wheelBreastfeeding maintenanceCOM-BComplex interventionIntervention developmentMotivational interviewingPeer-supportQualitative

Identifiers

PMID29642864
PMCPMC5896150

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.