Evidence map›Paper›PMID 30246923›Full record

ArticleMaternal & child nutrition2019

Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention.

Lauren Copeland, Laura Merrett, Cheryl McQuire, Aimee Grant, Nina Gobat, Sally Tedstone, Rebecca Playle, Sue Channon, Julia Sanders, Rhiannon Phillips and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Review
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  11. Women's and peer supporters' experiences of an assets-based peer support intervention for increasing breastfeeding initiation and continuation: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020
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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

15 authors.

Lauren CopelandDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0003-0387-9607
Laura MerrettDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Cheryl McQuireDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Aimee GrantCentre for Trials Research, Cardiff University, Cardiff, UK.ORCID 0000-0001-7205-5869
Nina GobatDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Sally TedstoneRoyal United Hospitals Bath, NHS Foundation Trust, Bath, UK.
Rebecca PlayleCentre for Trials Research, Cardiff University, Cardiff, UK.
Sue ChannonCentre for Trials Research, Cardiff University, Cardiff, UK.
Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Rhiannon PhillipsDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0002-4256-4598
Billie HunterSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Amy BrownDepartment of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK.ORCID 0000-0002-0438-0157
Deborah FitzsimmonsDepartment of Public Health, Policy and Social Sciences, Swansea University, Swansea, UK.
Michael RoblingCentre for Trials Research, Cardiff University, Cardiff, UK.
Shantini ParanjothyDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Funding

Department of Health 13/18/05Health Technology Assessment Programme 13/18/05National Institute for Health Research Health Technology Assessment programme NIHR HTA grant 13/18/05
6 · The paper itself

Abstract

An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peer-support intervention informed by motivational interviewing (MI; Mam-Kind). Peer-supporters were trained to deliver the Mam-Kind intervention that provided intensive one-to-one peer-support, including (a) antenatal contact, (b) face-to-face contact within 48 hr of birth, (c) proactive (peer-supporter led) alternate day contact for 2 weeks after birth, and (d) mother-led contact for a further 6 weeks. Peer-supporters completed structured diaries and audio-recorded face-to-face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peer-supporters. Interview data were analysed thematically to assess intervention acceptability. Audio-recorded peer-support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peer-supporters delivered the Mam-Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peer-supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peer-supporters reported difficulties in adapting from an expert-by-experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peer-support using a MI-informed approach. Refinement of the intervention is needed to further develop peer-supporters' skills in providing mother-centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial.

Indexed as

Peer GroupAdultBreast FeedingEnglandFeasibility StudiesFemaleHumansMotivational InterviewingPatient Acceptance of Health CareWalesbreastfeedingfeasibilityinfant feedingmotivational interviewingpeer-supportpregnancy

Identifiers

PMID30246923
PMCPMC7198929

What OpenQuestion holds

Textmetadata
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.