Evidence map›Paper›PMID 32993544›Full record

Trial reportBMC pregnancy and childbirth2020

Exploring the use and experience of an infant feeding genogram to facilitate an assets-based approach to support infant feeding.

Gill Thomson, Jenny Ingram, Joanne L Clarke, Debbie Johnson, Heather Trickey, Stephan U Dombrowski, Pat Hoddinott, Kirsty Darwent, Kate Jolly, ABA Research Group

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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
    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

10 authors at 6 institutions in 3 countries.

Gill ThomsonMaternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, Preston, UK. GThomson@uclan.ac.uk.ORCID http://orcid.org/0000-0003-3392-8182
Jenny IngramCentre for Academic Child Health, University of Bristol, Bristol, UK.
Joanne L ClarkeInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2TT, UK.
Debbie JohnsonCentre for Academic Child Health, University of Bristol, Bristol, UK.
Heather TrickeyDECIPHER, Department of Social Medicine, Cardiff University, Cardiff, UK.
Stephan U DombrowskiFaculty of Kinesiology, University of New Brunswick, Fredericton, Canada.
Pat HoddinottNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK.
Kirsty DarwentFaculty of Science and Sport, University of Stirling, Stirling, UK.
Kate JollyInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham, B15 2TT, UK.
ABA Research Group
University of Birmingham · GBUniversity of Bristol · GBUniversity of Stirling · GBCardiff University · GBDalarna University · SEUniversity of New Brunswick · CA

Funding

Department of Health 15/53/04Public Health Research Programme 15/53/04
6 · The paper itself

Abstract

backgroundA lack of perceived social support influences women's infant feeding behaviours. The Infant Feeding Genogram is a visual co-constructed diagram which details people/services that can provide support to women and can facilitate a connection between mothers and their existing assets landscape. The aim of this study is to explore women's and infant feeding helpers' experiences and use of an infant feeding genogram delivered to the intervention group of the "Assets-based infant feeding help Before and After birth (ABA)" randomised feasibility trial.

methods103 primiparous mothers aged 16+ years were recruited to the trial (trial registration number) in two sites (Site A and Site B) with low breastfeeding prevalence in the UK. Infant feeding helpers (IFHs) co-constructed a genogram at the first antenatal meeting for the intervention group (n = 50), and then provided proactive, woman-centered support from ~ 32 weeks gestation to up to 5 months postnatal. Infant feeding helpers' and women's experiences of the infant feeding genogram were collected via interviews or focus groups. Completed genograms were shared with researchers. Content analysis of the genograms and qualitative data from the interviews and focus groups were analysed thematically.

resultsData comprised 32 completed genograms, and qualitative insights from all 13 infant feeding helpers (two focus groups; 4 interviews) and interviews with a purposive sample of 21 of 50 intervention group women between 4 and 21 weeks after birth. Content analysis of the genograms highlighted variations, with more personal, individualised genograms completed at Site B compared to Site A. The perceived impact of the genogram was related to the IFHs' application of the tool. The genogram was either used as intended to raise women's awareness of available assets and motivate help-seeking behaviour, or as a data collection tool with limited perceived utility. Negative and positive unintended consequences of genogram use were highlighted.

conclusionsThe genogram has the potential to offer a woman, family and community-centred approach that focusses on building assets for infant feeding. However, variations in genogram application indicate that revised training is required to clarify the purpose and ensure it is used as intended.

trial registrationISRCTN ISRCTN14760978 ; Registered 30 January 2017.

Indexed as

Breast FeedingFamily RelationsFeeding BehaviorMaternal BehaviorSocial SupportAdultFeasibility StudiesFocus GroupsHumansInfantInterviews as TopicYoung AdultAssets basedBottle feedingBreast feedingGenogramInfant feedingSocial supportWomen

Identifiers

PMID32993544
PMCPMC7523065
OpenAlexW3035575252

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.