Evidence map›Paper›PMID 40390168›Full record

SynthesisMaternal & child nutrition2025

Peer Support and Community Interventions Targeting Breastfeeding in the UK: Systematic Review of Qualitative Evidence to Identify Inequities in Participants' Experiences.

Rhiannon Evans, Caitlyn Donaldson, Rabeea'h Aslam, Joelle Kirby, Sophie Robinson, Joanne Clarke, Stephanie J Hanley, Siang Ing Lee, Joht Singh Chandan, Ruth Garside and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in Maternal & child nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Pooled it
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.

Rhiannon EvansDECIPHer, School of Social Sciences, Cardiff University, Cardiff, South Glamorgan, UK.ORCID 0000-0002-1156-8633
Caitlyn DonaldsonDECIPHer, School of Social Sciences, Cardiff University, Cardiff, South Glamorgan, UK.ORCID 0000-0003-3307-1991
Rabeea'h AslamDECIPHer, School of Social Sciences, Cardiff University, Cardiff, South Glamorgan, UK.ORCID 0000-0002-0916-9641
Joelle KirbyFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.
Sophie RobinsonFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.
Joanne ClarkeInstitute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.ORCID 0000-0003-2563-5451
Stephanie J HanleyInstitute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.ORCID 0000-0002-5260-4450
Siang Ing LeeInstitute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.ORCID 0000-0002-2332-5452
Joht Singh ChandanInstitute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.ORCID 0000-0002-9561-5141
Ruth GarsideFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.ORCID 0000-0003-1649-4773
Jo Thompson-CoonFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.ORCID 0000-0002-5161-0234
Kate JollyInstitute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK.ORCID 0000-0002-6224-2115
Kath MaguireFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.
Sean HarrisonFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.ORCID 0000-0002-7966-0700
G J Melendez-TorresFaculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK.ORCID 0000-0002-9823-4790

Funding

NIHR Public Health Research Programme NIHR167881
6 · The paper itself

Abstract

Rates of breastfeeding remain low in the UK, with variations between population groups. Peer support and community interventions are intended to increase breastfeeding, but there is limited understanding if they cause inequities in participants' experiences. We conducted a systematic review synthesising qualitative evidence from the UK to understand: (1) what social characteristics are relevant to participants' experiences of interventions? and (2) how are participants' experiences influenced by different social characteristics? The scope of the review was informed through stakeholder consultation with women (n = 7) and peer supporters (n = 6). Searches of nine databases updated an existing systematic review. We screened relevant systematic reviews and undertook citation tracking. We conducted framework synthesis and assessed certainty of evidence with GRADE-CERQual. Fifty-five studies, with 68 linked reports, were included. Inequity generating experiences were identified across the course of intervention participation: (1) lack of information about intervention eligibility and culturally appropriate recruitment procedures; (2) limited accessible provision for continued attendance; (3) inadequate consideration of participation needs related to socioeconomic status, socio-cultural background, physical characteristics, and individuals' breastfeeding journeys; and (4) enduring structural barriers (e.g. community norms) to breastfeeding inhibiting sustained behaviour post-intervention. Evidence suggests that differential intervention experiences may lead to inequities in outcomes, particularly among individuals from different socioeconomic and ethnic backgrounds. Peer and community provision needs to be tailored to the social characteristics of different populations. Future qualitative research needs to move beyond participants' general intervention experiences and consider specific issues pertaining to recruitment, drop-out and post-intervention behavioural maintenance. Systematic Reveiw Registration: PROSPERO CRD42024537108.

Indexed as

Breast FeedingHealth PromotionPeer GroupSocial SupportFemaleHumansQualitative ResearchSocioeconomic FactorsUnited Kingdombreastfeedingcommunityinequalityinequitypeer supportqualitativesystematic review

Identifiers

PMID40390168
PMCPMC12454195

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.