| Title |
Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, April 2018
|
| DOI | 10.1186/s12884-018-1725-1 |
| Pubmed ID | |
| Authors |
Rhiannon Phillips, Lauren Copeland, Aimee Grant, Julia Sanders, Nina Gobat, Sally Tedstone, Helen Stanton, Laura Merrett, Stephen Rollnick, Michael Robling, Amy Brown, Billie Hunter, Deborah Fitzsimmons, Sian Regan, Heather Trickey, Shantini Paranjothy |
| Abstract |
Many 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. Qualitative 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). Building 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. The 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. |
X Demographics
The data shown below were collected from the profiles of 28 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 22 | 79% |
| Ireland | 2 | 7% |
| Unknown | 4 | 14% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 17 | 61% |
| Practitioners (doctors, other healthcare professionals) | 6 | 21% |
| Scientists | 4 | 14% |
| Science communicators (journalists, bloggers, editors) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 174 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 174 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 19 | 11% |
| Student > Master | 17 | 10% |
| Unspecified | 15 | 9% |
| Researcher | 15 | 9% |
| Student > Bachelor | 14 | 8% |
| Other | 25 | 14% |
| Unknown | 69 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 33 | 19% |
| Medicine and Dentistry | 19 | 11% |
| Unspecified | 15 | 9% |
| Social Sciences | 12 | 7% |
| Psychology | 11 | 6% |
| Other | 11 | 6% |
| Unknown | 73 | 42% |
Attention Score in Context
This research output has an Altmetric Attention Score of 18. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 April 2021.
All research outputs
#1,970,047
of 24,593,555 outputs
Outputs from BMC Pregnancy and Childbirth
#500
of 4,591 outputs
Outputs of similar age
#42,095
of 333,736 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#14
of 106 outputs
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We're also able to compare this research output to 106 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.