A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study

Shantini Paranjothy, Lauren Copeland, Laura Merrett, Aimee Grant, Rhiannon Phillips, Nina Gobat, Julia Sanders, Deborah Fitzsimmons, Billie Hunter, Sian Regan, Rebecca Playle, Amy Brown, Sally Tedstone, Heather Trickey, Michael Robling

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Abstract

Background: In total, 81% of women in the UK start breastfeeding, but fewer than half continue beyond 6 weeks. Peer support in the early postnatal period may encourage women to breastfeed for longer. Objective: To develop a breastfeeding peer-support intervention based on motivational interviewing (MI) for breastfeeding maintenance and to test the feasibility of delivering it to mothers in areas with high levels of social deprivation. Design: Intervention development and a non-randomised multisite feasibility study. Setting: Community maternity services in three areas with high levels of social deprivation and low breastfeeding initiation rates in England and Wales. Participants: Pregnant women considering breastfeeding. Women who did not plan to breastfeed, who had a clinical reason that precluded breastfeeding continuation or who were unable to consent were excluded. Intervention: The intervention Mam-Kind was informed by a survey of infant feeding co-ordinators, rapid literature review, focus groups with service users and peer supporters and interviews with health-care professionals and a Stakeholder Advisory Group. It consisted of face-to-face contact at 48 hours after birth and proactive one-to-one peer support from the Mam-Kind buddy for 2 weeks, followed by mother-led contact for a further 2–6 weeks. Main outcome measures: Recruitment and retention of Mam-Kind buddies, uptake of Mam-Kind by participants, feasibility of delivering Mam-Kind as specified and of data collection methods, and acceptability of Mam-Kind to mothers, buddies and health-care professionals.
Original languageEnglish
Number of pages172
JournalHealth Technology Assessment
Volume21
Issue number77
DOIs
Publication statusPublished - 31 Dec 2017

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    Paranjothy, S., Copeland, L., Merrett, L., Grant, A., Phillips, R., Gobat, N., Sanders, J., Fitzsimmons, D., Hunter, B., Regan, S., Playle, R., Brown, A., Tedstone, S., Trickey, H., & Robling, M. (2017). A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study. Health Technology Assessment, 21(77). https://doi.org/10.3310/hta21770