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

doi:10.3310/hta21770

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

Applied Health Sciences

Research output: Contribution to journal › Article

3 Citations (Scopus)

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 language	English
Number of pages	172
Journal	Health Technology Assessment
Volume	21
Issue number	77
DOIs	https://doi.org/10.3310/hta21770
Publication status	Published - 31 Dec 2017

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Shantini Paranjothy

School of Medicine, Medical Sciences & Nutrition, Applied Health Sciences - Clinical Chair in Public Health

Person: Clinical Academic

Cite this

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

A novel peer-support intervention using motivational interviewing for breastfeeding maintenance : a UK feasibility study. / Paranjothy, Shantini; Copeland, Lauren; Merrett, Laura; Grant, Aimee; Phillips, Rhiannon; Gobat, Nina; Sanders, Julia; Fitzsimmons, Deborah; Hunter, Billie; Regan, Sian; Playle, Rebecca; Brown, Amy; Tedstone, Sally; Trickey, Heather; Robling, Michael.

In: Health Technology Assessment, Vol. 21, No. 77, 31.12.2017.

Research output: Contribution to journal › Article

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, vol. 21, no. 77. https://doi.org/10.3310/hta21770

Paranjothy, Shantini ; Copeland, Lauren ; Merrett, Laura ; Grant, Aimee ; Phillips, Rhiannon ; Gobat, Nina ; Sanders, Julia ; Fitzsimmons, Deborah ; Hunter, Billie ; Regan, Sian ; Playle, Rebecca ; Brown, Amy ; Tedstone, Sally ; Trickey, Heather ; Robling, Michael. / A novel peer-support intervention using motivational interviewing for breastfeeding maintenance : a UK feasibility study. In: Health Technology Assessment. 2017 ; Vol. 21, No. 77.

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

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.",

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

note = "Acknowledgements We would like to acknowledge Professor Stephen Rollnick for his contribution to the development of the intervention, the delivery of MI training and the integration of MI in the intervention. We would like to acknowledge Mala Mann for her contribution to the literature search, and are grateful to Cheryl McQuire for her contribution to the content analysis section. We would like to acknowledge Kirsten McEwan for her statistical analysis of the survey data and Giles Greene for creating the maps in the survey. We would also like to thank Joanna Lourenco, Avril Jones and Nicki Symes, members of the Stakeholder Advisory Group, for providing their thoughts and feedback to the study team. We would also like to acknowledge Mary Whitmore for her contribution to the Study Management Group and site set-up. We would like to thank Sam Clarkson for designing the database. We would like to thank Sue Channon and Helen Stanton for independently coding data. We would also like to thank all of the administrative staff within the South East Wales Trials Unit who worked on the study for their hard work and support. Finally, we would like to thank the participants and their families, the peer supporters and the health-care professionals who kindly took the time to participate in the study",

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AU - Paranjothy, Shantini

AU - Copeland, Lauren

AU - Merrett, Laura

AU - Grant, Aimee

AU - Phillips, Rhiannon

AU - Gobat, Nina

AU - Sanders, Julia

AU - Fitzsimmons, Deborah

AU - Hunter, Billie

AU - Regan, Sian

AU - Playle, Rebecca

AU - Brown, Amy

AU - Tedstone, Sally

AU - Trickey, Heather

AU - Robling, Michael

N1 - Acknowledgements We would like to acknowledge Professor Stephen Rollnick for his contribution to the development of the intervention, the delivery of MI training and the integration of MI in the intervention. We would like to acknowledge Mala Mann for her contribution to the literature search, and are grateful to Cheryl McQuire for her contribution to the content analysis section. We would like to acknowledge Kirsten McEwan for her statistical analysis of the survey data and Giles Greene for creating the maps in the survey. We would also like to thank Joanna Lourenco, Avril Jones and Nicki Symes, members of the Stakeholder Advisory Group, for providing their thoughts and feedback to the study team. We would also like to acknowledge Mary Whitmore for her contribution to the Study Management Group and site set-up. We would like to thank Sam Clarkson for designing the database. We would like to thank Sue Channon and Helen Stanton for independently coding data. We would also like to thank all of the administrative staff within the South East Wales Trials Unit who worked on the study for their hard work and support. Finally, we would like to thank the participants and their families, the peer supporters and the health-care professionals who kindly took the time to participate in the study

PY - 2017/12/31

Y1 - 2017/12/31

N2 - 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.

AB - 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.

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