TY - JOUR
T1 - Feasibility and acceptability of a motivational interviewing breastfeeding peer support intervention
AU - Copeland, Lauren
AU - Merrett, Laura
AU - McQuire, Cheryl
AU - Grant, Aimee
AU - Gobat, Nina
AU - Tedstone, Sally
AU - Playle, Rebecca
AU - Channon, Sue
AU - Sanders, Julia
AU - Phillips, Rhiannon
AU - Hunter, Billie
AU - Brown, Amy
AU - Fitzsimmons, Deborah
AU - Robling, Michael
AU - Paranjothy, Shantini
N1 - Funding Information
Health Technology Assessment Programme. Grant Number: 13/18/05
National Institute for Health Research Health Technology Assessment programme. Grant Number: NIHR HTA grant 13/18/05
PY - 2019/4
Y1 - 2019/4
N2 - An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peer?support intervention informed by motivational interviewing (MI; Mam?Kind). Peer?supporters were trained to deliver the Mam?Kind intervention that provided intensive one?to?one peer?support, including (a) antenatal contact, (b) face?to?face contact within 48 hr of birth, (c) proactive (peer?supporter led) alternate day contact for 2 weeks after birth, and (d) mother?led contact for a further 6 weeks. Peer?supporters completed structured diaries and audio?recorded face?to?face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peer?supporters. Interview data were analysed thematically to assess intervention acceptability. Audio?recorded peer?support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peer?supporters delivered the Mam?Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peer?supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peer?supporters reported difficulties in adapting from an expert?by?experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peer?support using a MI?informed approach. Refinement of the intervention is needed to further develop peer?supporters' skills in providing mother?centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial.
AB - An uncontrolled study with process evaluation was conducted in three U.K. community maternity sites to establish the feasibility and acceptability of delivering a novel breastfeeding peer?support intervention informed by motivational interviewing (MI; Mam?Kind). Peer?supporters were trained to deliver the Mam?Kind intervention that provided intensive one?to?one peer?support, including (a) antenatal contact, (b) face?to?face contact within 48 hr of birth, (c) proactive (peer?supporter led) alternate day contact for 2 weeks after birth, and (d) mother?led contact for a further 6 weeks. Peer?supporters completed structured diaries and audio?recorded face?to?face sessions with mothers. Semistructured interviews were conducted with a purposive sample of mothers, health professionals, and all peer?supporters. Interview data were analysed thematically to assess intervention acceptability. Audio?recorded peer?support sessions were assessed for intervention fidelity and the use of MI techniques, using the MITI 4.2 tool. Eight peer?supporters delivered the Mam?Kind intervention to 70 mothers in three National Health Service maternity services. Qualitative interviews with mothers (n = 28), peer?supporters (n = 8), and health professionals (n = 12) indicated that the intervention was acceptable, and health professionals felt it could be integrated with existing services. There was high fidelity to intervention content; 93% of intervention objectives were met during sessions. However, peer?supporters reported difficulties in adapting from an expert?by?experience role to a collaborative role. We have established the feasibility and acceptability of providing breastfeeding peer?support using a MI?informed approach. Refinement of the intervention is needed to further develop peer?supporters' skills in providing mother?centred support. The refined intervention should be tested for effectiveness in a randomised controlled trial.
KW - breastfeeding
KW - feasibility
KW - infant feeding
KW - motivational interviewing
KW - peer-support
KW - pregnancy
UR - http://orca.cf.ac.uk/115742/
U2 - 10.1111/mcn.12703
DO - 10.1111/mcn.12703
M3 - Article
VL - 15
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
SN - 1740-8695
IS - 2
M1 - 12703
ER -