1. Concept mapping to reach consensus on a 6‐month exclusive breastfeeding strategy model to improve the rate in Northeast Thailand
- Author
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Somjit Muangpin, Thiwawan Thepha, Jacqueline S. Bell, and Debbie Marais
- Subjects
Adult ,0301 basic medicine ,Consensus ,Psychological intervention ,Breastfeeding ,concept mapping ,Sample (statistics) ,Health Promotion ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Intervention (counseling) ,Health care ,Humans ,Medicine ,Infant Health ,030212 general & internal medicine ,intervention ,Health policy ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Concept map ,Public Health, Environmental and Occupational Health ,Infant ,Obstetrics and Gynecology ,Original Articles ,North‐east Thailand ,Breast Feeding ,Research Design ,Models, Organizational ,6‐month exclusive breastfeeding ,Pediatrics, Perinatology and Child Health ,Feasibility Studies ,Original Article ,Female ,Implementation research ,business ,policy - Abstract
Background In implementation research, it is essential to involve all stakeholders in the development of complex interventions to ensure that the proposed intervention strategy is relevant and acceptable to the target area and group. The aim of this study was to involve stakeholders in conceptualising, developing, and prioritising a feasible intervention strategy to improve the 6‐month exclusive breastfeeding rate in North‐east Thailand. Concept mapping was used in a purposive sample including health care volunteers, health care professionals, and community leaders. During the first meeting, stakeholders (n = 22) expressed the generation of feasible interventions. During the second meeting, participants (n = 21) were asked to individually rate the feasibility of each intervention and to group them into relevant categories to enable multidimensional scaling and hierarchical cluster analysis. The outputs of analysis included the intervention list, cluster list, point map, point rating map, cluster map, and cluster rating map. All of these were shared with stakeholders (n = 17) during the third meeting to reach consensus on an intervention model. The final proposed intervention strategy included 15 feasible interventions in five clusters: health care services, community services, and education packages for parents, family members, and communities. These interventions were prioritised for implementation over a 3‐year period. Once the feasibility of each intervention is established, the proposed model could be implemented and incorporated into local health policy. After assessing intervention effectiveness, each intervention could be scaled up to other middle‐income countries to help improve overall maternal and child survival.
- Published
- 2019