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Breastfeeding preterm infants - a randomized controlled trial of the effectiveness of an Internet-based peer-support group.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Oct2016, Vol. 72 Issue 10, p2495-2507, 13p
- Publication Year :
- 2016
-
Abstract
- Aims The aim of this study was to examine whether an Internet-based peer-support intervention has an effect on the duration of breastfeeding or breast milk expression or maternal breastfeeding attitude compared with routine care in the mothers of preterm infants. In addition, the feasibility of the intervention was examined. Background A few peer-support interventions conducted face-to-face or by telephone have given promising results in promoting breastfeeding in preterm infants. Design A randomized controlled trial with a 1-year follow-up was conducted in one hospital in Finland in 2011-2015. Methods Altogether 124 mothers of preterm (<35 weeks) infants were recruited; 60 in an experimental and 64 in a control group. The intervention was a closed peer-support group in social media. Data were collected by structured questionnaires. Neonatal and breastfeeding data were collected from patient records. Results The duration of overall breastfeeding was on average 3·0 and 4·3 months, in the experimental and control groups respectively. The intervention had no effect on breastfeeding or expressing the breast milk or maternal breastfeeding attitude. A breastfeeding-favourable attitude and at least two previous children predicted longer duration of breastfeeding. Attitude-score decreased during the follow-up. The mothers in the experimental group enjoyed peer support, but only a few reported it as having some impact on breastfeeding. Conclusion Although the Internet-based peer-support intervention had no effect, the importance of breastfeeding attitude for the duration of breastfeeding in mothers of preterm infants was shown. In future, interventions in social media should be studied more and attitude-focused interventions be developed. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
APGAR score
ATTITUDE testing
BREASTFEEDING
BREASTFEEDING promotion
CHI-squared test
STATISTICAL correlation
FISHER exact test
GESTATIONAL age
LENGTH of stay in hospitals
HOSPITALS
PREMATURE infants
INTENTION
INTERVIEWING
LACTATION
LONGITUDINAL method
RESEARCH methodology
MOTHERS
NEONATAL intensive care
PROBABILITY theory
PUERPERIUM
QUESTIONNAIRES
SCALE analysis (Psychology)
SUPPORT groups
SOCIAL networks
STATISTICAL hypothesis testing
T-test (Statistics)
AFFINITY groups
STATISTICAL power analysis
SOCIOECONOMIC factors
NEONATAL intensive care units
RANDOMIZED controlled trials
SOCIAL media
ATTITUDES of mothers
PROPORTIONAL hazards models
PARITY (Obstetrics)
DATA analysis software
DESCRIPTIVE statistics
MANN Whitney U Test
ATTITUDES toward breastfeeding
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 72
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 117924135
- Full Text :
- https://doi.org/10.1111/jan.12993