Attitudes of mothers and health care providers towards behavioural interventions promoting breastfeeding uptake: A systematic review of qualitative and mixed-method studies

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-04-15 DOI:10.1111/bjhp.12663

Antonio Rojas-García, Sabrina Lingeman, Angelos P. Kassianos

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Abstract

Purpose

Recommendations for exclusive breastfeeding are not often adhered to despite the robust evidence of its benefits. This systematic review aims to collate evidence on the attitudes mothers and health care providers have towards breastfeeding interventions to understand what aspects best contribute to acceptability and feasibility.

Methods

This review further investigates the value of identifiable behaviour change techniques (BCTs) to uncover which components of an intervention are perceived to be most useful and acceptable. The main biomedical databases were searched, and 17 (n = 17) studies met the inclusion criteria.

Results

A total of nine BCTs were identified within the interventions. The thematic analysis produced four main domains: usefulness, accessibility, value and sustainability. Women discussed the importance of the support they received in these interventions and demonstrated a positive view towards three BCTs: ‘social support (unspecified)’, ‘instruction on how to perform behaviour’ and ‘demonstration of behaviour’. Additionally, women highlighted the benefit of personal, non-clinical and flexible emotional and practical support from peers, lactation consultants and support groups. Health care providers echoed these opinions and specifically highlighted the usefulness of interventions that allowed for continuity of care and more personal breastfeeding support.

Conclusions

These findings suggest that ongoing practical as well as emotional support is crucial for standard in-hospital support to succeed at increasing breastfeeding rates. Future research would need to better understand the nuances of the interventions among women and providers to enhance their implementation.

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母亲和卫生保健提供者对促进母乳喂养的行为干预措施的态度：对定性和混合方法研究的系统综述。

目的：尽管有强有力的证据表明纯母乳喂养有益，但人们并不经常遵守纯母乳喂养的建议。这项系统审查旨在整理有关母亲和医疗保健提供者对母乳喂养干预措施的态度的证据，以了解哪些方面最有助于提高可接受性和可行性。方法：本综述进一步调查了可识别行为改变技术（BCT）的价值，以揭示干预措施的哪些组成部分被认为是最有用和最可接受的。检索了主要的生物医学数据库 = 17）研究符合纳入标准。结果：在干预措施中总共发现了9个BCT。专题分析产生了四个主要领域：有用性、可及性、价值和可持续性。妇女们讨论了她们在这些干预措施中获得的支持的重要性，并对三个BCT表现出积极的看法：“社会支持（未指明）”、“如何表现行为的指导”和“行为示范”。此外，女性强调了来自同龄人、哺乳顾问和支持团体的个人、非临床和灵活的情感和实践支持的好处。卫生保健提供者赞同这些意见，并特别强调了干预措施的有用性，这些干预措施允许护理的连续性和更多的个人母乳喂养支持。结论：这些发现表明，持续的实际和情感支持对于标准的住院支持成功提高母乳喂养率至关重要。未来的研究需要更好地了解妇女和提供者之间干预措施的细微差别，以加强其实施。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.