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

Paranjothy, Shantini ORCID:, Copeland, Lauren ORCID:, Merrett, Laura ORCID:, Grant, Aimee ORCID:, Phillips, Rhiannon ORCID:, Gobat, Nina ORCID:, Sanders, Julia ORCID:, Fitzsimmons, Deborah, Hunter, Billie ORCID:, Regan, Sian, Playle, Rebecca ORCID:, Brown, Amy, Tedstone, Sally, Trickey, Heather ORCID: and Robling, Michael ORCID: 2017. A novel peer-support intervention using motivational interviewing for breastfeeding maintenance: a UK feasibility study. Health Technology Assessment 21 (77) , pp. 1-138. 10.3310/hta21770

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Although most UK mothers start breastfeeding, fewer than half breastfeed exclusively for more than 1 week and only one in 100 breastfeed for > 6 months. Most stop breastfeeding before they had planned to. We wanted to see if it was possible to help women breastfeed for longer by using buddies trained in motivational interviewing. This is a form of counselling that motivates people to change their behaviour by exploring their thoughts and worries and helping them to set their own goals. The intervention we studied was called Mam-Kind. Mam-Kind buddies met mothers before their babies were born and provided support for 2 weeks afterwards. Before we embark on an expensive randomised trial of Mam-Kind, we wanted to see if it was acceptable to women and feasible to deliver. Eight buddies delivered Mam-Kind to 70 women from three areas with high levels of social deprivation and teenage pregnancy and low rates of breastfeeding. We interviewed mothers, buddies and health-care professionals to get their views. We found that Mam-Kind was acceptable and feasible to deliver. Mothers reported that buddies provided reassurance, were non-judgemental and were easily contactable. The buddies reported that it was sometimes difficult to use their motivational skills while providing breastfeeding support. It is feasible to design and collect appropriate health economic information. We used this information to refine the training and content of the intervention. The refined Mam-Kind intervention should now be tested in a controlled study to see if it really works to help women continue breastfeeding for longer.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Healthcare Sciences
Subjects: H Social Sciences > H Social Sciences (General)
Additional Information: All NIHR Journals Library reports have been produced under the terms of a commissioning contract issued by the Secretary of State for Health. Reports may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Permission to reproduce material from a published report is covered by the UK government’s non-commercial licence for public sector information.
Publisher: NIHR Journals Library
ISSN: 1366-5278
Funders: NIHR
Date of First Compliant Deposit: 10 January 2018
Date of Acceptance: 31 August 2017
Last Modified: 11 Oct 2023 20:33

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