Journal of Obstetric, Gynecologic & Neonatal Nursing
CLINICAL RESEARCHMotivational Interviewing to Promote Sustained Breastfeeding
Section snippets
Method
A longitudinal experimental two-group design with repeated measures was selected to explore the feasibility of using MI to promote sustained breastfeeding in primiparous mothers. The outcome variable was duration of breastfeeding. A convenience sample of 73 primiparous breastfeeding mothers ranging between the ages of 19 and 38 (M= 25.1, SD= 4.5) was recruited from the population of breastfeeding mothers at three Western rural community hospital sites after obtaining Institutional Review Board
Results
Only baseline data and days of breastfeeding during the first 6 months were used for the primary analysis in this study. Baseline information was available for all 73 participants, with a 6-month breastfeeding duration for 71. In two cases (one in each group), the mother was known to still be breastfeeding at 170 days, but it was unknown whether she continued to the full 6 months. Baseline demographic information for the women and their infants is presented in Table 1. Table 2 summarizes
Nursing Application/Implications
Using MI to promote sustained breastfeeding may prove to be beneficial since mothers in the MI group did breastfeed for a mean of 98 days out of the first 6 months compared with 81 days for the comparison group. The difference was not significant and the effect size modest, in part because of substantial variability in breastfeeding duration within each group. It will be important in future studies to identify potential sources of this variability and address them in either the design of the
Acknowledgments
We acknowledge UW College of Health Sciences: BRIN RR16474, Regional West Medical Center Foundation, and Medela Equipment Grant.
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The effect of online breastfeeding education on breastfeeding motivation: A randomized controlled study
2024, Journal of Pediatric NursingEffectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis
2020, International Journal of Nursing StudiesCitation Excerpt :Finally, 52 text articles were assessed for eligibility, after which, 24 studies were included in the qualitative synthesis. One article could not be included in the quantitative synthesis because it adopted a t-test for its analysis (Wilhelm et al., 2006), instead of the mean or OR. This resulted in a meta-analysis of 23 studies, with 18 articles adopting the breastfeeding self-efficacy theory and five articles based on the theory of planned behavior.
Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women
2019, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal NursingCitation Excerpt :There is some inconsistency in the existing literature with regard to the effect of MI on confidence in breastfeeding. Researchers found that MI had no effect on confidence at 6 weeks postpartum among women with HIV in South Africa (Tuthill et al., 2017) or at 6 months postpartum among rural White (Wilhelm et al., 2006) or rural Mexican American women (Wilhelm et al., 2015). On the other hand, Cangöl and Şahin (2017) found that women assigned to their breastfeeding motivation program reported greater confidence in breastfeeding at 4 weeks postpartum than women assigned to a control group.
The Milky Way educational and support programme: Structure, content and strategies
2016, Women and BirthSupporting women to achieve breastfeeding to six months postpartum - The theoretical foundations of a successful program
2015, Women and BirthCitation Excerpt :These interventions seem to be effective in promoting the initiation of breastfeeding; current rates are about 92%.5 The advice of doctors, midwives and child health nurses seem, however, to be ineffective in prolonging breastfeeding for six months or beyond.6–15 Indeed, the current rate of exclusive breastfeeding at six months is about 14% and the rate of any breastfeeding at six months is about 50%.5
Promoting Father Involvement for Child and Family Health
2018, Academic PediatricsCitation Excerpt :Behavioral models offer an innovative way to conceptually organize components implicated in father involvement and target the most appropriate points of intervention. Such models are widely used to inform other practices in primary care (eg, use of stages of change and motivational interviewing in counseling on healthy diet and exercise65) and have been explored to optimize other parenting behaviors (eg, dental care among young children with caries; smoking cessation among parents of children with asthma; sustained breastfeeding for infants).66–68 The integrated behavioral model38 (Figure) facilitates a systematic understanding of behavioral influences and may help guide the clinician to determine the appropriate behavior change approach based on identified influencing factors.