Assessing the Feasibility and Effectiveness of Two Prenatal Breastfeeding Intervention Apps in Promoting Postpartum In-Hospital Exclusive Breastfeeding
To test the feasibility and possible effects of two iPad -based breastfeeding interventions for expectant minority women and evaluate (1) the intervention effect on exclusive breastfeeding (EBF) intention, (2) intervention acceptability and satisfaction, and (3) follow-up rates of in-hospital EBF. T...
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Veröffentlicht in: | Breastfeeding medicine 2019-12, Vol.14 (10), p.724-730 |
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creator | Farr, Rebecca S Rahman, Farah O'Riordan, Mary Ann Furman, Lydia |
description | To test the feasibility and possible effects of two iPad
-based breastfeeding interventions for expectant minority women and evaluate (1) the intervention effect on exclusive breastfeeding (EBF) intention, (2) intervention acceptability and satisfaction, and (3) follow-up rates of in-hospital EBF.
This was a longitudinal survey study with follow-up chart review. Expectant women who completed clinically required breastfeeding education were eligible and were assigned to one of the following interventions by nonrandomized block design: the champion intervention utilized a free commercially available app to identify a supportive breastfeeding champion and the positive messaging intervention offered breastfeeding information in a question-answer format. Medical records were reviewed postpartum for in-hospital feeding choice. Data were analyzed using percentages, frequencies, chi-squared analyses, and McNemar's test.
We enrolled 243 publicly insured predominantly African American women: 132 and 111 completed the champion and positive messaging interventions, respectively. Thirty-two of 40 champion participants (80.03%) intended EBF and did in-hospital EBF; 39/86 champion participants (45.3%) not intending EBF did in-hospital EBF (
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doi_str_mv | 10.1089/bfm.2019.0053 |
format | Article |
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-based breastfeeding interventions for expectant minority women and evaluate (1) the intervention effect on exclusive breastfeeding (EBF) intention, (2) intervention acceptability and satisfaction, and (3) follow-up rates of in-hospital EBF.
This was a longitudinal survey study with follow-up chart review. Expectant women who completed clinically required breastfeeding education were eligible and were assigned to one of the following interventions by nonrandomized block design: the champion intervention utilized a free commercially available app to identify a supportive breastfeeding champion and the positive messaging intervention offered breastfeeding information in a question-answer format. Medical records were reviewed postpartum for in-hospital feeding choice. Data were analyzed using percentages, frequencies, chi-squared analyses, and McNemar's test.
We enrolled 243 publicly insured predominantly African American women: 132 and 111 completed the champion and positive messaging interventions, respectively. Thirty-two of 40 champion participants (80.03%) intended EBF and did in-hospital EBF; 39/86 champion participants (45.3%) not intending EBF did in-hospital EBF (
< 0.0001 for change). Similarly, 30/36 positive messaging participants (83.3%) intended EBF and did in-hospital EBF; 36/67 positive messaging participants (53.7%) not intending EBF did in-hospital EBF (
< 0.0001 for change).
In this pilot of two brief, iPad-based prenatal interventions designed to promote in-hospital EBF among minority women, interventions were feasible and a statistically significant change in the proportion of women who intended (prenatally) and then chose (postpartum) EBF was noted. Additional controlled trials are needed to demonstrate the effectiveness of this approach.</description><identifier>ISSN: 1556-8253</identifier><identifier>EISSN: 1556-8342</identifier><identifier>DOI: 10.1089/bfm.2019.0053</identifier><identifier>PMID: 31657635</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Breastfeeding & lactation ; Inpatient care ; Intervention ; Postpartum period ; Software</subject><ispartof>Breastfeeding medicine, 2019-12, Vol.14 (10), p.724-730</ispartof><rights>Copyright Mary Ann Liebert, Inc. Dec 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c321t-ebf1ce95f5d5ace8e0d107c9045cb179d030cbac2e472ea1940b8fba5971b823</citedby><cites>FETCH-LOGICAL-c321t-ebf1ce95f5d5ace8e0d107c9045cb179d030cbac2e472ea1940b8fba5971b823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31657635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farr, Rebecca S</creatorcontrib><creatorcontrib>Rahman, Farah</creatorcontrib><creatorcontrib>O'Riordan, Mary Ann</creatorcontrib><creatorcontrib>Furman, Lydia</creatorcontrib><title>Assessing the Feasibility and Effectiveness of Two Prenatal Breastfeeding Intervention Apps in Promoting Postpartum In-Hospital Exclusive Breastfeeding</title><title>Breastfeeding medicine</title><addtitle>Breastfeed Med</addtitle><description>To test the feasibility and possible effects of two iPad
-based breastfeeding interventions for expectant minority women and evaluate (1) the intervention effect on exclusive breastfeeding (EBF) intention, (2) intervention acceptability and satisfaction, and (3) follow-up rates of in-hospital EBF.
This was a longitudinal survey study with follow-up chart review. Expectant women who completed clinically required breastfeeding education were eligible and were assigned to one of the following interventions by nonrandomized block design: the champion intervention utilized a free commercially available app to identify a supportive breastfeeding champion and the positive messaging intervention offered breastfeeding information in a question-answer format. Medical records were reviewed postpartum for in-hospital feeding choice. Data were analyzed using percentages, frequencies, chi-squared analyses, and McNemar's test.
We enrolled 243 publicly insured predominantly African American women: 132 and 111 completed the champion and positive messaging interventions, respectively. Thirty-two of 40 champion participants (80.03%) intended EBF and did in-hospital EBF; 39/86 champion participants (45.3%) not intending EBF did in-hospital EBF (
< 0.0001 for change). Similarly, 30/36 positive messaging participants (83.3%) intended EBF and did in-hospital EBF; 36/67 positive messaging participants (53.7%) not intending EBF did in-hospital EBF (
< 0.0001 for change).
In this pilot of two brief, iPad-based prenatal interventions designed to promote in-hospital EBF among minority women, interventions were feasible and a statistically significant change in the proportion of women who intended (prenatally) and then chose (postpartum) EBF was noted. Additional controlled trials are needed to demonstrate the effectiveness of this approach.</description><subject>Breastfeeding & lactation</subject><subject>Inpatient care</subject><subject>Intervention</subject><subject>Postpartum period</subject><subject>Software</subject><issn>1556-8253</issn><issn>1556-8342</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpd0U1PHSEUBmDS1KhVl24bkm7czC0fw51heWuuH4lJXdz9BJhDxczAFJiqv8S_KxO1ia4g4eHlkBehU0pWlLTyp7bjihEqV4QI_gUdUiHWVctr9vV9zwQ_QN9SuiekFnRd76MDTteiWXNxiJ43KUFKzv_B-Q7wBajktBtcfsLK93hrLZjs_oEvCAeLdw8B30bwKqsB_4qFZwvQL_evfYZYZHbB4800Jex8sWEMeTm-DSlPKuZ5LLK6CmlyS8b20QxzKi98TDtGe1YNCU7e1iO0u9juzq-qm9-X1-ebm8pwRnMF2lIDUljRC2WgBdJT0hhZfmo0bWRPODFaGQZ1w0BRWRPdWq2EbKhuGT9CZ6-xUwx_Z0i5G10yMAzKQ5hTxziRLSVS8kJ_fKL3YY6-DFcU43UxtCmqelUmhpQi2G6KblTxqaOkWwrrSmHdUli3FFb897fUWY_Q_9fvDfEXXg6Uhw</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Farr, Rebecca S</creator><creator>Rahman, Farah</creator><creator>O'Riordan, Mary Ann</creator><creator>Furman, Lydia</creator><general>Mary Ann Liebert, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201912</creationdate><title>Assessing the Feasibility and Effectiveness of Two Prenatal Breastfeeding Intervention Apps in Promoting Postpartum In-Hospital Exclusive Breastfeeding</title><author>Farr, Rebecca S ; Rahman, Farah ; O'Riordan, Mary Ann ; Furman, Lydia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c321t-ebf1ce95f5d5ace8e0d107c9045cb179d030cbac2e472ea1940b8fba5971b823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Breastfeeding & lactation</topic><topic>Inpatient care</topic><topic>Intervention</topic><topic>Postpartum period</topic><topic>Software</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farr, Rebecca S</creatorcontrib><creatorcontrib>Rahman, Farah</creatorcontrib><creatorcontrib>O'Riordan, Mary Ann</creatorcontrib><creatorcontrib>Furman, Lydia</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Breastfeeding medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farr, Rebecca S</au><au>Rahman, Farah</au><au>O'Riordan, Mary Ann</au><au>Furman, Lydia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Feasibility and Effectiveness of Two Prenatal Breastfeeding Intervention Apps in Promoting Postpartum In-Hospital Exclusive Breastfeeding</atitle><jtitle>Breastfeeding medicine</jtitle><addtitle>Breastfeed Med</addtitle><date>2019-12</date><risdate>2019</risdate><volume>14</volume><issue>10</issue><spage>724</spage><epage>730</epage><pages>724-730</pages><issn>1556-8253</issn><eissn>1556-8342</eissn><abstract>To test the feasibility and possible effects of two iPad
-based breastfeeding interventions for expectant minority women and evaluate (1) the intervention effect on exclusive breastfeeding (EBF) intention, (2) intervention acceptability and satisfaction, and (3) follow-up rates of in-hospital EBF.
This was a longitudinal survey study with follow-up chart review. Expectant women who completed clinically required breastfeeding education were eligible and were assigned to one of the following interventions by nonrandomized block design: the champion intervention utilized a free commercially available app to identify a supportive breastfeeding champion and the positive messaging intervention offered breastfeeding information in a question-answer format. Medical records were reviewed postpartum for in-hospital feeding choice. Data were analyzed using percentages, frequencies, chi-squared analyses, and McNemar's test.
We enrolled 243 publicly insured predominantly African American women: 132 and 111 completed the champion and positive messaging interventions, respectively. Thirty-two of 40 champion participants (80.03%) intended EBF and did in-hospital EBF; 39/86 champion participants (45.3%) not intending EBF did in-hospital EBF (
< 0.0001 for change). Similarly, 30/36 positive messaging participants (83.3%) intended EBF and did in-hospital EBF; 36/67 positive messaging participants (53.7%) not intending EBF did in-hospital EBF (
< 0.0001 for change).
In this pilot of two brief, iPad-based prenatal interventions designed to promote in-hospital EBF among minority women, interventions were feasible and a statistically significant change in the proportion of women who intended (prenatally) and then chose (postpartum) EBF was noted. Additional controlled trials are needed to demonstrate the effectiveness of this approach.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>31657635</pmid><doi>10.1089/bfm.2019.0053</doi><tpages>7</tpages></addata></record> |
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source | Alma/SFX Local Collection |
subjects | Breastfeeding & lactation Inpatient care Intervention Postpartum period Software |
title | Assessing the Feasibility and Effectiveness of Two Prenatal Breastfeeding Intervention Apps in Promoting Postpartum In-Hospital Exclusive Breastfeeding |
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