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Thomson G, Balaam MC, Tishkovskaya S. Comparing factors associated with overall satisfaction for different forms of remote breastfeeding support in the UK. Int Breastfeed J 2024; 19:36. [PMID: 38778298 PMCID: PMC11112964 DOI: 10.1186/s13006-024-00641-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 05/02/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Remote forms of breastfeeding support, such as helplines and social media, offer a flexible and convenient form of support to offer help at critical points, e.g., when the risk of breastfeeding cessation is high. Currently, there is little known about who accesses different forms of remote breastfeeding support and what factors impact overall satisfaction. As part of an evaluation of the UK National Breastfeeding Helpline (NBH) (which offers breastfeeding support via a helpline and online media), we aimed to (a) understand who accesses different forms of NBH support, and (b) identify key factors associated with overall satisfaction for helpline and online media support. METHODS All service users who contacted the NBH between November 2021 and March 2022 were invited to participate in the evaluation via an online survey. Survey questions explored the type and timing of support, reasons for the contact, attitudes towards the help and support received, impact of the support on breastfeeding experiences and demographic factors. Chi-squared and Mann-Whitney tests explored variations in who accessed the helpline or online media. Multiple linear regression models were fitted to explore the factors related to the service users' 'overall satisfaction'. The quantitive data were combined with qualitative comments into descriptive themes. RESULTS Overall, online media users were significantly more likely to be younger, White, multiparous, less educated and have English as a first language compared to those who contact the helpline. Similar factors that significantly influenced overall satisfaction for both support models were the service being easy to access, receiving helpful information that met expectations, resolving breastfeeding issues, and feeling reassured and more confident. Significant factors for the helpline were callers feeling understood and more knowledgeable about breastfeeding following the call, being able to put into practice the information provided, feeling encouraged to continue breastfeeding, feeling that the volunteer gave the support that was needed, and seeking out additional support. CONCLUSIONS Online and helpline forms of breastfeeding support suit different demographics and call purposes. While optimal breastfeeding support needs to be accessible, flexible and instrumental, helpline users need real-time relational support to deal with more complex challenges.
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Affiliation(s)
- Gill Thomson
- School of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
| | - Marie-Clare Balaam
- School of Nursing and Midwifery, University of Central Lancashire, Preston, UK
| | - Svetlana Tishkovskaya
- Health Statistics Lancashire Clinical Trials Unit, University of Central Lancashire, Preston, UK
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Leeming D, Marshall J, Hinsliff S. Self-conscious emotions and breastfeeding support: A focused synthesis of UK qualitative research. MATERNAL AND CHILD NUTRITION 2021; 18:e13270. [PMID: 34651437 PMCID: PMC8710115 DOI: 10.1111/mcn.13270] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 07/09/2021] [Accepted: 09/01/2021] [Indexed: 11/26/2022]
Abstract
Research on women's experiences of infant feeding and related moral discourse suggests that self‐conscious emotions may be highly relevant to breastfeeding support interactions. However, the emotional impact of receiving support has not been fully explored. The aim of this review is to re‐examine qualitative UK research on receiving breastfeeding support, in order to explore the role of self‐conscious emotions and related appraisals in interactions with professional and peer supporters. From 2007 to 2020, 34 studies met criteria for inclusion. Using template analysis to identify findings relevant to self‐conscious emotions, we focused on shame, guilt, embarrassment, humiliation and pride. Because of cultural aversion to direct discussion of self‐conscious emotions, the template also identified thoughts about self‐evaluation, perceptions of judgement and sense of exposure. Self‐conscious emotions were explicitly mentioned in 25 papers, and related concerns were noted in all papers. Through thematic synthesis, three themes were identified, which suggested that (i) breastfeeding ‘support’ could present challenges to mothering identity and hence to emotional well‐being; (ii) many women managed interactions in order to avoid or minimise uncomfortable self‐conscious emotions; and (iii) those providing support for breastfeeding could facilitate women's emotion work by validating their mothering, or undermine this by invalidation, contributing to feelings of embarrassment, guilt or humiliation. Those supporting breastfeeding need good emotional ‘antennae’ if they are to ensure they also support transition to motherhood. This is the first study explicitly examining self‐conscious emotions in breastfeeding support, and further research is needed to explore the emotional nuances of women's interactions with supporters.
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Affiliation(s)
- Dawn Leeming
- Department of Psychology, School of Human & Health Sciences, University of Huddersfield, Queensgate, Huddersfield, UK
| | - Joyce Marshall
- Division of Maternal Health, School of Human & Health Sciences, University of Huddersfield, Queensgate, Huddersfield, UK
| | - Sophie Hinsliff
- Division of Maternal Health, School of Human & Health Sciences, University of Huddersfield, Queensgate, Huddersfield, UK
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Abstract
Breast milk provides optimal nourishment for all infants and has special advantages in preterm infants. Breast milk is associated with lower rates of necrotizing enterocolitis and bronchopulmonary dysplasia and improved neurodevelopmental outcomes in the preterm population. Mothers in the NICU may experience multiple psychological, physical, and social/cultural barriers that impede successful breastfeeding. Professional lactation support is of crucial importance in this population. With the social distancing requirements of the pandemic, many clinicians have adopted novel methods of education and communication to ensure continued timely support for NICU mothers.
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Affiliation(s)
- Padma S Nandula
- Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine, Jacksonville, FL
| | - Mark L Hudak
- Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine, Jacksonville, FL
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McLardie-Hore FE, McLachlan HL, Shafiei T, Forster DA. Proactive telephone-based peer support for breastfeeding: a cross-sectional survey of women's experiences of receiving support in the RUBY randomised controlled trial. BMJ Open 2020; 10:e040412. [PMID: 33127637 PMCID: PMC7604849 DOI: 10.1136/bmjopen-2020-040412] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE The Ringing Up about Breastfeeding earlY (RUBY) randomised controlled trial (RCT) of proactive telephone-based peer support for breastfeeding found that infants of women allocated to the intervention were more likely to be receiving breast milk at 6 months of age than those receiving usual care. This study explores women's experiences of receiving the RUBY peer support intervention. DESIGN Cross-sectional survey. SETTING Women were recruited from the postnatal units of three tertiary hospitals in Melbourne, Australia. PARTICIPANTS Women allocated to receive telephone peer support in the RUBY RCT who completed a telephone interview at 6 months postpartum (501/574 (87%) in trial intervention arm) were invited to complete a postal survey on their experience of receiving support. OUTCOMES Experiences of support from the allocated peer, perceived helpfulness, topics discussed, overall satisfaction with the support and frequency and duration of contact were explored. RESULTS Surveys were sent between August 2013 and March 2016, and 72% (360/501) responded of whom 341 recalled receiving peer support. Women reported high levels of perceived helpfulness (79%) and overall satisfaction with the peer support (93%). Discussions included breastfeeding topics (milk supply, attachment), baby care, baby behaviour, and reassurance and emotional support. Women valued the practical and realistic support from another mother, as well as the proactive nature, continuity and accessibility of the support. The empathy, reassurance and encouragement provided helped the mothers to 'cope', to continue breast feeding and to feel empowered. CONCLUSION Most respondents were positive about their experience of receiving proactive telephone peer support for breastfeeding, further supporting the roll-out of this model as a strategy for increasing breastfeeding maintenance to 6 months. Recommendations include flexibility in the scheduling of calls according to individual need, and the use of text messages in conjunction with proactive calls, to enhance and facilitate communication between the peer and the mother. TRIAL REGISTRATION NUMBER ACTRN12612001024831.
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Affiliation(s)
- Fiona E McLardie-Hore
- Midwifery and Maternity Services Research, Royal Women's Hospital, Parkville, Victoria, Australia
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Helen L McLachlan
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
- School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia
| | - Touran Shafiei
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
| | - Della A Forster
- Midwifery and Maternity Services Research, Royal Women's Hospital, Parkville, Victoria, Australia
- Judith Lumley Centre, La Trobe University, Bundoora, Victoria, Australia
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Thorpe K, Danby S, Cromack C, Gallegos D. Supporting, failing to support and undermining breastfeeding self-efficacy: Analysis of helpline calls. MATERNAL AND CHILD NUTRITION 2020; 16:e12919. [PMID: 32026573 PMCID: PMC7083474 DOI: 10.1111/mcn.12919] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 10/02/2019] [Accepted: 11/11/2019] [Indexed: 12/01/2022]
Abstract
Although a complexity of factors explain early cessation of breastfeeding, the encounter of a problem is often a critical point in this decision. For this reason, breastfeeding self‐efficacy, a mother's evaluations of her ability to successfully overcome challenges, is an effective target in interventions to sustain breastfeeding. This study examined factors affecting the success of one such intervention, reactive telephone support. Across a 4‐week period, recordings of all calls to a nurse‐staffed parent helpline in Queensland, Australia were made. Of these calls, 60 were from mothers encountering a breastfeeding problem. Using a standard protocol, each call was scored for trajectories of mother's breastfeeding self‐efficacy from opening to close of call. Calls showing an upward trajectory were defined as supporting (53%), those with no change were defined as ineffective (25%), and those with downward trajectory as undermining (22%). Using trajectory scores, case exemplars were purposively selected for detailed analysis of interactional sequences to identify strategies that distinguished outcome. The supportive call was distinguished by information sharing, mutual trust and respectful relationships, and personalized affirmation and advice. The ineffective call focused on technical aspects of breastfeeding, whereas the undermining call made moral judgements of mother's behaviour. The findings identify interactional quality of telephone support, not simply provision, as the key success factor in reactive telephone support. The findings also present interactional quality as a potential explanation for inconsistent outcomes in evaluation of reactive telehealth interventions to support breastfeeding.
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Affiliation(s)
- Karen Thorpe
- Institute for Social Science Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Susan Danby
- School of Early Childhood and Inclusive Education, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Ceridwen Cromack
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Danielle Gallegos
- Centre for Children's Health Research, Institute for Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.,School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
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Thomson G, Crossland N. Using the behaviour change wheel to explore infant feeding peer support provision; insights from a North West UK evaluation. Int Breastfeed J 2019; 14:41. [PMID: 31548846 PMCID: PMC6749647 DOI: 10.1186/s13006-019-0236-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 09/10/2019] [Indexed: 12/15/2022] Open
Abstract
Background Breastfeeding peer support is advocated in national and international guidelines, but the evidence base is mixed. In the UK, breastfeeding peer support was found to be ineffective in randomised controlled trials, while women report positive impacts on breastfeeding experiences in qualitative studies. A key criticism levied against breastfeeding peer support is the lack of theory underpinning intervention design. Here we use the Behaviour Change Wheel to structure the analysis of evaluation data from an infant feeding peer support service in one area in North West England. We aimed to provide theoretically informed insights into how peer support can be operationalised to influence women's breastfeeding experiences. Methods A 2 year mixed-methods evaluation (2014-2016) comprised surveys and interviews (individual or group) with peer supporters, health and community professionals, project leads and women, and routinely collected infant feeding data. We used the three layers (policies, intervention functions and behaviour-related components) of the Behaviour Change Wheel to structure and interpret the data. Results Overall data comprised 23 interviews (n = 14 - individual; n = 9 - group) and 409 completed surveys. The findings are presented in three sections. First, the 'policies' (outer) layer of the Behaviour Change Wheel provides insights into the existing context, infrastructure and resources that underpinned peer support delivery. Then the second (intervention functions) and inner (behaviour components) layers of the Behaviour Change Wheel are used to present three themes, 'developing capabilities for infant feeding', 'motivating guidance and support' and 'opportunities for support'. These findings highlight that a peer support service delivered in a context of effective interdisciplinary partnerships, Baby Friendly Initiative accreditation, and flexible service planning, with peer support provided via different types of instrumental, social, practical and emotional support was perceived to be highly beneficial on women's breastfeeding experiences. In the final section key challenges faced by the service are outlined. Conclusion While gaps and areas for development were highlighted, the service enhanced women's capabilities, motivations and opportunities for breastfeeding. These theoretically informed insights into an organic and responsive peer support service help build the evidence base for breastfeeding peer support and to identify positive delivery features for future testing.
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Affiliation(s)
- Gill Thomson
- Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, PR1 2HE UK
- School of Education, Health and Social Studies, Dalarna University, Högskolegatan 2, Falun, Sweden
| | - Nicola Crossland
- Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, PR1 2HE UK
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Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J Matern Fetal Neonatal Med 2019; 33:3097-3102. [PMID: 30632820 DOI: 10.1080/14767058.2019.1568986] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: Breastfeeding is one of the public health priorities in the world. Reduction and early discontinuation of breastfeeding have many harmful effects on maternal, child, and community health. Various factors affect breastfeeding and its sustainability including breastfeeding self-efficacy (BSE) and social support. Since breastfeeding is a behavior that needs knowledge, skills, support, and self-confidence for the mother.Objective: to investigate the relationship between social support and self-efficacy in primiparous breastfeeding women referring to Mashhad health centers. This cross-sectional study was conducted on 300 primiparous breastfeeding mothers with less than 6 months infants referring to healthcare centers of Mashhad, Iran.Materials and methods: The study population was selected through a multistage random sampling method. Data gathering was done by demographic form, Breastfeeding Self-efficacy Scale and perceived social support questionnaire. Data were analyzed using descriptive and inferential statistics, through SPSS version 16 (SPSS Inc., Chicago, IL).Results: Mean score of BSE and social support was 130.89 ± 13.60 and 67.36 ± 5.52, respectively. Stepwise linear regression analysis was used to examine the relationship between social support and BSE precisely. The results showed that social support had a significant effect on BSE (p < .001, β = 0.35, t = 6.44).Conclusions: According to the present study, social support was significantly related to the BSE. Therefore, those with more social support had higher rates of BSE. Therefore, receiving support from the woman's social network members in form of participation and encouragement, during the breastfeeding is necessary.
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Affiliation(s)
- Nahid Maleki-Saghooni
- Students' Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Malikeh Amel Barez
- Department of Midwifery, Mashhad Medical Sciences Branch, Islamic Azad University, Mashhad, Iran
| | - Fatemeh Zahra Karimi
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
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Can a Call Make a Difference? Measured Change in Women's Breastfeeding Self-efficacy Across Call Interactions on a Telephone Helpline. Matern Child Health J 2018; 22:1761-1770. [PMID: 30022400 DOI: 10.1007/s10995-018-2573-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background Telephone helplines providing 24-h specialist-nurse contact present a source of immediate support for women encountering challenges with breastfeeding and may serve to prolong breastfeeding duration by building self-efficacy. To date there is little evidence on interaction effectiveness and still less on the relative effectiveness for women from different socio-economic backgrounds. Research Aim To establish the effect on maternal breastfeeding self-efficacy of calls made to a nurse-led parenting helpline. Methods From a corpus of calls made to the Australian Child Health Line (N = 723), those made by women presenting a breastfeeding concern as a prime issue (n = 60) were scored for breastfeeding self-efficacy at commencement and completion of recorded interactions. Analyses examined the significance and direction of change from beginning to end of calls and compared difference in change across calls originating from high and low social advantage locations. Results A significant increase in self-efficacy was found, but with low effect size. There was considerable variation among calls; 53% showed improvement, 25% showed no change and 22% showed reduction in breastfeeding self-efficacy. While most calls were made by women from socially advantaged locations, change was more positive for the small number of callers from disadvantaged locations. Conclusion The potential of nurse-led reactive telephone support is evident, but dependent on qualities of the interaction. For women living in disadvantaged locations telephone support may be of particular significance given the greater social barriers to breastfeeding they are likely to encounter.
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Bengough T, von Elm E, Heyvaert M, Hannes K. Factors that influence women’s engagement with breastfeeding support: a qualitative evidence synthesis. Hippokratia 2018. [DOI: 10.1002/14651858.cd013115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- Theresa Bengough
- KU Leuven University; Social Research Methodology Group, Centre for Sociological Research, Faculty of Social Sciences; Parkstraat 45 Leuven Belgium BE 3000
- Austrian Public Health Institute; Department of Health and Society; Stubenring 6 Vienna Austria 1010
| | - Erik von Elm
- Lausanne University Hospital; Cochrane Switzerland, Institute of Social and Preventive Medicine; Route de la Corniche 10 Lausanne Switzerland CH-1010
| | - Mieke Heyvaert
- KU Leuven; Methodology of Educational Sciences Research Group; Andreas Vesaliusstraat 2 - box 3762 Leuven Belgium 3000
| | - Karin Hannes
- KU Leuven University; Social Research Methodology Group, Centre for Sociological Research, Faculty of Social Sciences; Parkstraat 45 Leuven Belgium BE 3000
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Gallegos D, Cromack C, Thorpe KJ. Can a phone call make a difference? Breastfeeding self-efficacy and nurse responses to mother's calls for help. J Child Health Care 2018. [PMID: 29514511 DOI: 10.1177/1367493518757066] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Telephone support is a format that presents an opportunity to sustain breastfeeding at a time when mothers identify themselves as at risk of cessation. The interactive mechanisms by which support is provided have not, however, been well investigated. We aimed to identify characteristics of calls that support breastfeeding self-efficacy. Thematic analysis of 149 calls from mothers seeking help for breastfeeding made to a 24-hour parenting helpline over a four week period, in Brisbane, Australia. Call-takers were 12 qualified and experienced maternal and child health nurses. Calls classified according to changes in breastfeeding self-efficacy across the call were thematically analysed to identify distinguishing interactional characteristics. Key interactional characteristics that served to build self-efficacy were privileging the mother, teamwork and credible affirmation while those that failed to build self-efficacy were laissez-faire affirmation and pragmatic problem-solving responses. Nurse responses that undermined caller self-efficacy conceptualized breastfeeding as a problem. Telephone helplines have potential to enhance mothers' confidence and sustain breastfeeding when there is a call for help, this study highlights that the style of interaction is critical. The findings identify the need for specific training to increase awareness of interactional styles and delivery of advice through telehealth formats.
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Affiliation(s)
- Danielle Gallegos
- 1 School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Queensland, Australia.,2 Centre for Children's Health Research, Institute for Health and Biomedical Innovation, Queensland University of Technology, South Brisbane, Queensland, Australia
| | - Ceridwen Cromack
- 3 School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Karen J Thorpe
- 3 School of Psychology and Counselling, Queensland University of Technology, Kelvin Grove, Queensland, Australia.,4 Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland, Australia
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Babac A, Frank M, Pauer F, Litzkendorf S, Rosenfeldt D, Lührs V, Biehl L, Hartz T, Storf H, Schauer F, Wagner TOF, Graf von der Schulenburg JM. Telephone health services in the field of rare diseases: a qualitative interview study examining the needs of patients, relatives, and health care professionals in Germany. BMC Health Serv Res 2018; 18:99. [PMID: 29426339 PMCID: PMC5807836 DOI: 10.1186/s12913-018-2872-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 01/22/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Rare diseases are, by definition, very serious and chronic diseases with a high negative impact on quality of life. Approximately 350 million people worldwide live with rare diseases. The resulting high disease burden triggers health information search, but helpful, high-quality, and up-to-date information is often hard to find. Therefore, the improvement of health information provision has been integrated in many national plans for rare diseases, discussing the telephone as one access option. In this context, this study examines the need for a telephone service offering information for people affected by rare diseases, their relatives, and physicians. METHODS In total, 107 individuals participated in a qualitative interview study conducted in Germany. Sixty-eight individuals suffering from a rare disease or related to somebody with rare diseases and 39 health care professionals took part. Individual interviews were conducted using a standardized semi-structured questionnaire. Interviews were analysed using the qualitative content analysis, triangulating patients, relatives, and health care professionals. The fulfilment of qualitative data processing standards has been controlled for. RESULTS Out of 68 patients and relatives and 39 physicians, 52 and 18, respectively, advocated for the establishment of a rare diseases telephone service. Interviewees expected a helpline to include expert staffing, personal contact, good availability, low technical barriers, medical and psychosocial topics of counselling, guidance in reducing information chaos, and referrals. Health care professionals highlighted the importance of medical topics of counselling-in particular, differential diagnostics-and referrals. CONCLUSIONS Therefore, the need for a national rare diseases helpline was confirmed in this study. Due to limited financial resources, existing offers should be adapted in a stepwise procedure in accordance with the identified attributes.
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Affiliation(s)
- Ana Babac
- CHERH - Centre for Health Economics Research Hannover, Leibniz University Hannover, Otto-Brenner-Straße 1, 30159 Hannover, Germany
| | - Martin Frank
- CHERH - Centre for Health Economics Research Hannover, Leibniz University Hannover, Otto-Brenner-Straße 1, 30159 Hannover, Germany
| | - Frédéric Pauer
- CHERH - Centre for Health Economics Research Hannover, Leibniz University Hannover, Otto-Brenner-Straße 1, 30159 Hannover, Germany
| | - Svenja Litzkendorf
- CHERH - Centre for Health Economics Research Hannover, Leibniz University Hannover, Otto-Brenner-Straße 1, 30159 Hannover, Germany
| | - Daniel Rosenfeldt
- CHERH - Centre for Health Economics Research Hannover, Leibniz University Hannover, Otto-Brenner-Straße 1, 30159 Hannover, Germany
| | - Verena Lührs
- ZQ - Centre for Quality and Management in Healthcare, Medical Association of Lower Saxony, Berliner Allee 20, 30175 Hannover, Germany
| | - Lisa Biehl
- ACHSE – Alliance for Chronic Rare Diseases, DRK-Clinics Berlin, Drontheimer Straße 39, 13359 Berlin, Germany
| | - Tobias Hartz
- IMBEI - Institute for Medical Biometry, Epidemiology and Informatics, Obere Zahlbacher Str. 69, 55131 Mainz, Germany
| | - Holger Storf
- IMBEI - Institute for Medical Biometry, Epidemiology and Informatics, Obere Zahlbacher Str. 69, 55131 Mainz, Germany
| | - Franziska Schauer
- Department of Dermatology, Freiburg Center for Rare Diseases, University Medical Center, University of Freiburg, Hauptstraße 7, 79104 Freiburg, Germany
| | - Thomas O. F. Wagner
- University Centre for Thorax Oncology, University Clinic of the Johann Wolfgang-Goethe University, Theodor-Stern-Kai 7, 60559 Frankfurt am Main, Germany
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Thomson G, Balaam MC, Hymers K. Building social capital through breastfeeding peer support: insights from an evaluation of a voluntary breastfeeding peer support service in North-West England. Int Breastfeed J 2015; 10:15. [PMID: 25897318 PMCID: PMC4404123 DOI: 10.1186/s13006-015-0039-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 03/12/2015] [Indexed: 11/23/2022] Open
Abstract
Background Peer support is reported to be a key method to help build social capital in communities. To date there are no studies that describe how this can be achieved through a breastfeeding peer support service. In this paper we present findings from an evaluation of a voluntary model of breastfeeding peer support in North-West England to describe how the service was operationalized and embedded into the community. This study was undertaken from May, 2012 to May, 2013. Methods Interviews (group or individual) were held with 87 participants: 24 breastfeeding women, 13 peer supporters and 50 health and community professionals. The data contained within 23 monthly monitoring reports (January, 2011 to February 2013) compiled by the voluntary peer support service were also extracted and analysed. Results Thematic analysis was undertaken using social capital concepts as a theoretical lens. Key findings were identified to resonate with’bonding’, ‘bridging’ and ‘linking’ forms of social capital. These insights illuminate how the peer support service facilitates ‘bonds’ with its members, and within and between women who access the service; how the service ‘bridges’ with individuals from different interests and backgrounds, and how ‘links’ were forged with those in authority to gain access and reach to women and to promote a breastfeeding culture. Some of the tensions highlighted within the social capital literature were also identified. Conclusions Horizontal and vertical relationships forged between the peer support service and community members enabled peer support to be embedded into care pathways, helped to promote positive attitudes to breastfeeding and to disseminate knowledge and maximise reach for breastfeeding support across the community. Further effort to engage with those of different ethnic backgrounds and to resolve tensions between peer supporters and health professionals is warranted.
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Affiliation(s)
- Gill Thomson
- Maternal and Infant Nutrition and Nurture Unit, University of Central Lancashire, Preston, Lancashire PR1 2HE UK
| | - Marie-Clare Balaam
- Research in Childbirth and Health Unit, University of Central Lancashire, Preston, Lancashire PR1 2HE UK
| | - Kirsty Hymers
- East Lancashire Hospitals NHS Trust, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire BB2 3HH UK
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Nutrition and nurture in infancy and childhood. Abstracts of the Fourth International Interdisciplinary Conference Organized by Maternal & Infant Nutrition & Nurture Unit (MAINN), School of Health, University of Central Lancashire. June 10-12, 2013. Cumbria, United Kingdom. MATERNAL & CHILD NUTRITION 2013; 9 Suppl 3:1-57. [PMID: 24152183 PMCID: PMC7158222 DOI: 10.1111/mcn.12093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
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