Dataset Information

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women.

ABSTRACT:

Objective

To determine the effectiveness of a single session of prenatal motivational interviewing (MI) to enhance breastfeeding outcomes.

Design

A randomized controlled trial with two groups (MI and psychoeducation) with repeated measures: preintervention, postintervention, and at 1 month postpartum.

Setting

The intervention was conducted at a university-associated clinic, community locations, and participants' homes. Postpartum follow-up was conducted by telephone.

Participants

A total of 81 women with low-risk pregnancies enrolled at 28 to 39 weeks gestation who lived in Appalachia.

Methods

Participants were randomly assigned to MI or psychoeducation on infant development. Pre- and postintervention outcome measures included intention to breastfeed, confidence in and importance of breastfeeding plan, and breastfeeding attitudes. At 1 month postpartum, participants completed a telephone interview to assess actual breastfeeding initiation, exclusivity, and plans to continue breastfeeding.

Results

At 1 month postpartum, women in the MI group were more likely to report any current breastfeeding than women in the psychoeducation group, regardless of parity, χ²(1, N = 79) = 4.30, p = .040, Φ = .233. At the postintervention time point, the MI intervention had a significant effect on improving attitudes about breastfeeding among primiparous women only (p < .05).

Conclusion

One session of MI was effective to promote breastfeeding at 1 month postpartum and to enhance positive attitudes toward breastfeeding among primiparous women in Appalachia.

SUBMITTER: Addicks SH

PROVIDER: S-EPMC6657518 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Publications

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women.

Addicks Sarah H SH McNeil Daniel W DW

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 20190607 4

<h4>Objective</h4>To determine the effectiveness of a single session of prenatal motivational interviewing (MI) to enhance breastfeeding outcomes.<h4>Design</h4>A randomized controlled trial with two groups (MI and psychoeducation) with repeated measures: preintervention, postintervention, and at 1 month postpartum.<h4>Setting</h4>The intervention was conducted at a university-associated clinic, community locations, and participants' homes. Postpartum follow-up was conducted by telephone.<h4>Par ...[more]

PMID: 31181186

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Project description:ObjectiveA significant number of Swedish practitioners are offered workshop trainings in motivational interviewing through community-based implementation programs. The objective of this randomized controlled trial was to evaluate to what extent the practitioners acquire and retain skills from additional supervision consisting of feedback based on monitoring of practice.Materials and methodsA total of 174 practitioners in five county councils across Sweden were randomized to one of the study's two groups: 1) Regular county council workshop training, 2) Regular county council workshop training followed by six sessions of supervision. The participant's mean age was 43.3 years, and the majority were females (88.1%).ResultsRecruiting participants proved difficult, which may have led to a biased sample of practitioners highly motivated to learn the method. Although slightly different in form and content, all the workshop trainings increased the participants' skills to the same level. Also, consistent with previous research, the additional supervision group showed larger gains in proficiency compared to the group who received workshop training only at the six-month follow-up. However, analyses showed generally maintained levels of skills for all the participants at the follow-up assessment, and the majority of participants did not attain beginning proficiency levels at either post-workshop or follow-up.ConclusionsThe results of this study address the real-life implications of dissemination of evidence-based practices. The maintained level of elevated skills for all participants is a promising finding. However, the low interest for obtaining additional supervision among the Swedish practitioners is problematic. In addition, neither the workshop trainings nor the additional supervision, although improving skills, were sufficient for most of the participants to reach beginning proficiency levels. This raises questions regarding the most efficient form of training to attain and sustain adequate practice standards, and how to create incentive and interest among practitioners to participate in such training.

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Dataset Information

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women.

Objective

Design

Setting

Participants

Methods

Results

Conclusion

Publications

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women.

Similar Datasets

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