Breastfeeding peer support: Maternal and volunteer perceptions from a randomized controlled trial
Breastfeeding peer support: Maternal and volunteer perceptions from a randomized controlled trial
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DOI：
10.1046/j.1523-536x.2002.00184.x
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发表时间：
2002-09-01
影响因子：
2.5
通讯作者：
Dennis, CL
中科院分区：
文献类型：
--
作者：
Dennis, CL
背景：多项研究表明同伴支持对各种母乳喂养结果具有积极影响，但没有研究评估妇女和同伴志愿者对支持干预的看法或性质和强度。这项研究的目的是描述母亲和同伴志愿者在参加野兽喂养同伴支持试验时对其经历的看法。方法：进行了一项随机对照试验，以评估基于电话的同伴（母亲对母亲）支持对母乳喂养持续时间的影响。 256 名初产母乳喂养妇女被随机分配接受传统护理或传统护理加上同伴支持。三个主要结果指标是同伴志愿者活动、日志、母亲对同伴支持的看法以及对同伴志愿者经历的评估。结果：同伴支持小组中 98.5% (n = 130) 的母亲完成了调查问卷。母亲们表示，当她们遇到困难时，同伴志愿者会及时提供帮助，增加她们的信心，减少她们的担忧，并帮助她们实现母乳喂养目标。这些支持性互动使 81.5% 的母亲 (n = 106) 对同伴支持体验感到满意，并建议每位新妈妈都应该接受这种干预。同样，所有接受采访的同伴志愿者（n = 30）都积极看待他们的经历。他们建议对干预措施进行如下修改：确保参加该计划的母亲需要同伴支持；为同伴志愿者提供持续的教育课程以及与其他志愿者“社交”的机会；并传播同行支持努力的结果。结论：母亲和同伴志愿者都对他们的干预经历持积极态度。虽然母亲的满意度与同伴志愿者接触的次数和持续时间有关，但同伴志愿者出于各种原因享受培训课程和帮助母亲的机会。应实施具体的干预措施修改，以提高同伴志愿者的满意度和保留率。
Background: Several studies have demonstrated the positive effects of peer support on various breastfeeding outcomes, but no study has assessed women's and peer volunteers' views on, or the nature and intensity I of the supportive intervention. The objective of this study was to describe maternal and peer volunteer perceptions of their experience while participating in a beast feeding peer support trial. Methods: A randomized controlled trial was conducted to evaluate the effect of telephone-based peer (mother-to-mother) support on breastfeeding duration. Two hundred and fifty-six primiparous breastfeeding women were randomly allocated to receive either conventional care or conventional care plus peer support. Three primary outcome measures were peer volunteer activity, logs, maternal perceptions of peer support, and evaluations of the peer volunteer experience. Results: Questionnaires were completed by 98.5 percent (n = 130) of the mothers in the peer support group. Mothers reported their peer volunteers were available when difficulties were experienced, increased their confidence, decreased their concerns, and assisted them in reaching their breastfeeding goals. These supportive interactions resulted in 81.5 percent of mothers (n = 106) being satisfied with their peer support experience and suggesting that every, new mother should be offered this intervention. Similarly, all the peer volunteers interviewed (n = 30) viewed their experience positively. They suggested some intervention modifications as follows: ensure that mothers enrolled in the program want peer support; provide peer volunteers with ongoing educational sessions and opportunities to "socialize" with other volunteers; and disseminate the results of peer support efforts. Conclusions: Both mothers and peer volunteers perceived their intervention experiences positively. Whereas maternal satisfaction was related to the number and duration of peer volunteer contacts, peer volunteers enjoyed their training session and the opportunity to assist mothers for a variety of reasons. Specific intervention modifications should be implemented to enhance peer volunteer satisfaction and retention.