One-to-one or group-based peer support for breastfeeding? Women's perceptions of a breastfeeding peer coaching intervention
One-to-one or group-based peer support for breastfeeding? Women's perceptions of a breastfeeding peer coaching intervention
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DOI：
10.1111/j.0730-7659.2006.00092.x
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发表时间：
2006-06-01
影响因子：
2.5
通讯作者：
Pill, Roisin
中科院分区：
文献类型：
--
作者：
Hoddinott, Pat;Chalmers, Maretta;Pill, Roisin
背景：研究报告称，一对一同伴支持干预在一些母乳喂养启动率较高的国家取得了成功，但在英国则不太成功，因为英国对同伴支持的接受度较低。我们在苏格兰农村进行了一项同伴辅导干预研究，改善了母乳喂养的开始和持续时间。这项研究报告了关于参与者对教练干预的感知的定性数据。其目的是调查为什么基于小组的同伴支持比一对一同伴支持更受欢迎。方法：从最初的焦点小组、21个半结构化访谈和31个教练组观察和受访者(n=105/192)中收集和分析定性数据，回答关于在母乳喂养经验调查中不选择私人教练的公开问题。我们开发了一个编码框架，确定了主题，并构建了用于分析和解释数据的图表。结果：分析表明，团体更受欢迎，因为他们在有茶点的社会环境中规范了母乳喂养，这提高了参与者的幸福感。小组提供了灵活性、控制感以及多样化的视觉形象和体验，帮助妇女为自己做出与喂养有关的决定，并在一个很少在公共场合看到母乳喂养的文化中，为在其他人面前排练和进行母乳喂养提供了一个安全的场所。女性在第一次参加集体活动时往往会感到最初的焦虑，她们表示怀疑一套“母乳喂养规则”是否适合所有人。结论：孕妇和哺乳母亲将自愿参与支持母乳喂养的活动，如果有净的互动(言语、视觉、情感和味觉)收获，并将负面体验的风险降至最低。一对一的同伴辅导被认为比基于小组的同伴辅导对自信和赋权的风险更大。
Background: Studies reporting one-to-one peer support interventions have been successful in some countries with high breastfeeding initiation rates, but less so in Great Britain, where low uptake of peer support has occurred. We conducted a peer coaching intervention study in rural Scotland that improved breastfeeding initiation and duration. This study reports qualitative data about participants' perceptions of the coaching intervention. The aim was to investigate why group-based peer support was more popular than one-to-one peer support. Methods: Qualitative data were collected and analyzed from an initial focus group; 21 semi-structured interviews; and 31 coaching group observations and respondents (n = 105/192) in response to an open question about reasons for not choosing a personal coach in a survey of breastfeeding experiences. We developed a coding frame, identified themes, and constructed charts for analysis and interpretation of data. Results:Analysis revealed that groups were more popular because they normalized breastfeeding in a social environment with refreshments, which improved participants' sense of well-being. Groups provided flexibility, a sense of control, and a diversity of visual images and experiences, which assisted women to make feeding-related decisions for themselves, and they offered a safe place to rehearse and perform breastfeeding in front of others, in a culture where breastfeeding is seldom seen in public. Women often felt initial anxiety when attending a group for the first time, and they expressed doubt that one set of "breastfeeding rules" would suit everyone. Conclusions: Pregnant women and breastfeeding mothers will voluntarily engage in an activity to support breastfeeding if there is a net interactional (verbal, visual, emotional and gustatory) gain and a minimum risk of a negative experience. One-to-one peer coaching was perceived as a greater risk to confidence and empowerment than group- based peer coaching.