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Article: Feasibility, acceptability, and potential efficacy of an innovative postnatal home-based breastfeeding peer support programme in Hong Kong: a feasibility and pilot randomised controlled trial

TitleFeasibility, acceptability, and potential efficacy of an innovative postnatal home-based breastfeeding peer support programme in Hong Kong: a feasibility and pilot randomised controlled trial
Authors
KeywordsPeer support
Breastfeeding
Pilot
Issue Date2021
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.internationalbreastfeedingjournal.com
Citation
International Breastfeeding Journal, 2021, v. 16 n. 1, p. article no. 34 How to Cite?
AbstractBackground: As suggested by the World Health Organization, breastfeeding peer support is being introduced worldwide to support women's breastfeeding needs. Evidence has shown that when such support is offered to women, the duration and exclusivity of breastfeeding is increased. We developed an innovative home-based intervention to sustain exclusive breastfeeding in Hong Kong. However, potential barriers must be addressed before a full randomised controlled trial (RCT) is conducted. The aim of this study was to determine the feasibility of a breastfeeding support programme with home-based visits from peer supporters over a six month period among postpartum Chinese women in Hong Kong. Methods: We conducted a feasibility and pilot randomised controlled trial. Twenty primiparous women intending to breastfeed their healthy term singleton infant were recruited from a hospital in Kowloon, Hong Kong between February and March 2019. Participants were randomly allocated to the intervention or control group. Participants in the intervention group received five home-based visits with a peer supporter over a six month period, as well as standard care, whereas participants in the control group received standard care only. We assessed feasibility, compliance, and acceptability of the breastfeeding peer support programme. Other outcomes assessed were breastfeeding self-efficacy, duration, and exclusivity. Results: It was feasible to recruit and train existing peer supporters, and peer supporters were able to deliver the intervention, which was acceptable to women, but rates of stopping the intervention and loss to follow-up were high. There was higher retention seen within the first month. Women interviewed at the end of the study reported that the intervention was positive. The cessation risk of any, and exclusive breastfeeding were not statistically different between the intervention and control groups. Conclusions: This study provided valuable information on feasibility of the trial design and intervention. Modifications to the intervention, such as targeting women with lower breastfeeding self-efficacy, or combining home visits with technology and telephone follow-up may be more appropriate in a larger trial. Implementing the programme early during the antenatal phase and tailoring peer support to most appropriately sustain exclusive breastfeeding and other feeding modes should be incorporated in a future home-based peer support arm. Trial registration: NCT03705494 on 15 Oct 2018.
Persistent Identifierhttp://hdl.handle.net/10722/301437
ISSN
2023 Impact Factor: 2.9
2023 SCImago Journal Rankings: 1.211
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLok, KYW-
dc.contributor.authorChow, CLY-
dc.contributor.authorSHING, JSY-
dc.contributor.authorSmith, R-
dc.contributor.authorLam, CCO-
dc.contributor.authorBick, D-
dc.contributor.authorChang, YS-
dc.date.accessioned2021-07-27T08:11:03Z-
dc.date.available2021-07-27T08:11:03Z-
dc.date.issued2021-
dc.identifier.citationInternational Breastfeeding Journal, 2021, v. 16 n. 1, p. article no. 34-
dc.identifier.issn1746-4358-
dc.identifier.urihttp://hdl.handle.net/10722/301437-
dc.description.abstractBackground: As suggested by the World Health Organization, breastfeeding peer support is being introduced worldwide to support women's breastfeeding needs. Evidence has shown that when such support is offered to women, the duration and exclusivity of breastfeeding is increased. We developed an innovative home-based intervention to sustain exclusive breastfeeding in Hong Kong. However, potential barriers must be addressed before a full randomised controlled trial (RCT) is conducted. The aim of this study was to determine the feasibility of a breastfeeding support programme with home-based visits from peer supporters over a six month period among postpartum Chinese women in Hong Kong. Methods: We conducted a feasibility and pilot randomised controlled trial. Twenty primiparous women intending to breastfeed their healthy term singleton infant were recruited from a hospital in Kowloon, Hong Kong between February and March 2019. Participants were randomly allocated to the intervention or control group. Participants in the intervention group received five home-based visits with a peer supporter over a six month period, as well as standard care, whereas participants in the control group received standard care only. We assessed feasibility, compliance, and acceptability of the breastfeeding peer support programme. Other outcomes assessed were breastfeeding self-efficacy, duration, and exclusivity. Results: It was feasible to recruit and train existing peer supporters, and peer supporters were able to deliver the intervention, which was acceptable to women, but rates of stopping the intervention and loss to follow-up were high. There was higher retention seen within the first month. Women interviewed at the end of the study reported that the intervention was positive. The cessation risk of any, and exclusive breastfeeding were not statistically different between the intervention and control groups. Conclusions: This study provided valuable information on feasibility of the trial design and intervention. Modifications to the intervention, such as targeting women with lower breastfeeding self-efficacy, or combining home visits with technology and telephone follow-up may be more appropriate in a larger trial. Implementing the programme early during the antenatal phase and tailoring peer support to most appropriately sustain exclusive breastfeeding and other feeding modes should be incorporated in a future home-based peer support arm. Trial registration: NCT03705494 on 15 Oct 2018.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.internationalbreastfeedingjournal.com-
dc.relation.ispartofInternational Breastfeeding Journal-
dc.rightsInternational Breastfeeding Journal. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectPeer support-
dc.subjectBreastfeeding-
dc.subjectPilot-
dc.titleFeasibility, acceptability, and potential efficacy of an innovative postnatal home-based breastfeeding peer support programme in Hong Kong: a feasibility and pilot randomised controlled trial-
dc.typeArticle-
dc.identifier.emailLok, KYW: krislok@hku.hk-
dc.identifier.emailSmith, R: robsmith@hku.hk-
dc.identifier.authorityLok, KYW=rp02172-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s13006-021-00381-5-
dc.identifier.pmid3849582-
dc.identifier.pmcidPMC8045301-
dc.identifier.scopuseid_2-s2.0-85104315547-
dc.identifier.hkuros323364-
dc.identifier.volume16-
dc.identifier.issue1-
dc.identifier.spagearticle no. 34-
dc.identifier.epagearticle no. 34-
dc.identifier.isiWOS:000640241200002-
dc.publisher.placeUnited Kingdom-

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