背景:母乳喂养自我效能被认为是对母乳喂养结果的重要影响。在新的父母中,合作伙伴处于独特的地位,可以成为培养母乳喂养自我效能的支持来源,然而,很少有母乳喂养计划试图直接让合作伙伴参与。这项研究的目的是测试一个新颖的节目的影响,快乐,健康,被爱,通过强调伴侣支持并在量身定制的短信传递计划中积极解决产后特定压力管理,从而改善母乳喂养自我效能和产妇情绪。
方法:进行了一项随机试验,在分娩后2-3天在中西部医院招募打算纯母乳喂养的初产母亲-伴侣双胎。临床试验在clinicaltrials.gov(#NCT04578925,注册日期2020年7月24日)进行了预注册。夫妇被随机分配接受干预或注意控制。随机分配到干预组的夫妇然后一起完成了一个简短的交互式教育平板电脑程序(快乐,健康,Loved),随后是6周的定制短信,提供提醒,应对策略,以及提高母乳喂养自我效能的动机里程碑。对照组的参与者接受常规护理,然后进行为期6周的有关婴儿发育的注意控制短信。调查是在基线时进行的,6周,产后6个月对母亲和伴侣进行母乳喂养自我效能评估,心情,和社会支持(n=62对夫妇)。
结果:与对照组相比,以基线自我效能为协变量的ANCOVA结果显示干预对6个月母乳喂养自我效能有显著影响。产后6周或6个月的母乳喂养自我效能没有其他显著差异。抑郁或焦虑症状。
结论:本调查结果表明,基于文本的二元干预可改善6个月时的母乳喂养自我效能,但不是6周,产后,这表明基于文本的母亲-伴侣干预是产后健康研究中继续探索的有希望的方向。
背景:Clinicaltrials.gov#NCT04578925。
BACKGROUND: Breastfeeding self-efficacy has been identified as an important influence on breastfeeding outcomes. Among new parent couples, partners are uniquely positioned to be sources of support for developing breastfeeding self-efficacy, yet few breastfeeding programs have attempted to involve partners directly. The purpose of this
study was to test the impact of a novel program, Happy, Healthy, Loved, on breastfeeding self-efficacy and maternal mood through emphasizing partner support and actively addressing postpartum-specific stress management in a tailored text message delivery program.
METHODS: A randomized
trial was conducted in which primiparous mother-partner dyads intending to exclusively breastfeed were recruited at midwestern hospitals 2-3 days after delivery. The clinical
trial was pre-registered at clinicaltrials.gov (#NCT04578925, registration date 7/24/2020). Couples were randomized to receive intervention or an attentional control. Couples randomized to the intervention group then completed a brief interactive educational tablet program together (Happy, Healthy, Loved), followed by 6 weeks of tailored text messages providing reminders, coping strategies, and motivational milestones to improve breastfeeding self-efficacy. Participants in the control group received usual care followed by 6 weeks of attentional control text messages about infant development. Surveys were delivered at baseline, 6 weeks, and 6 months postpartum to both mother and partner to assess breastfeeding self-efficacy, mood, and social support (n = 62 couples).
RESULTS: Outcomes of ANCOVA with baseline self-efficacy as a covariate showed a significant effect of intervention on 6 months breastfeeding self-efficacy when compared to control group. No other significant differences were found at 6 weeks or 6 months postpartum in breastfeeding self-efficacy, depressive or anxious symptoms.
CONCLUSIONS: Results of the present investigation suggest that a text-based dyad intervention improved breastfeeding self-efficacy at 6 months, but not 6 weeks, postpartum, indicating that text-based mother-partner interventions are a promising direction to continue exploring in postpartum health research.
BACKGROUND: Clinicaltrials.gov #NCT04578925.