背景:在一些国家,纯母乳喂养率很低。低母乳喂养率导致更高的医疗费用和对个人和社会的不良健康结果。共同育儿在促进母乳喂养方面是有效的,因为它涉及父母在抚养孩子方面的共同责任和合作。然而,当前的母乳喂养共同育儿干预计划在组成部分方面表现出显著差异,定时,和研究的持续时间。基于证据的母乳喂养共同育儿干预计划对于增强母乳喂养相关结果至关重要。
目的:为医疗保健提供者制定基于证据的母乳喂养共同育儿干预计划,以指导初产妇的父母母乳喂养。
方法:要形成干预计划的初始版本,进行了系统的文献综述,以巩固有关当前干预计划的信息.随后使用两轮Delphi方法收集专家意见,以进行程序修改以建立正式版本。
结果:筛选了1995年至2022年之间发表的14篇文章。这些研究的细节,包括开始和结束时间,持续时间和具体内容,被整合以开发初始程序。然后,六名专家完成了两轮咨询,正系数为85.71%,判断基础系数为0.93,熟悉系数为0.87,权威系数为0.90,肯德尔的W为0.62。最后,这项研究建立了一个基于证据的母乳喂养共同育儿干预计划,包括母乳喂养共同育儿课程,个人咨询和父亲的支持小组。
结论:这项研究为医疗保健提供者制定了母乳喂养共同育儿干预计划,以指导初产妇父母提高母乳喂养率。通过系统的文献综述和德尔菲法,具有良好的可靠性,该计划整合了母乳喂养课程,个人咨询,和一个父亲的支持小组。未来的研究将侧重于评估其影响和可扩展性,以造福全球母婴健康。
背景:ChiCTR.org.cn(ChiCTR2300069648)。注册日期:2023-03-22。
BACKGROUND: The exclusive breastfeeding rates is low in some countries. Low breastfeeding rates results in higher healthcare expenses and adverse health outcomes for individuals and society. Co-parenting is effective in promoting breastfeeding as it involves shared responsibility and collaboration between parents in raising children. However, the current breastfeeding co-parenting intervention programs exhibits significant variations in components, timing, and duration across studies. An evidence-based breastfeeding co-parenting intervention program is essential for enhancing breastfeeding-related outcomes.
OBJECTIVE: To develop an evidence-based breastfeeding co-parenting intervention program for healthcare providers to guide parents with primiparas on breastfeeding.
METHODS: To form an initial version of the intervention program, a systematic literature review was conducted to consolidate information on current intervention programs. Two rounds of Delphi method were followed to gather expert comments for the program modification to establish the formal version.
RESULTS: Fourteen articles published between 1995 and 2022 were screened. Details of these researches, including starting and ending time, duration and specific contents, were integrated to developed the initial program. Then, six experts completed the two rounds consultation with a positive coefficient of 85.71%, coefficient judgment basis of 0.93, familiarity coefficient of 0.87, authority coefficient of 0.90 and the Kendall\'s W of 0.62. Finally, an evidence-based breastfeeding co-parenting intervention program was constructed in this study, consisting of breastfeeding co-parenting courses, individual counselling and a father\'s support group.
CONCLUSIONS: This research developed a breastfeeding co-parenting intervention program for healthcare providers to guide primiparous parents to improve breastfeeding rates. Through a systematic literature review and Delphi method with good reliability, the program integrates breastfeeding courses, individual counseling, and a father\'s support group. Future research will focus on evaluating its impact and scalability to benefit maternal and infant health globally.
BACKGROUND: ChiCTR.org.cn (ChiCTR2300069648). Registration date: 2023-03-22.