Emily L Tuthill1, Lisa M Butler2, Jennifer A Pellowski3, Jacqueline M McGrath4, Regina M Cusson4, Robert K Gable5, Jeffrey D Fisher2. 1. 1School of Nursing,University of California,San Francisco,2 Koret Way,San Francisco,CA 94143,USA. 2. 2Institute for the Collaboration on Health,Intervention and Policy,University of Connecticut,Storrs,CT,USA. 3. 3Department of Psychiatry and Human Behavior,The Warren Alpert Medical School,Brown University,Providence,RI,USA. 4. 4School of Nursing,University of Connecticut,Storrs,CT,USA. 5. 6Center for Research and Evaluation,College of Arts & Sciences,Johnson & Wales University,Providence,RI,USA.
Abstract
OBJECTIVE:Exclusive breast-feeding (EBF) provides optimal nutrition for infants and mothers. The practice of EBF while adhering to antiretroviral medication decreases the risk of mother-to-child transmission of HIV from approximately 25 % to less than 5 %. Thus the WHO recommends EBF for the first 6 months among HIV-infected women living in resource-limited settings; however, EBF rates remain low. In the present study our aim was to design and implement a pilot intervention promoting EBF among HIV-infected women. DESIGN: The Information-Motivation-Behavioural Skills (IMB) model was applied in a brief motivational interviewing counselling session that was tested in a small randomized controlled trial. SETTING: Pietermaritzburg, South Africa, at two comparable rural public health service clinics. SUBJECTS:Sixty-eight HIV-infected women in their third trimester were enrolled and completed baseline interviews between June and August 2014. Those randomized to the intervention arm received the IMB-based pilot intervention directly following baseline interviews. Follow-up interviews occurred at 6 weeks postpartum. RESULTS: While not significantly different between trial arms, high rates of intention and practice of EBF at 6-week follow-up were reported. Findings showed high levels of self-efficacy being significantly predictive of breast-feeding initiation and duration regardless of intervention arm. CONCLUSIONS: Future research must account for breast-feeding self-efficacy on sustaining breast-feeding behaviour and leverage strategies to enhance self-efficacy in supportive interventions. Supporting breast-feeding behaviour through programmes that include both individual-level and multi-systems components targeting the role of health-care providers, family and community may create environments that value and support EBF behaviour.
RCT Entities:
OBJECTIVE: Exclusive breast-feeding (EBF) provides optimal nutrition for infants and mothers. The practice of EBF while adhering to antiretroviral medication decreases the risk of mother-to-child transmission of HIV from approximately 25 % to less than 5 %. Thus the WHO recommends EBF for the first 6 months among HIV-infectedwomen living in resource-limited settings; however, EBF rates remain low. In the present study our aim was to design and implement a pilot intervention promoting EBF among HIV-infectedwomen. DESIGN: The Information-Motivation-Behavioural Skills (IMB) model was applied in a brief motivational interviewing counselling session that was tested in a small randomized controlled trial. SETTING: Pietermaritzburg, South Africa, at two comparable rural public health service clinics. SUBJECTS: Sixty-eight HIV-infectedwomen in their third trimester were enrolled and completed baseline interviews between June and August 2014. Those randomized to the intervention arm received the IMB-based pilot intervention directly following baseline interviews. Follow-up interviews occurred at 6 weeks postpartum. RESULTS: While not significantly different between trial arms, high rates of intention and practice of EBF at 6-week follow-up were reported. Findings showed high levels of self-efficacy being significantly predictive of breast-feeding initiation and duration regardless of intervention arm. CONCLUSIONS: Future research must account for breast-feeding self-efficacy on sustaining breast-feeding behaviour and leverage strategies to enhance self-efficacy in supportive interventions. Supporting breast-feeding behaviour through programmes that include both individual-level and multi-systems components targeting the role of health-care providers, family and community may create environments that value and support EBF behaviour.
Entities:
Keywords:
Exclusive breast-feeding; HIV; Infant feeding; Information–Motivation–Behavioural Skills; Mother-to-child transmission of HIV; South Africa
Authors: Susan L Wilhelm; T Kim Rodehorst; Mary Beth Flanders Stepans; Melody Hertzog; Cathy Berens Journal: Appl Nurs Res Date: 2008-08 Impact factor: 2.257
Authors: Hoosen M Coovadia; Nigel C Rollins; Ruth M Bland; Kirsty Little; Anna Coutsoudis; Michael L Bennish; Marie-Louise Newell Journal: Lancet Date: 2007-03-31 Impact factor: 79.321
Authors: Jocelyn E Remmert; Nzwakie Mosery; Georgia Goodman; David R Bangsberg; Steven A Safren; Jennifer A Smit; Christina Psaros Journal: Matern Child Health J Date: 2020-02
Authors: Prince Kubi Appiah; Hubert Amu; Eric Osei; Kennedy Diema Konlan; Iddris Hadiru Mumuni; Orish Ndudiri Verner; Raymond Saa-Eru Maalman; Eunji Kim; Siwoo Kim; Mohammed Bukari; Hajun Jung; Philip Kofie; Martin Amogre Ayanore; Gregory Kofi Amenuvegbe; Martin Adjuik; Elvis Enowbeyang Tarkang; Robert Kaba Alhassan; Ernestina Safoa Donkor; Francis Bruno Zotor; Margaret Kweku; Paul Amuna; John Owusu Gyapong; So Yoon Kim Journal: PLoS One Date: 2021-11-12 Impact factor: 3.240
Authors: Zara Trafford; Sara Jewett; Alison Swartz; Amnesty E LeFevre; Peter J Winch; Christopher J Colvin; Peter Barron; Lesley Bamford Journal: Int Breastfeed J Date: 2020-09-14 Impact factor: 3.461