Mechanisms of Behavior Change Techniques in Breastfeeding Support for UK Mothers
Exploring behavior change techniques in breastfeeding support for UK mothers reveals the impact of various interventions like peer support, motivational interviewing, family involvement, and healthcare professionals. Research highlights the effectiveness of woman-centered, group-based, and proactive approaches in addressing common breastfeeding challenges.
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Presentation Transcript
Identifying mechanisms of Behaviour Change Techniques based breastfeeding support in UK mothers A quasi-systematic review
Introduction Dieterich and colleagues (2013) concludes that Breast is best for mother-infant health. In the UK, As per latest statistics whilst 81% of UK women initiate breastfeeding, only 48% of women continue after 6 to 8 weeks which is below the recommended WHO guidelines and less than 1% after 6 months. Evidence of improved breastfeeding rates and increased confidence has been seen in many women who receives support from friends, family, peers, and health professionals.
Benefits of breastfeeding Individual: Children who are breastfed for an extended period have fewer infections including respiratory, dermatological, and gastrointestinal diseases. In addition to immunological benefits children also have cognitive benefits like higher IQ level and cognitive development of social and psychomotor skills. Breastfed children have 3.16 times point higher score for cognitive development than formula fed children. In mothers, breastfeeding lessens the risk of anaemia, protects them against osteoporosis, breast cancer and many types of other cancer, and increases self- confidence and stronger mother-infant bonding. Environmental: It is cheaper than formula, and reduces potential cost related to illnesses emerging later in life. Less use of raw materials in making formula milk and disposing it. Policymakers: In the UK, formula milk is costing 48 million to the NHS. Breastfeeding practise can narrow down the health inequality gap.
Behavior Change Techniques (BCTs) It can be defined as set of coordinated activities designed to change specific behavior. Complex, has many layers, and delivered by variety of techniques. BCW wheel- Three layers, interlinked, designed by Michie t al. 2013. The inner component is COM-B model. The middle layer is comprised of factors which influences the decisions of person. The outer layer, is policy based which enables the BCT intervention to function properly.
BCTs in breastfeeding support Peer supporters Motivational interviewing Family and friend support Health professionals
Research 11 heterogeneous studies selected based on eligibility criteria BCTs delivered in this studies was varied, from time, intensity and training of peers. Woman-centered, group based and proactive BCTs were effective. Problems experienced- sore nipples, insufficient milk, baby not latching properly and problems with breastfeeding positioning. No behavior taxonomies followed or reported.
Recommendations Need to report theoretical underpinning for making it reproducible. BCTS and economic evaluations Longer follow ups. Robust analysis of RCTs Focusing on wider determinants of health, homophily approach.
