Khoury Amal J, Hinton Agnes, Mitra Amal K, Carothers Cathy, Foretich Camille
Center for Community Health, University of Southern Mississippi, Hattiesburg, MS 39406, USA.
Public Health Rep. 2002 Sep-Oct;117(5):453-62. doi: 10.1093/phr/117.5.453.
This study was conducted to assess the impact of a breastfeeding promotion clinic environment project implemented by the state of Mississippi on breastfeeding knowledge, attitudes, and practices of WIC clinic staff.
Thirteen pairs of matched intervention and comparison WIC clinics participated in the study. Clinical and administrative staff completed pre-test and post-test self-administered questionnaires in 1998 and 1999.
A total of 397 staff members provided pre-test data, and 277 staff members provided post-test data. Before project implementation, the intervention and comparison groups were similar overall. The majority of staff had positive attitudes/beliefs about breastfeeding, but gaps in knowledge and practices were noted. Post-test data showed that the project improved knowledge, attitudes/beliefs, and confidence/practice of intervention clinic staff.
Clinic environment projects, which combine physical improvements and staff training, are effective in promoting support for breastfeeding among public health clinic staff. Similar interventions may contribute to the overall effectiveness of breastfeeding promotion programs.
本研究旨在评估密西西比州实施的母乳喂养促进诊所环境项目对妇女、婴儿与儿童营养补充计划（WIC）诊所工作人员的母乳喂养知识、态度和行为的影响。
13对匹配的干预组和对照组WIC诊所参与了该研究。临床和行政人员于1998年和1999年完成了预测试和后测试的自填式问卷。
共有397名工作人员提供了预测试数据，277名工作人员提供了后测试数据。在项目实施前，干预组和对照组总体上相似。大多数工作人员对母乳喂养持积极态度/信念，但在知识和行为方面存在差距。后测试数据表明，该项目改善了干预诊所工作人员的知识、态度/信念以及信心/行为。
结合实体环境改善和工作人员培训的诊所环境项目，在促进公共卫生诊所工作人员对母乳喂养的支持方面是有效的。类似的干预措施可能有助于提高母乳喂养促进项目的整体效果。
