Thomas Jefferson University, Philadelphia, PA, USA.
Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belgavi, India.
Int J Gynaecol Obstet. 2022 Jan;156(1):48-54. doi: 10.1002/ijgo.13599. Epub 2021 Feb 20.
To evaluate the feasibility of an mHealth-supported breastfeeding peer counselor intervention implemented in rural India and the preliminary impact of the intervention on maternal breastfeeding behaviors, including exclusive breastfeeding (EBF).
In this quasi-experimental pilot study, participants received either the intervention plus usual care (n = 110) or usual care alone (n = 112). The intervention group received nine in-home visits during and after pregnancy from peer counselors who provided education about and support for EBF and other optimal infant feeding practices and were aided with an mHealth tool. The control group received routine prenatal and postnatal health education. Progress notes and surveys were used to assess feasibility. Logistic regression models were used for between-group comparisons of optimal infant feeding outcomes, including EBF for 6 months.
The intervention was delivered as intended, maintained over the study period, and had high acceptability ratings. There were statistically significant differences in all outcomes between groups. The intervention group had a significantly higher likelihood of EBF at 6 months compared to the control group (adjusted odds ratio 3.57, 95% confidence interval 1.80-7.07).
Integration of mHealth with community-based peer counselors to educate women about EBF is feasible and acceptable in rural India and impacts maternal breastfeeding behaviors.
评估在印度农村实施基于移动医疗的母乳喂养同伴咨询师干预措施的可行性，以及该干预措施对母乳喂养行为（包括纯母乳喂养）的初步影响。
在这项准实验性试点研究中，参与者接受了干预措施加常规护理（n=110）或常规护理（n=112）。干预组在妊娠期间和之后接受了 9 次家访，由同伴咨询师提供有关纯母乳喂养和其他最佳婴儿喂养实践的教育和支持，并通过移动医疗工具提供帮助。对照组接受常规产前和产后健康教育。进度记录和调查用于评估可行性。使用逻辑回归模型对最佳婴儿喂养结果进行组间比较，包括 6 个月的纯母乳喂养。
干预措施按计划实施，在研究期间得以维持，且具有较高的可接受性评分。两组在所有结果上均存在统计学显著差异。与对照组相比，干预组在 6 个月时纯母乳喂养的可能性显著更高（调整后的优势比 3.57，95%置信区间 1.80-7.07）。
在印度农村，将移动医疗与基于社区的同伴咨询师相结合，对妇女进行纯母乳喂养教育是可行且可接受的，并且会影响母乳喂养行为。
