关于母乳喂养的在线WhatsApp支持小组的可行性和可接受性：一项随机对照试验的方案

Feasibility and Acceptability of an Online WhatsApp Support Group on Breastfeeding: Protocol for a Randomized Controlled Trial.

作者信息

Lok Kris Yw, Ko Rachel Wt, Fan Heidi Sl, Chau P H, Wong Janet Yh, Wang M P, Tsang Vicky

机构信息

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong.

Natural Parenting Network, Hong Kong, Hong Kong.

出版信息

JMIR Res Protoc. 2022 Mar 9;11(3):e32338. doi: 10.2196/32338.

DOI:10.2196/32338

PMID:35262504

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8943542/

Abstract

BACKGROUND

Mobile health, the use of mobile technology in delivering health care, has been found to be effective in changing health behaviors, including improving breastfeeding practices in postpartum women. With the widespread use of smartphones and instant messaging apps in Hong Kong, instant messaging groups could be a useful channel for delivering breastfeeding peer support.

OBJECTIVE

The aim of this paper is to study the feasibility and acceptability of an online instant messaging peer support group by trained peer counselors on improving breastfeeding outcome in primiparous women in Hong Kong.

METHODS

A two-arm, assessor-blind, randomized controlled feasibility study will be conducted on 40 primiparous women with the intention to breastfeed. Participants are recruited from the antenatal obstetrics and gynecology clinic of a public hospital in Hong Kong and randomly assigned at a 1:1 ratio to either intervention or control group. The intervention group receives peer support in an online instant messaging group with trained peer counselors on top of standard care, whereas the control group receives standard care. Breastfeeding outcome will be assessed for 6 months post partum or until weaned. The breastfeeding status, the proportion and duration of exclusive and any breastfeeding in each group, and the self-efficacy and attitude of participants will be assessed. The feasibility and acceptability of the study would also be assessed in preparation for a full randomized controlled trial.

RESULTS

This study (protocol version 1 dated January 5, 2021) has been reviewed and approved by the institutional review board of the University of Hong Kong, Hospital Authority Hong Kong West Cluster (reference UW 21-039), on January 26, 2021. Data collection is ongoing and expected to be completed in December 2021. The findings will be updated on clinical trial registry and disseminated in peer-reviewed journals.

CONCLUSIONS

This study aims to assess the feasibility and effectiveness of an online instant messaging peer support group in improving the breastfeeding outcome of primiparous women in Hong Kong. Its findings could inform the feasibility of a full-scale trial with this intervention design.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04826796; https://clinicaltrials.gov/ct2/show/NCT04826796.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/32338.

摘要

背景

移动健康，即在提供医疗保健服务中使用移动技术，已被证明在改变健康行为方面有效，包括改善产后妇女的母乳喂养行为。随着智能手机和即时通讯应用在香港的广泛使用，即时通讯群组可能成为提供母乳喂养同伴支持的有用渠道。

目的

本文旨在研究由经过培训的同伴咨询师组成的在线即时通讯同伴支持小组对改善香港初产妇母乳喂养结局的可行性和可接受性。

方法

将对40名有母乳喂养意愿的初产妇进行一项双臂、评估者盲法、随机对照可行性研究。参与者从香港一家公立医院的产前妇产科诊所招募，并按1:1的比例随机分配到干预组或对照组。干预组在接受标准护理的基础上，在一个在线即时通讯群组中接受经过培训的同伴咨询师的支持，而对照组仅接受标准护理。产后6个月或直至断奶时评估母乳喂养结局。将评估母乳喂养状况、每组纯母乳喂养和任何形式母乳喂养的比例及持续时间，以及参与者的自我效能感和态度。还将评估该研究的可行性和可接受性，为全面的随机对照试验做准备。