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调查“牛奶人”手机应用程序干预中针对父亲的母乳喂养支持的产妇观点。

Investigating Maternal Perspectives of Breastfeeding Support Targeted Towards Fathers in the Milk Man Mobile App Intervention.

机构信息

School of Population Health, Curtin University, GPO Box U1987, Perth, 6845, Australia.

Foodbank WA, Perth, 6105, Australia.

出版信息

Matern Child Health J. 2023 May;27(5):954-964. doi: 10.1007/s10995-023-03616-5. Epub 2023 Mar 15.

DOI:10.1007/s10995-023-03616-5
PMID:36920713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10115714/
Abstract

BACKGROUND

The support of her infant's father is one of the most important factors influencing a mother's breastfeeding success, and an increasing number of interventions are targeted towards fathers. Engaging fathers as agents to influence a maternal behavior is potentially problematic, yet few studies report on maternal experiences.

OBJECTIVE

This study aims to explore mothers' perspectives of their partners' use of Milk Man, a father-focused breastfeeding smartphone app, and the acceptability of this approach.

MATERIALS AND METHODS

New mothers (N = 459) whose partners had access to the app completed a questionnaire at six weeks postpartum. These data were used to determine knowledge, use and perspectives of the app. A sentiment analysis was conducted on responses to an open-ended question seeking maternal perspectives of the app.

RESULTS

Just over a quarter of mothers (28%) had been shown something from the app, and 37% had discussed something from Milk Man with their partner. There were 162 open-ended responses related to mothers' perspectives of the app. Relevant responses (n = 129) were coded to an overall sentiment node and then to a total of 23 child nodes (sub-nodes). Most comments were positive (94), with a smaller number either negative (25) or neutral (21). Negative comments related to the usability of the app and not its intent or content.

CONCLUSION

Mothers found the father-focussed breastfeeding app to be acceptable. When designing interventions targeting one group to affect the behaviour of another, inclusion of measures to gain the perspectives of both should be seen as an imperative.

摘要

背景

婴儿父亲的支持是影响母亲母乳喂养成功的最重要因素之一,越来越多的干预措施针对父亲。让父亲作为影响母亲行为的代理人可能存在问题,但很少有研究报告母亲的经验。

目的

本研究旨在探讨母亲对其伴侣使用 Milk Man(一款以父亲为重点的母乳喂养智能手机应用程序)的看法,以及这种方法的可接受性。

材料和方法

在产后六周,让有访问权限的父亲使用该应用程序的新母亲(N=459)完成了一份问卷。这些数据用于确定他们对应用程序的知识、使用情况和看法。对一个寻求母亲对应用程序看法的开放式问题的回答进行了情感分析。

结果

略多于四分之一的母亲(28%)看过应用程序中的内容,37%的母亲与伴侣讨论过应用程序中的内容。共有 162 条与母亲对应用程序的看法相关的开放式回复。相关回复(n=129)被编码到一个总体情感节点,然后再到总共 23 个儿童节点(子节点)。大多数评论是积极的(94%),少数是消极的(25%)或中立的(21%)。负面评论与应用程序的可用性有关,而不是其意图或内容。

结论

母亲认为以父亲为重点的母乳喂养应用程序是可以接受的。当设计针对一个群体的干预措施来影响另一个群体的行为时,应该将获得双方观点的措施视为必要。

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本文引用的文献

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Determinants of breastfeeding self-efficacy among postpartum women in rural China: A cross-sectional study.中国农村地区产后妇女母乳喂养自我效能的决定因素:一项横断面研究。
PLoS One. 2022 Apr 7;17(4):e0266273. doi: 10.1371/journal.pone.0266273. eCollection 2022.
2
The effect of training the fathers to support their wives on stress and self-efficacy in mothers of premature newborns hospitalized in NICU: a quasi-experimental study.父亲接受培训支持妻子对早产儿母亲在新生儿重症监护病房中的应激和自我效能的影响:一项准实验研究。
BMC Pregnancy Childbirth. 2022 Feb 4;22(1):102. doi: 10.1186/s12884-022-04413-8.
3
Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial.针对父亲的面对面干预与智能手机应用程序干预及联合母乳喂养干预的效果比较:随机对照试验
JMIR Pediatr Parent. 2021 Apr 12;4(2):e24579. doi: 10.2196/24579.
4
Reviewing the experiences of maternal guilt - the "Motherhood Myth" influence.审视母性内疚的经历——“母亲神话”的影响。
Health Care Women Int. 2021;42(4-6):852-876. doi: 10.1080/07399332.2020.1835917. Epub 2021 Feb 18.
5
Guilt, shame, and postpartum infant feeding outcomes: A systematic review.内疚、羞耻与产后母乳喂养结果:一项系统综述
Matern Child Nutr. 2021 Jul;17(3):e13141. doi: 10.1111/mcn.13141. Epub 2021 Jan 24.
6
Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature.围产期母乳喂养干预措施,包括父亲/伴侣:文献系统评价。
Midwifery. 2019 Aug;75:41-51. doi: 10.1016/j.midw.2019.04.001. Epub 2019 Apr 3.
7
Effectiveness of targeting fathers for breastfeeding promotion: systematic review and meta-analysis.针对父亲进行母乳喂养促进的有效性:系统评价和荟萃分析。
BMC Public Health. 2018 Sep 24;18(1):1140. doi: 10.1186/s12889-018-6037-x.
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When Fathers are Perceived to Share in the Maternal Decision to Breastfeed: Outcomes from the Infant Feeding Practices Study II.当父亲被视为参与了母亲母乳喂养的决定时:婴儿喂养实践研究II的结果。
Matern Child Health J. 2018 Nov;22(11):1676-1684. doi: 10.1007/s10995-018-2566-2.
9
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