Prioreschi Alessandra, James Deborah M, Pearson Rebecca M, Smith Antonia, Norris Shane A, Rennie Kirsten L
SAMRC Developmental Pathways for Health Research Unit, University of the Witwatersrand, School of Clinical Medicine, Department of Pediatrics, Johannesburg, Gauteng, South Africa.
Education and Social Research Institute, Manchester Metropolitan University Faculty of Health and Education, Manchester, England, UK.
Wellcome Open Res. 2025 May 9;10:47. doi: 10.12688/wellcomeopenres.23564.2. eCollection 2025.
The aim of this pilot study was to describe the development of, and test the acceptability and feasibility of providing feedback on two behaviours in the context of supportive approaches to improve maternal self-efficacy. We hypothesised that providing individual behavioural feedback to mothers in a socially vulnerable context, when later embedded in supportive intervention approaches, may improve maternal self-efficacy and ultimately promote infant development.
Feedback was developed following expert consultation with working groups, and included graphical feedback on mother and infant movement behaviours measured using accelerometry, as well as video feedback of mother-infant interactions using first person observation head cameras. Mothers wore the devices for one week, following which individual feedback on movement behaviours and mother-infant interactions was delivered at the Chris Hani Baragwanath Academic Hospital. We adapted an established and published strengths based approach as a guide for health workers to feedback video and accelerometer data. Feasibility and acceptability were tested by conducting focus group discussions with a sample of 8 mothers of infants aged 4-months from South Africa using a semi-structured interview guide.
Mothers included in this study were generally single, unemployed, and less than half had completed formal schooling. Most mothers had two or more children, and lived in informal housing (such as shacks and small, temporary prefabricated structures) with only outdoor toilet facilities available. The feedback was found to be both feasible, and largely acceptable in this context and compliance was 100%.
We have been able to develop feedback with the potential to sensitise mothers to their infants' behaviours. When embedded in a supportive intervention, these feedback modalities have the potential to improve mother's self-efficacy through increasing feelings of competence and reflexive functioning.
本试点研究的目的是描述在支持性方法背景下针对两种行为提供反馈的发展情况，并测试其可接受性和可行性，以提高母亲的自我效能感。我们假设，在社会弱势群体背景下向母亲提供个体行为反馈，并随后将其纳入支持性干预方法中，可能会提高母亲的自我效能感，并最终促进婴儿发育。
在与工作组进行专家咨询后制定了反馈内容，包括对使用加速度计测量的母婴运动行为的图形反馈，以及使用第一人称观察头戴式摄像机对母婴互动的视频反馈。母亲们佩戴这些设备一周，之后在克里斯·哈尼·巴拉干纳特学术医院提供关于运动行为和母婴互动的个体反馈。我们采用一种既定且已发表的基于优势的方法，作为卫生工作者反馈视频和加速度计数据的指南。通过使用半结构化访谈指南，对来自南非的8名4个月大婴儿的母亲样本进行焦点小组讨论，测试了可行性和可接受性。
本研究纳入的母亲大多单身、失业，不到一半的人完成了正规教育。大多数母亲有两个或更多孩子，居住在非正式住房（如棚屋和小型临时预制结构）中，只有室外厕所设施。在这种情况下，反馈被认为既可行又基本可接受，依从率为100%。
我们已经能够开发出有可能使母亲对其婴儿行为敏感的反馈。当纳入支持性干预时，这些反馈方式有可能通过增强能力感和反思功能来提高母亲的自我效能感。
