Sciacca J P, Phipps B L, Dube D A, Ratliff M I
Department of Health, Physical Education, Exercise Science, and Nutrition, Northern Arizona University, Flagstaff 86011.
J Am Diet Assoc. 1995 Mar;95(3):323-8. doi: 10.1016/S0002-8223(95)00083-6.
To determine the effects of a partner-supported, incentive-based educational program on rates and duration of breast-feeding among low-income women.
Women who expressed a willingness to participate in the breast-feeding educational program were randomly assigned to one of two groups: an intervention group and a control group who received usual breast-feeding education.
Clinics of the Special Supplemental Food Program for Women, Infants, and Children in Flagstaff, Ariz.
Sixty-eight primiparous pregnant women with expected due dates between May 1992 and December 1992 were willing to participate in the study. Of these, 34 were randomly assigned to the intervention group and 34 to the control group. Approximately 81% of the women completed the study: 29 in the control group and 26 in the intervention group.
The intervention consisted of special incentives (prizes) for women and their partners to participate in a breast-feeding class for expectant couples and an educational series on childbirth. Women were also encouraged to use a breast-feeding support program in which peers serve as role models.
The primary outcome measure was infant feeding method. Data were collected from mothers in both groups at the time of discharge from the hospital and at 2 weeks, 6 weeks, and 3 months postpartum.
Binomial proportional analyses of the feeding data were performed.
Women in the intervention group reported a higher percentage of breast-feeding at all measurement times.
These findings suggest that incentives, such as donated prizes, can be used to attract primiparous women from lower socioeconomic groups, along with their partners, to participate in educational interventions designed to promote breast-feeding. Participation by couples in breast-feeding promotion activities can dramatically increase the rate and duration of breast-feeding.
确定一项由伴侣支持、基于激励的教育项目对低收入女性母乳喂养率及持续时间的影响。
表示愿意参与母乳喂养教育项目的女性被随机分为两组：干预组和接受常规母乳喂养教育的对照组。
亚利桑那州弗拉格斯塔夫市妇女、婴儿和儿童特别补充食品计划诊所。
68名预产期在1992年5月至1992年12月之间的初产妇愿意参与该研究。其中，34名被随机分配到干预组，34名被分配到对照组。约81%的女性完成了研究：对照组29名，干预组26名。
干预措施包括为女性及其伴侣提供特别激励（奖品），以促使他们参加准父母母乳喂养课程和一系列分娩教育课程。还鼓励女性使用母乳喂养支持项目，该项目中同龄人可作为榜样。
主要观察指标为婴儿喂养方式。在两组母亲出院时、产后2周、6周和3个月时收集数据。
对喂养数据进行二项式比例分析。
干预组女性在所有测量时间点的母乳喂养率均较高。
这些研究结果表明，诸如捐赠奖品之类的激励措施可用于吸引社会经济地位较低的初产妇及其伴侣参与旨在促进母乳喂养的教育干预。夫妻双方参与母乳喂养促进活动可显著提高母乳喂养率及持续时间。
