Sciacca J P, Dube D A, Phipps B L, Ratliff M I
Department of Health, Physical Education, Exercise Science and Nutrition, Northern Arizona University, Flagstaff 86011, USA.
J Community Health. 1995 Dec;20(6):473-90. doi: 10.1007/BF02277064.
This study was undertaken to determine the effects of a partner-support, incentive-based educational program on breast feeding knowledge, attitudes and support and to examine the relationship between feeding intentions and feeding behavior among low-income women. Women who expressed a willingness to participate in the intervention were randomly assigned to "intervention" and "usual breast feeding" (control) groups. Sixty-eight primipara women with expected due dates between May and December, 1992, volunteered to participate in the study. Of these, 34 were randomly assigned to each of the two groups. Approximately 81 percent of the women completed the study, leaving n = 29 in the control group and n = 26 in the intervention group. The intervention consisted of special incentives (prizes) for women and their partners to participate in several breast feeding education and promotion activities. Intervention group women and their partners experienced positive changes in breast feeding knowledge and attitudes. Furthermore, the intervention seemed to have influenced more women in the treatment group to breast feed despite their prenatal feeding intentions. In addition, the partners of intervention group women were perceived to be more supportive of breast feeding than control group partners. These findings suggest that incentives, such as donated prizes, can be used to attract lower socioeconomic group women and their partners to breast feeding promotion interventions. Participation in such interventions can produce positive changes in breast feeding knowledge, attitudes, and support, and can have a dramatic effect in promoting breast feeding.
本研究旨在确定一项基于激励措施的伴侣支持教育计划对母乳喂养知识、态度和支持的影响，并探讨低收入女性的喂养意愿与喂养行为之间的关系。表示愿意参与干预的女性被随机分为“干预组”和“常规母乳喂养”（对照组）。1992年5月至12月预产期的68名初产妇自愿参与本研究。其中，34名被随机分配到两组中的每组。约81%的女性完成了研究，对照组剩余n = 29名，干预组剩余n = 26名。干预措施包括为女性及其伴侣提供特殊激励（奖品），以参与多项母乳喂养教育和推广活动。干预组女性及其伴侣在母乳喂养知识和态度方面经历了积极变化。此外，尽管干预组女性产前有喂养意愿，但干预似乎使更多该组女性进行母乳喂养。此外，与对照组伴侣相比，干预组女性的伴侣被认为对母乳喂养更支持。这些发现表明，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群体的女性及其伴侣参与母乳喂养推广干预。参与此类干预可在母乳喂养知识、态度和支持方面产生积极变化，并对促进母乳喂养产生显著影响。
