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A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women

Kassianos, A; Ward, E; Rojas-Garcia, A; Kurti, A; Mitchell, FC; Nostikasari, D; Payton, J; ... Notley, C; + view all (2019) A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women. Health Psychology Review , 13 (3) pp. 344-372. 10.1080/17437199.2019.1618724. Green open access

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Abstract

The benefits of exclusive breastfeeding are well documented, yet few women adhere to recommendations. This systematic review reports the Behaviour Change Techniques (BCTs) within interventions trialled internationally after pregnancy to promote exclusive and mixed breastfeeding as well as evidence of effectiveness. PsycINFO, EMBASE and MEDLINE databases were screened. Twenty-three (n = 23) studies met inclusion criteria. Three authors independently extracted data, coded interventions using the BCT v.1 taxonomy, and assessed study quality. There was a moderate significant effect of the interventions promoting exclusive breastfeeding up to four weeks postpartum (OR 1.77, [95% CI: 1.47-2.13]) but this effect slightly declined beyond thirteen weeks (OR 1.63, [95% CI: 1.07-2.47). Twenty-nine BCTs were identified within interventions. ‘Credible source’ and ‘instruction on how to perform the behaviour’ were the most prevalent and ‘social support (unspecified)’ contributed to the effectiveness of exclusive breastfeeding interventions five to eight weeks postpartum. The use of BCTs covering cognitive and behavioural aspects may help women develop coping mechanisms promoting exclusive breastfeeding. Further trials evaluating interventions are needed in countries with low breastfeeding rates such as the U.K. The use of program theory during intervention development and clear description of intervention components is recommended. This metaanalysis provides guidance for trials evaluating postpartum breastfeeding interventions and information on components for developing interventions.

Type: Article
Title: A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/17437199.2019.1618724
Publisher version: https://doi.org/10.1080/17437199.2019.1618724
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: breastfeeding; postpartum women; post-natal women; behaviour change techniques; lactation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/10074762
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