Impact of attitude and knowledge on intention to breastfeed: Can mHealth based education influence decision to breastfeed exclusively?

Alnasser, Yossef; Almasoud, Nouf; Aljohni, Dhaherah; Almisned, Rawan; Alsuwaine, Basel; Alohali, Rawa; Almutairi, Ohoud; Alhezayen, Reem

doi:10.1016/j.amsu.2018.09.007

Cited by 32 publications

(55 citation statements)

References 17 publications

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“…We do not have similar previous studies for comparisons, as this study is, to our knowledge, the first study of its kind in the Dominican Republic. However, other studies have assessed the feasibility and acceptability of mHealth apps aimed at improving breastfeeding in other countries [ 27 - 30 ]. For example, in Saudi Arabia, more mothers expressed their intention to practice EBF after receiving mHealth-based education about EBF and early breastfeeding initiation [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, other studies have assessed the feasibility and acceptability of mHealth apps aimed at improving breastfeeding in other countries [ 27 - 30 ]. For example, in Saudi Arabia, more mothers expressed their intention to practice EBF after receiving mHealth-based education about EBF and early breastfeeding initiation [ 27 ]. An Australian study reported high ratings for an evidence-based breastfeeding app designed to provide men with social support and information to enhance the help they can offer their breastfeeding partners [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…The specific objectives of this study were to describe the current use of ICT and analyze the attitudes and perceptions toward mHealth among caregivers of children younger than 5 years in the Dominican Republic. Although previous studies [ 27 - 30 ] have also utilized a stakeholder-informed process to guide the development of an mHealth intervention to promote EBF, this study was designed using a combined behavioral theory model. Findings will inform future mHealth interventions that aim to improve EBF rates in the Dominican Republic and other LMICs.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Casilang

Stonbraker²,

Japa³

et al. 2020

JMIR Pediatr Parent

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Background Despite growing interest in the use of technology to improve health outcomes in low- and middle-income countries (LMICs), local attitudes toward mobile health (mHealth) use in these settings are minimally understood. This is especially true in the Dominican Republic, where mHealth interventions are starting to emerge. This information is critical for developing effective mHealth interventions to address public health issues, such as low exclusive breastfeeding (EBF) rates, which can lead to poor outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic has one of the lowest EBF rates worldwide. Objective This study aims to describe the current use of information and communication technology (ICT) and to analyze the attitudes and perceptions related to using mHealth interventions among caregivers of children aged ≤5 years and health promoters in the Dominican Republic. Findings can inform mHealth strategies aimed at improving EBF in this, and other, LMICs. Methods Participants were recruited from 3 outpatient sites: the Niños Primeros en Salud program at Centro de Salud Divina Providencia in Consuelo (rural setting) and Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers and community health promoters to identify the use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by semistructured interview guides. All sessions were audio-recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. Results All participants (N=35) reported having a mobile phone, and 29 (83%) participants had a smartphone. Sources for obtaining health information included the internet, physicians and clinic, family and friends, health promoters, and television. Barriers to mHealth use included the cost of internet service, privacy concerns, and perceived credibility of information sources. Participants indicated the desire for, and willingness to use, an mHealth intervention to support breastfeeding. The desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images and video content, text messages, and person-to-person interaction as well as notifications for appointments, vaccines, and feeding schedules. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. Conclusions There is a high level of acceptance of ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create an effective intervention. Participants wanted to receive trusted and reliable information through various formats and were interested in information beyond breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Casilang

Stonbraker²,

Japa³

et al. 2020

JMIR Pediatr Parent

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“…However, this type of examination is lacking in nursing research which, while acknowledging the influence of system-level factors such as structural racism, social and cultural norms, and lack of public policy to support breastfeeding, has largely focused on individual characteristics and behaviors when studying breastfeeding interventions (Johnson, Kirk, Rosenblum, et al, 2015;Reno et al, 2018). These individual characteristics include maternal attitude (Alnasser et al, 2018;Shepherd, Walbey, & Lovell, 2017), self-efficacy (Henshaw, Fried, Siskind, Newhouse, & Cooper, 2015;McQueen, Dennis, Stremler, & Norman, 2011), and personality (Brown, 2014).…”

Section: Current Re S E Arch Find Ing Smentioning

confidence: 99%

“…Surgeon General issued a “Call to Action to Support Breastfeeding,” bringing attention to the fact that, despite knowledge about the benefits of breastfeeding, the United States continues to fall short of national goals and maintains pervasive disparities in breastfeeding outcomes (Anstey, ; US Department of Health & Human Services, ). Current nursing research examining breastfeeding has had considerable focus on these disparities, but concentrates heavily on individual factors associated with breastfeeding, such as maternal attitude or partner support (Alnasser et al, ; Bhairo & Elliott, ; Rempel, Rempel, & Moore, ). This focus on individual‐level interventions, while an important aspect of improving breastfeeding rates, fails to acknowledge systemic and structural barriers to breastfeeding, such as lack of paid family leave, failure to regulate formula advertising, and the systemic racism that influences cultural norms and access to unbiased care (Johnson, Kirk, Rosenblum, & Muzik, ; Jones, Power, Queenan, & Schulkin, ; Reno, Barnhart, & Gabbe, ).…”

Section: Introductionmentioning

confidence: 99%

The individual focus of nursing research in breastfeeding: Perpetuating a neoliberal perspective

Kett

2020

Public Health Nursing

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In this paper, I argue for the need to shift the focus of nursing research regarding breastfeeding from that of individual responsibility to include a more system‐focused, population health approach. In the 2011, “Call to Action to Support Breastfeeding,” the U.S. Surgeon General called attention to the pervasive disparities in breastfeeding outcomes in the United States. A plethora of nursing research exists aimed at addressing these disparities; however, this research leans toward a neoliberal perspective, mainly focusing on individual factors and failing to address the systemic inequities contributing to these disparities. A shift in nursing science that focuses research at a population level would more effectively support addressing disparities in breastfeeding outcomes and embrace a commitment to social justice. In focusing at a population level, specific inequities that must be addressed include the negative history of breastfeeding in the Black population, systemic racism, and gender inequality. Critical research methodologies are proposed as useful approaches to address these inequities. By engaging in this level of research and using a critical lens, nurse scientists broaden their scope of care to include the entire population, motivate needed social and policy change, facilitate the choice to breastfeed, and ultimately eliminate breastfeeding disparities.

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Interventions and Programs to Promote Breastfeeding in Arabic-Speaking Countries: A Scoping Review

Aboul‐Enein

Dodge

Benajiba

et al. 2023

Matern Child Health J

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Introduction Low prevalence of exclusive breastfeeding in the Arab world is concerning and suboptimal breastfeeding is a leading child health risk factor in several Arab States. Breastfeeding education has the capacity to improve breastfeeding knowledge and practice, thus positively impacting infant and maternal health. The purpose of this review is to identify and examine the impact of breastfeeding promotion interventions across the Arab world. Method A scoping review of the literature was conducted across seventeen databases for relevant publications published through October 2021 to find studies in Arab countries, that involved breastfeeding as an intervention component. Twenty-one articles met inclusion criteria and were reviewed. Results Individual and community based educational interventions offer the opportunity to positively impact the knowledge, attitudes, and practices of breastfeeding in new mothers in Arab countries. Increased breastfeeding has the potential to lead to improved neonate and maternal health. In addition to significant benefits found across individual and community-based interventions in a variety of Arab countries, there is also evidence that interventions that improve the knowledge of health care professionals and/or the practices of a health care system can contribute to subsequent increases in breastfeeding rates. Discussion Breastfeeding education is a low-cost and high-impact public health tool that can impact infant and maternal health and potentially increase breastfeeding adherence in the Arab world. Supplementary Information The online version contains supplementary material available at 10.1007/s10995-023-03595-7.

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Impact of attitude and knowledge on intention to breastfeed: Can mHealth based education influence decision to breastfeed exclusively?

Cited by 32 publications

References 17 publications

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

The individual focus of nursing research in breastfeeding: Perpetuating a neoliberal perspective

Interventions and Programs to Promote Breastfeeding in Arabic-Speaking Countries: A Scoping Review

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