Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants

Demirci, Jill; Kotzias, Virginia; Bogen, Debra L.; Ray, Kristin N.; Uscher‐Pines, Lori

doi:10.1089/tmj.2018.0113

Cited by 61 publications

(46 citation statements)

References 17 publications

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“…The third cluster comprises 7 papers [54-59,61] discussing 6 interventions that facilitate communication between peers and professionals. Of the systems, 3 [55-57] provided tele-lactation consultations via video conference for mothers with limited access to maternal care. Giglia et al [59] designed a multichannel support intervention through focus group; the intervention provides lactation supports through Web-based resources, email, and video call, all at the same time.…”

Section: Resultsmentioning

confidence: 99%

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Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Tang¹,

Gerling²,

Chen³

et al. 2019

J Med Internet Res

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BackgroundBreastfeeding has many benefits for newborns, mothers, and the wider society. The World Health Organization recommends mothers to feed newborns exclusively with breastmilk for the first 6 months after birth, but breastfeeding rates in many countries fail to align with the recommendations because of various barriers. Breastfeeding success is associated with a number of determinants, such as self-efficacy, intention to breastfeed, and attitudes toward breastfeeding. Information and communication technology (ICT) has been leveraged to support breastfeeding by means of improving knowledge or providing practical supports in different maternal stages. Previous reviews have examined and summarized the effectiveness and credibility of interventions; however, no review has been done from a human-computer interaction perspective that is concerned with novel interaction techniques and the perspective of end users.ObjectiveThe objective of this review was to provide a comprehensive overview of existing digital interventions that support breastfeeding by investigating systems’ objective, technology design, validation process, and quality attributes, both in terms of clinical parameters as well as usability and user experience.MethodsA systematic search was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in the following libraries: PubMed, Science Direct, Association for Computing Machinery Digital Library (ACM Digital Library), and Institute of Electrical and Electronics Engineers Xplore (IEEE Xplore).ResultsA total of 35 papers discussing 30 interventions were included. The main goals of these interventions were organized into 4 categories: breastfeeding education (n=12), breastfeeding promotion (n=8), communication support (n=6), and daily practical support (n=4). Of the interventions, 13 target mothers in the postnatal period. Most interventions come in forms of client communication systems (n=18), which frequently leverage Web technologies, text message, and mobile apps to provide breastfeeding support. Systems predominantly focus on mothers; validation strategies were rather heterogeneous, with 12 user studies concerning usability and user experience and 18 clinical validation studies focusing on the effects of the interventions on breastfeeding determinants; 5 papers did not report results. Generally, straightforward systems (eg, communication tools or Web-based solutions) seem to be more effective than complex interventions (eg, games).ConclusionsExisting information and communication systems offer effective means of improving breastfeeding outcomes, but they do not address all relevant periods in parenthood (eg, the antenatal period) and often do not involve important stakeholders, such as partners. There is an opportunity to leverage more complex technical systems to open up avenues for the broader design of ICT to support breastfeeding; however, considering evaluation outcomes of existing support systems of higher complexity, such systems need to be...

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Section: Resultsmentioning

confidence: 99%

“…Telemedicine came in forms of remote lactation consultation via video calls [55-57] and email communication [58]. All 3 identified video-call interventions [55-57] took place in the United States, which has a geographically dispersed population.…”

Section: Resultsmentioning

confidence: 99%

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Tang¹,

Gerling²,

Chen³

et al. 2019

J Med Internet Res

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show abstract

“…Telelactation by mobile application "Pacify" used in some Women, Infants, and Children (WIC) nutrition program centers in the United States have shown positive results in terms of breastfeeding duration and exclusivity (Hunt, 2018). Results reported by researchers using the same telelactation application in Pennsylvania illustrated that participants were content with the care they received, which was associated with increased breastfeeding confidence (Demirci et al, 2019).…”

Section: Introductionmentioning

confidence: 94%

Telelactation: A Necessary Skill With Puppet Adjuncts During the COVID-19 Pandemic

Dhillon

2020

J Hum Lact

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“…A content analysis developed by Schindler-Ruwisch et al 37 identified that, just like mobile applications, text messaging is a potentially far-reaching resource in providing information about breastfeeding. 38 Austen et al 39 present the use of video with musical parody as an additional resource to sensitize young adults about the importance of breastfeeding. These seem to be signs that health education must adhere to the trend of innovation.…”

Section: Alam Et Al (2017)mentioning

confidence: 99%

Telehealth and Breastfeeding: An Integrative Review

Santos

Borges

Azambuja

2020

Telemedicine and e-Health

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Background: This is an integrative review of scientific articles, published from 2000 to 2018, that address strategies for breastfeeding through telehealth. Telehealth is the safe and low cost use of information and communication technologies (ICTs) in health care. The objective is to identify the scientific production on the subject of telehealth as a support strategy for breastfeeding. Methods: A qualitative research study was carried out with emphasis on the integrative review of the Embase, Bireme, and PubMed databases, in Portuguese, English, and Spanish. The descriptors used were ''breastfeeding'' and ''telemedicine.'' Results: Twenty-three articles were identified and categorized as (1) synchronous support for telephone calls and/or videoconference; (2) asynchronous support for audio and text messaging, interactive websites, and mobile application; and (3) systematic review and meta-analysis. Experiences demonstrated viability to implementation, impact on exclusive breastfeeding time, and maintenance of breastfeeding, as well as positive user satisfaction. Conclusion: Viable telehealth strategies exist to support breastfeeding. With the existence of telehealth hubs, structured more than 10 years in Brazil, there seems to be potential in the development of projects in the area. There is room for innovation and for the expansion of telehealth services already offered.

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Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants

Abstract: Among rural women who experience inequitable access to qualified breastfeeding support resources, DTC telelactation appears to be an acceptable delivery model for lactation assistance.

Cited by 61 publications

References 17 publications

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review

Telelactation: A Necessary Skill With Puppet Adjuncts During the COVID-19 Pandemic

Telehealth and Breastfeeding: An Integrative Review

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