收集实时婴儿喂养和支持经验:流动保健方法学的共同参与性试点研究。

IF 2.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Abigail E Page, Emily H Emmott, Rebecca Sear, Nilushka Perera, Matthew Black, Jake Elgood-Field, Sarah Myers
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引用次数: 0

摘要

背景:尽管采取了长期的干预措施,英国的母乳喂养率仍然很低。社会支持是一种关键的、理论上有根据的干预方法,然而社会支持与改善母乳喂养的关系并不一致。对婴儿喂养和社会支持之间的动态关系的理解目前受到回顾性定量数据收集的限制,这禁止了因果推论,并且对母亲进行了不具代表性的抽样。在本文中,我们提出了一个案例研究,展示了旨在解决这些挑战的数据收集方法的发展。方法:在2022年4月至5月,我们共同制作并试点了一种与英国已有的怀孕和育儿应用程序(Baby Buddy)相关的移动健康(mHealth)数据收集方法,优先收集有关女性产后经历的实时每日数据。为了探索移动健康应用程序内调查的潜力,我们在这里报告了迭代设计过程和混合方法(使用数据的探索性数据分析和访谈数据的内容分析)为期四周的试点结果。结果:参与者(n = 14)对该功能的简单性及其易于融入日常生活的特点表示赞赏,尤其重视类似于日志的反思方面。结果,参与者经常使用这个功能,并期待这样做。我们没有发现任何证据表明关键的社会人口统计指标与女性的享受或参与有关。根据参与者的反馈,接下来的重要步骤是设计功能反馈和跟踪系统,以帮助保持动力。结论:考虑到未来的机会,本案例研究强调,移动健康应用程序内调查可能是收集复杂婴儿喂养行为和产后经历的前瞻性实时数据的有效方法,对公共卫生和社会科学研究具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Collecting real-time infant feeding and support experience: co-participatory pilot study of mobile health methodology.

Background: Breastfeeding rates in the UK have remained stubbornly low despite long-term intervention efforts. Social support is a key, theoretically grounded intervention method, yet social support has been inconsistently related to improved breastfeeding. Understanding of the dynamics between infant feeding and social support is currently limited by retrospective collection of quantitative data, which prohibits causal inferences, and by unrepresentative sampling of mothers. In this paper, we present a case-study presenting the development of a data collection methodology designed to address these challenges.

Methods: In April-May 2022 we co-produced and piloted a mobile health (mHealth) data collection methodology linked to a pre-existing pregnancy and parenting app in the UK (Baby Buddy), prioritising real-time daily data collection about women's postnatal experiences. To explore the potential of mHealth in-app surveys, here we report the iterative design process and the results from a mixed-method (explorative data analysis of usage data and content analysis of interview data) four-week pilot.

Results: Participants (n = 14) appreciated the feature's simplicity and its easy integration into their daily routines, particularly valuing the reflective aspect akin to journaling. As a result, participants used the feature regularly and looked forward to doing so. We find no evidence that key sociodemographic metrics were associated with women's enjoyment or engagement. Based on participant feedback, important next steps are to design in-feature feedback and tracking systems to help maintain motivation.

Conclusions: Reflecting on future opportunities, this case-study underscores that mHealth in-app surveys may be an effective way to collect prospective real-time data on complex infant feeding behaviours and experiences during the postnatal period, with important implications for public health and social science research.

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来源期刊
International Breastfeeding Journal
International Breastfeeding Journal Medicine-Obstetrics and Gynecology
CiteScore
6.30
自引率
11.40%
发文量
76
审稿时长
32 weeks
期刊介绍: Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks. Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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