A qualitative analysis of text message conversations in a breastfeeding peer counselling intervention

Maternal and Child Nutrition - Tập 16 Số 2 - 2020
Josefa L. Martinez‐Brockman1, Nurit Harari2, Lori Goeschel3, Valerie Bozzi4, Rafael Pérez‐Escamilla5
1Department of General Internal Medicine, Yale School of Medicine, New Haven, Connecticut
2Chinle Comprehensive Health Care Facility, Indian Health Service, Chinle, Arizona
3Connecticut Special Supplemental Nutrition Program for Women, Infants, and Children, Community, Family and Health Equity Section, Connecticut Department of Public Health, Hartford, Connecticut
4Breastfeeding Heritage and Pride Program, Yale New Haven Hospital, New Haven, Connecticut
5Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut

Tóm tắt

AbstractThe Special Supplemental Nutrition Program for Women, Infants and Children (WIC) breastfeeding peer counselling (BFPC) program supports optimal early life nutrition by providing evidenced‐based breastfeeding protection, promotion, and support. The Lactation Advice Through Texting Can Help (LATCH) study was a randomized controlled trial that tested the effectiveness of a text messaging intervention designed to augment the BFPC program. The purpose of the present study was to understand the topics discussed during the text message exchanges between breastfeeding peer counsellors (PCs) and their clients in the intervention arm of the LATCH study, from the time of enrollment up to two‐weeks postpartum. Text messaging data were first coded and analysed for one‐ and two‐way text message exchanges. Text messages of participants with a high volume of two‐way exchanges were then analysed qualitatively. Four domains were identified in both the prenatal and postpartum periods: the mechanics of breastfeeding, social support, baby's nutrition, and PCs maintaining contact with participants. Additional themes and subthemes identified in the postpartum period included the discussion of breastfeeding problems such as latching trouble engorgement, plugged ducts, pumping, other breastfeeding complications, and resuming breastfeeding if stopped. Two‐way text messaging in the context of the WIC BFPC program provides an immediate and effective method of substantive communication between mothers and their PC.

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Maternal and Child Nutrition

Tập 16 Số 2

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