Research output

Article in Journal

Protocol for a feasibility trial for improving breastfeeding initiation and continuation: Assets-based infant feeding help Before and After birth (ABA) (Forthcoming/Available Online)

Citation
Jolly K, Ingram J, Clarke J, Johnson D, Trickey H, Thomson G, Dombrowski SU, Stitch A, Dykes F, Feltham MG, Darwent K, MacArthur C, Roberts T & Hoddinott P (2017) Protocol for a feasibility trial for improving breastfeeding initiation and continuation: Assets-based infant feeding help Before and After birth (ABA) (Forthcoming/Available Online), BMJ Open.

Abstract
Introduction: Breastfeeding improves the health of mothers and infants; the UK has low rates, with marked socio-economic inequalities. Whilst trials of peer support services have been effective in some settings, UK trials have not improved breastfeeding rates. Qualitative research suggests many women are alienated by the focus on breastfeeding. We propose a change from breastfeeding focussed interactions to respecting a woman’s feeding choices, inclusion of behaviour change theory and an increased intensity of contacts in the two weeks after birth when many women cease to breastfeed. This will take place alongside an assets-based approach which focuses on the positive capability of individuals, their social networks and communities. 

We propose a feasibility study for a multicentre randomised controlled trial of the ABA infant feeding service versus usual care. 
Methods and analysis: A two-arm, non-blinded randomised feasibility study will be conducted in two UK localities. Women expecting their first baby will be eligible, regardless of feeding intention. The ABA infant feeding intervention will apply a proactive, assets-based, woman-centred, non-judgemental approach, delivered antenatally and postnatally tailored through face-to face contacts, telephone and SMS texts. Outcomes will test the feasibility of delivering the intervention with recommended intensity and duration to disadvantaged women; acceptability to women, feeding helpers and professionals; and feasibility of a future randomised controlled trial, detailing recruitment rates, willingness to be randomised, follow-up rates at 3 days, 8 weeks and 6 months and level of outcome completion. Outcomes of the proposed full trial will also be collected. Mixed methods will include qualitative interviews with women/partners, feeding helpers and health service staff; feeding helper logs and review of audio-recorded helper-women interactions to assess intervention fidelity. 
Ethics and dissemination: Study results will inform the design of a larger multicentre RCT. The National Research Ethics Service Committee approved the study protocol. 
Trial registration number: ISRCTN14760978.

StatusAccepted
AuthorsJolly Kate, Ingram Jenny, Clarke Joanne, Johnson Debbie, Trickey Heather, Thomson Gill, Dombrowski Stephan U, Stitch Alice, Dykes Fiona, Feltham Max G, Darwent Kirsty, MacArthur Christine, Roberts Tracy, Hoddinott Pat
Date accepted by journal21/08/2017
PublisherBMJ Publishing Group
ISSN 2044-6055
LanguageEnglish

Journal
bmj Open

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