Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/10227
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dc.contributor.authorHoddinott, Paten_UK
dc.contributor.authorCraig, Leone C Aen_UK
dc.contributor.authorMacLennan, Graemeen_UK
dc.contributor.authorBoyers, Dwayneen_UK
dc.contributor.authorVale, Lukeen_UK
dc.date.accessioned2014-09-13T14:44:26Z-
dc.date.available2014-09-13T14:44:26Z-
dc.date.issued2012-04en_UK
dc.identifier.urihttp://hdl.handle.net/1893/10227-
dc.description.abstractOBJECTIVE: To assess the feasibility, acceptability and fidelity of a feeding team intervention with an embedded randomised controlled trial of team-initiated (proactive) and woman-initiated (reactive) telephone support after hospital discharge. DESIGN: Participatory approach to the design and implementation of a pilot trial embedded within a before-and-after study, with mixed-method process evaluation. SETTING: A postnatal ward in Scotland. SAMPLE: Women initiating breast feeding and living in disadvantaged areas. METHODS: Quantitative data: telephone call log and workload diaries. Qualitative data: interviews with women (n=40) with follow-up (n=11) and staff (n=17); ward observations 2 weeks before and after the intervention; recorded telephone calls (n=16) and steering group meetings (n=9); trial case notes (n=69); open question in a telephone interview (n=372). The Framework approach to analysis was applied to mixed-method data. MAIN OUTCOME MEASURES: Quantitative: telephone call characteristics (number, frequency, duration); workload activity. Qualitative: experiences and perspectives of women and staff. RESULTS: A median of eight proactive calls per woman (n=35) with a median duration of 5 min occurred in the 14 days following hospital discharge. Only one of 34 control women initiated a call to the feeding team, with women undervaluing their own needs compared to others, and breast feeding as a reason to call. Proactive calls providing continuity of care increased women's confidence and were highly valued. Data demonstrated intervention fidelity for woman-centred care; however, observing an entire breast feed was not well implemented due to short hospital stays, ward routines and staff-team-woman communication issues. Staff pragmatically recognised that dedicated feeding teams help meet women's breastfeeding support needs in the context of overstretched and variable postnatal services. CONCLUSIONS: Implementing and integrating the FEeding Support Team (FEST) trial within routine postnatal care was feasible and acceptable to women and staff from a research and practice perspective and shows promise for addressing health inequalities.en_UK
dc.language.isoenen_UK
dc.publisherBMJ Publishing Groupen_UK
dc.relationHoddinott P, Craig LCA, MacLennan G, Boyers D & Vale L (2012) Process evaluation for the FEeding Support Team (FEST) randomised controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areas. BMJ Open, 2 (e001039). https://doi.org/10.1136/bmjopen-2012-001039en_UK
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode. BMJ Open 2012; 2:e001039 doi:10.1136/bmjopen-2012-001039en_UK
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/en_UK
dc.titleProcess evaluation for the FEeding Support Team (FEST) randomised controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areasen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1136/bmjopen-2012-001039en_UK
dc.identifier.pmid22535794en_UK
dc.citation.jtitleBMJ Openen_UK
dc.citation.issn2044-6055en_UK
dc.citation.volume2en_UK
dc.citation.issuee001039en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailp.m.hoddinott@stir.ac.uken_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationNewcastle Universityen_UK
dc.identifier.wtid744251en_UK
dc.contributor.orcid0000-0002-4372-9681en_UK
dcterms.dateAccepted2012-04-30en_UK
dc.date.filedepositdate2012-12-12en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorHoddinott, Pat|0000-0002-4372-9681en_UK
local.rioxx.authorCraig, Leone C A|en_UK
local.rioxx.authorMacLennan, Graeme|en_UK
local.rioxx.authorBoyers, Dwayne|en_UK
local.rioxx.authorVale, Luke|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2012-12-12en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by-nc/3.0/|2012-12-12|en_UK
local.rioxx.filenameFEST 2 BMJ Open 2012.pdfen_UK
local.rioxx.filecount1en_UK
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