Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22006
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Incentives to promote breastfeeding: A systematic review
Authors: Moran, Victoria Hall
Morgan, Heather
Rothnie, Kieran
MacLennan, Graeme
Stewart, Fiona
Thomson, Gill
Crossland, Nicola
Tappin, David
Campbell, Marion K
Hoddinott, Pat
Contact Email: p.m.hoddinott@stir.ac.uk
Keywords: breast pump breastfeeding
incentive
monetary
reward
systematic review
Issue Date: Mar-2015
Publisher: American Academy of Pediatrics
Citation: Moran VH, Morgan H, Rothnie K, MacLennan G, Stewart F, Thomson G, Crossland N, Tappin D, Campbell MK & Hoddinott P (2015) Incentives to promote breastfeeding: A systematic review, Pediatrics, 135 (3), pp. e687-e702.
Abstract: BACKGROUND AND OBJECTIVES: Few women in industrialized countries achieve the World Health Organization's recommendation to breastfeed exclusively for 6 months. Governments are increasingly seeking new interventions to address this problem, including the use of incentives. The goal of this study was to assess the evidence regarding the effectiveness of incentive interventions, delivered within or outside of health care settings, to individuals and/or their families seeking to increase and sustain breastfeeding in the first 6 months after birth. METHODS: Searches of electronic databases, reference lists, and grey literature were conducted to identify relevant reports of published, unpublished, and ongoing studies. All study designs published in English, which met our definition of incentives and that were from a developed country, were eligible for inclusion. Abstract and full-text article review with sequential data extraction were conducted by 2 independent authors. RESULTS: Sixteen full reports were included in the review. The majority evaluated multicomponent interventions of varying frequency, intensity, and duration. Incentives involved providing access to breast pumps, gifts, vouchers, money, food packages, and help with household tasks, but little consensus in findings was revealed. The lack of high-quality, randomized controlled trials identified by this review and the multicomponent nature of the interventions prohibited meta-analysis. CONCLUSIONS: This review found that the overall effect of providing incentives for breastfeeding compared with no incentives is unclear due to study heterogeneity and the variation in study quality. Further evidence on breastfeeding incentives offered to women is required to understand the possible effects of these interventions.
Type: Journal Article
URI: http://hdl.handle.net/1893/22006
DOI Link: http://dx.doi.org/10.1542/peds.2014-2221
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Central Lancashire
University of Aberdeen
University of Aberdeen
University of Aberdeen
University of Aberdeen
University of Central Lancashire
University of Central Lancashire
Institute for Social Marketing
University of Aberdeen
HS Research - Stirling

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