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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The ABA intervention for improving breastfeeding initiation and continuation: Feasibility study results
Author(s): Clarke, Joanne L
Ingram, Jenny
Johnson, Debbie
Thomson, Gill
Trickey, Heather
Dombrowski, Stephan U
Sitch, Alice
Dykes, Fiona
Feltham, Max
MacArthur, Christine
Roberts, Tracy
Hoddinott, Pat
Jolly, Kate
Keywords: assets‐based approach
behaviour change theory
infant feeding
peer support
randomised controlled trial
Issue Date: Jan-2020
Citation: Clarke JL, Ingram J, Johnson D, Thomson G, Trickey H, Dombrowski SU, Sitch A, Dykes F, Feltham M, MacArthur C, Roberts T, Hoddinott P & Jolly K (2020) The ABA intervention for improving breastfeeding initiation and continuation: Feasibility study results. Maternal and Child Nutrition, 16 (1), Art. No.: e12907.
Abstract: The UK has low breastfeeding rates, with socioeconomic disparities. The Assets‐based feeding help Before and After birth (ABA) intervention was designed to be inclusive and improve infant feeding behaviours. ABA is underpinned by the behaviour change wheel and offers an assets‐based approach focusing on positive capabilities of individuals and communities, including use of a Genogram. This study aimed to investigate feasibility of intervention delivery within a randomised controlled trial (RCT). Nulliparous women ≥16 years, (n = 103) from two English sites were recruited and randomised to either intervention or usual care. The intervention – delivered through face‐to‐face, telephone and text message by trained Infant Feeding Helpers (IFHs) – ran from 30‐weeks' gestation until 5‐months postnatal. Outcomes included recruitment rates and follow‐up at 3‐days, 8‐weeks and 6‐months postnatal, with collection of future full trial outcomes via questionnaires. A mixed‐methods process evaluation included qualitative interviews with 30 women, 13 IFHs and 17 maternity providers; IFH contact logs; and fidelity checking of antenatal contact recordings. This study successfully recruited women, including teenagers, from socioeconomically disadvantaged areas; postnatal follow‐up rates were 68.0%, 85.4% and 80.6% at 3‐days, 8‐weeks and 6‐months respectively. Breastfeeding at 8‐weeks was obtained for 95.1% using routine data for non‐responders. It was possible to recruit and train peer supporters to deliver the intervention with adequate fidelity. The ABA intervention was acceptable to women, IFHs and maternity services. There was minimal contamination and no evidence of intervention‐related harm. In conclusion, the intervention is feasible to deliver within an RCT, and a definitive trial required.
DOI Link: 10.1111/mcn.12907
Rights: © 2019 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd. This is an open access article under the terms of the Creative Commons Attribution License (, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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