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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Text message conversations between peer supporters and women to deliver infant feeding support using behaviour change techniques: A qualitative analysis
Author(s): Knox, Olivia
Parker, Denise
Johnson, Debbie
Dombrowski, Stephan U
Thomson, Gill
Clarke, Joanne
Hoddinott, Pat
Jolly, Kate
Ingram, Jenny
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Keywords: Infant feeding
Peer support
Behaviour change techniques
Text messages
Issue Date: Dec-2023
Date Deposited: 17-Nov-2023
Citation: Knox O, Parker D, Johnson D, Dombrowski SU, Thomson G, Clarke J, Hoddinott P, Jolly K & Ingram J (2023) Text message conversations between peer supporters and women to deliver infant feeding support using behaviour change techniques: A qualitative analysis. <i>Midwifery</i>, 127, Art. No.: 103838.
Abstract: Objective To analyse text message conversations between peer supporters (called Infant Feeding Helpers – IFHs) and new mothers using qualitative methods to understand how peer support can influence and support women's feeding experiences. Design Qualitative analysis of text messages conversations using both inductive thematic and deductive content approaches to coding. Thematic analysis of the text message transcripts and deductive content analysis was used to code if Behaviour Change Techniques (BCTs) were employed by IFHs in their interactions with women. BCTs coded in text messages were then compared with those tabulated from antenatal meeting recordings and documented in interview transcripts. Participants and setting 18 primiparous women and 7 Infant Feeding Helpers from one community site in South-West England. Findings Three key themes were identified in the18 text message conversations (1679 texts): ‘breastfeeding challenges’, ‘mother-centred conversations’, and ‘emotional and practical support’. The core BCTs of ‘social support’ and ‘changing the social environment’ were found at least once in 17 (94 %) and 18 (100 %) text message conversations respectively. Meanwhile, ‘instruction to perform the behaviour’ was used at least once in over 50 % of conversations. Generally, the use of BCTs was greatest between birth and two weeks during a period of daily texts when women reported many feeding challenges. The number and range of BCTs used in text messages were similar to those documented in audio-recorded meetings and interview accounts. Conclusion and implications Infant Feeding Helpers were able to provide engaging and successful breastfeeding peer support through text messages. Messaging was shown to be an appropriate and accessible method of delivering BCTs focussing on ‘social support’ and ‘changing the social environment’. Peer supporters delivering BCTs via text messages is acceptable and appropriate to use if in-person support is limited due to unforeseen circumstances such as the COVID-19 pandemic.
DOI Link: 10.1016/j.midw.2023.103838
Rights: This is an open access article distributed under the terms of the Creative Commons CC-BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You are not required to obtain permission to reuse this article. To request permission for a type of use not listed, please contact Elsevier Global Rights Department.
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