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dc.contributor.authorScott, Jane
dc.contributor.authorBurns, Sharyn
dc.contributor.authorHauck, Yvonne
dc.contributor.authorGiglia, Roslyn C
dc.contributor.authorJorgensen, Anita M
dc.contributor.authorWhite, Becky Kate
dc.contributor.authorMartin, Annegret
dc.contributor.authorRobinson, Suzanne
dc.contributor.authorDhaliwal, Satvinder
dc.contributor.authorBinns, Colin W
dc.contributor.authorMaycock, Bruce
dc.date.accessioned2021-04-16T08:46:54Z
dc.date.available2021-04-16T08:46:54Z
dc.date.issued2021
dc.identifier.citationScott, J.A. and Burns, S.K. and Hauck, Y.L. and Giglia, R.C. and Jorgensen, A.M. and White, B.K. and Martin, A. et al. 2021. Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial. JMIR Pediatrics and Parenting. 4 (2): Article No. e24579.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/83248
dc.identifier.doi10.2196/24579
dc.description.abstract

BACKGROUND: Despite the recognized health and economic benefits of exclusive breastfeeding, few Australian infants are exclusively breastfed beyond 5 months of age. Social support for breastfeeding, in particular the support of an infant's father, has been identified as a crucial element for successful breastfeeding.

OBJECTIVE: The objective of this study was to determine the effectiveness of various father-focused breastfeeding interventions in terms of key infant feeding outcomes.

METHODS: The study was a 4-arm, factorial, randomized controlled trial conducted in Perth, Australia. The trial arms included a control group and 3 interventions, consisting of a face-to-face father-focused antenatal breastfeeding class facilitated by a male peer facilitator; Milk Man, a breastfeeding smartphone app designed specifically for fathers; and a combination of both interventions. Expecting couples were recruited from hospital-based antenatal classes and block randomized to 1 of the 4 arms. Each partner completed surveys at recruitment and at 6 weeks and 26 weeks postpartum. Primary outcomes were duration of exclusive and any breastfeeding. Secondary outcomes included age of introduction of formula and complementary foods, maternal breastfeeding self-efficacy, and partner postpartum support.

RESULTS: A total of 1426 couples were recruited from public (443/1426, 31.1%) and private (983/1426, 68.9%) hospitals. Of these, 76.6% (1092/1426) of fathers completed the baseline questionnaire, 58.6% (836/1426) completed the 6-week follow-up questionnaire, and 49.2% (702/1426) completed the 26-week follow-up questionnaire. The average age of fathers who completed the baseline questionnaire was 33.6 (SD 5.2) years; the majority were born in Australia (76.4%) and had attended university (61.8%). There were no significant differences between the control and any of the intervention groups in any of the infant feeding outcomes or level of breastfeeding self-efficacy and postpartum partner support reported by mothers.

CONCLUSIONS: This study did not demonstrate that any intervention was superior to another or that any intervention was inferior to the standard care delivered in routine antenatal classes. Further studies are needed to test the effectiveness of these interventions in more socioeconomically diverse populations that are likely to benefit most from additional partner supports. TRIAL

REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12614000605695; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000605695. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12884-015-0601-5.

dc.languageeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectbreastfeeding
dc.subjectfathers
dc.subjectfeeding
dc.subjectinfants
dc.subjectmHealth, smartphone app
dc.subjectpeer support
dc.subjectsmartphone
dc.subjectsocial support
dc.titleImpact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial.
dc.typeJournal Article
dcterms.source.volume4
dcterms.source.number2
dcterms.source.startPagee24579
dcterms.source.issn2561-6722
dcterms.source.titleJMIR Pediatrics and Parenting
dc.date.updated2021-04-16T08:46:53Z
curtin.departmentCurtin School of Population Health
curtin.departmentCurtin School of Nursing
curtin.departmentSchool of Public Health
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidDhaliwal, Satvinder [0000-0002-4476-1042]
curtin.contributor.orcidScott, Jane [0000-0003-0765-9054]
curtin.contributor.orcidBurns, Sharyn [0000-0002-1551-2805]
curtin.contributor.orcidHauck, Yvonne [0000-0003-0206-2777]
curtin.contributor.orcidRobinson, Suzanne [0000-0001-5703-6475]
curtin.contributor.orcidMaycock, Bruce [0000-0002-7988-9740]
curtin.contributor.orcidJorgensen, Anita M [0000-0003-1957-690X]
curtin.contributor.orcidGiglia, Roslyn C [0000-0001-9016-1251]
curtin.contributor.orcidWhite, Becky Kate [0000-0003-3234-1742]
curtin.contributor.orcidMartin, Annegret [0000-0002-9044-2990]
curtin.contributor.orcidBinns, Colin W [0000-0002-6220-3933]
curtin.contributor.researcheridRobinson, Suzanne [B-6604-2013]
dcterms.source.eissn2561-6722
curtin.contributor.scopusauthoridDhaliwal, Satvinder [7004476215]
curtin.contributor.scopusauthoridScott, Jane [55338452100]
curtin.contributor.scopusauthoridBurns, Sharyn [7202663704]
curtin.contributor.scopusauthoridHauck, Yvonne [6701913640]
curtin.contributor.scopusauthoridRobinson, Suzanne [36803108700]
curtin.contributor.scopusauthoridMaycock, Bruce [6603642228]


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