Can a Call Make a Difference? Measured Change in Women's Breastfeeding Self-efficacy Across Call Interactions on a Telephone Helpline

Maternal and Child Health Journal
Karen ThorpeDanielle Gallegos

Abstract

Background Telephone helplines providing 24-h specialist-nurse contact present a source of immediate support for women encountering challenges with breastfeeding and may serve to prolong breastfeeding duration by building self-efficacy. To date there is little evidence on interaction effectiveness and still less on the relative effectiveness for women from different socio-economic backgrounds. Research Aim To establish the effect on maternal breastfeeding self-efficacy of calls made to a nurse-led parenting helpline. Methods From a corpus of calls made to the Australian Child Health Line (N = 723), those made by women presenting a breastfeeding concern as a prime issue (n = 60) were scored for breastfeeding self-efficacy at commencement and completion of recorded interactions. Analyses examined the significance and direction of change from beginning to end of calls and compared difference in change across calls originating from high and low social advantage locations. Results A significant increase in self-efficacy was found, but with low effect size. There was considerable variation among calls; 53% showed improvement, 25% showed no change and 22% showed reduction in breastfeeding self-efficacy. While most calls were made by w...Continue Reading

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Citations

Feb 7, 2020·Maternal & Child Nutrition·Karen ThorpeDanielle Gallegos
Oct 22, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Laura Ferraz Dos SantosDenise Antunes de Azambuja
Oct 20, 2020·MCN. the American Journal of Maternal Child Nursing·Azza H Ahmed, Ali M Roumani

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