Motivational Interviewing to Promote Sustained Breastfeeding

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Abstract

Objective

To explore the feasibility of using motivational interviewing to promote sustained breastfeeding by increasing a mother's intent to breastfeed for 6 months and increasing her breastfeeding self-efficacy.

Design

A longitudinal experimental two-group design with repeated measures was selected to explore the feasibility of using motivational interviewing to promote sustained breastfeeding in primiparous mothers.

Setting

Three Western rural community hospital sites.

Participants

Convenience sample of 73 primiparous breastfeeding mothers ranging between the ages of 19 and 38, M= 25 (SD= 4.5).

Main outcome measure

Mothers reported the date of their last day of breastfeeding, defined as any breastfeeding during the previous 24-hour period. Breastfeeding behavior was confirmed at each visit by infant test weights.

Results

The motivational interviewing group (M= 98.1 days, SD= 75.2) breastfed longer than the comparison group (M= 80.7 days, SD= 71.9); however, this difference was not significant, t(69) = 0.991, p= .325, Cohen's d= 0.24, related to the variability in the sample.

Conclusions

Although not a statistically significant difference, the mean number of days that mothers in the intervention group breastfed was 98 days compared to the mean of 81 days by the comparison group; therefore, motivational interviewing may be useful as a strategy to test in a comprehensive intervention plan. JOGNN, 35, 340-348; 2006. DOI: 10.1111/J.1552-6909.2006.00046.x

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