Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey
In 2020, only 25.6% of dyads in the US were exclusively breastfeeding at six months. Previous research has shown that breastfeeding continuation improves when patients receive both prenatal and postpartum support. Additionally, breastfeeding self-efficacy can be directly impacted by interactions wit...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/2/179 |
| _version_ | 1797339468015861760 |
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| author | Hope K. Lima Meghan Ganio Molinari Jessie B. Hoffman Lisa Akers Karin I. Evans Ashley Licata |
| author_facet | Hope K. Lima Meghan Ganio Molinari Jessie B. Hoffman Lisa Akers Karin I. Evans Ashley Licata |
| author_sort | Hope K. Lima |
| collection | DOAJ |
| description | In 2020, only 25.6% of dyads in the US were exclusively breastfeeding at six months. Previous research has shown that breastfeeding continuation improves when patients receive both prenatal and postpartum support. Additionally, breastfeeding self-efficacy can be directly impacted by interactions with primary healthcare providers. To facilitate improved lactation support and positive interactions with providers related to infant feeding in the primary care setting, a 49-question survey was utilized to conduct a retrospective, cross-sectional study. Using multiple regression analysis, the researchers tested a model to determine if certain factors could predict patients receiving lactation education in the primary care setting. The full model was statistically significant and accounts for 81.8% of the variance (R<sup>2</sup> = 0.818, F (7, 21) = 9.015, <i>p</i> < 0.001, CI = 0.728 to 0.910). Variables that contributed significantly to the model included provider age, provider years of experience in maternal-child health, population density of the practice, and average provider preparedness and comfort with lactation support and medical management. As the only modifiable predictor significantly contributing to the model, future research is necessary to develop educational interventions to improve provider preparedness and comfort with lactation support and medical management. Such interventions may significantly improve the frequency of lactation education in primary care settings. |
| first_indexed | 2024-03-08T09:48:34Z |
| format | Article |
| id | doaj.art-3a38b46588794a7ea03af35f5785566f |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-08T09:48:34Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-3a38b46588794a7ea03af35f5785566f2024-01-29T14:09:33ZengMDPI AGNutrients2072-66432024-01-0116217910.3390/nu16020179Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot SurveyHope K. Lima0Meghan Ganio Molinari1Jessie B. Hoffman2Lisa Akers3Karin I. Evans4Ashley Licata5Department of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USADepartment of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USADepartment of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USAGretchen Swanson Center for Nutrition, Omaha, NE 68154, USADepartment of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USADepartment of Human Nutrition, Winthrop University, Rock Hill, SC 29733, USAIn 2020, only 25.6% of dyads in the US were exclusively breastfeeding at six months. Previous research has shown that breastfeeding continuation improves when patients receive both prenatal and postpartum support. Additionally, breastfeeding self-efficacy can be directly impacted by interactions with primary healthcare providers. To facilitate improved lactation support and positive interactions with providers related to infant feeding in the primary care setting, a 49-question survey was utilized to conduct a retrospective, cross-sectional study. Using multiple regression analysis, the researchers tested a model to determine if certain factors could predict patients receiving lactation education in the primary care setting. The full model was statistically significant and accounts for 81.8% of the variance (R<sup>2</sup> = 0.818, F (7, 21) = 9.015, <i>p</i> < 0.001, CI = 0.728 to 0.910). Variables that contributed significantly to the model included provider age, provider years of experience in maternal-child health, population density of the practice, and average provider preparedness and comfort with lactation support and medical management. As the only modifiable predictor significantly contributing to the model, future research is necessary to develop educational interventions to improve provider preparedness and comfort with lactation support and medical management. Such interventions may significantly improve the frequency of lactation education in primary care settings.https://www.mdpi.com/2072-6643/16/2/179lactationprimary caresurvey validationcoordinated care |
| spellingShingle | Hope K. Lima Meghan Ganio Molinari Jessie B. Hoffman Lisa Akers Karin I. Evans Ashley Licata Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey Nutrients lactation primary care survey validation coordinated care |
| title | Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey |
| title_full | Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey |
| title_fullStr | Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey |
| title_full_unstemmed | Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey |
| title_short | Factors Associated with Provider Practices Related to Infant Feeding in Primary Care Settings: Results from a Pilot Survey |
| title_sort | factors associated with provider practices related to infant feeding in primary care settings results from a pilot survey |
| topic | lactation primary care survey validation coordinated care |
| url | https://www.mdpi.com/2072-6643/16/2/179 |
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