BACKGROUND:The Parent Infant Feeding Initiative (PIFI) was a factorial, randomised controlled trial that aimed to prolong exclusive breastfeeding by targeting expecting fathers. One of the intervention strategies evaluated was a father-focused breastfeeding class facilitated by a male peer facilitator. The aim of this mixed-methods descriptive study was to 1) evaluate the feedback provided from participants of the class and 2) explore the motivations and experiences of volunteer male peer facilitators trained to deliver the class. METHODS:Father-focused breastfeeding antenatal (FFAB) classes were conducted in six Western Australian hospitals between August 2015 and December 2016. Following each peer facilitated FFAB class, expecting father participants completed an evaluation form to assess their satisfaction with the format, facilitation and content, in addition to whether their expectations and confidence to manage breastfeeding problems had changed. Feedback to open-ended questions was analysed using content analysis to identify learnings and suggestions for improvements. At the completion of PIFI, individual telephone interviews were undertaken with 14 peer facilitators to gain insight into their motivations for volunteering and experiences of conducting the classes. Transcripts from interviews were analysed using Braun and Clarke's six phases for thematic analysis. RESULTS:Participant evaluation forms were completed by 678 of the 697 father participants (98%). Overall satisfaction with class format, facilitation and content was high with 90% or more of fathers either strongly agreeing or agreeing with each positively-phrased evaluation item. Class participants enjoyed interacting with other fathers, appreciated validation of their role, were not always aware of the importance of breastfeeding or potential difficulties, valued the anticipatory guidance around what to expect in the early weeks of parenting and appreciated learning practical breastfeeding support strategies. Peer facilitators indicated they felt well prepared and supported to conduct FFAB classes. Analysis of interview transcripts revealed common experiences of the peer facilitators incorporating four themes: 'Highlights of being a facilitator', 'Challenges', 'Mourning the project completion' and 'Satisfaction with training and support'. CONCLUSION:Father-focused breastfeeding classes supported by volunteer male peer facilitators are a feasible and acceptable way of engaging fathers as breastfeeding supporters. TRIAL REGISTRATION:ACTRN12614000605695 . Registered 6 June 2014.

译文

背景:父母婴儿喂养计划(PIFI)是一项析因性,随机对照试验,旨在通过针对预期的父亲延长纯母乳喂养时间。评估的干预策略之一是在男性同伴协助下,以父亲为中心的母乳喂养课程。这项混合方法描述性研究的目的是:1)评估班级参与者提供的反馈意见,以及2)探索受过培训以交付班级的志愿者男性同伴辅导员的动​​机和经验。
方法:在2015年8月至2016年12月期间,在西澳大利亚的六家医院进行了以父亲为中心的母乳喂养产前(FFAB)课程。在每个同伴为FFAB进行便利之后,希望父亲参加者完成一份评估表,以评估他们对格式,便利性和内容的满意度,除了他们对管理母乳喂养问题的期望和信心是否发生了变化。使用内容分析来分析对开放式问题的反馈,以识别学习内容和改进建议。 PIFI完成后,与14位同伴主持人进行了电话访谈,以了解他们的志愿动机和上课的经验。使用Braun和Clarke的六个阶段对访谈记录进行了分析,以进行主题分析。
结果:697名父亲参与者中的678名(98%)填写了参与者评估表。 90%或更多的父亲强烈同意或同意每个积极措辞的评估项目,他们对课堂形式,促进和内容的总体满意度很高。班级参与者喜欢与其他父亲互动,赞赏他们的角色,并不总是意识到母乳喂养的重要性或潜在的困难,重视在育儿初期几周对预期的指导,并赞赏学习实用的母乳喂养支持策略。同行主持人表示,他们为参加FFAB课程做好了充分的准备,并得到了他们的支持。对访谈笔录的分析揭示了同行主持人的共同经历,其中包括四个主题:“成为主持人的要点”,“挑战”,“哀悼项目完成”和“对培训和支持的满意度”。
结论:由志愿的男性同伴协助者支持的以父亲为中心的母乳喂养课程是一种可行且可接受的方式,让父亲成为母乳喂养的支持者。
试用注册:ACTRN12614000605695。 2014年6月6日注册。

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