Exploring the use and experience of an infant feeding genogram to facilitate an assets-based approach to support infant
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(2020) 20:569
RESEARCH ARTICLE
Open Access
Exploring the use and experience of an infant feeding genogram to facilitate an assets-based approach to support infant feeding Gill Thomson1,2* , Jenny Ingram3, Joanne L. Clarke4, Debbie Johnson3, Heather Trickey5, Stephan U. Dombrowski6,7, Pat Hoddinott8, Kirsty Darwent9, Kate Jolly4 and on behalf of the ABA Research Group
Abstract Background: A lack of perceived social support influences women’s infant feeding behaviours. The Infant Feeding Genogram is a visual co-constructed diagram which details people/services that can provide support to women and can facilitate a connection between mothers and their existing assets landscape. The aim of this study is to explore women’s and infant feeding helpers’ experiences and use of an infant feeding genogram delivered to the intervention group of the “Assets-based infant feeding help Before and After birth (ABA)” randomised feasibility trial. Methods: 103 primiparous mothers aged 16+ years were recruited to the trial (trial registration number) in two sites (Site A and Site B) with low breastfeeding prevalence in the UK. Infant feeding helpers (IFHs) co-constructed a genogram at the first antenatal meeting for the intervention group (n = 50), and then provided proactive, womancentered support from ~ 32 weeks gestation to up to 5 months postnatal. Infant feeding helpers' and women’s experiences of the infant feeding genogram were collected via interviews or focus groups. Completed genograms were shared with researchers. Content analysis of the genograms and qualitative data from the interviews and focus groups were analysed thematically. Results: Data comprised 32 completed genograms, and qualitative insights from all 13 infant feeding helpers (two focus groups; 4 interviews) and interviews with a purposive sample of 21 of 50 intervention group women between 4 and 21 weeks after birth. Content analysis of the genograms highlighted variations, with more personal, individualised genograms completed at Site B compared to Site A. The perceived impact of the genogram was related to the IFHs’ application of the tool. The genogram was either used as intended to raise women’s awareness of available assets and motivate help-seeking behaviour, or as a data collection tool with limited perceived utility. Negative and positive unintended consequences of genogram use were highlighted. (Continued on next page)
* Correspondence: [email protected] 1 Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, Preston, UK 2 School of Education, Health and Social Studies, Dalarna University, Högskolegatan 2, Falun, Sweden Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Crea
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