Appendix 2: Summary tables of the studies included in evidence reviews Table 1a: Studies used to inform the evidence statement for whānau support of breastfeeding Reference Study Intervention/ Participants/ Effect on N Results/Outcome4 Notes on quality (author, yr) type1 comparator2 Popn3 risk5 8 CS, 1 RCT, 4 PCS Impact the grandmother had on BF rates and duration due to her attitude/experience with BF (n=8), 5/8 studies found sig. Positive impact on BF with grandmother's who had BF experience or USA n=2 were positively inclined towards BF (1.6-12.4 Difficult to accurately Brazil n=3 times more likely to exclusively BF or refrained compared studies due To quantify the Europe n=2 Protect: SR of RCT, from introducing solid food). to the heterogeneity impact of the Asia n=5 Range PCS, CS impact on BF rates and duration when the of the effect grandmother on Kuwait n=1 from have Negin, 2016 grandmother was the main caretaker (n=2), measures used influencing a 66 to capacity to Level-I mother up to 4.3 times more likely not to EBF mother's BF Age of 3822 influence impact of grandmother's education on BF rates Cross cultural practice grandmother not exclusive BF and duration (n=1) - mothers were sig. Less likely generalisability of reported to EBF if grandmothers were educated (Chinese these findings study). 1RCT with intervention aimed at grandmother and adolescents saw reduced chance of exclusive BF among women who cohabitated with grandmother than those who lived apart 10 studies found in literature, only 4 had been Despite the Impact of rigorously tested and were included in the SR recognition that male Range 4 RCT (2 RCT and 2 quasi-experimental design): partners play an SR of RCT USA n=2 BF interventions from 3 hospital based and 1 clinic based interventions. important role in Italy n=1 Protect 2013 on BF initiation, 57 to One study restricted participants to those that supporting BF Level-I Brazil n=1 exclusivity, and 601 had already initiated BF, the other 3 studies initiation and continuation tracked BF initiation. Higher initiation was seen in continuation, only 4 mother's whose partner's had attended BF rigorously tested
Appendix 2: Summary tables of the studies included in evidence reviews Table 1a: Studies used to inform the evidence statement for whānau support of breastfeeding Reference (author, yr) Study type1 Intervention/ comparator2 Participants/ Popn3 N Results/Outcome4 Effect on risk5 Notes on quality Negin, 2016 SR of RCT, PCS, CS Level-I To quantify the impact of the grandmother on influencing a mother's BF practice USA n=2 Brazil n=3 Europe n=2 Asia n=5 Kuwait n=1 Age of grandmother not reported Range from 66 to 3822 8 CS, 1 RCT, 4 PCS Impact the grandmother had on BF rates and duration due to her attitude/experience with BF (n=8), 5/8 studies found sig. Positive impact on BF with grandmother's who had BF experience or were positively inclined towards BF (1.6-12.4 times more likely to exclusively BF or refrained from introducing solid food). impact on BF rates and duration when the grandmother was the main caretaker (n=2), mother up to 4.3 times more likely not to EBF impact of grandmother's education on BF rates and duration (n=1) - mothers were sig. Less likely to EBF if grandmothers were educated (Chinese study). 1RCT with intervention aimed at grandmother and adolescents saw reduced chance of exclusive BF among women who cohabitated with grandmother than those who lived apart Protect: have capacity to influence exclusive BF Difficult to accurately compared studies due to the heterogeneity of the effect measures used Cross cultural generalisability of these findings 2013 SR of RCT Level-I Impact of BF interventions on BF initiation, exclusivity, and continuation USA n=2 Italy n=1 Brazil n=1 Range from 57 to 601 10 studies found in literature, only 4 had been rigorously tested and were included in the SR 4 RCT (2 RCT and 2 quasi-experimental design): 3 hospital based and 1 clinic based interventions. One study restricted participants to those that had already initiated BF, the other 3 studies tracked BF initiation. Higher initiation was seen in mother's whose partner's had attended BF Protect Despite the recognition that male partners play an important role in supporting BF initiation and continuation, only 4 rigorously tested
how-we-eat-may17.docx