Effect of Alberta Family Integrated Care (FICare) on Breastfeeding Self-Efficacy and Breastmilk Feeding in Moderate and Late Preterm Infants

Simple item page
dc.contributor.advisorBenzies, Karen Marie
dc.contributor.authorBrockway, Meredith L.
dc.contributor.committeememberCarr, Eloise C. J.
dc.contributor.committeememberAziz, Khalid
dc.date2019-11
dc.date.accessioned2019-07-08T21:39:19Z
dc.date.available2019-07-08T21:39:19Z
dc.date.issued2019-07-03
dc.description.abstractBackground: Breastfeeding self-efficacy (BSE) predicts breastfeeding outcomes in mothers of full-term infants; however, neonatal intensive care unit (NICU) practices may impede BSE and breastmilk feeding in mothers of preterm infants. Alberta Family Integrated Care (FICare) integrates parents into the care of their infant while in the NICU, by enhancing parent support, parent education and information sharing. The objective of this PhD work was to explore how Alberta FICare works to inform maternal BSE and resultant infant feeding outcomes in mothers of moderate (320/7 – 336/7 weeks) and late preterm infants (340/7 – 356/7 weeks). Methods: I conducted an explanatory sequential mixed-methods sub-study of the Alberta FICare trial. Based on BSE change scores between admission and discharge for mothers in the intervention group, I invited mothers scoring in the top or bottom quintiles to participate in interviews about infant feeding experiences in the NICU. Interviews were analyzed using inductive thematic analysis. To assess the effects of FICare on BSE and breastmilk feeding rates at discharge, I used repeated measures ANCOVA and Chi square. Finally, I used an integration matrix to integrate qualitative and quantitative findings. Results: Overall, I included 457 mothers/infant dyads (70 twins; M = 336/7 weeks gestation) from the FICare trial. Interviews with 14 mothers revealed three major themes: (a) institutional influences, (b) relationship with the pump, and (c) establishing breastfeeding. FICare was effective at improving BSE for mothers of late preterm infants, F(1, 232) = 3.97, p = .048, partial η2 = .017, but not for mothers of moderate preterm infants, F(1, 191) = 0.79, p = .375. Although exclusive breastmilk feeding rates at discharge in late preterm infants enrolled in the FICare group were higher compared to the standard care group, these differences were not statistically significant, 72.3% versus 62.2%, χ2(1) = 2.90, p = 0.089; no notable difference in exclusive breastmilk feeding was observed in moderate preterm infants. Conclusion: FICare is an effective model of care to improve BSE in mothers of late preterm infants at discharge from the NICU. More research is required to understand why FICare did not improve BSE in mothers of moderate preterm infants.en_US
dc.identifier.citationBrockway, M. L. (2019). Effect of Alberta Family Integrated Care (FICare) on Breastfeeding Self-Efficacy and Breastmilk Feeding in Moderate and Late Preterm Infants (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/36714
dc.identifier.urihttp://hdl.handle.net/1880/110599
dc.language.isoengen_US
dc.publisher.facultyNursingen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectbreastmilken_US
dc.subjectbreastfeeding self-efficacyen_US
dc.subjectmoderate and late preterm infantsen_US
dc.subjectmixed methodsen_US
dc.subjectthematic analysisen_US
dc.subject.classificationNursingen_US
dc.titleEffect of Alberta Family Integrated Care (FICare) on Breastfeeding Self-Efficacy and Breastmilk Feeding in Moderate and Late Preterm Infantsen_US
dc.typedoctoral thesisen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameDoctor of Philosophy (PhD)en_US
ucalgary.item.requestcopytrueen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ucalgary_2019_brockway_meredith.pdf
Size:
1.94 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.74 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Open Theses and Dissertations