Buchannan, Phyll

Cumming, Sara

Farre, Albert

Gavine, Anna

Lynn, Fiona

Marshall, Joyce L.

McFadden, Alison

Shinwell, Shona

Wallace, Louise

English

Background: Existing evidence suggests that when standalone breastfeeding support interventions are offered to women who choose to breastfeed, the duration and exclusivity of breastfeeding are likely to be increased (Gavine et al., 2022). However, many women in the UK and elsewhere continue to report that lack of adequate breastfeeding support results in them stopping breastfeeding earlier than planned. Therefore, one key research question is now to identify how known effective interventions can successfully be implemented in practice. As part of the of the Action4Breastfeeding study, this review aimed to synthesise existing evidence on factors affecting the implementation of effective interventions identified in the updated Cochrane review on breastfeeding support for healthy women with healthy term babies (Gavine et al., 2022).Methods: We systematically searched six bibliographic databases. Citation and reference searches of outcome papers from known effective interventions were also undertaken. No restrictions were applied on publication date and language. Articles reporting relevant qualitative and/or quantitative research were included. Quality appraisal was undertaken following study selection. Qualitative data were synthesised thematically (Thomas &amp; Harden, 2008), and quantitative data narratively (Popay et al., 2006). A cross-study synthesis (Kavanagh et al., 2012) integrated qualitative and quantitative findings.Results/findings: Sixteen articles were included in the final synthesis. A range of eighteen factors affecting the implementation of effective interventions were identified and grouped around five broad types of implementation factors. The types of factors with a more widespread evidence base were related to the implementation process (particularly those relating to the ability to monitor and collect quantitative and qualitative feedback about the progress and quality of implementation) followed by those relating to the external context of the implementing organisation (particularly in terms of the organisation’s knowledge of their women’s/families’ breastfeeding support needs).Conclusion: Available evidence on the range of factors known to have impacted implementation of effective breastfeeding support interventions can inform guidance for organisations to develop robust implementation strategies which may be more likely to ensure successful implementation of evidence into practice

University of Dundee Online Publications

                                                                    University of DundeeFactors affecting the implementation of effective interventions to support women tobreastfeedFarre, Albert; Shinwell, Shona; Cumming, Sara; Buchannan, Phyll; Gavine, Anna; Marshall,Joyce L.Publication date:2023Document VersionPeer reviewed versionLink to publication in Discovery Research PortalCitation for published version (APA):Farre, A., Shinwell, S., Cumming, S., Buchannan, P., Gavine, A., Marshall, J. L., Lynn, F., Wallace, L., &McFadden, A. (2023). Factors affecting the implementation of effective interventions to support women tobreastfeed: a systematic review and mixed methods synthesis . Abstract from Maternal and Infant Nutrition andNurture Unit (MAINN) Conference, Cumbria, United Kingdom.General rightsCopyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or othercopyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated withthese rights. • Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain. • You may freely distribute the URL identifying the publication in the public portal.Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Download date: 31. Jul. 2023Factors affecting the implementation of effective interventions to support women to breastfeed: a systematic review and mixed methods synthesis Albert Farre1, Shona Shinwell1, Sara Cumming1, Phyll Buchanan2, Anna Gavine1, Joyce Marshall3, Fiona Lynn4, Louise Wallace5, Alison McFadden1 1 University of Dundee, Dundee, United Kingdom 2 Breastfeeding Network, Newcastle upon Tyne, United Kingdom. 3 University of Huddersfield, Huddersfield, United Kingdom 4 Queen’s University Belfast, Belfast, United Kingdom 5 The Open University, Milton Keynes, United Kingdom Abstract Background Existing evidence suggests that when standalone breastfeeding support interventions are offered to women who choose to breastfeed, the duration and exclusivity of breastfeeding are likely to be increased (Gavine et al., 2022). However, many women in the UK and elsewhere continue to report that lack of adequate breastfeeding support results in them stopping breastfeeding earlier than planned. Therefore, one key research question is now to identify how known effective interventions can successfully be implemented in practice. As part of the of the Action4Breastfeeding study, this review aimed to synthesise existing evidence on factors affecting the implementation of effective interventions identified in the updated Cochrane review on breastfeeding support for healthy women with healthy term babies (Gavine et al., 2022). Methods We systematically searched six bibliographic databases. Citation and reference searches of outcome papers from known effective interventions were also undertaken. No restrictions were applied on publication date and language. Articles reporting relevant qualitative and/or quantitative research were included. Quality appraisal was undertaken following study selection. Qualitative data were synthesised thematically (Thomas & Harden, 2008), and quantitative data narratively (Popay et al., 2006). A cross-study synthesis (Kavanagh et al., 2012) integrated qualitative and quantitative findings. Results/findings Sixteen articles were included in the final synthesis. A range of eighteen factors affecting the implementation of effective interventions were identified and grouped around five broad types of implementation factors. The types of factors with a more widespread evidence base were related to the implementation process (particularly those relating to the ability to monitor and collect quantitative and qualitative feedback about the progress and quality of implementation) followed by those relating to the external context of the implementing organisation (particularly in terms of the organisation’s knowledge of their women’s/families’ breastfeeding support needs). Conclusion Available evidence on the range of factors known to have impacted implementation of effective breastfeeding support interventions can inform guidance for organisations to develop robust implementation strategies which may be more likely to ensure successful implementation of evidence into practice.  References Gavine, A., Shinwell, S. C., Buchanan, P., Farre, A., Wade, A., Lynn, F., Marshall, J., Cumming, S. E., Dare, S., & McFadden, A. (2022). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 10. Kavanagh, J., Campbell, F., Harden, A., & Thomas, J. (2012). Mixed Methods Synthesis: A Worked Example. In K. Hannes & L. Craig (Eds.), Synthesizing Qualitative Research: Choosing the Right Approach (pp. 113–136). Wiley-Blackwell. Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M., Britten, N., Roen, K., & Duffy, S. (2006). Guidance on the conduct of narrative synthesis in systematic reviews: A product from the ESRC Methods Programme. Version 1. ESRC. Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8(1), 45.  Acknowledgments This study is funded by the NIHR Health and Social Care Delivery Research programme (NIHR 130955). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. 

Factors affecting the implementation of effective interventions to support women to breastfeed:a systematic review and mixed methods synthesis

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Factors affecting the implementation of effective interventions to support women to breastfeed:a systematic review and mixed methods synthesis

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