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      Facebook support for breastfeeding mothers: A comparison to offline support and associations with breastfeeding outcomes

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          Abstract

          Objectives

          For breastfeeding mothers, online support groups through Facebook may be a more convenient and preferred source for accessing breastfeeding information and support, but few studies exist that examine the use of Facebook groups specifically for breastfeeding support. This study explores the sources of support among users of Facebook breastfeeding support groups and a possible mechanism by which support received on Facebook may translate to behavioral outcomes among breastfeeding mothers.

          Methods

          From July–September 2017 a survey was distributed online to African American mothers ( N = 277) who participate in breastfeeding support groups on Facebook. The survey assessed network support from Facebook and other sources of breastfeeding support, perceived breastfeeding norms, breastfeeding self-efficacy and breastfeeding attitudes. Correlations and linear regression analysis were used to examine the relationship between covariates and outcome variables.

          Results

          The average intended breastfeeding duration among participants in this study was 19 months. Participants reported the highest amount of breastfeeding support received from their Facebook support group, in comparison to other sources of support, and Facebook support was significantly correlated with intended breastfeeding duration ( p < 0.05). Self-efficacy and breastfeeding attitudes remained significant predictors of intended breastfeeding duration within the final regression model.

          Conclusions

          Breastfeeding support received within Facebook groups may compensate for inadequate support received within mothers’ networks. More research is needed to understand the mechanism through which Facebook support may contribute to prolonged breastfeeding durations.

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          Most cited references33

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          Factors that positively influence breastfeeding duration to 6 months: a literature review.

          What modifiable factors positively influence breastfeeding duration to 6 months postpartum? This question was posed in order to be able to develop a midwifery intervention aimed at prolonging breastfeeding. An online literature search was conducted in Medline, CINAHL, Maternity and Infant Care, and Cochrane Database of systematic reviews. The search strategy included the following keywords: breastfeeding, duration, initiation, cessation, factors, intervention, education, partner, intention, confidence, self-efficacy and support. Additional studies were located and extracted from online publications of New South Wales Department of Health, Australia. Bio-psycho-social factors that are positively associated with breastfeeding duration were identified. Modifiable factors that influence women's breastfeeding decisions are: breastfeeding intention, breastfeeding self-efficacy and social support. Existing midwifery breastfeeding promotion strategies often include social support but do not adequately address attempts to modify breastfeeding intention and self-efficacy. The modifiable factors that are positively associated with breastfeeding duration are the woman's breastfeeding intention, her breastfeeding self-efficacy and her social support. Intervention studies to date have focussed on modifying these factors individually with variable results. No interventional studies have been conducted with the aim of positively modifying all three factors simultaneously. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.
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            The Breastfeeding Self‐Efficacy Scale: Psychometric Assessment of the Short Form

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              • Article: not found

              The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

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                Author and article information

                Journal
                Digit Health
                Digit Health
                DHJ
                spdhj
                Digital Health
                SAGE Publications (Sage UK: London, England )
                2055-2076
                11 June 2019
                Jan-Dec 2019
                : 5
                : 2055207619853397
                Affiliations
                [1-2055207619853397]University of Georgia, USA
                Author notes
                [*]Ayanna Robinson, University of Georgia, 105 Spear Road, Athens, GA 30602, USA. Email: ayanna.robinson@ 123456yahoo.com
                Author information
                https://orcid.org/0000-0002-7406-2568
                Article
                10.1177_2055207619853397
                10.1177/2055207619853397
                6560800
                80f25fd1-c3d4-4450-a2b6-6e4418184e1e
                © The Author(s) 2019

                Creative Commons Non Commercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 22 December 2018
                : 6 May 2019
                Categories
                Original Research
                Custom metadata
                January-December 2019

                social media support,peer support groups,breastfeeding self-efficacy,perceived norms,breastfeeding attitudes,facebook groups,online communities

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