Abstract
Original language | English |
---|---|
Pages (from-to) | 629-636 |
Number of pages | 8 |
Journal | Breastfeeding Medicine |
Volume | 12 |
Issue number | 10 |
DOIs | |
Publication status | Published - 2017 |
Keywords
- Breastfeeding
- e-learning
- education
- Web-based
- adult
- Article
- breast feeding
- breast milk
- clinical practice
- comparative study
- drug use
- female
- health hazard
- health personnel attitude
- human
- male
- maternal nutrition
- medical education
- national health organization
- online system
- priority journal
- professional knowledge
- professional practice
- protocol compliance
- self report
- attitude to health
- evaluation study
- health care personnel
- infant
- Italy
- maternal child health care
- newborn
- pregnancy
- standards
- teaching
- utilization
- Adult
- Attitude of Health Personnel
- Breast Feeding
- Computer-Assisted Instruction
- Education, Medical, Continuing
- Female
- Health Knowledge, Attitudes, Practice
- Health Personnel
- Humans
- Infant
- Infant, Newborn
- Male
- Maternal-Child Health Services
- Pregnancy
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E-learning to Improve Healthcare Professionals' Attitudes and Practices on Breastfeeding. / Colaceci, S.; Giusti, A.; Chapin, E.M.; Bettinelli, M.E.; De Angelis, A.; Zambri, F.; Vellone, E.; Alvaro, R.; De Mei, B.
In: Breastfeeding Medicine, Vol. 12, No. 10, 2017, p. 629-636.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - E-learning to Improve Healthcare Professionals' Attitudes and Practices on Breastfeeding
AU - Colaceci, S.
AU - Giusti, A.
AU - Chapin, E.M.
AU - Bettinelli, M.E.
AU - De Angelis, A.
AU - Zambri, F.
AU - Vellone, E.
AU - Alvaro, R.
AU - De Mei, B.
N1 - Export Date: 12 April 2018 Correspondence Address: Colaceci, S.; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier, 1, Italy; email: sofiacolaceci@gmail.com Funding details: FNIH, Foundation for the National Institutes of Health Funding text: The e-learning course provided eight CME credits and was available free of charge from October 2013 to April 2014, thanks to public funds provided by the National Institute of Health. The estimated time needed to complete the course was 8 hours. Participants had 6 months to conclude all the activities and complete the CME knowledge and satisfaction evaluation questionnaires. References: Di Girolamo, A.M., Grummer-Strawn, L.M., Fein, S.B., Do perceived attitudes of physicians and hospital staff affect breastfeeding decisions? (2003) Birth, 30, pp. 94-100; Pound, C.M., Williams, K., Grenon, R., Breastfeeding knowledge, confidence, beliefs, and attitudes of Canadian physicians (2014) J Hum Lact, 30, pp. 298-309; Gonzalez, A.P., Palmer, J., Downes, K., Attitudes and knowledge about breastfeeding among obstetrics and gy-necology residents (2014) Obstet Gynecol, 123, pp. 17S-18S; (2013) Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies, , www.cdc.gov/breastfeeding/pdf/BF-Guide-508.PDF, Centers for Disease Control and Prevention U.S. Department of Health and Human Services, Atlanta. Updated (accessed September 12, 2017); (2014) EU Project on Promotion of Breastfeeding in Europe. Protection, Promotion and Support of Breastfeeding in Europe: A Blueprint for Action, , http://ec.europa.eu/health/ph_projects/2002/promotion/fp_promotion_2002_frep_18_en.pdf, European Commissionm, Directorate Public Health and Risk Assessment European Commission, Directorate Public Health and Risk Assessment, Luxembourg. Updated (accessed September 12, 2017); (1993) Breastfeeding Counselling: A Training Course, , www.who.int/maternal_child_adolescent/documents/who_cdr_93_3/en, World Health Organization, United Nations Children's Fund World Health Organization, Geneva. Updated (accessed September 12, 2017); Atchan, M., Davis, D., Foureur, M., The impact of the baby friendly health initiative in the Australian health care system: A critical narrative review of the evidence (2013) Breastfeed Rev, 21, pp. 15-22; Cleminson, J., Oddie, S., Renfrew, M.J., Being baby friendly: Evidence-based breastfeeding support (2015) Arch Dis Child Fetal Neonatal Ed, 100, pp. F173-F178; Bettinelli, M.E., Chapin, E.M., Cattaneo, A., Establishing the baby-friendly community initiative in Italy: Development, strategy, and implementation (2012) J Hum Lact, 28, pp. 297-303; MacAluso, A., Bettinelli, M.E., Chapin, E.M., A controlled study on baby-friendly communities in Italy: Methods and baseline data (2013) Breastfeed Med, 8, pp. 198-204; Semenic, S., Childerhose, J.E., Lauzière, J., Barriers, facilitators, and recommendations related to implementing the Baby-Friendly Initiative (BFI): An integrative review (2012) J Hum Lact, 28, pp. 317-334; Moja, L., Moschetti, I., Liberati, A., Using clinical evidence in a national continuing medical education program in Italy (2007) PLoS Med, 4, p. e113; Lahti, M., Hätönen, H., Välimäki, M., Impact of e-learning on nurses and student nurses knowledge, skills, and satisfaction: A systematic review and meta-analysis (2014) Int J Nurs Stud, 51, pp. 136-149; Vaona, A., Rigon, G., Banzi, R., E-learning for health professionals (Protocol) (2015) Cochrane Database Syst Rev, 6, p. CD011736; (2014) Gravidanza Parto e allattamento-2013 [Pregnancy Childbirth and breastfeeding-2013], , www.istat.it/it/archivio/141431, Istituto Nazionale di Statistica ISTAT Rome IT. Updated (accessed September 12, 2017); Lauria, L., Andreozzi, S., Percorso Nascita e Immigrazione in Italia: Le Indagini Del 2009 [Pre-and Post-natal Assistance and Immigration in Italy: The 2009 Surveys], , www.iss.it/binary/publ/cont/11_12_web.pdf, Istituto Superiore di Sanità, Rome, IT. Updated 2011 (accessed September 12, 2017); Colaceci, S., Giusti, A., De Angelis, A., Medications, "natural" products and pharmacovigilance during breast-feeding. A mixed-methods study on women's opinions (2016) J Hum Lact, 32, pp. 324-332; Mansouri, M., Lockyer, J., A meta-analysis of continuing medical education effectiveness (2007) J Contin Educ Health Prof, 27, pp. 6-15; Forsetlund, L., Bjørndal, A., Rashidian, A., Continuing education meetings and workshops: Effects on professional practice and health care outcomes (2009) Cochrane Database Syst Rev, 2, p. CD003030; Thurer, L.S., (1995) The Myths of Motherhood: How Culture Reinvents the Good Mother, , New York NY: Penguin Group; Knaak, S.J., Contextualising risk, constructing choice: Breastfeeding and good mothering in risk society (2010) Health, Risk Soc, 12, pp. 345-355; Davanzo, R., Bua, J., De Cunto, A., Advising mothers on the use of medications during breastfeeding: A need for a positive attitude (2015) J Hum Lact, 32, pp. 15-19; Santos-Torres, M.I., Vasquez-Garibay, E., Food taboos among nursing mothers of Mexico (2003) J Health Popul Nutr, 21, pp. 142-149; Poh, B., Wong, Y., Norimah, A., Postpartum dietary intakes and food taboos among Chinese women attending maternal and child health clinics and maternity hospital, Kuala Lumpur (2005) Malays J Nutr, 11, pp. 1-21; Kulakac, O., Oncel, S., Meydanlioglu, A., The opinions of employed mothers about their own nutrition during lactation: A questionnaire survey (2007) Int J Nurs Stud, 44, pp. 589-600; Global Strategy for Infant and Young Child Feeding, , http://apps.who.int/iris/bitstream/10665/42590/1/9241562218.pdf?ua=1&ua=1, World Health Organization World Health Organization, Geneva. Updated 2003 (accessed September 12, 2017); (1981) International Code of Marketing of Breast-milk Substitutes, , www.who.int/nutrition/publications/code_english.pdf, World Health Organization World Health Organization, Geneva. Updated (accessed September 12, 2017); Marketing of Breast-milk Substitutes: National Implementation of the International Code Status Report 2016, , http://apps.who.int/iris/bitstream/10665/206008/1/9789241565325_eng.pdf?ua=1&ua=1, World Health Organization, United Nations Children's Fund, & International Baby Food Action Network World Health Organization, Geneva. Updated 2016. (accessed September 12, 2017); (2015) Working Within the International Code of Marketing of Breast-milk Substitutes. A Guide for Health Workers, , www.unicef.org.uk/Documents/Baby_Friendly/Guidance/guide_int_code_health_professionals.pdf?epslanguage=en, United Nations Children's Fund UNICEF UK Baby Friendly Initiative, London, United Kingdom. Updated (accessed September 12, 2017); Carson, K.V., Verbiest, M.E., Crone, M.R., Training health professionals in smoking cessation (2013) Cochrane Database Syst Rev, 5, p. CD000214; The Convention on the Rights of the Child. Report on the Situation of Infant and Young Child Feeding in Italy. Updated 2011, , www.ibfan.org/art/IBFAN_CRC58-2011Italy.pdf, International Baby Food Action Network (accessed September 12, 2017); I Diritti dell'Infanzia e dell'Adolescenza in Italia-8° Rapporto [The Rights of Children and Adolescents in Italy: 8th Report]. Updated 2015, , www.gruppocrc.net/IMG/pdf/VIIIrapportoCRC.pdf, Gruppo di Lavoro per la Convenzione sui Diritti dell'Infanzia e dell'Adolescenza (accessed September 12, 2017); Giusti, A., Conti, S., Di Lorenzo, G., How Italian mid-wives contribute to breastfeeding promotion: A national experience of "cascade" training (2006) Ig Sanita Pubbl, 62, pp. 53-67; Pound, C.M., Moreau, K.A., Hart, F., The planning of a national breastfeeding educational intervention for medical residents (2015) Med Educ Online, 20, p. 26380; The UNICEF UK Baby Friendly Initiative University Standards Programme. Up-dated 2014, , www.unicef.org.uk/BabyFriendly/Health-Professionals/Going-Baby-Friendly/University, United Nations Children's Fund (accessed September 12, 2017); Midwives: Reality, desires, care model (2011) Lucina, 2, pp. 4-5. , www.fnco.it/custom/fnco/writable/news/Lucina%202-11%20sito.pdf, Italian National Federation of Midwives (accessed September 12, 2017); Gli Infermieri in Italia [Nurses in Italy]. Updated 2013, , www.ipasvi.it/ecm/rivista-linfermiere/rivista-linfermiere-page-16-articolo-193.htm, Federation of the Ipasvi Colleges Federation of the Ipasvi Colleges website (accessed September 12, 2017); Delaini, P., Cattaneo, A., Fusaro, N., Pharmacies and breastfeeding support: A network between healthcare professionals (2009) Dialogo sui Farmaci, 2, pp. 79-80. , www.epicentro.iss.it/temi/materno/pdf/79-80Pediatria.pdf, (accessed September 12, 2017); (2010) Baby-friendly Pharmacies. Breast-feeding Briefs, pp. 48-49. , www.breastfeedingcanada.ca/documents/IBFANBaby-friendly_pharmacies.pdf, Geneva Infant Feeding Association, International Baby Food Action Network (accessed September 12, 2017); Radzyminski, S., Callister, L.C., Health professionals' attitudes and beliefs about breastfeeding (2015) J Perinat Educ, 24, pp. 102-109; Sriraman, N.K., Kellams, A., Breastfeeding: What are the barriers? Why women struggle to achieve their goals (2016) J Womens Health, 25, pp. 714-722; Core Competencies in Breastfeeding Care and Services for All Health Professionals. Updated 2010, , www.usbreastfeeding.org/p/cm/ld/fid=170, United States Breastfeeding Committee (accessed September 12, 2017); Galesic, M., Dropouts on the Web: Effects of interest and burden experienced during an online survey (2008) J off Stat, 22, pp. 313-328
PY - 2017
Y1 - 2017
N2 - Introduction: Breastfeeding training has a crucial role in increasing healthcare professionals' attitudes and in improving professional support for breastfeeding. The collaboration between the Italian National Institute of Health, UNICEF, and the Local Health Authority of Milan has led to the development of an online course on lactation and infant feeding practices. Aim: To assess if the course was effective in improving healthcare professionals' attitudes and practices (APs). Methods: We conducted a prestudy-poststudy, comparing users' APs before (T0) and after (T1) the course through a 20-item questionnaire. Changes in APs were analyzed using paired t-test. Lower mean differences indicated more positive attitudes and more frequent professional practices favoring breastfeeding. Statistical analysis was carried out using SPSS version 15.0. Results: The course had 26,009 registrants and was successfully completed by 91.3% of users. The dropout rate was 8.7%. The final cohort was composed of 15,004 participants. The course improved attitudes, while minor changes were observed on practices (p <0.05). Mean total attitude scores were 2.4 at T0 and 1.9 at T1, while mean total practice scores were 2.2 and 2.1, respectively. The main effects regarded the use of medications during breastfeeding (3.02 ± 1.29 at T0 and 1.88 ± 1.08 at T1) and the self-reported compliance with the International Code of Marketing of Breast Milk Substitutes (2.29 ± 1.24 at T0, 2.03 ± 1.21 at T1). Conclusion: The noninteractive, high-coverage e-learning approach seems to be a useful tool for improving awareness and positive attitudes toward breastfeeding among healthcare professionals. © 2017, Mary Ann Liebert, Inc.
AB - Introduction: Breastfeeding training has a crucial role in increasing healthcare professionals' attitudes and in improving professional support for breastfeeding. The collaboration between the Italian National Institute of Health, UNICEF, and the Local Health Authority of Milan has led to the development of an online course on lactation and infant feeding practices. Aim: To assess if the course was effective in improving healthcare professionals' attitudes and practices (APs). Methods: We conducted a prestudy-poststudy, comparing users' APs before (T0) and after (T1) the course through a 20-item questionnaire. Changes in APs were analyzed using paired t-test. Lower mean differences indicated more positive attitudes and more frequent professional practices favoring breastfeeding. Statistical analysis was carried out using SPSS version 15.0. Results: The course had 26,009 registrants and was successfully completed by 91.3% of users. The dropout rate was 8.7%. The final cohort was composed of 15,004 participants. The course improved attitudes, while minor changes were observed on practices (p <0.05). Mean total attitude scores were 2.4 at T0 and 1.9 at T1, while mean total practice scores were 2.2 and 2.1, respectively. The main effects regarded the use of medications during breastfeeding (3.02 ± 1.29 at T0 and 1.88 ± 1.08 at T1) and the self-reported compliance with the International Code of Marketing of Breast Milk Substitutes (2.29 ± 1.24 at T0, 2.03 ± 1.21 at T1). Conclusion: The noninteractive, high-coverage e-learning approach seems to be a useful tool for improving awareness and positive attitudes toward breastfeeding among healthcare professionals. © 2017, Mary Ann Liebert, Inc.
KW - Breastfeeding
KW - e-learning
KW - education
KW - Web-based
KW - adult
KW - Article
KW - breast feeding
KW - breast milk
KW - clinical practice
KW - comparative study
KW - drug use
KW - female
KW - health hazard
KW - health personnel attitude
KW - human
KW - male
KW - maternal nutrition
KW - medical education
KW - national health organization
KW - online system
KW - priority journal
KW - professional knowledge
KW - professional practice
KW - protocol compliance
KW - self report
KW - attitude to health
KW - evaluation study
KW - health care personnel
KW - infant
KW - Italy
KW - maternal child health care
KW - newborn
KW - pregnancy
KW - standards
KW - teaching
KW - utilization
KW - Adult
KW - Attitude of Health Personnel
KW - Breast Feeding
KW - Computer-Assisted Instruction
KW - Education, Medical, Continuing
KW - Female
KW - Health Knowledge, Attitudes, Practice
KW - Health Personnel
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Male
KW - Maternal-Child Health Services
KW - Pregnancy
U2 - 10.1089/bfm.2017.0060
DO - 10.1089/bfm.2017.0060
M3 - Article
VL - 12
SP - 629
EP - 636
JO - Breastfeeding Medicine
JF - Breastfeeding Medicine
SN - 1556-8253
IS - 10
ER -