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In a cluster randomised controlled trial of a policy to provide community breastfeeding support groups in Scotland, breastfeeding rates declined in 3 of 7 intervention localities. From a preliminary study, we expected breastfeeding outcomes to vary and we prospectively used qualitative and quantitative methods to ask why. Ethnographic in-depth interviews,(More)
OBJECTIVE To investigate the infant feeding experiences of women and their significant others from pregnancy until 6 months after birth to establish what would make a difference. DESIGN Qualitative serial interview study. SETTING Two health boards in Scotland. PARTICIPANTS 72 of 541 invited pregnant women volunteered. 220 interviews approximately(More)
BACKGROUND Obesity increases the risk of many serious illnesses such as coronary heart disease, type 2 diabetes and osteoarthritis. More men than women are overweight or obese in the UK but men are less likely to perceive their weight as a problem and less likely to engage with weight-loss services. OBJECTIVE The aim of this study was to systematically(More)
OBJECTIVE To assess the clinical effectiveness and cost effectiveness of a policy to provide breastfeeding groups for pregnant and breastfeeding women. DESIGN Cluster randomised controlled trial with prospective mixed method embedded case studies to evaluate implementation processes. SETTING Primary care in Scotland. PARTICIPANTS Pregnant women,(More)
BACKGROUND Incentive or reward schemes are becoming increasingly popular to motivate healthy lifestyle behaviours. In this paper, insights from a qualitative and descriptive study to investigate the uptake, impact and meanings of a breastfeeding incentive intervention integrated into an existing peer support programme (Star Buddies) are reported. The Star(More)
OBJECTIVE To survey public attitudes about incentives for smoking cessation in pregnancy and for breast feeding to inform trial design. DESIGN Cross-sectional survey. SETTING AND PARTICIPANTS British general public. METHODS Seven promising incentive strategies had been identified from evidence syntheses and qualitative interview data from service(More)
OBJECTIVE To assess the feasibility of implementing a dedicated feeding support team on a postnatal ward and pilot the potential effectiveness and cost-effectiveness of team (proactive) and woman-initiated (reactive) telephone support after discharge. DESIGN Randomised controlled trial embedded within a before-and-after study. Participatory approach and(More)