Effect of Alberta Family Integrated Care (FICare) on Breastfeeding Self-Efficacy and Breastmilk Feeding in Moderate and Late Preterm Infants
Bibliographic record
Abstract
Background: 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.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".