Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Dr Roslyn Giglia PhD MPH G...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Overview
• The importance ...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Breastfeeding
Benefits for...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Breastfeeding
Benefits for...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Regional Women
In isolated...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
Regional Women
Difficulty ...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
The internet is overcoming...
Curtin University is a trademark of Curtin University of Technology
CRICOS Provider Code 00301J
The internet is overcoming...
Curtin University is a trademark of Curtin University of Technology
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The Research Study
• Recru...
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Results
Formative results ...
Curtin University is a trademark of Curtin University of Technology
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Results
Formative results ...
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The Website
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Curtin University is a trademark of Curtin University of Technology
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30.07.10Footer text - slid...
Curtin University is a trademark of Curtin University of Technology
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What the website aims to d...
Curtin University is a trademark of Curtin University of Technology
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How it works – Other featu...
Curtin University is a trademark of Curtin University of Technology
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Curtin University is a trademark of Curtin University of Technology
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Progress to date
Currently...
Curtin University is a trademark of Curtin University of Technology
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Progress to date
Have a ve...
Curtin University is a trademark of Curtin University of Technology
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Progress to date (as of 18...
Curtin University is a trademark of Curtin University of Technology
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Quotes
‘Thank you for your...
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Quotes
‘I know what you ar...
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Results (n= 89)
What does ...
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The Midwest Mum (cont’d)
8...
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And what about the baby?……...
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Curtin University is a trademark of Curtin University of Technology
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Support from Hospital staf...
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Who are mums likely to ask...
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My 2020 Vision for Making ...
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30.07.10Footer text - slid...
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Big picture – My 2020 Visi...
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School of Public Health
We...
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Making links using an internet intervention to support breastfeeding mothers and dietitians to conduct research in regional wa (Roslyn Giglia - WACHPR)

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Presentation at Making Links Conference 2010 in Perth, Western Australia.

www.makinglinks.org.au

Published in: Education, Technology
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Making links using an internet intervention to support breastfeeding mothers and dietitians to conduct research in regional wa (Roslyn Giglia - WACHPR)

  1. 1. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Dr Roslyn Giglia PhD MPH GradDipDiet APD Making links using an internet intervention to support breastfeeding mothers, and dietitians to conduct research, in regional Western Australian (WA) 17 November 2010
  2. 2. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Overview • The importance of breastfeeding • Why support regional women? • The research study • The website • Progress to date and preliminary results • Making links
  3. 3. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Breastfeeding Benefits for the mother include protection from • Breast, Ovarian and Endometrial cancer • Type 2 diabetes • Metabolic syndrome • Cardiovascular disease • Osteoporosis • Obesity
  4. 4. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Breastfeeding Benefits for the baby include protection from • acute diarrhoea • lower respiratory tract infections • ear infections • asthma • necrotising enteritis • botulism • SIDS • diabetes, • childhood lymphoma • coeliac disease. • cardiovascular disease • rheumatoid arthritis, • some cancers • obesity
  5. 5. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Regional Women In isolated areas mothers are limited with regard to the availability of health services. The further away a mother is from a major metropolitan centre the less likely that she will be able to immediately access a doctor, child health nurse or lactation consultant in response to any breastfeeding problems she may have.
  6. 6. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Regional Women Difficulty with breastfeeding in the early postpartum period is a significant risk factor for the early cessation of breastfeeding, particularly in the first four weeks. Early support for breastfeeding mothers is a leading factor in breastfeeding maintenance.
  7. 7. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J The internet is overcoming isolation… Although there are other breastfeeding Websites in existence (most obviously the Australian Breastfeeding Association), this intervention will provide individualised feedback and information for women on their breastfeeding concerns in the absence of other support. Build a virtual community.
  8. 8. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J The internet is overcoming isolation… Although there are other breastfeeding Websites in existence (most obviously the Australian Breastfeeding Association) this intervention differs from other sites by providing; - individualised feedback and information for women on their breastfeeding concerns in the absence of other support - online education sessions - the opportunity to breastfeed using webcam support with a lactation consultant - private and secure community - an understanding of regional problems involving regional people
  9. 9. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J The Research Study • Recruitment in hospital or through the Child Health Nurses • Women randomised to a control or intervention group for the website • Women provided with a username and password • Women complete a baseline survey when in hospital or first log on • Women are then surveyed online at 4, 10, 16, 26, 32, 40 and 52 weeks MASS MAILER PROGRAM which is automated to the database. Women can be reminded about their surveys Send reminder SMS through email2SMS
  10. 10. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Results Formative results (n= 31) Usefulness of Discussion Forums 81% of women surveyed responded useful or very useful Usefulness of Education Sessions 84% of women surveyed responded useful or very useful Not so sure about the Webcams 48% undecided 39% useful or very useful
  11. 11. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Results Formative results (n = 31) Usefulness of an interactive Breastfeeding Website 97% of women surveyed responded useful or very useful Usefulness of chat rooms 74% of women surveyed responded useful or very useful
  12. 12. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J The Website
  13. 13. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J
  14. 14. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J 30.07.10Footer text - slideshow title
  15. 15. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J What the website aims to do Aims to create a virtual community Discussion forums Social networking site Profiles of each person Confidential contact form so women can email each other Track log on and Website useage Access to a lactation consultant online
  16. 16. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J How it works – Other features Videos and presentations SLIDE SHARE WEB Present Webcam to view breastfeeding technique Skype
  17. 17. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J
  18. 18. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Progress to date Currently have approximately 120 Women enrolled on the website. 58 in the control and 62 in the intervention group.
  19. 19. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Progress to date Have a very keen and competent PhD student living and working in Geraldton An amazing Web designer/mistress
  20. 20. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Progress to date (as of 18/08/2010) By far the most visited page is the front page/news/welcome pages. 160 hits Next most visited pages are both the Surveys page, and the Thank you for Completing your Survey page. 58 hits Next is the Messages page (private messages) which has been visited 57 times Next is the main forums page, 49 times The introductions thread has been visited 48 times
  21. 21. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Quotes ‘Thank you for your advice Jenny in regards to my questions was very helpfull and nice to know that people are there to help if possible even though its my 3rd you still sometimes question if what you are doing is the right thing.’
  22. 22. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Quotes ‘I know what you are saying about living remotely we live 25klm's from town not far I know but far enough to make it hard to meet people ect. Anyhow chat one day soon hopefully with you all. ‘…. ‘Yeah I understand my mum is only 20kms from gero and it took her yrs to get some good friends.’… ‘20klm's out of gero south or north? I live south side do you live in Gero aswell? I know what you mean by taking years to get friends here, Doesn't help that Gero is such a clicky place either, well that's how I found it so far I been here for just over 2 years now and still feel like a stranger in my parents group.’…. ‘I now live in Perenjori, but come to gero every now and then maybe 1 day we could meet for a coffee or something. I found it so hard meeting people up there, here I'm lucky as my partners family live here so have a bit of support.’
  23. 23. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Results (n= 89) What does the Midwest Mum look like? Age: 30 (19-43 years) 91% married / de facto length of residence in Midwest: 13 years Distance from Geraldton: 50% live within 15 mins (drive) of CBD 19% live 60mins or more from Geraldton (most remote – 5 hours) 52% reported a family income of >$72,800 Education 32% degree or higher •4% less than Yr 10 education •30% TAFE / trade
  24. 24. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J The Midwest Mum (cont’d) 88% Australian-born 18% paid maternity leave Hospital of birth 52% GRH 46% SJOG 31% EDP (77% of EDP clients from GRH) Health insurance: Private - 53% Public– 47%
  25. 25. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J And what about the baby?…… First baby for approximately a third of women 42% second baby 45% male, 55% female Mean birthweigth: 3518g Mean gestational age: 40.9 weeks Picture: Queensland Health
  26. 26. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J
  27. 27. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Support from Hospital staff 92% felt that help and information was sufficient in hospital For women who felt that information or help was not sufficient, comments included: “Breastfeeding was not successful first time around” “Needed help to get started again” “Assumed I knew what I was doing [because this was not first baby]” “More time spent with me” “Help with positioning” 21% felt that they received conflicting advice Mostly related to differing opinions about feeding techniques old fashioned vs new knowledge Demand feeding vs by-the-clock feeding “Top-ups” Timing of feeds (frequency and duration) Perceived position of midwife on feeding method
  28. 28. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Who are mums likely to ask for help? Referral for breastfeeding problems after discharge: 50% said no contact had been given Contact sources: 30% - CHN 21% hospital MW 11% GP 19% ABA 9% LC Likely support post-discharge: Mothers said that they were most likely to contact the CHN (40%), their mothers (18%) or hospital MW (16%) 4% would contact a lactation consultant, 5% would contact ABA
  29. 29. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J My 2020 Vision for Making Links Robust breastfeeding data from regional WA Regional Infant Feeding study (RIFS) become a truly whole of WA research project Dietitians involved with local and meaningful research
  30. 30. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J 30.07.10Footer text - slideshow title
  31. 31. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J Big picture – My 2020 Vision Up take of the research in other health regions of WA All of these regions and/or people are looking to become involved Kimberley; Tracy Leon Goldfields; Stephanie Samantha, Sharon Er, Rachael Nugent, Isabel Growden South West; Deb Brealey, Narelle Norrish Midwest; Rebecca Sparrowhawk This collaboration will enable an almost State wide regional cohort of breastfeeding data to be collected
  32. 32. Curtin University is a trademark of Curtin University of Technology CRICOS Provider Code 00301J School of Public Health Western Australian Centre for Health Promotion Research Thankyou

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