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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3066 records
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Created on : 26 Feb 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Implementing evidence-based practice: evaluation of an opinion leader strategy to improve breast-feeding rates. American Journal of Obstetrics and Gynecology 2004;190(2):413-421.

Author(s) :

Sisk JE, Lennarson Greer A, Wojtowycz M, Pincus LB, Aubry RH.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE : The objective was to evaluate the effectiveness of opinion leaders in raising breast-feeding rates.
STUDY DESIGN : A randomized controlled trial of an opinion leader strategy in 18 hospitals in Central New York State compared mothers’ intention to breast-feed during baseline and study years. Multivariate logistic regression with a mixed model analyzed the effects on breast-feeding exclusively and on breast- and formula-feeding combined.
RESULTS : Obstetric clinicians had a high degree of knowledge about breast-feeding benefits and of perceived responsibility to recommend breast-feeding. Obstetricians, family practitioners, and midwives agreed on the person identified as the opinion leader, in each case an obstetrician who was chief of obstetrics or obstetrics-gynecology. Breast-feeding rates in hospitals with the opinion leader intervention did not differ significantly from those in control-group hospitals during the study year.
CONCLUSION : The opinion leader strategy in this case did not improve breast-feeding rates during the study year. Opinion leader strategies may make assumptions about clinician control that are not justified in situations such as breast-feeding.

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Resumen (español)  :

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Argument (English):

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Keywords :

➡ evidence-based medicine/midwifery ; breastfeeding

Author of this record :

Cécile Loup — 26 Feb 2004

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