Video-Based Peer Support and Exclusive Breastfeeding and Maternal Self-Efficacy: A Randomized Clinical Trial
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By
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Kris Yuet Wan Lok
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Caroline Hoi Lam Ip
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Ying Dai
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Yuen Fan Chan
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Martha Sin Lam Choi
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Christine Lam
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Sze Ki Wong
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Lai Fong Ho
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Pui Hing Chau
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Yan-Shing Chang
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Debra Bick
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May 27, 2026
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Clinical Scorecard: Peer Support Through Video and Its Impact on Exclusive Breastfeeding and Maternal Confidence: A Randomized Clinical Study
At a Glance
| Category | Detail |
|---|
| Condition | Exclusive breastfeeding and maternal self-efficacy |
| Key Mechanisms | Video call-based peer support enhances maternal confidence and addresses breastfeeding challenges. |
| Target Population | First-time mothers with low breastfeeding confidence, aged 18 years or older. |
| Care Setting | Postnatal wards of public hospitals and home environment. |
Key Highlights
- Study evaluates structured video call peer support for breastfeeding.
- Participants included first-time mothers with low breastfeeding self-efficacy.
- Intervention aimed to improve exclusive breastfeeding rates and maternal confidence.
- Sessions focused on active listening, confidence reinforcement, and problem-solving.
- Conducted across multiple public hospitals in Hong Kong.
Guideline-Based Recommendations
Diagnosis
- Assess maternal self-efficacy using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF).
Management
- Implement structured video call peer support for mothers post-partum.
Monitoring & Follow-up
- Conduct follow-up assessments at 1, 2, 4, and 6 months post-partum.
Risks
- Exclusion criteria include infants with gestational age <37 weeks or severe medical conditions.
Patient & Prescribing Data
First-time mothers intending to breastfeed with low self-efficacy.
Video call sessions provide personalized support and guidance.
Clinical Best Practices
- Provide early support shortly after discharge to address common breastfeeding challenges.
- Schedule follow-up sessions to reinforce confidence and address emerging issues.
- Utilize trained peer supporters with personal breastfeeding experience.
Related Resources & Content
