Methodological Issues in Research using Professional Clinicians and Community Peers

2.50
Hdl Handle:
http://hdl.handle.net/10755/161372
Type:
Presentation
Title:
Methodological Issues in Research using Professional Clinicians and Community Peers
Abstract:
Methodological Issues in Research using Professional Clinicians and Community Peers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Wambach, Karen, PhD, RN
Title:Assistant Professor of Nursing
Contact Address:Childbearing - Mailstop 4043, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA
Co-Authors:Lauren Aaronson, RN, PhD, FAAN, Professor; Ginger Breedlove, PhD, CNM; Elaine Domian, RN, PhD; Susan Dana, RN, MSN; Wilaiporn Rojjanasrirat, RNC, PhD, IBCLC, Research Assistant Professor
The purpose of this paper is to present methodological issues encountered in the implementation of a randomized clinical trial to enhance breastfeeding decision-making and increase the initiation and duration of breastfeeding among adolescent mothers, many of whom are disadvantaged. The study design uses developmentally-sensitive, comprehensive prenatal, in-hospital, and postpartum educational and support interventions provided by a team consisting of a certified lactation consultant and community-based peer counselor. The Theory of Planned Behavior and principles of adolescent decision-making guided the design of the study and the development of the interventions. In addition, the philosophy of Paulo Freire provided the conceptual basis for training of the peer counselors. Subjects include 297 pregnant and parenting adolescents between the ages of fifteen and eighteen from five urban prenatal clinic settings. The issues encountered during Phase I of the project related to fine-tuning the interventions and training the interventionists. These issues included: limiting traditional advanced nurse practice for the breastfeeding couplet during an in-patient lactation consultant assessment; maintaining rigor and standardization in intervention components; and peer counselor training that would capitalize on the relation-based principles of the intervention within the limitations of the research-based context. In conclusion, studies that incorporate professional and community based interventionists provide benefits to research participants, but also challenge researchers during implementation of the study design. A careful balance of the philosophical, theoretical, and empirical basis for the interventions with strict attention to experimental design rigor is essential for integrity of the study implementation and results.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMethodological Issues in Research using Professional Clinicians and Community Peersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161372-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Methodological Issues in Research using Professional Clinicians and Community Peers </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wambach, Karen, PhD, RN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Childbearing - Mailstop 4043, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lauren Aaronson, RN, PhD, FAAN, Professor; Ginger Breedlove, PhD, CNM; Elaine Domian, RN, PhD; Susan Dana, RN, MSN; Wilaiporn Rojjanasrirat, RNC, PhD, IBCLC, Research Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this paper is to present methodological issues encountered in the implementation of a randomized clinical trial to enhance breastfeeding decision-making and increase the initiation and duration of breastfeeding among adolescent mothers, many of whom are disadvantaged. The study design uses developmentally-sensitive, comprehensive prenatal, in-hospital, and postpartum educational and support interventions provided by a team consisting of a certified lactation consultant and community-based peer counselor. The Theory of Planned Behavior and principles of adolescent decision-making guided the design of the study and the development of the interventions. In addition, the philosophy of Paulo Freire provided the conceptual basis for training of the peer counselors. Subjects include 297 pregnant and parenting adolescents between the ages of fifteen and eighteen from five urban prenatal clinic settings. The issues encountered during Phase I of the project related to fine-tuning the interventions and training the interventionists. These issues included: limiting traditional advanced nurse practice for the breastfeeding couplet during an in-patient lactation consultant assessment; maintaining rigor and standardization in intervention components; and peer counselor training that would capitalize on the relation-based principles of the intervention within the limitations of the research-based context. In conclusion, studies that incorporate professional and community based interventionists provide benefits to research participants, but also challenge researchers during implementation of the study design. A careful balance of the philosophical, theoretical, and empirical basis for the interventions with strict attention to experimental design rigor is essential for integrity of the study implementation and results.</td></tr></table>en_GB
dc.date.available2011-10-26T23:20:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:20:18Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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