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Telemed J E Health. 2018 Sep 13. doi: 10.1089/tmj.2018.0113. [Epub ahead of print]

Telelactation Via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants.

Author information

1
1 Department of Health Promotion and Development, University of Pittsburgh School of Nursing , Pittsburgh, Pennsylvania.
2
2 RAND Corporation , Arlington, Virginia.
3
3 Department of Pediatrics, University of Pittsburgh School of Medicine , Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Abstract

BACKGROUND:

Rural-urban disparities exist in breastfeeding rates and availability of lactation support. Direct-to-consumer (DTC) telelactation that uses two-way video through personal devices has the potential to increase access to international board-certified lactation consultants (IBCLCs) in rural settings that lack them. This study describes the feasibility and acceptability of DTC telelactation for rural mothers.

METHODS:

We conducted semi-structured interviews among various stakeholders involved in a study exploring the impact of telelactation through mobile phone app in rural Pennsylvania. Interviewees included mother participants assigned to receive telelactation (n = 17), IBCLCs employed by the telelactation vendor (n = 7), and nurses (n = 2) and physicians (n = 1) caring for mother participants at the recruitment hospital. Thematic content analysis was used to analyze qualitative data.

RESULTS:

Interviewees reported that telelactation was convenient and efficient, provided a needed service in rural areas lacking breastfeeding support services, and increased maternal breastfeeding confidence. Telelactation was noted to have several advantages over in-person and telephone-based support. Barriers to use included maternal reluctance to conduct video calls with an unknown provider, preference for community-based breastfeeding resources, and technical issues including limited WiFi in rural areas.

CONCLUSIONS:

Among rural women who experience inequitable access to qualified breastfeeding support resources, DTC telelactation appears to be an acceptable delivery model for lactation assistance.

KEYWORDS:

behavioral health; e-health; pediatrics; technology; telemedicine

PMID:
30212280
DOI:
10.1089/tmj.2018.0113

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