Related Experiment Video
Updated: May 28, 2026

05:04
A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
Video-Based Peer Support and Exclusive Breastfeeding and Maternal Self-Efficacy: A Randomized Clinical Trial
Kris Yuet Wan Lok1, Caroline Hoi Lam Ip1, Ying Dai1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
JAMA Network Open
|May 27, 2026
Summary
Online peer support via video calls improved early exclusive breastfeeding rates and maternal confidence. While not reaching the 6-month target, this intervention offers a scalable model for postnatal care.
Area of Science:
- Public Health
- Maternal and Child Health
- Digital Health Interventions
Background:
- Peer support is recognized for enhancing breastfeeding outcomes.
- Evidence for the efficacy of online peer support formats remains limited.
- Structured interventions are needed to improve breastfeeding continuation and maternal confidence.
Purpose of the Study:
- To assess the impact of structured, video call-based peer support on exclusive breastfeeding rates.
- To evaluate the effect of this intervention on maternal breastfeeding self-efficacy.
- To determine the feasibility of integrating online peer support into standard postnatal care.
Main Methods:
- A multicenter, randomized clinical trial involving first-time mothers with low breastfeeding confidence.
- Intervention group received usual postnatal care plus two video call sessions with peer supporters.
- Control group received only usual postnatal care.
- Primary outcome: exclusive breastfeeding at 6 months postpartum. Secondary outcomes: exclusive breastfeeding at earlier time points and maternal self-efficacy.
Main Results:
- No significant difference in exclusive breastfeeding at 6 months between groups (20.1% vs 15.6%).
- Significantly higher exclusive breastfeeding rates at 2 months in the intervention group (27.1% vs 19.0%).
- Maternal breastfeeding self-efficacy significantly improved in the intervention group, particularly at 4 months.
Conclusions:
- Video call-based peer support did not significantly increase exclusive breastfeeding at 6 months postpartum.
- The intervention demonstrated a significant positive effect on exclusive breastfeeding at 2 months.
- This approach offers a scalable and effective model for enhancing maternal breastfeeding self-efficacy and early breastfeeding success within postnatal care systems.
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