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Créée le : 26 Feb 2004
Modifiée le : 02 Dec 2007

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Notice bibliographique (sans auteurs) :

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.

Auteur·e(s) :

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

Année de publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

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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Mots-clés :

➡ médecine factuelle ; allaitement

Auteur·e de cette fiche :

Cécile Loup — 26 Feb 2004