CONTRIBUTION OF DIGITAL EDUCATIONAL TECHNOLOGIES, DESIGNED FOR FATHERS, IN PROMOTING BREASTFEEDING: AN INTEGRATIVE REVIEW

Amorim Júnior, José de Siqueira; Sousa, Antônia Sylca de Jesus; Jorge, Herla Maria Furtado; Andrade, Elaine Maria Leite Rangel

doi:10.1590/1980-265X-TCE-2023-0036en

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Original Article • Texto contexto - enferm. 32 • 2023 • https://doi.org/10.1590/1980-265X-TCE-2023-0036en copy

CONTRIBUTION OF DIGITAL EDUCATIONAL TECHNOLOGIES, DESIGNED FOR FATHERS, IN PROMOTING BREASTFEEDING: AN INTEGRATIVE REVIEW

CONTRIBUCIÓN DE LAS TECNOLOGÍAS EDUCATIVAS DIGITALES, DISEÑADAS PARA PADRES, EN LA PROMOCIÓN DE LA LACTANCIA MATERNA: UNA REVISIÓN INTEGRADORA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze the contributions of digital educational technologies, designed for fathers, in promoting breastfeeding.

Method:

a literature review, integrative type, carried out in December 2022, after electronic consultations in the CINAHL, Web of Science, EMBASE, MEDLINE, BDENF, IBECS and LILACS databases, without restriction of language and publication time. Article selection and information extraction were performed by peers independently.

Results:

sample of seven articles were published between 2017 and 2022 in Australia, Canada and Ethiopia. Digital educational technologies developed for fathers were mobile apps, eHealth resources, and text messaging. These technologies contributed to improve access to information, sharing of experiences, paternal self-efficacy to support breastfeeding, knowledge and attitude about infant feeding, consequently, improving breastfeeding rates.

Conclusion:

digital educational technologies on breastfeeding, designed for fathers, are poorly studied. However, they are fundamental to improve paternal support in promoting breastfeeding; therefore, more research is needed for the development of other digital educational technologies for this target audience.

DESCRIPTORS:
Educational Technologies; Breastfeeding; Health Promotion; Fathers

Year/country	DET	Objective	Population	Contributions	LoE*
2021 Australia2020. Scott JA, Burns SK, Hauck YL, Giglia RC, Jorgensen AM, White BK, et al. Impact of a face-to-face versus smartphone app versus combined breastfeeding intervention targeting fathers: randomized controlled trial. MIR Pediatr Parent [Internet]. 2021 [cited 2022 Dec 22];4(2):e24579. Available from: https://doi.org/10.2196/24579 https://doi.org/10.2196/24579...	Mobile app	To determine the effectiveness of various father-centered BF interventions in terms of key infant feeding outcomes.	1,426 fathers recruited from public and private hospitals.	The mobile app did not increase the level of BF self-efficacy and the support that fathers offered their partners during BF.	II
2018 Australia2121. White BK, Giglia RC, Scott JA, Burns SK. How new and expecting fathers engage with an app-based online forum: qualitative analysis. JMIR Mhealth Uhealth [Internet]. 2018 [cited 2023 Jan 05];6(6):e144. Available from: https://doi.org/10.2196/mhealth.9999 https://doi.org/10.2196/mhealth.9999...	Mobile app	To examine how fathers used a BF-focused conversation forum contained in a mobile application during the perinatal period.	208 fathers who used the app’s forum.	The mobile application’s conversation forum allowed fathers to seek and offer support, share experiences with other fathers during the prenatal period and after babies’ birth.	VI
2019 Australia2222. White B, Giglia RC, White JA, Dhaliwal S, Burns SK, Scott JA. Gamifying breastfeeding for fathers: process evaluation of the milk man mobile app. JMIR Pediatr Parent [Internet]. 2019 [cited 2023 Dec 25];2(1):e12157. Available from: https://doi.org/10.2196/12157 https://doi.org/10.2196/12157...	Mobile app	To describe the process Milk Man app assessment process that was tested in the Parent Infant Feeding Initiative randomized controlled trial.	730 randomized men who downloaded and used the extension.	The mobile app made fathers more aware of how they could help with BF and encouraged them to discuss this issue with their partner.	II
2017 Canada2323. Jennifer AD, Xie F, Koroluk J, Brillinger SA, Huizinga J, Newport A, et al. The development and piloting of an eHealth breastfeeding resource targeting fathers and partners as co-parents. Midwifery [Internet]. 2017 [cited 2023 Jan 10];50:139-47. Available from: https://doi.org/10.1016/j.midw.2017.04.004 https://doi.org/10.1016/j.midw.2017.04.0...	eHealth resource	To design and test an interactive eHealth resource for BF coparenting designed for mothers and fathers.	15 partners who completed the questionnaires and participated in the first phase of the study.	Paternal self-efficacy in BF and knowledge and attitude scores about infant feeding increased from pre-test to post-test.	Not applicable
2020 Ethiopia2424. Gebremariam KT, Zelenko O, Mulugeta ZA, Gallegos D. Could mobile phone text messages be used for infant feeding education in Ethiopia? A formative qualitative study. Health Inform J [Internet]. 2020 [cited 2023 Jan 10];26(4):2614-24. Available from: https://doi.org/10.1177/1460458220911779 https://doi.org/10.1177/1460458220911779...	Text messages	To explore the feasibility of a short message service for BF education in Ethiopia.	42 partners divided into two focus groups with 21 participants each.	Text messages improved fathers’ knowledge of BF and were easy and could be read at any time without the need for an internet connection.	VI
2022 Australia2525. White BK, Burns SK, Giglia RG, Dhaliwal SS, Scott JA. Measuring User Engagement with a Socially Connected, Gamified Health Promotion Mobile App. Int J Environ Res Public Health [Internet]. 2022 [cited 2023 Dec 25];19(9):5626. Available from: https://doi.org/10.3390/ijerph19095626 https://doi.org/10.3390/ijerph19095626...	Mobile app	To describe the custom engagement rate for the Milk Man app.	400 partners who installed the app and completed the questionnaire.	Partners of fathers who installed the mobile app were less likely to stop EBF at any time from birth to six weeks postpartum.	II
2020 Canada2626. Dick JA, Sun W, Newport A, Xie F, Godfrey D, Goodman WM. The comparison of access to an eHealth resource to current practice on mother and co-parent teamwork and breastfeeding rates: A randomized controlled trial. Midwifery [Internet]. 2022 [cited 2023 Dec 21];90:102812. Available from: https://doi.org/10.1016/j.midw.2020.102812 https://doi.org/10.1016/j.midw.2020.1028...	eHealth resource	To compare two study conditions to determine which is the most effective way to provide BF education and the difference in co-parenting and partner support between study groups.	104 partners participated in the survey.	BF rates have increased.	II

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[1] CORRESPONDING AUTHOR
José de Siqueira Amorim Júnior enf.juniorsiqueira@gmail.com