Abstract
Empirical evidence demonstrates myriad benefits of breastfeeding for mother and child, along with benefits to businesses that support breastfeeding. Federal and state legislation requires workplace support for pumping and provides protections for public breastfeeding. Yet, many are unaware of these laws, and thus, support systems remain underdeveloped. We used a community-based approach to spread awareness about the evidence-based benefits of breastfeeding and breastfeeding support. We worked to improve breastfeeding support at the local hospital, among local employers, and throughout the broader community. Our coalition representing the hospital, the chamber of commerce, the university, and local lactation consultants used a public deliberation model for dissemination. We held focus groups, hosted a public conversation, spoke to local organizations, and promoted these efforts through local media. The hospital achieved Baby-Friendly status and opened a Baby Café. Breastfeeding support in the community improved through policies, designated pumping spaces, and signage that supports public breastfeeding at local businesses. Community awareness of the benefits of breastfeeding and breastfeeding support increased; the breastfeeding support coalition remains active. The public deliberation process for dissemination engaged the community with evidence-based promotion of breastfeeding support, increased agency, and produced sustainable results tailored to the community’s unique needs.
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All research procedures were approved by the institutional review board at the local university and were in accordance with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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This project was supported by a 2014 Community Innovation grant from the Bush Foundation (no grant number available).
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The authors declare that they have no conflict of interest.
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Implications
Practice: Community-based efforts to address complex health issues need to engage community members in meaningful conversations to build understanding and create the relationships needed to generate and sustain positive change.
Policy: Funders and policymakers need to allocate resources and seek partnerships to support ongoing public deliberations that address complex health concerns at a community level, to create unique, sustainable solutions.
Research: Researchers should give greater attention to the communicative processes that drive community-level change for health behaviors, like breastfeeding, which require community support to be successful.
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Anderson, J., Kuehl, R.A., Mehltretter Drury, S.A. et al. Brookings supports breastfeeding: using public deliberation as a community-engaged approach to dissemination of research. Behav. Med. Pract. Policy Res. 7, 783–792 (2017). https://doi.org/10.1007/s13142-017-0480-6
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DOI: https://doi.org/10.1007/s13142-017-0480-6