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Table 2 Summary, Quality Assessment, and Study Design of Primary School Articles Reviewed

From: Stakeholder views of breastfeeding education in schools: a systematic mixed studies review of the literature

  

Study population

Study quality

Questionnaire

First author & year

Country

N

(% female)

Age (years) or class type

Type

(MMAT rating)

Designed by & setting

Topics covered

Angell [23], 2011

England

56 (48)

Age 5 to 11

Qualitative

(1.1, 1.2, 1.3, 1.4)

Researcher led draw, write, tell. Group pictures, individual child-led description of pictures

Attitude

Bottaro [47], 2009

Brazil

564 (50)

Age 9 to 17 (5th grade)

Quantitative randomized

(2.1, 2.2, 2.3, 2.4)

Researcher designed questionnaire. Self-administered in classroom in the presence of researcher / some questions as vignettes

Knowledge

Attitude

Breast milk fed

Personal exposure

Public breastfeeding

Costa [46], 2006

Brazil

32 (56)

Age 7 to 12

Quantitative

non-randomized

(3.3, 3.4)

Researcher designed questionnaire. Self-administered

Knowledge

Attitude

Intention

Fujimori [8], 2008

Brazil

503 (54)

Mean age 11.7

Quantitative

non-randomized

(3.1, 3.2, 3.3, 3.4)

Researcher designed questionnaire. Self-administered, teacher supervised

Knowledge

Personal exposure

Sources of information

Education in schools

Galvao [9], 2011

Portugal

1078 (46)

Age 7 to 12

Quantitative descriptive

(4.1, 4.2, 4.3, 4.4)

Researcher designed questionnaire. Self-administered, teacher supervised, in classroom

Attitude

Intention

Breast milk fed

Personal exposure

Sources of information

Russell [24], 2004

Scotland

23 (61)

Age 6

Mixed methods

(1.1, 1.2, 1.3, 1.4)

(4.1, 4.2, 4.3,4.4)

(5.1, 5.2)

Researcher designed questionnaire to parents administered at home. Focus groups with children led by two experienced facilitators

Knowledge

Attitude

Breast milk fed

Personal exposure

Public breastfeeding

Sources of information

  1. The Mixed Method Appraisal Tool (MMAT) was used to evaluate the articles in the review. Listed are the criteria met for each study based on its methodological category. See the MMAT appraisal checklist for full explanation of criteria [13]
  2. • Qualitative (1.1 to 1.4)
  3. • Quantitative randomized controlled (2.1 to 2.4)
  4. • Quantitative non-randomized (3.1 to 3.4)
  5. • Quantitative descriptive (4.1 to 4.4)
  6. • Mixed methods studies include both the qualitative criteria and the appropriate quantitative criteria in addition to criteria specific for mixed methods studies (5.1 to 5.3)
  7. Knowledge: Specific topics including mechanics or immune benefits of nursing, with correct or incorrect answers
  8. Attitude: Attitudes about ease, acceptance, beliefs about benefits, feelings about breastfeeding or breastfeeding education
  9. Intention: Goals for future breastfeeding or support for breastfeeding partner
  10. Breast milk fed: Participant nursed as infant
  11. Personal exposure: Whether participant has seen others feed a baby by bottle or breast
  12. In public: Attitude about breastfeeding in public settings
  13. Sources of information: Where participant learned about breastfeeding
  14. Education in schools: Whether participant desires more education or feels education should be offered in school