Pat Hoddinott
Biographic Data
| ID | 1258476 |
|---|---|
| NAME | Pat Hoddinott |
| GIVEN NAMES | Pat |
| FAMILY NAME | Hoddinott |
| SIGNATURE | HODDINOTT P |
| AFFILIATIONS | University of Stirling |
| ORCID | 0000-0002-4372-9681 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 11 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Rethinking ‘Recovery’
INTRODUCTION: Interpretations of 'recovery' from illness are complex and influenced by many factors, not least patient expectations and experiences. This paper examines meanings of 'recovery', and how it is strived towards, drawing on the example of COVID-19 infection. METHODS: Drawing on qualitative interviews (n = 93) conducted in the UK between February 2021 and July 2022, we compare adults' accounts of being admitted to an Intensive Care Unit…
ABA‐Feed Infant Feeding Training for Peer Supporters and Coordinators
The assets-based feeding help before and after birth (ABA-feed) intervention aims to improve breastfeeding rates by offering proactive peer support to first-time mothers, regardless of feeding intention. Based on behaviour change theory and an assets-based approach, the intervention involved training existing peer supporters to become infant feeding helpers (IFHs). A train-the-trainer model was used, with coordinators delivering four 2-h training…
Experiences of the ABA‐Feed Infant Feeding Intervention
UK breastfeeding rates are low, with health inequalities in initiation and continuation. Breastfeeding peer support interventions are recommended in UK and global policy. The Assets-based feeding help Before and After birth (ABA-feed) trial tested the effectiveness of proactive, woman-centred support for infant feeding delivered by trained peer supporters (infant feeding helpers; IFHs) in addition to usual care at 17 UK sites. Using data from an …
Adapting interventions to new contexts—the Adapt guidance
Implementing interventions with a previous evidence base in new contexts might be more efficient than developing new interventions for each context. Although some interventions transfer well, effectiveness and implementation often depend on the context. Achieving a good fit between intervention and context then requires careful and systematic adaptation. This paper presents new evidence and consensus informed guidance for adapting and transferrin…
Women's and peer supporters' experiences of an assets‐based peer support intervention for increasing breastfeeding initiation and continuation
BACKGROUND AND CONTEXT: Breastfeeding peer support is valued by women, but UK trials have not demonstrated efficacy. The ABA feasibility trial offered proactive peer support underpinned by behaviour change theory and an assets-based approach to women having their first baby, regardless of feeding intention. This paper explores women's and infant feeding helpers' (IFHs) views of the different components of the ABA intervention. SETTING AND PARTICI…
Guidance on how to develop complex interventions to improve health and healthcare
OBJECTIVE: To provide researchers with guidance on actions to take during intervention development. SUMMARY OF KEY POINTS: Based on a consensus exercise informed by reviews and qualitative interviews, we present key principles and actions for consideration when developing interventions to improve health. These include seeing intervention development as a dynamic iterative process, involving stakeholders, reviewing published research evidence, dra…
Taxonomy of approaches to developing interventions to improve health
BACKGROUND: Interventions need to be developed prior to the feasibility and piloting phase of a study. There are a variety of published approaches to developing interventions, programmes or innovations to improve health. Identifying different types of approach, and synthesising the range of actions taken within this endeavour, can inform future intervention development. METHODS: This study is a systematic methods overview of approaches to interve…
The ABA intervention for improving breastfeeding initiation and continuation
The UK has low breastfeeding rates, with socioeconomic disparities. The Assets-based feeding help Before and After birth (ABA) intervention was designed to be inclusive and improve infant feeding behaviours. ABA is underpinned by the behaviour change wheel and offers an assets-based approach focusing on positive capabilities of individuals and communities, including use of a Genogram. This study aimed to investigate feasibility of intervention de…
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Women's views about a free breast pump service
Improving breastfeeding outcomes is a global priority; however, in the United Kingdom, continuation of breastfeeding remains low. Growing empirical evidence suggests a free breast pump service might be an acceptable and feasible incentive intervention to improve breastfeeding outcomes and reduce heath inequalities. To inform intervention development, we conducted an online survey with women recruited via social media using snowball sampling. Data…
Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up
Breastfeeding is challenging for mothers of preterm infants. The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers who breastfed their preterm infants at discharge from neonatal intensive care units (NICUs). The data come from a randomised controlled trial, which evaluated the effectiveness on exclusive breastfeeding at 8 weeks of proactive telephone support com…
Routinely collected infant feeding data
The importance of breastfeeding is clear. However, global action to support breastfeeding is hindered by the lack of reliable standard data, which continues to impede progress. Routinely collected data can monitor the effectiveness of health policy, evaluate interventions, and enhance international research collaboration and comparisons. Use of routine data to support effective public health initiatives such as smoking cessation has been demonstr…
Breastfeeding booklet and proactive phone calls for increasing exclusive breastfeeding rates
Breastfeeding is associated with infant and maternal health benefits and considerable potential savings to health services. Despite this, only 37% of infants globally are exclusively breastfed for 6 months. Interventions are needed to improve breastfeeding rates. The aim of this study is to determine whether written breastfeeding information in pregnancy and proactive breastfeeding-focused support phone calls, provided by a health professional ed…
Breast pumps as an incentive for breastfeeding
Increasing breastfeeding rates would improve maternal and child health, but multiple barriers to breastfeeding persist. Breast pump provision has been used as an incentive for breastfeeding, although effectiveness is unclear. Women's use of breast pumps is increasing and a high proportion of mothers express breastmilk. No research has yet reported women's and health professionals' perspectives on breast pumps as an incentive for breastfeeding. In…
A systematic review of the cost-effectiveness of non-surgical obesity interventions in men
A systematic review of long-term weight management randomised controlled trials for obese men. The Romeo project
A systematic review of weight loss interventions for obese men in the UK. The Romeo Project
Should weight loss programmes be designed differently for men and women? The Romeo Project
A qualitative evidence synthesis on the management of male obesity. The Romeo Project
Incentives for breastfeeding and for smoking cessation in pregnancy
Financial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by pr…
Why do interventions work in some places and not others
Seeing other women breastfeed
Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I…
The use of video support for infant feeding after hospital discharge
This study assesses the feasibility and acceptability of future infant feeding video support after hospital discharge, and investigates general views on the potential of other communication technology in a remote and rural area of Scotland. Mixed survey and qualitative methods were used. A consecutive sample of 403 women were given a questionnaire at discharge from post‐natal wards and 91 responded. From the respondents, 20 volunteers were purpos…
A qualitative study of women’s views about how health professionals communicate about infant feeding
OBJECTIVE: To look at how communication by health professionals about infant feeding is perceived by first time mothers. DESIGN: Qualitative semi-structured interviews early in pregnancy and 6-10 weeks after birth. SUBJECTS AND SETTING: Twenty-one white, low income women expecting their first baby were interviewed mostly at home, often with their partner or a relative. RESULTS: The personal and practical aspects of infant feeding which were impor…
Why do interventions work in some places and not others
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Incentives for breastfeeding and for smoking cessation in pregnancy
Financial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by pr…
A qualitative study of women’s views about how health professionals communicate about infant feeding
OBJECTIVE: To look at how communication by health professionals about infant feeding is perceived by first time mothers. DESIGN: Qualitative semi-structured interviews early in pregnancy and 6-10 weeks after birth. SUBJECTS AND SETTING: Twenty-one white, low income women expecting their first baby were interviewed mostly at home, often with their partner or a relative. RESULTS: The personal and practical aspects of infant feeding which were impor…
Seeing other women breastfeed
Vicarious experience gained through seeing women breastfeed may influence infant feeding decisions and self-efficacy. Our aim was to measure the attributes of seeing breastfeeding and to investigate how these relate to feeding intention (primary outcome) and behaviour (secondary outcome). First, we developed a Seeing Breastfeeding Scale (SBS), which consisted of five attitudes (Cronbach's alpha of 0.86) to most recently observed breastfeeding: 'I…
The use of video support for infant feeding after hospital discharge
This study assesses the feasibility and acceptability of future infant feeding video support after hospital discharge, and investigates general views on the potential of other communication technology in a remote and rural area of Scotland. Mixed survey and qualitative methods were used. A consecutive sample of 403 women were given a questionnaire at discharge from post‐natal wards and 91 responded. From the respondents, 20 volunteers were purpos…
Why do interventions work in some places and not others
A systematic review of the cost-effectiveness of non-surgical obesity interventions in men
A systematic review of long-term weight management randomised controlled trials for obese men. The Romeo project
A systematic review of weight loss interventions for obese men in the UK. The Romeo Project
Should weight loss programmes be designed differently for men and women? The Romeo Project
A qualitative evidence synthesis on the management of male obesity. The Romeo Project
Incentives for breastfeeding and for smoking cessation in pregnancy
Financial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by pr…
Breastfeeding booklet and proactive phone calls for increasing exclusive breastfeeding rates
Breastfeeding is associated with infant and maternal health benefits and considerable potential savings to health services. Despite this, only 37% of infants globally are exclusively breastfed for 6 months. Interventions are needed to improve breastfeeding rates. The aim of this study is to determine whether written breastfeeding information in pregnancy and proactive breastfeeding-focused support phone calls, provided by a health professional ed…
Breast pumps as an incentive for breastfeeding
Increasing breastfeeding rates would improve maternal and child health, but multiple barriers to breastfeeding persist. Breast pump provision has been used as an incentive for breastfeeding, although effectiveness is unclear. Women's use of breast pumps is increasing and a high proportion of mothers express breastmilk. No research has yet reported women's and health professionals' perspectives on breast pumps as an incentive for breastfeeding. In…
Women's views about a free breast pump service
Improving breastfeeding outcomes is a global priority; however, in the United Kingdom, continuation of breastfeeding remains low. Growing empirical evidence suggests a free breast pump service might be an acceptable and feasible incentive intervention to improve breastfeeding outcomes and reduce heath inequalities. To inform intervention development, we conducted an online survey with women recruited via social media using snowball sampling. Data…
Breastfeeding and risk for ceasing in mothers of preterm infants—Long‐term follow‐up
Breastfeeding is challenging for mothers of preterm infants. The aim of this paper is to describe risk factors for ceasing breastfeeding and methods of feeding until 12 months postnatal age in mothers who breastfed their preterm infants at discharge from neonatal intensive care units (NICUs). The data come from a randomised controlled trial, which evaluated the effectiveness on exclusive breastfeeding at 8 weeks of proactive telephone support com…
Routinely collected infant feeding data
The importance of breastfeeding is clear. However, global action to support breastfeeding is hindered by the lack of reliable standard data, which continues to impede progress. Routinely collected data can monitor the effectiveness of health policy, evaluate interventions, and enhance international research collaboration and comparisons. Use of routine data to support effective public health initiatives such as smoking cessation has been demonstr…
Guidance on how to develop complex interventions to improve health and healthcare
OBJECTIVE: To provide researchers with guidance on actions to take during intervention development. SUMMARY OF KEY POINTS: Based on a consensus exercise informed by reviews and qualitative interviews, we present key principles and actions for consideration when developing interventions to improve health. These include seeing intervention development as a dynamic iterative process, involving stakeholders, reviewing published research evidence, dra…
Taxonomy of approaches to developing interventions to improve health
BACKGROUND: Interventions need to be developed prior to the feasibility and piloting phase of a study. There are a variety of published approaches to developing interventions, programmes or innovations to improve health. Identifying different types of approach, and synthesising the range of actions taken within this endeavour, can inform future intervention development. METHODS: This study is a systematic methods overview of approaches to interve…
The ABA intervention for improving breastfeeding initiation and continuation
The UK has low breastfeeding rates, with socioeconomic disparities. The Assets-based feeding help Before and After birth (ABA) intervention was designed to be inclusive and improve infant feeding behaviours. ABA is underpinned by the behaviour change wheel and offers an assets-based approach focusing on positive capabilities of individuals and communities, including use of a Genogram. This study aimed to investigate feasibility of intervention de…
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Women's and peer supporters' experiences of an assets‐based peer support intervention for increasing breastfeeding initiation and continuation
BACKGROUND AND CONTEXT: Breastfeeding peer support is valued by women, but UK trials have not demonstrated efficacy. The ABA feasibility trial offered proactive peer support underpinned by behaviour change theory and an assets-based approach to women having their first baby, regardless of feeding intention. This paper explores women's and infant feeding helpers' (IFHs) views of the different components of the ABA intervention. SETTING AND PARTICI…
Adapting interventions to new contexts—the Adapt guidance
Implementing interventions with a previous evidence base in new contexts might be more efficient than developing new interventions for each context. Although some interventions transfer well, effectiveness and implementation often depend on the context. Achieving a good fit between intervention and context then requires careful and systematic adaptation. This paper presents new evidence and consensus informed guidance for adapting and transferrin…
Rethinking ‘Recovery’
INTRODUCTION: Interpretations of 'recovery' from illness are complex and influenced by many factors, not least patient expectations and experiences. This paper examines meanings of 'recovery', and how it is strived towards, drawing on the example of COVID-19 infection. METHODS: Drawing on qualitative interviews (n = 93) conducted in the UK between February 2021 and July 2022, we compare adults' accounts of being admitted to an Intensive Care Unit…
ABA‐Feed Infant Feeding Training for Peer Supporters and Coordinators
The assets-based feeding help before and after birth (ABA-feed) intervention aims to improve breastfeeding rates by offering proactive peer support to first-time mothers, regardless of feeding intention. Based on behaviour change theory and an assets-based approach, the intervention involved training existing peer supporters to become infant feeding helpers (IFHs). A train-the-trainer model was used, with coordinators delivering four 2-h training…
Experiences of the ABA‐Feed Infant Feeding Intervention
UK breastfeeding rates are low, with health inequalities in initiation and continuation. Breastfeeding peer support interventions are recommended in UK and global policy. The Assets-based feeding help Before and After birth (ABA-feed) trial tested the effectiveness of proactive, woman-centred support for infant feeding delivered by trained peer supporters (infant feeding helpers; IFHs) in addition to usual care at 17 UK sites. Using data from an …
Medicine (21 works) · Breastfeeding (14 works) · Breastfeeding Practices and Influences (14 works) · Nursing (14 works) · Pediatrics (12 works) · Psychology (11 works) · Psychological intervention (10 works) · Child Nutrition and Feeding Issues (9 works) · Family medicine (8 works) · Maternal Mental Health During Pregnancy and Postpartum (8 works)