Developing and testing a mobile application for breastfeeding support : The Milky Way application

Journal article

Meedya, Shahla, Win, Khin, Yeatman, Heather, Fahy, Kathleen, Walton, Karen, Burgess, Lois, McGregor, Deborah, Shojaei, ParisaSadat, Wheatley, Eden and Halcomb, Elizabeth. (2021). Developing and testing a mobile application for breastfeeding support : The Milky Way application. Women and Birth. 34(2), pp. e196-e203. https://doi.org/10.1016/j.wombi.2020.02.006
AuthorsMeedya, Shahla, Win, Khin, Yeatman, Heather, Fahy, Kathleen, Walton, Karen, Burgess, Lois, McGregor, Deborah, Shojaei, ParisaSadat, Wheatley, Eden and Halcomb, Elizabeth
Abstract

Background
Supporting women to continue breastfeeding is a global challenge. The Milky Way Program is an effective face to face intervention to increase breastfeeding rates up to six months postpartum. The sustainability and access to the Milky Way Program could be enhanced by transforming it into a mobile application allowing women to access relevant information from their own place at a convenient time.

Aim
To explore the process of transforming the Milky Way Program into an acceptable and usable mobile health application.

Method
Stakeholders including multidisciplinary researchers and end-users designed the application based on the Milky Way Program by using Persuasive System Design principles. A mixed-method approach was used in the development and evaluation process. Seven women were recruited through convenience sampling to pilot test the application. The women’s feedback was collected through an online survey six weeks after birth and individual interviews at four months postpartum.

Findings
Women in the pilot study reported that the breastfeeding application was well designed, easy to use, interactive, reassuring and evidence-based with credible sources of information.

Conclusion
The Persuasive System Design model combined with end-user engagement can feasibly inform the development of an acceptable and usable mobile health application for breastfeeding based on a proven clinical intervention. Further rigorous testing is required to evaluate the effectiveness of the application on breastfeeding initiation and duration.

Keywordsbreastfeeding; mobile health application; persuasive system design; co-design; The Milky Way program
Year2021
JournalWomen and Birth
Journal citation34 (2), pp. e196-e203
PublisherElsevier Ltd
ISSN1871-5192
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2020.02.006
PubMed ID32081557
Scopus EID2-s2.0-85079546618
Page rangee196-e203
FunderUniversity of Wollongong
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online16 Feb 2021
Publication process dates
Accepted04 Feb 2020
Deposited01 Jun 2025
Additional information

© 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

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Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2019). Assessment of childbirth preparation classes : A parallel convergent mixed study. Reproductive Health. 16(1), p. Article 160. https://doi.org/10.1186/s12978-019-0826-2
Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol
Hadian, Tahereh, Mousavi, Sanaz, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Adolescent pregnant women's health practices and their impact on maternal, fetal and neonatal outcomes : A mixed method study protocol. Reproductive Health. 16(1), p. Article 45. https://doi.org/10.1186/s12978-019-0719-4
The role of editors and reviewers [Editorial]
Stulz, Virginia, Meedya, Shahla and Sweet, Linda. (2019). The role of editors and reviewers [Editorial] Elsevier Ltd. https://doi.org/10.1016/j.wombi.2019.04.009
Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study
Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study. BMC Pregnancy and Childbirth. 19(1), pp. 1-9. https://doi.org/10.1186/s12884-019-2333-4
Exercise and dementia in nursing homes : Views of staff and family carers
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2018). Exercise and dementia in nursing homes : Views of staff and family carers. Journal of Aging and Physical Activity. 26(1), pp. 89-96. https://doi.org/10.1123/japa.2016-0368
Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary]
Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800
Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period
Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286
Acceptability of the Cohen-Mansfield Agitation Inventory in an Australian residential aged care facility
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Acceptability of the Cohen-Mansfield Agitation Inventory in an Australian residential aged care facility. Collegian. 24(6), pp. 579-584. https://doi.org/10.1016/j.colegn.2016.11.005
Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955
Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138
The health and health preparation of long-term Australian travellers
Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138
The Milky Way educational and support programme : Structure, content and strategies
Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006