Abstract

This study investigated the implementation model and research methods of a peer education program for new parents focused on infant feeding and nutrition. Two hundred and sixty-nine parents with an infant aged birth to two years old were invited to become co-researchers in a Participatory Action Research (PAR) study over three years. Data included focus group and online participant meeting transcripts, social media data, correspondence between the implementation team and peer educators, and field notes. All data were consolidated regularly and discussed by project participants and the research team. After each PAR cycle, structured content analysis was conducted, informing the next iteration of the implementation model and research methods. Participating parents were highly engaged in child feeding peer-to-peer education, but felt more effective and comfortable being considered as a child-feeding information resource sharer or ‘champion’ rather than a formal peer educator. Similarly, quantitative data collection was only effective when it was integrated seamlessly into the implementation model. PAR methodology suited the diversity and dynamic real-life study setting, facilitating substantial improvements to the peer nutrition intervention model and data collection methods. Our study demonstrated that a genuine collaboration between health professionals and participants to implement research in practice can achieve both intervention outcomes and research aims.

Highlights

  • Since 2018, the project has undergone three major Participatory Action Research (PAR) cycles, with cycle 2 defined by the transition from the pilot project to the ongoing PICNIC program, cycle 3 by changes to the model based on participants’ feedback, and cycle 4 defined by the need to move

  • PICNIC is currently resourced by 1.8 full-time staff and has streamlined data collection and increased social media reach and engagement; the public PICNIC Facebook page followers are five times the number of PICNIC participants (n = 1705)

  • New parents were highly engaged in seeking information about child feeding and disseminating key learnings via their peer networks

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Summary

Introduction

The diets of Australian children deviate from the recommendation in the national dietary guidelines by the age of two, with an average of 30% of total energy intake from discretionary foods, less than half the recommended number of vegetable servings [2], and total energy intake exceeding requirements by up to 30% [3]. These early-life dietary imbalances have long-term consequences for health and wellbeing.

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