3, 2, 1 Start with Breastfeeding: Supporting Partner Involvement in Breastfeeding Education Through a Gamified Mobile App
Authors: 
Kymeng Tang, Kathrin Gerling, Marnix Lijnen, Marten Geets, 
Luc Geurts, Maria Aufheimer, Joke MuyldermansAuthors Info & Claims
Kymeng Tang, Kathrin Gerling, Marnix Lijnen, Marten Geets, Luc Geurts, Maria Aufheimer, Joke MuyldermansAuthors Info & ClaimsPages 186 - 196
Abstract
Interactive technology offers a unique opportunity to supplement breastfeeding education, engaging expecting parents in reflection on breastfeeding. Yet, interventions typically target mothers, and although partner support is an important predictor of breastfeeding success, it is rarely addressed in interventions. We present 3, 2, 1 Start with Breastfeeding, a gamified mobile app that allows users to take care of a virtual baby alone or with their partner while engaging with educational content. The app was designed off an existing breastfeeding intervention, and leverages Self-Determination Theory to address parents and their partners. An evaluation with twelve parents show that the app engaged parents and their partners, and successfully communicated the lived experience of early-stage breastfeeding. However, our results also suggest that involving partners needs to be done with nuance to emphasise autonomy. We discuss these findings to derive considerations for the design of interactive interventions to support breastfeeding.
References
[1]
Jennifer Abbass-Dick, Michele Brolly, Joanne Huizinga, Amber Newport, Fangli Xie, Stephanie George, and Elisabeth Sterken. 2018. Designing an eHealth Breastfeeding Resource With Indigenous Families Using a Participatory Design. Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society 29, 5 (2018), 480–488. https://doi.org/10.1177/1043659617731818
[2]
Jennifer Abbass-Dick, Fangli Xie, Jaymie Koroluk, Shelley Alcock Brillinger, Joanne Huizinga, Amber Newport, William M Goodman, and Cindy-Lee Dennis. 2017. The Development and piloting of an eHealth breastfeeding resource targeting fathers and partners as co-parents. Midwifery 50 (2017), 139–147. https://doi.org/10.1016/j.midw.2017.04.004
[3]
Nicole Adams, Todd D. Little, and Richard M. Ryan. 2017. Self-Determination Theory. Springer Netherlands, Dordrecht, 47–54. https://doi.org/10.1007/978-94-024-1042-6_4
[4]
Indu B. Ahluwalia, Brian Morrow, and Jason Hsia. 2005. Why do women stop breastfeeding? Findings from the Pregnancy Risk Assessment and Monitoring System. Pediatrics 116, 6 (Dec. 2005), 1408–1412. https://doi.org/10.1542/peds.2005-0013
[5]
Alaa Ali Almohanna, Khin Than Win, and Shahla Meedya. 2020. Effectiveness of Internet-Based Electronic Technology Interventions on Breastfeeding Outcomes: Systematic Review. Journal of Medical Internet Research 22, 5 (May 2020), e17361. https://doi.org/10.2196/17361
[6]
Samir Arora, Cheryl McJunkin, Julie Wehrer, and Phyllis Kuhn. 2000. Major factors influencing breastfeeding rates: Mother’s perception of father’s attitude and milk supply. Pediatrics 106, 5 (Nov. 2000), E67. https://doi.org/10.1542/peds.106.5.e67
[7]
Madeline Balaam, Rob Comber, Ed Jenkins, Selina Sutton, and Andrew Garbett. 2015. FeedFinder: A Location-Mapping Mobile Application for Breastfeeding Women. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (Seoul, Republic of Korea) (CHI ’15). ACM, New York, NY, USA, 1709–1718. https://doi.org/10.1145/2702123.2702328
[8]
Ingrid Blixt, Lena B. Mårtensson, and Anette C. Ekström. 2014. Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges. International Breastfeeding Journal 9 (2014), 15. https://doi.org/10.1186/1746-4358-9-15
[9]
Julia Ayumi Bopp, Elisa D. Mekler, and Klaus Opwis. 2016. Negative Emotion, Positive Experience? Emotionally Moving Moments in Digital Games. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems(CHI ’16). Association for Computing Machinery, 2996–3006. https://doi.org/10.1145/2858036.2858227
[10]
Virginia Braun and Victoria Clarke. 2012. Thematic analysis. American Psychological Association, Washington, DC, US, 57–71. https://doi.org/10.1037/13620-004
[11]
Nicole Bridges, Gwyneth Howell, and Virginia Schmied. 2018. Exploring breastfeeding support on social media. International Breastfeeding Journal 13, 1 (June 2018), 22. https://doi.org/10.1186/s13006-018-0166-9
[12]
Lauren Britton, Louise Barkhuus, and Bryan Semaan. 2019. “Mothers as Candy Wrappers”: Critical Infrastructure Supporting the Transition into Motherhood. Proceedings of the ACM on Human-Computer Interaction 3, GROUP (Dec. 2019), 232:1–232:21. https://doi.org/10.1145/3361113
[13]
Pimwadee Chaovalit and Suporn Pongnumkul. 2017. Moommae: A location-aware mobile information system for breastfeeding mothers in Thailand (invited paper). In 2017 10th International Conference on Ubi-media Computing and Workshops (Ubi-Media). IEEE, Pattaya, Thailand, 1–5. https://doi.org/10.1109/UMEDIA.2017.8074104
[14]
Heather J. Craig and Elaine Dietsch. 2010. ‘Too scary to think about’: First time mothers’ perceptions of the usefulness of antenatal breastfeeding education. Women and Birth 23, 4 (Dec. 2010), 160–165. https://doi.org/10.1016/j.wombi.2010.04.004
[15]
Nils Dahlbäck, Arne Jönsson, and Lars Ahrenberg. 1993. Wizard of Oz studies: why and how. In Proceedings of the 1st international conference on Intelligent user interfaces(IUI ’93). Association for Computing Machinery, 193–200. https://doi.org/10.1145/169891.169968
[16]
Steven E.J. Daly and Peter E. Hartmann. 1995. Infant Demand and Milk Supply. Part 1: Infant Demand and Milk Production in Lactating Women. Journal of Human Lactation 11, 1 (March 1995), 21–26. https://doi.org/10.1177/089033449501100119
[17]
Jessica Davis, Cathy Vaughan, Justine Nankinga, Lisa Davidson, Hellen Kigodi, Eileen Alalo, Liz Comrie-Thomson, and Stanley Luchters. 2018. Expectant fathers’ participation in antenatal care services in Papua New Guinea: a qualitative inquiry. BMC Pregnancy and Childbirth 18, 1 (May 2018), 138. https://doi.org/10.1186/s12884-018-1759-4
[18]
Robin De Croon, Jonas Geuens, Katrien Verbert, and Vero Vanden Abeele. 2021. A Systematic Review of the Effect of Gamification on Adherence Across Disciplines. In HCI in Games: Experience Design and Game Mechanics(Lecture Notes in Computer Science), XiaowenEditor Fang (Ed.). Springer International Publishing, 168–184. https://doi.org/10.1007/978-3-030-77277-2_14
[19]
Dennis R. dela Cruz and Dion Michael M. Mendoza. 2017. Milktrack: Design and development of mobile application and logistics system in empowering breastfeeding practice in the Philippines. In TENCON 2017 - 2017 IEEE Region 10 Conference. IEEE, Penang, Malaysia, 2242–2246. https://doi.org/10.1109/TENCON.2017.8228234
[20]
Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, and Lori Uscher-Pines. 2019. Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association 25, 9 (Sept. 2019), 853–858. https://doi.org/10.1089/tmj.2018.0113
[21]
Francine deMontigny, Christine Gervais, Danaë Larivière-Bastien, and Kate St-Arneault. 2018. The role of fathers during breastfeeding. Midwifery 58 (March 2018), 6–12. https://doi.org/10.1016/j.midw.2017.12.001
[22]
Sebastian Deterding. 2014. Eudaimonic Design, or: Six Invitations to Rethink Gamification. 305–331.
[23]
Sebastian Deterding, Dan Dixon, Rilla Khaled, and Lennart Nacke. 2011. From game design elements to gamefulness: defining “gamification”. In Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments(MindTrek ’11). Association for Computing Machinery, 9–15. https://doi.org/10.1145/2181037.2181040
[24]
Alice H. Eagly and Wendy Wood. 2016. Social Role Theory of Sex Differences. American Cancer Society, 1–3. https://doi.org/10.1002/9781118663219.wbegss183
[25]
Carol A. Friesen, Laura J. Hormuth, Devan Petersen, and Tina Babbitt. 2015. Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women: Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Center. Journal of Human Lactation: Official Journal of International Lactation Consultant Association 31, 4 (Nov. 2015), 595–599. https://doi.org/10.1177/0890334415601088
[26]
Lisa Gatti. 2008. Maternal perceptions of insufficient milk supply in breastfeeding. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing 40, 4 (2008), 355–363. https://doi.org/10.1111/j.1547-5069.2008.00234.x
[27]
Kathrin Gerling, Kieran Hicks, Laura Buttrick, Chris Headleand, Ben Williams, Jason Hall, Kymeng Tang, Luc Geurts, and Wei Chen. 2018. Potential and Limitations of Playful Technology to Support Infant Feeding. In Proceedings of the 2018 Annual Symposium on Computer-Human Interaction in Play Companion Extended Abstracts(CHI PLAY ’18 Extended Abstracts). ACM, New York, NY, USA, 431–437. https://doi.org/10.1145/3270316.3271519
[28]
Roslyn Giglia, Kylee Cox, Yun Zhao, and Colin W Binns. 2015. Exclusive breastfeeding increased by an internet intervention.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine 10, 1 (2015), 20–25. https://doi.org/10.1089/bfm.2014.0093
[29]
Jane S. Grassley, Kelley C. Connor, and Laura Bond. 2017. Game-based online antenatal breastfeeding education: A pilot. Applied nursing research: ANR 33 (2017), 93–95. https://doi.org/10.1016/j.apnr.2016.10.011
[30]
Juho Hamari, Jonna Koivisto, and Harri Sarsa. 2014. Does Gamification Work? – A Literature Review of Empirical Studies on Gamification. In 2014 47th Hawaii International Conference on System Sciences. 3025–3034. https://doi.org/10.1109/HICSS.2014.377
[31]
Kassandra Harding, Rafael Pérez-Escamilla, Grace Carroll, Richmond Aryeetey, and Opeyemi Lasisi. 2019. Four Dissemination Pathways for a Social Media–Based Breastfeeding Campaign: Evaluation of the Impact on Key Performance Indicators. JMIR Nursing 2, 1 (Sept. 2019), e14589. https://doi.org/10.2196/14589
[32]
M. Jane Heinig and Kathryn G. Dewey. 1997. Health effects of breast feeding for mothers: a critical review. Nutrition Research Reviews 10, 1 (Jan. 1997), 35–56. https://doi.org/10.1079/NRR19970004
[33]
Bernardo L. Horta, Christian Loret de Mola, and Cesar G. Victora. 2015. Breastfeeding and intelligence: a systematic review and meta-analysis.Acta paediatrica (Oslo, Norway: 1992) 104, 467 (Dec. 2015), 14–19. https://doi.org/10.1111/apa.13139
[34]
Kai Huotari and Juho Hamari. 2012. Defining gamification: a service marketing perspective. In Proceeding of the 16th International Academic MindTrek Conference(MindTrek ’12). Association for Computing Machinery, 17–22. https://doi.org/10.1145/2393132.2393137
[35]
Daniel Johnson, Sebastian Deterding, Kerri-Ann Kuhn, Aleksandra Staneva, Stoyan Stoyanov, and Leanne Hides. 2016. Gamification for health and wellbeing: A systematic review of the literature. Internet Interventions 6 (Nov. 2016), 89–106. https://doi.org/10.1016/j.invent.2016.10.002
[36]
Kandice Kapinos, Virginia Kotzias, Debra Bogen, Kristin Ray, Jill Demirci, Mary Ann Rigas, and Lori Uscher-Pines. 2019. The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial. Journal of Medical Internet Research 21, 9 (Sept. 2019), e13967. https://doi.org/10.2196/13967
[37]
Jacqueline C. Kent, Elizabeth Ashton, Catherine M. Hardwick, Marnie K. Rowan, Elisa S. Chia, Kyle A. Fairclough, Lalitha L. Menon, Courtney Scott, Georgia Mather-McCaw, and Katherine Navarro. 2015. Nipple Pain in Breastfeeding Mothers: Incidence, Causes and Treatments. International Journal of Environmental Research and Public Health 12, 10 (Oct. 2015), 12247–12263. https://doi.org/10.3390/ijerph121012247
[38]
Rosalind Lau and Ana Hutchinson. 2020. A narrative review of parental education in preparing expectant and new fathers for early parental skills. Midwifery 84 (May 2020), 102644. https://doi.org/10.1016/j.midw.2020.102644
[39]
Gabriel M. Leung, Tai Hing Lam, and Lai Ming Ho. 2002. Breast-feeding and its relation to smoking and mode of delivery. Obstetrics and Gynecology 99, 5 Pt 1 (May 2002), 785–794. https://doi.org/10.1016/s0029-7844(02)01940-3
[40]
Michael Mackert, Marie Guadagno, Allison Lazard, Erin Donovan, Aaron Rochlen, Alexandra Garcia, Manuel José Damásio, and Brittani Crook. 2018. Engaging Men in Prenatal Health via eHealth: Findings From a National Survey. JMIR Pediatrics and Parenting 1, 2 (Aug. 2018), e9513. https://doi.org/10.2196/pediatrics.9513
[41]
Thomas W. Malone. 1980. What Makes Things Fun to Learn? Heuristics for Designing Instructional Computer Games. In Proceedings of the 3rd ACM SIGSMALL Symposium and the First SIGPC Symposium on Small Systems (Palo Alto, California, USA) (SIGSMALL ’80). Association for Computing Machinery, New York, NY, USA, 162–169. https://doi.org/10.1145/800088.802839
[42]
Dan P. McAdams and Carol A. Constantian. 1983. Intimacy and affiliation motives in daily living: An experience sampling analysis. Journal of Personality and Social Psychology 45, 4 (1983), 851–861. https://doi.org/10.1037/0022-3514.45.4.851
[43]
Shahla Meedya, Kathleen Fahy, and Ashley Kable. 2010. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women and Birth: Journal of the Australian College of Midwives 23, 4 (Dec. 2010), 135–145. https://doi.org/10.1016/j.wombi.2010.02.002
[44]
Donald A. Norman and Stephen W. Draper. 1986. User centered system design: new perspectives on human-computer interaction. Lawrence Erlbaum Associates, Hillsdale.
[45]
Keiko Otsuka, Cindy-Lee Dennis, Hisae Tatsuoka, and Masamine Jimba. 2008. The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. Journal of obstetric, gynecologic, and neonatal nursing: JOGNN 37, 5 (Oct. 2008), 546–555. https://doi.org/10.1111/j.1552-6909.2008.00277.x
[46]
Lynn A. Rempel and John K. Rempel. 2011. The Breastfeeding Team: The Role of Involved Fathers in the Breastfeeding Family. Journal of Human Lactation 27, 2 (May 2011), 115–121. https://doi.org/10.1177/0890334410390045
[47]
Lynn A. Rempel, John K. Rempel, and Katrina C. J. Moore. 2017. Relationships between types of father breastfeeding support and breastfeeding outcomes. Maternal & Child Nutrition 13, 3 (July 2017). https://doi.org/10.1111/mcn.12337
[48]
Ayanna Robinson, Marsha Davis, Jori Hall, Carolyn Lauckner, and Alex Kojo Anderson. 2019. It Takes an E-Village: Supporting African American Mothers in Sustaining Breastfeeding Through Facebook Communities. Journal of Human Lactation 35, 3 (Aug. 2019), 569–582. https://doi.org/10.1177/0890334419831652
[49]
Wilaiporn Rojjanasrirat, Eve-Lynn Nelson, and Karen A. Wambach. 2012. A pilot study of home-based videoconferencing for breastfeeding support. Journal of Human Lactation: Official Journal of International Lactation Consultant Association 28, 4 (Nov. 2012), 464–467. https://doi.org/10.1177/0890334412449071
[50]
Nigel C Rollins, Nita Bhandari, Nemat Hajeebhoy, Susan Horton, Chessa K Lutter, Jose C Martines, Ellen G Piwoz, Linda M Richter, and Cesar G Victora. 2016. Why invest, and what it will take to improve breastfeeding practices?The Lancet 387, 10017 (Jan. 2016), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2
[51]
Richard M. Ryan and Edward L. Deci. 2000. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist 55, 1 (2000), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
[52]
Richard M. Ryan, C. Scott Rigby, and Andrew Przybylski. 2006. The Motivational Pull of Video Games: A Self-Determination Theory Approach. Motivation and Emotion 30, 4 (Dec. 2006), 344–360. https://doi.org/10.1007/s11031-006-9051-8
[53]
Stephanie Sayres and Lisa Visentin. 2018. Breastfeeding: uncovering barriers and offering solutions. Current Opinion in Pediatrics 30, 4 (2018), 591–596. https://doi.org/10.1097/MOP.0000000000000647
[54]
Jane Anne Scott, Sharyn K. Burns, Yvonne L. Hauck, Roslyn C. Giglia, Anita M. Jorgensen, Becky Kate White, Annegret Martin, Suzanne Robinson, Satvinder S. Dhaliwal, and Colin W. Binns. 2021. Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial. JMIR Pediatrics and Parenting 4, 2 (April 2021), e24579. https://doi.org/10.2196/24579
[55]
Jane A. Scott, Maeran C. Landers, Robert M. Hughes, and Colin W. Binns. 2001. Factors associated with breastfeeding at discharge and duration of breastfeeding. Journal of Paediatrics and Child Health 37, 3 (June 2001), 254–261. https://doi.org/10.1046/j.1440-1754.2001.00646.x
[56]
Katie Seaborn and Deborah I. Fels. 2015. Gamification in theory and action: A survey. International Journal of Human-Computer Studies 74 (Feb. 2015), 14–31. https://doi.org/10.1016/j.ijhcs.2014.09.006
[57]
Harvinder Sihota, John Oliffe, Mary T. Kelly, and Fairleth McCuaig. 2019. Fathers’ Experiences and Perspectives of Breastfeeding: A Scoping Review. American Journal of Men’s Health 13, 3 (May 2019), 1557988319851616. https://doi.org/10.1177/1557988319851616
[58]
Kara Renee Skelton, Retta Evans, Jenna LaChenaye, Jonathan Amsbary, Martha Wingate, and Laura Talbott. 2018. Exploring Social Media Group Use Among Breastfeeding Mothers: Qualitative Analysis. JMIR Pediatrics and Parenting 1, 2 (Nov. 2018), e11344. https://doi.org/10.2196/11344
[59]
Kymeng Tang, Kathrin Gerling, Wei Chen, and Luc Geurts. 2019. Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review. Journal of Medical Internet Research 21, 9 (2019), e13947. https://doi.org/10.2196/13947
[60]
Kymeng Tang, Kathrin Gerling, and Luc Geurts. 2022. Virtual Feed: Design and Evaluation of a Virtual Reality Simulation Addressing the Lived Experience of Breastfeeding. In CHI Conference on Human Factors in Computing Systems (New Orleans, LA, USA) (CHI ’22). Association for Computing Machinery, New York, NY, USA, Article 438, 17 pages. https://doi.org/10.1145/3491102.3517620
[61]
Kymeng Tang, Kathrin Gerling, Luc Geurts, and Katta Spiel. 2021. Understanding the Role of Technology to Support Breastfeeding. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (Online - Yokohama, Japan) (CHI ’21). Association for Computing Machinery; New York, NY, USA, New York, NY, USA, 1–13. https://doi.org/10.1145/3411764.3445247
[62]
Jenny Tohotoa, Bruce Maycock, Yvonne L. Hauck, Peter Howat, Sharyn Burns, and Colin W. Binns. 2009. Dads make a difference: an exploratory study of paternal support for breastfeeding in Perth, Western Australia. International Breastfeeding Journal 4, 1 (Nov. 2009), 15. https://doi.org/10.1186/1746-4358-4-15
[63]
April Tyack and Elisa D. Mekler. 2020. Self-Determination Theory in HCI Games Research: Current Uses and Open Questions. Association for Computing Machinery, 1–22. https://doi.org/10.1145/3313831.3376723
[64]
Rob van Roy and Bieke Zaman. 2017. Why Gamification Fails in Education and How to Make It Successful: Introducing Nine Gamification Heuristics Based on Self-Determination Theory. Springer International Publishing, 485–509. https://doi.org/10.1007/978-3-319-51645-5_22
[65]
Cesar G Victora, Rajiv Bahl, Aluísio J D Barros, Giovanny V A França, Susan Horton, Julia Krasevec, Simon Murch, Mari Jeeva Sankar, Neff Walker, and Nigel C Rollins. 2016. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet 387, 10017 (Jan. 2016), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7
[66]
Chih-Jau Wang, Pimwadee Chaovalit, and Suporn Pongnumkul. 2018. A Breastfeed-Promoting Mobile App Intervention: Usability and Usefulness Study. JMIR mHealth and uHealth 6, 1 (2018), e27. https://doi.org/10.2196/mhealth.8337
[67]
Chelsea-Joy Wardle, Mitchell Green, Christine Wanjiru Mburu, and Melissa Densmore. 2018. Exploring Co-design with Breastfeeding Mothers. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (Montreal QC, Canada) (CHI ’18). ACM, New York, NY, USA, 482:1–482:12. https://doi.org/10.1145/3173574.3174056
[68]
Kevin Werbach. 2014. (Re)Defining Gamification: A Process Approach. In Persuasive Technology(Lecture Notes in Computer Science), Anna Spagnolli, Luca Chittaro, and LucianoEditors Gamberini (Eds.). Springer International Publishing, 266–272. https://doi.org/10.1007/978-3-319-07127-5_23
[69]
Becky White, Roslyn C. Giglia, James A. White, Satvinder Dhaliwal, Sharyn K. Burns, and Jane A. Scott. 2019. Gamifying Breastfeeding for Fathers: Process Evaluation of the Milk Man Mobile App. JMIR Pediatrics and Parenting 2, 1 (2019), e12157. https://doi.org/10.2196/12157
[70]
Becky K. White, Roslyn C. Giglia, Jane A. Scott, and Sharyn K. Burns. 2018. How New and Expecting Fathers Engage With an App-Based Online Forum: Qualitative Analysis. JMIR mHealth and uHealth 6, 6 (June 2018), e144. https://doi.org/10.2196/mhealth.9999
[71]
Becky K. White, Annegret Martin, James A. White, Sharyn K. Burns, Bruce R. Maycock, Roslyn C. Giglia, and Jane A. Scott. 2016. Theory-Based Design and Development of a Socially Connected, Gamified Mobile App for Men About Breastfeeding (Milk Man).JMIR mHealth and uHealth 4, 2 (June 2016), e81. https://doi.org/10.2196/mhealth.5652
[72]
WHO and Juana Willumsen. 2013. WHO | Breastfeeding education for increased breastfeeding duration. https://www.who.int/elena/bbc/breastfeeding_education/en/
[73]
World Health Organization. 2013. Implementation of the Baby-friendly Hospital Initiative. http://www.who.int/elena/titles/bbc/implementation_bfhi/en/
[74]
Qiong Wu, Yiwen Huang, Zijun Liao, Michelle Helena van Velthoven, Wei Wang, and Yanfeng Zhang. 2020. Effectiveness of WeChat for Improving Exclusive Breastfeeding in Huzhu County China: Randomized Controlled Trial. Journal of Medical Internet Research 22, 12 (Dec. 2020), e23273. https://doi.org/10.2196/23273
[75]
Nannan Xi and Juho Hamari. 2019. Does gamification satisfy needs? A study on the relationship between gamification features and intrinsic need satisfaction. International Journal of Information Management 46 (Jun 2019), 210–221. https://doi.org/10.1016/j.ijinfomgt.2018.12.002
Index Terms
- 3, 2, 1 Start with Breastfeeding: Supporting Partner Involvement in Breastfeeding Education Through a Gamified Mobile App
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