{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:59:02Z","timestamp":1785239942263,"version":"3.55.0"},"reference-count":103,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the effects of different family breastfeeding interventions on improving exclusive breastfeeding rates from 0 to 6\u2009months postpartum and to identify the key characteristics of effective interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis follows the Cochrane Handbook for Systematic Reviews of Interventions. The risk of bias in the included studies was assessed using the Cochrane Risk of Bias 2 (RoB 2) tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen studies were included in this systematic review. Family\u2010based interventions significantly improved exclusive breastfeeding rates at 6\u2009months postpartum compared with routine care (OR\u2009=\u20092.93, 95% CI [1.90, 4.50],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Interventions underpinned by theoretical frameworks enhanced exclusive breastfeeding within 2\u2009months postpartum compared with non\u2010theoretical ones (OR\u2009=\u20095.50, 95% CI [2.30, 13.19],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Multi\u2010component interventions were more effective than single\u2010method approaches (OR\u2009=\u20092.70, 95% CI [2.04, 3.57],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Programmes spanning both prenatal and postnatal periods achieved higher exclusive breastfeeding rates at 4\u20136\u2009months than those implemented in a single phase (OR\u2009=\u20094.84, 95% CI [2.50, 9.40],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Family\u2010based breastfeeding interventions could improve exclusive breastfeeding rates within the first 6\u2009months postpartum. Future breastfeeding interventions should include key family members, consider the guidance of theoretical frameworks on the intervention design, cover both the prenatal and postnatal periods, and use multiple methods to meet the needs of breastfeeding families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>Nurses, midwives, lactation nurses, and public health nurses should actively involve fathers, grandparents, and other key family members in breastfeeding education and support. Family\u2010centred breastfeeding interventions may help improve exclusive breastfeeding outcomes and strengthen family support for breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>Not registered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70669","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T06:07:03Z","timestamp":1783145223000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Family\u2010Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7865-1588","authenticated-orcid":false,"given":"Ziyang","family":"Xie","sequence":"first","affiliation":[{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1199-279X","authenticated-orcid":false,"given":"Xuanli","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5657-5805","authenticated-orcid":false,"given":"Yunyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Southern Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1199-9000","authenticated-orcid":false,"given":"Xiao","family":"Xiao","sequence":"additional","affiliation":[{"name":"School of Nursing Southern Medical University  Guangzhou China"},{"name":"Outpatient and Emergency Department, Shenzhen Maternity and Child Healthcare Hospital Southern Medical University  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.04.001"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.10.005"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102642"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20101416"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102812"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa174"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_15_9_1","unstructured":"American Academy of Family Physicians.2022.\u2018Breastfeeding Family Physicians Supporting.\u2019https:\/\/www.aafp.org\/about\/policies\/all\/breastfeeding\u2010position\u2010paper.html."},{"key":"e_1_2_15_10_1","unstructured":"American Academy of Pediatrics.2022.\u201cBreastfeeding: AAP Policy Explained. 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