Community Interventions to Improve Breastfeeding Rate in African American Mothers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Outcomes in Mothers at 3 months
研究概览
简要总结
The percentage of women breastfeeding their newborn babies is very low among minority populations such as African American women in Mississippi. There are good results with initiatives supporting the initiation of breastfeeding after delivery. However, the percentages of continuation of breastfeeding up to 3, 6 or 12 months are still very low in Mississippi. Therefore, this project is proposing to focus on community interventions including social and cultural components to promote and support continuation of breastfeeding.
- The social component will include interventions to promote supportive environments in the workplace for lactating mothers, as well as promoting the use of mother's milk to feed infants in daycare centers.
- The cultural component will focus on educating and raising awareness of the benefit of BF to prevent absenteeism at work, to reduce child illnesses, and to promote healthy child development. The cultural component will target the mother with her family and spouse/partner, employers, and daycare managers.
详细描述
The hypothesis of whether community interventions supporting breastfeeding practices will increase the rates of continuing breastfeeding at 6 and 12 months among African American women, will be tested with the following specific aims Aim 1: Will test whether providing breast milk pumping machine to lactating mothers will promote continuation of breastfeeding up to 6 and 12 months.
The intervention associated with this aim will include the provision of breast milk pumping machines free of charge to new mothers in the intervention arm at the time of discharge from the hospital. Mothers in the control group will follow standard of care practices, which do not include provision of pumping machines at discharge from the hospital.
Aim 2: Will test whether providing training to improve dietary literacy for lactating mothers will improve continuation of breastfeeding up to 6 and 12 months.
The intervention associated with this aim will include training session on topic related to dietary practices for lactating mothers.
Aim 3: Will test whether providing educational materials describing the benefits breastfeeding to family members, employers, and day care managers will improve continuing breastfeeding up to 6 and 12 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age: 25 to 35 years of age
- •Delivery: Full-term, singleton delivery at UMMC Infants
- •Gestational Age: ≥ 37 weeks of gestation
- •Sex: Both sexes
排除标准
- •Perinatal complication
- •Medical indication to withhold breastfeeding practices Infants
- •Prematurity
- •Medical indication to withhold breastfeeding
- •Congenital condition/malformation
研究组 & 干预措施
Group A - Control
The control group will receive standard of care, which include basic training by lactation educators.
Group B - Intervention
Women in the intervention arm will receive standard of care, which includes basic training in breastfeeding by lactation educators, and the action items related to the intervention.
The intervention will include the following
- Providing a breast milk pumping machine to the mother,
- Facilitating training session to improve dietary literacy for lactating mothers,
- Distribution of educational material describing the benefits of continuing breastfeeding infants up to 12 months of age to family members, employers, day care managers/caregivers.
干预措施: Interventions with social and cultural components (Behavioral)
结局指标
主要结局
Outcomes in Mothers at 3 months
时间窗: At 3 months post enrollment.
-Rates of continuation of breastfeeding at 3 months will be collected during the short phone interview.
Outcomes in Mothers at 6 months
时间窗: At 6 months post enrollment.
-Rates of continuation of breastfeeding at 6 months will be collected during the short phone interview.
Outcomes in Mothers at 12 months
时间窗: At 12 months post enrollment.
-Rates of continuation of breastfeeding at 12 months will be collected during the short phone interview.
Outcomes in Mothers Perceptions on Support at 12 months
时间窗: At 12 months post enrollment.
-Perception of mother on community support to promote breastfeeding will be explored with the exit survey.
Outcomes in Mothers Perceptions on Infant's wellbeing at 12 months
时间窗: At 12 months post enrollment.
-Perception of mother on infant wellbeing associated with breastfeeding practices will explored with exit survey.
Outcomes in Infant's development at 3 months
时间窗: At 3 months post natal
Development and growth using the percentile in growth chart will be collected at 3 months of age.
Outcomes in Infant's health at 3 months
时间窗: At 3 months post natal
-Incidence of infections and gastrointestinal problems will be collected at 3 months of age.
Outcomes in Infant's development at 6 months
时间窗: At 6 months post natal
Development and growth using the percentile in growth chart will be collected at 6 months of age.
Outcomes in Infant's health at 6 months
时间窗: At 6 months post natal
-Incidence of infections and gastrointestinal problems will be collected at 6 months of age.
Outcomes in Infant's development at 12 months
时间窗: At 12 months post natal
Development and growth using the percentile in growth chart will be collected at 12 months of age.
Outcomes in Infant's health at 12 months
时间窗: At 12 months post natal
-Incidence of infections and gastrointestinal problems will be collected at 12 months of age.
次要结局
未报告次要终点
研究者
Norma Ojeda
Professor and Chair DABE
University of Mississippi Medical Center