The Effect of a Father-involvement Breastfeeding Telephone Support Intervention on Exclusive and Sustained Breastfeeding: A Randomized Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 649
- 试验地点
- 1
- 主要终点
- Prevalence of exclusive breastfeeding
研究概览
简要总结
The World Health Organization advocates for breastfeeding as the best source of food for optimal infant development, which reduces the risk of infant mortality and morbidity. The objectives of this study are to evaluate the effect of a father-involvement breastfeeding telephone support intervention on prevalence and duration of exclusive breastfeeding, postnatal depression and parent-infant bonding. The intervention consists of four weekly 20-30 minutes telephone-administered counselling sessions on breastfeeding, delivered individually in the first month postpartum for mothers and fathers. We expect that women who receive the intervention will have a higher rate and longer duration of exclusive breastfeeding, fewer depressive symptoms and better parent-child relationship. The knowledge gained from this study can provide direction for the development of flexible, accessible and culturally sensitive interventions to promote breastfeeding and mental health in Chinese society.
详细描述
Exclusive breastfeeding is recommended as the most beneficial form of infant nutrition during the first 6 months of life, which protects infants against childhood illness and reduces the risk of infant mortality and morbidity. The aim of this study is to implement and evaluate a breastfeeding telephone support intervention that involves mothers and fathers during the postpartum period. The objectives are to evaluate the effect of a father-involvement breastfeeding telephone support intervention on prevalence and duration of exclusive breastfeeding, postnatal depression and parent-infant bonding.
Hypothesis to be tested:
- Mothers who receive the father-involvement telephone support intervention will have a higher rate and a longer duration of exclusive breastfeeding at 1, 2, 4 and 6 months postpartum than those who receive the standard postpartum care.
- Mothers and fathers who receive the intervention will have: (a) fewer depressive symptoms, and (b) better parent-infant bonding at 2 and 6 months postpartum than those who receive the standard postpartum care.
Design and subjects: Randomized controlled trial. A sample of postpartum mothers (n = 738) and fathers (n = 738) will be randomly assigned to either the experimental or the control groups.
Study instruments: Edinburgh Postnatal Depression Scale (EPDS) and Postpartum Bonding Questionnaire (PBQ).
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
- Single (Outcomes Assessor)
盲法说明
The outcome measures will be collected by a research assistant who is blind to the group allocation.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •aged 18 years or above;
- •giving birth to a single healthy baby at term
- •ability to speak and read the Chinese language
排除标准
- •psychiatric illness
研究组 & 干预措施
Intervention
The intervention consists of four weekly 20-30 minutes telephone-administered counselling sessions on breastfeeding, delivered individually in the first month postpartum for mothers and fathers.
干预措施: Breastfeeding telephone support (Behavioral)
Control
Standard postpartum care
结局指标
主要结局
Prevalence of exclusive breastfeeding
时间窗: 1 month
The prevalence/proportion of infants younger than 1 month who are exclusively breastfed is calculated as the number of infants younger than 1 month who are exclusively breastfed in the last 24 hours divided by the total number of infants younger than 1 month.
次要结局
- Postpartum Bonding Questionnaire(6 months)
- Prevalence of exclusive breastfeeding(6 months)
- Duration of exclusive breastfeeding(6 months)
- Edinburgh Postnatal Depression Scale(6 months)
- Prevalence of exclusive breastfeeding(2 months)
- Postpartum Bonding Questionnaire(2 months)
- Prevalence of exclusive breastfeeding(4 months)
- Duration of exclusive breastfeeding(1 month)
- Duration of exclusive breastfeeding(2 months)
- Duration of exclusive breastfeeding(4 months)
- Edinburgh Postnatal Depression Scale(2 months)
研究者
Ngai Fei Wan
Assistant Professor
The Hong Kong Polytechnic University