Breast for Success: A Family-Centered Intervention in Support of Breastfeeding Among High-risk Low-income Mothers (BFS)

University Hospitals (UH)

Status: Completed

Conditions: Breastfeeding

Treatments: Behavioral: Enhanced Curriculum+Breastfeeding Doula; Behavioral: Enhanced Curriculum +Father Support; Behavioral: Enhanced Curriculum

Study type: Interventional

Funder types: Other

Identifiers

NCT01272661

BFS-1

Details and patient eligibility

About

Breast for Success is a new direct service program focused on overcoming barriers to breastfeeding for low-income inner-city mothers by use of a culturally competent and home-based educational and support intervention. Key project components include a new Enhanced Breastfeeding Curriculum with brief engaging health literacy focused modules, and two innovative support plans, the Breastfeeding Doula and Father Support Programs. The objective is to increase breastfeeding rates for high-risk inner-city mothers.

Research Questions to evaluate project feasibility and effectiveness are:

1. Were all aspects of the Curriculum and Doula and Father Support Programs implemented?
2. Is there an increase in the rate of any breastfeeding at 1 month postpartum for all mothers?
3. Is there a difference in the rate of any breastfeeding at 1 month postpartum between interventions (Curriculum only, Curriculum+Doula Support, Curriculum+Father Support)?
4. What are exclusive breastfeeding rates at 1, 3 and 6 months for all mothers?

Full description

Low rates of breastfeeding among low-income inner-city mothers represent a challenging health disparity that adversely impacts child and maternal health. The overall objective of Breast for Success is to increase the rates of breastfeeding initiation, continuation and exclusivity among high-risk mothers in the City of Cleveland via home-based culturally appropriate interventions. Key project components include a new Curriculum with brief engaging modules utilizing games, teach-reteach strategies, and interactive learning to address specific barriers identified in focus groups (e.g. pain, low milk supply, breast "myths"), and two innovative support components, the Breastfeeding Doula and Father Support Programs. Breast for Success was developed in collaboration with and will be disseminated in partnership with the Cleveland Department of Public Health MomsFirst initiative (a Healthy Start Program), which delivers comprehensive services including twice-monthly Community Health Worker home visits prenatally through 2 years postpartum to 500 women annually. The investigators will measure program success via participation logs, satisfaction questionnaires and breastfeeding rates at 1, 3 and 6 months postpartum.

Enrollment: 1,296 patients

Sex: Female

Ages: 14+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• pregnant woman enrolled in MomsFirst Program of Greater Cleveland

Exclusion criteria

• incarceration

Other study populations include the Community Health Workers, the doulas and the fathers of the study mothers.

Trial design

1,296 participants in 3 patient groups

Enhanced Curriculum

Active Comparator group

Description:

New Enhanced Breastfeeding Curriculum with 11 brief modules

Treatment:

Behavioral: Enhanced Curriculum

Enhanced Curriculum+Breastfeeding Doula

Active Comparator group

Description:

Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula")

Treatment:

Behavioral: Enhanced Curriculum+Breastfeeding Doula

Enhanced Curriculum +Father Support

Active Comparator group

Description:

Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers

Treatment:

Behavioral: Enhanced Curriculum +Father Support