Black or African American
9.00%
Source
Peer reviewed?
Yes
Chapman, D. J., Damio, G., Young, S., & Perez-Escamilla, R. (2004). Effectiveness of breastfeeding peer counseling in a low-income, predominantly Latina population: A randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 158(9), 897-902. https://doi.org/10.1001/archpedi.158.9.897
Model(s) Reviewed
Funding Sources
This research was supported by the Centers for Disease Control and Prevention through a subcontract with the Association of Teachers of Preventative Medicine; Connecticut Family Nutrition Program for Infants, Toddlers, and Children; and the Hartford Hospital Research Foundation.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Not assessed for randomized controlled trials with low attrition |
No |
Yes |
Notes
Study Participants
Pregnant women were recruited at prenatal clinics. To be eligible, the mother had to be age 18 or older, up to 26 weeks pregnant, and have low income (that is, participating in the Supplemental Nutrition Program for Women, Infants, and Children or in the Supplemental Nutrition Assistance Program, or with a household income below 180 percent of the federal poverty level). At the time of birth, mother-child dyads were screened a final time and eligible for the study if the newborn was born healthy at full term, had no congenital anomalies and no maternal history of human immunodeficiency virus, and was not admitted to the neonatal intensive care unit. Among eligible mothers, 90 were randomly assigned to the Breastfeeding: Heritage and Pride™ (BHP) home visiting group and 75 to the comparison group. Outcomes were measured at birth and at one month, three months, and six months postpartum. Eighty percent of mothers were Hispanic, nine percent were African American, four percent were White, and eight percent reported they were another race.
Setting
The study took place in Hartford, Connecticut.
Home Visiting Services
The Breastfeeding: Heritage and Pride™ (BHP) intervention consisted of at least one prenatal home visit, daily in-hospital visits during postpartum hospitalization, and three postpartum home visits. These visits were conducted by peer counselors, one of whom was assigned to each mother-child dyad. During the prenatal home visit, the peer counselor provided education on a range of topics including the benefits of breastfeeding, common breastfeeding myths, behaviors that impede early initiation and successful breastfeeding, infant feeding cues, and proper latch-on technique or positioning. During the postpartum period, mothers received the first home visit within 24 hours of discharge from the hospital. The peer counselor provided one-on-one breastfeeding support and counseling based on the mother’s needs. Free mini-electric breast pumps were provided to mothers who needed one.
Comparison Conditions
Mothers assigned to the comparison group received routine breastfeeding education. This included written materials on breastfeeding and individualized breastfeeding information in response to questions at prenatal visits. During postpartum hospitalization, mothers received one-on-one assistance and education from staff nurses, and had access to a certified lactation consultant for serious breastfeeding problems. During the postpartum period, mothers could also call the hospital to speak with a registered nurse who could answer questions about breastfeeding.
Were any subgroups examined?
No
Subgroups examined
There were no subgroups reported in this manuscript.
Findings that rate moderate or high in this manuscript
| Outcome measure | Timing of follow-up | Rating | Effect size | Stastical significance | Sample size | Sample description |
|---|---|---|---|---|---|---|
No initiation or cessation of breastfeeding |
birth |
High | 0.39 | Statistically significant, p <0.05 |
165 mother/child dyads | BHP and conventional breastfeeding support vs. conventional breastfeeding support RCT, Connecticut, 2000-2003, full sample |
No initiation or cessation of breastfeeding |
1 month old |
High | 0.72 | Not statistically significant, p ≥ 0.05 |
157 mother/child dyads | BHP and conventional breastfeeding support vs. conventional breastfeeding support RCT, Connecticut, 2000-2003, full sample |
No initiation or cessation of breastfeeding |
3 months old |
High | 0.78 | Not statistically significant, p ≥ 0.05 |
153 mother/child dyads | BHP and conventional breastfeeding support vs. conventional breastfeeding support RCT, Connecticut, 2000-2003, full sample |
No initiation or cessation of breastfeeding |
6 months old |
High | 0.94 | Not statistically significant, p ≥ 0.05 |
144 mother/child dyads | BHP and conventional breastfeeding support vs. conventional breastfeeding support RCT, Connecticut, 2000-2003, full sample |
Exclusive breastfeeding |
1 month old |
High | 1.07 | Not statistically significant, p ≥ 0.05 |
157 mother/child dyads | BHP and conventional breastfeeding support vs. conventional breastfeeding support RCT, Connecticut, 2000-2003, full sample |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- Connecticut