Black or African American
9%
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
Peer Reviewed
Model(s): Breastfeeding: Heritage and Pride™ (BHP)
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Not assessed for randomized controlled trials with low attrition |
No |
Yes |
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| 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 | |
| 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 |
This study included participants from the following locations:
- Connecticut
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.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
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.
Subgroups examined
There were no subgroups reported in this manuscript.
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.