Providing Peer Mother Support Through Cell Phone and Group Meetings to Increase Exclusive Breastfeeding in Kenya

October 24, 2013 updated by: Daniel Sellen, University of Toronto

Effectiveness of a Baby-friendly Hospital Based Mothers' Support Group, and a Cell-phone Based Peer Support Program in Supporting Exclusive Breastfeeding in an Urban Kenyan Community.

This behavioural support intervention trial will investigate the potential to increase exclusive breastfeeding rates in an urban Kenyan community through peer mother support delivered either by cell phone or through group meetings. It will follow a cohort of more than 800 women attending antenatal care at a large public hospital, and compare indicators of breastfeeding and infant and maternal health between groups receiving one or other type of peer mother support. The main part of the study will test the primary hypothesis that peer group and cell phone based support can both increase rates of EBF at 3 months by 20% relative to a control group.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The general objective was to assess whether participation from late pregnancy through to 3 months postpartum in bi-weekly cell phone based peer support (CPS) or monthly peer-led support groups (PSG) can increase adoption and duration of EBF amongst low-income women in Kenya served by a nationalized BFHI certified hospital above benchmarks achieved with current approaches and standard of care by existing facility-based support (SOC).

The study aimed to reach the following specific objectives related to message delivery on EBF:

assess the feasibility of two innovative approaches (CPS and PSG) to deliver extended postnatal peer support for EBF by women in an urban, low-income country setting; compare the effectiveness of these two innovative approaches to existing facility-based support; and compare the relative effectiveness of each type of peer support intervention.

Study Type

Interventional

Enrollment (Actual)

823

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Kenya
    • Rift Valley
      • Nakuru, Rift Valley, Kenya
        • Nakuru Provincial General Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 45 years (Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria for mothers:

  1. attending antenatal care services at the target facility;
  2. confirmed pregnant by a health care worker;
  3. 24-32 weeks gestation at enrollment;
  4. competency in KiSwahili or English (or both)
  5. current resident of Nakuru municipality and expecting to reside there for the next 6 months;
  6. intend to breastfeed their newborn;
  7. self-report of any condition preventing the subject from breastfeeding (excluding HIV infection)
  8. no history of mental illness
  9. either HIV-negative on test result OR referred bto PMTCT services following verified positive HIV-test results
  10. willing to participate in study described in IC forms
  11. 18-45 years of age

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: CPS, cell phone based peer support
Cell phone base peer mother support for continued exclusive breastfeeding
Behavioral: Peer mother support for continued exclusive breastfeeding
Peer counselling on breastfeeding beginning in third trimester and continuing until 3 months postpartum
Active Comparator: PSG, group meeting based peer support
Group based peer Cell phone base peer mother support for continued exclusive breastfeeding
Behavioral: Peer mother support for continued exclusive breastfeeding
Peer counselling on breastfeeding beginning in third trimester and continuing until 3 months postpartum
No Intervention: Control
Current standard of care and support (national health system)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
exclusive breastfeeding
Time Frame: 3 months post partum
3 months post partum

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Toronto

Collaborators

Emory University
University of California, Davis
Global Alliance for Improved Nutrition
Egerton University

Investigators

  • Study Director: Daniel Sellen, PhD, University of Toronto
  • Principal Investigator: Elizabeth Kamau-Mbuthia, PhD, Egerton University
  • Principal Investigator: Samwel Mbugua, MSc, Egerton University
  • Principal Investigator: Aimee Webb Girard, Emory University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2011

Primary Completion (Actual)

October 1, 2012

Study Completion (Actual)

January 1, 2013

Study Registration Dates

First Submitted

June 28, 2011

First Submitted That Met QC Criteria

June 29, 2011

First Posted (Estimate)

June 30, 2011

Study Record Updates

Last Update Posted (Estimate)

October 25, 2013

Last Update Submitted That Met QC Criteria

October 24, 2013

Last Verified

October 1, 2013

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 26370

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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