Parkdale Infant Nutrition Security Targeted Evaluation Project: Focus Groups & Interviews (PINSTEP-2)

Parkdale Infant Nutrition Security Targeted Evaluation Project (PINSTEP): Formative Research (Objective 2-Focus Group & Interview)

In Toronto Ontario, the Parkdale Community Health Centre operates a community outreach program entitled Parkdale Parents' Primary Prevention Project (5P's). The 5P's provides weekly pre- and post-natal support and education programs for clients. This includes an infant feeding program for mothers with infants 0-6 months (Feeding Tiny Souls). The 5P's has a diverse client-base; the program is aimed at women who are in challenging life circumstances, therefore, clients may include low-income or single mothers and newcomers to Canada.

The overall goal of this research is to optimize the existing 5P's program. Program acceptability is an essential component of the process evaluation to understand the experiences of mothers and the perceived supports and barriers of the program. Specifically, the aim of this project is twofold: 1) to investigate the perceptions and experiences of accessibility of a postnatal community program and 2) to explore the perceptions of, and attitudes toward, a community infant feeding program offering lactation consultant and breast pump resources. This study will use a qualitative approach by way of semi-structured focus groups and interviews. The study population will consist of women who enrolled in 5P's prenatally and have delivered their infant. This will include women who did and did not continue to participate in the postnatal program and/or Feeding Tiny Souls after delivery. The investigators will specifically seek women who participated in the prenatal program, but did not take part in the postnatal program and/or Feeding Tiny Souls to understand why participants did not access these resources and gather information on their views of these postnatal program components. The hypothesis is that the postnatal community program is a source of support for clients, but that it needs to be expanded to include more clients and the infant feeding program is an important support for helping clients to provide breast milk to their infant.

Study Overview

• Status: Completed
• Conditions: Breastfeeding; Vulnerable Population; Breast Pumping; Infant Nutrition
• Intervention / Treatment: Other: Focus groups; Other: Interviews

• Study Type: Observational
• Enrollment (Actual): 51

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Toronto, Ontario, Canada, M6R 3B2
      • Parkdale Community Health Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

Clients enrolled in the Parkdale Parents' Primary Prevention Project (5P's) at the Parkdale Community Health Centre in Toronto, Ontario, Canada

Description

Inclusion Criteria:

• Enrolled in Parkdale Parents' Primary Prevention Project (5P's) prenatally
• Delivered their infant between June 1, 2016 and August 16, 2017

Exclusion Criteria:

• Unavailable to participate in a focus group or interview
• Only attended Parkdale Parents' Primary Prevention Project (5P's) postnatally

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Focus Group Participants; Semi-structured focus groups	Other: Focus groups; Focus groups will be conducted to gather information on clients view of a community support program focusing on healthy infant nutrition
Interview Participants; One-on-one interviews	Other: Interviews; Interviews will be conducted to gather information on clients view of a community support program focusing on healthy infant nutrition

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceptions of, and attitudes toward, a community infant feeding program offering lactation consultant and breast pump resources as assessed by group responses to targeted probes during postnatal focus groups and interviews	Qualitative summary of perceptions and attitudes regarding a community infant feeding program	60 minutes (participants are 1-14 months postpartum)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceptions and experiences of accessibility of a postnatal community program as assessed by group responses to targeted probes during postnatal focus groups and interviews	Qualitative summary of perceptions and experiences of accessibility regarding a community infant feeding program	60 minutes (participants are 1-14 months postpartum)

Collaborators and Investigators

• Sponsor: University of Toronto
• Investigators: Principal Investigator: Jane Francis, MSc, University of Toronto

Publications and helpful links

General Publications

• Francis J, Mildon A, Stewart S, Underhill B, Tarasuk V, Di Ruggiero E, Sellen D, O'Connor DL. Vulnerable mothers' experiences breastfeeding with an enhanced community lactation support program. Matern Child Nutr. 2020 Jul;16(3):e12957. doi: 10.1111/mcn.12957. Epub 2020 Jan 26.

Study record dates

Study Major Dates

• Study Start (Actual): August 18, 2017
• Primary Completion (Actual): December 20, 2017
• Study Completion (Actual): December 20, 2017

Study Registration Dates

• First Submitted: September 27, 2017
• First Submitted That Met QC Criteria: October 3, 2017
• First Posted (Actual): October 10, 2017

Study Record Updates

• Last Update Posted (Actual): May 4, 2022
• Last Update Submitted That Met QC Criteria: April 28, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: 34482-2

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No