- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00608088
Evaluation of a Community Health Nurse/Peer Counselor Program to Help Low-Income Women Breastfeed Longer
Support for Low-Income Breastfeeding: Cost and Outcomes
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Healthy People 2010 included the goal of increasing breastfeeding duration to 6 months for 50% of all mothers. Other professional and national health organizations and the Health and Human Services Blueprint for Action on Breastfeeding recommend that women breastfeed exclusively for six months. Increasing breastfeeding among low-income women is a priority, as disparities exist. Only 20.1% of low-income women (on WIC) breastfeed for six months compared to 40.7 % of more affluent women. Consistent, comprehensive, culturally sensitive breastfeeding support increases duration of breastfeeding, thus offering well-documented health benefits often specifically appropriate for low-income women. Breastfeeding relates to lower formula cost, lower health care costs, and breastfeeding may be less time consuming. These cost savings can potentially offset costs of breastfeeding promotion. Facilitating breastfeeding among low-income women includes comprehensive and culturally relevant support in the hospital, during the first week postpartum, and periodic support in the mother's home. Nearly 35% of low-income women stop breastfeeding within eight days of delivery. Repeated contact with supportive persons such as peer counselors and nurses, affects the duration and exclusivity of breastfeeding practice after the immediate postpartum period. However, support for low-income women has been neglected and not made available because of generally unsubstantiated claims that it is not cost effective. The breastfeeding intervention used an enhanced traditional community health nurse/peer counselor home visit, which is no longer usual care for contemporary community health nursing practice, along with in-hospital and telephone support. The overall hypothesis was the intervention group will have improved breastfeeding outcomes and will demonstrate a net cost savings over usual care.
The consent form explained the purpose of the study; the actual number of visits and telephone calls (if randomized into the intervention group) and the data collecttion procedures. There were no identified risks for those enrolled in the study. Incentives included $105 if the participant completed each data point.
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Contacts et emplacements
Lieux d'étude
-
-
Maryland
-
Baltimore, Maryland, États-Unis
- Johns Hopkins University
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- breastfeeding
- low-income (WIC eligible)
- English speaking
- telephone available (includes pager or close family member)
- full-term singleton birth, with no cranio-facial abnormalities
- neonate was admitted to the normal newborn nursery (not the NICU)
- negative drug screen for mother and infant.
Exclusion Criteria:
- inability to meet the above criteria
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Comparateur actif: 1
Soins habituels
|
The usual care group will received standard care from the Johns Hopkins Hospital lactation consultant and nurses, which may have included a visit in the hospital by the lactation consultant if mothers delivered Monday through Friday.
The lactation consultant was also available by request.
A "warm-line" was also standard.
This was a telephone line that was connected to an answering machine; the lactation consultant checked this line once daily (Monday through Friday) and returned calls.
|
Comparateur actif: 2
Health Nurse/Peer Councelor Intervention
|
Visits by a community health nurse/peer counselor team during the first six postpartum months. Based on prior research and experience, the team was developed to provide culturally relevant support and health-care education to low-income mothers, who were a high percentage of African American women. The goals of this team were to 1) increase the duration of breastfeeding while emphasizing ways to decrease fatigue, and decrease breast discomfort; 2) strengthen maternal competence with breastfeeding and commitment to breastfeeding; 3) provide parent education about the infant regarding breastfeeding; 4) provide/find social support needed for continued breastfeeding; and 5) foster linkages to community services that will facilitate the maintenance of breastfeeding. The specific activities of the CHN/peer counselor team included hospital visitation after enrollment, home visiting during the first postpartum month, and telephone support throughout the first six postpartum months. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
Breastfeeding Rates
Délai: March 2003 - August 2006
|
March 2003 - August 2006
|
Breastfeeding duration
Délai: March 2003 - August 2006
|
March 2003 - August 2006
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
---|---|
Cost Implications of a Nurse/Peer Councelor Program
Délai: March 2003 - August 2006
|
March 2003 - August 2006
|
Infant indicies related to cost
Délai: March 2003 - August 2006
|
March 2003 - August 2006
|
Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Linda C Pugh, PhD, RNC, FAAN, Johns Hopkins University; York College of Pennsylvania
Publications et liens utiles
Publications générales
- Frick KD, Milligan RA, White KM, Serwint JR, Pugh LC. Nurse-supported breastfeeding promotion: a framework for economic evaluation. Nurs Econ. 2005 Jul-Aug;23(4):165-72, 206, 147.
- Wilson PR, Pugh LC. Promoting nutrition in breastfeeding women. J Obstet Gynecol Neonatal Nurs. 2005 Jan-Feb;34(1):120-4. doi: 10.1177/0884217504272806.
- Milligan, R., Low, G., Spatz, D., Brooks, L., Serwint, J., & Pugh, L.C. (2004). Offering breastfeeding mothers advice on contraception. Contemporary Obstetrics & Gynecology, 49.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- FWA 0006088
- NIH/NINR - R01 RN007675
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Breastfeeding Rates
-
University of LeicesterUniversity of Nottingham; University Hospitals, LeicesterRecrutement
-
Chang Gung Memorial HospitalComplétéApprentissage automatique | Blessure à la rateTaïwan
-
Medical College of WisconsinRecrutementBlessure à la rateÉtats-Unis
-
University of Alabama at BirminghamComplété
-
EchosensRecrutement
-
University Hospital Plymouth NHS TrustPas encore de recrutementTraumatisme | Blessure à la rate
-
RenJi HospitalComplétéRapport numération plaquettaire/diamètre de la rate | Classification de Child-PughChine
-
Elisabeth-TweeSteden ZiekenhuisRadboud University Medical Center; Erasmus Medical Center; Amsterdam UMC, location... et autres collaborateursComplétéQualité de vie | Traumatisme | Blessure à la rate | Embolisation de l'artère spléniquePays-Bas
-
Zhejiang UniversityComplétéPancréatectomie distale | Préservation de la rate | Hémorragie postpancréatectomieChine
-
First Affiliated Hospital of Harbin Medical UniversityInconnueInfection | Microbiote intestinal | Blessure à la rateChine
Essais cliniques sur Usual Care
-
University of Central FloridaNational Institute on Deafness and Other Communication Disorders (NIDCD); University...ComplétéSyndrome de Down | Trouble du son de la parole | Troubles de la parole chez les enfants | Intelligibilité de la parole | Trouble de la parole et du langageÉtats-Unis
-
Emory UniversityNational Heart, Lung, and Blood Institute (NHLBI)Complété
-
Silke Wiegand-Grefe, Prof. Dr.Charite University, Berlin, Germany; Hannover Medical School; University Hospital... et autres collaborateursActif, ne recrute pasMaladies raresAllemagne
-
Medical University InnsbruckBarmherzige Brüder Vienna; Tiroler Landeskrankenanstalten GmbH (TILAK); Tiroler... et autres collaborateursComplétéAccident vasculaire cérébral | Attaque ischémique, transitoire | L'analyse coûts-avantages | Prévention secondaire | Gestion des maladiesL'Autriche
-
Chung Shan Medical UniversityComplétéSoignant | Patient d'AVCTaïwan
-
Johnson & Johnson Vision Care, Inc.ComplétéAcuité visuelle, biomicroscopie à la lampe à fente (évaluation de la coloration cornéenne)États-Unis
-
Elizabeth Glaser Pediatric AIDS FoundationUnited States Agency for International Development (USAID); Ministry of Health...Complété
-
University Hospital, AngersComplétéDouleur thoraciqueFrance, Belgique
-
Emory UniversityRetirement Research FoundationComplétéSyndrome de stress du soignantÉtats-Unis
-
Weill Medical College of Cornell UniversityCornell UniversityPas encore de recrutementFardeau des soignantsÉtats-Unis