Motivational Interviewing to Promote Sustained Breastfeeding

University of Nebraska11 enrolled

Overview

1. Evaluate the cultural appropriateness of an intervention protocol related to: a) motivational interviewing technique; b) stool, urine, and breast milk sample collection; and c) infant breastfeeding test weight procedure. 2. Compare Motivational Interviewing with an attention intervention (infant safety) on: a) breastfeeding self-efficacy, b) intended length of breastfeeding, and c) duration of breastfeeding. 3. Examine urine samples of infants for the presence of the inflammatory cytokine (LTE4) and evaluate fecal and breast milk samples of infants for human milk oligosaccharide levels.

The incidence of asthma, the most common serious chronic inflammatory disease among children, is rising each year. Therefore nursing interventions aimed at promoting infant immunity and mitigating factors to which the infant may be exposed may reduce the complications of this chronic illness. Breastfeeding is an ideal initial prevention strategy that strengthens the infant's immune system. In addition, the identification of biomarkers that reflect infant immune response sets the stage for the evaluation of nursing interventions targeted to decrease the impact of this chronic inflammatory disease. Although more mothers currently initiate breastfeeding, they do not sustain breastfeeding for the recommended 6 to 12 months. In general, Native American mothers' breastfeed for a shorter period of time and mothers in rural setting have fewer resources to support breastfeeding.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Breastfeeding

Interventions

Motivational InterviewingBEHAVIORAL

Client-centered strategy that may decrease ambivalence in behavior performance with attention intervention (infant safety) on: a) breastfeeding self-efficacy, b) intended length of breastfeeding, and c) duration of breastfeeding.

Eligibility

Sex: FEMALEMin age: 17 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Inclusion criteria for mothers include ≥ 19 years of age and enrolled in Northern Plains Healthy Start program. * Inclusion criteria for infants are birth weight of \> 2500 gms, \> 37 weeks gestation, a bilirubin of 15 mg%, and no NICU admission to provide a sample of stable infants. Exclusion Criteria: * Mothers who report that they will not breastfeed will be excluded. * Infants with a birth weight \< 2500 gms, are \< 37 weeks gestation, or diagnosed with any significant health problems, significant postnatal problems requiring NICU admission, symptoms of drug withdrawal, or a bilirubin \> 15 mg% will be not be recruited for the study.

Outcomes

Primary Outcomes

Days of any breastfeeding

Number of days of any breastfeeding

Time frame: From delivery to 6 months after birth

Secondary Outcomes

Increased Breastfeeding self-efficacy

Self-reported maternal satisfaction with breastfeeding

Time frame: From birth to 6 months after delivery

Increased intention to breastfeed for 6 months

Self-reported maternal intention to breastfeed for a 6 month period

Time frame: From birth to 6 months

Data from ClinicalTrials.gov

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