Breast for Success is a new direct service program focused on overcoming barriers to breastfeeding for low-income inner-city mothers by use of a culturally competent and home-based educational and support intervention. Key project components include a new Enhanced Breastfeeding Curriculum with brief engaging health literacy focused modules, and two innovative support plans, the Breastfeeding Doula and Father Support Programs. The objective is to increase breastfeeding rates for high-risk inner-city mothers. Research Questions to evaluate project feasibility and effectiveness are: 1. Were all aspects of the Curriculum and Doula and Father Support Programs implemented? 2. Is there an increase in the rate of any breastfeeding at 1 month postpartum for all mothers? 3. Is there a difference in the rate of any breastfeeding at 1 month postpartum between interventions (Curriculum only, Curriculum+Doula Support, Curriculum+Father Support)? 4. What are exclusive breastfeeding rates at 1, 3 and 6 months for all mothers?
Low rates of breastfeeding among low-income inner-city mothers represent a challenging health disparity that adversely impacts child and maternal health. The overall objective of Breast for Success is to increase the rates of breastfeeding initiation, continuation and exclusivity among high-risk mothers in the City of Cleveland via home-based culturally appropriate interventions. Key project components include a new Curriculum with brief engaging modules utilizing games, teach-reteach strategies, and interactive learning to address specific barriers identified in focus groups (e.g. pain, low milk supply, breast "myths"), and two innovative support components, the Breastfeeding Doula and Father Support Programs. Breast for Success was developed in collaboration with and will be disseminated in partnership with the Cleveland Department of Public Health MomsFirst initiative (a Healthy Start Program), which delivers comprehensive services including twice-monthly Community Health Worker home visits prenatally through 2 years postpartum to 500 women annually. The investigators will measure program success via participation logs, satisfaction questionnaires and breastfeeding rates at 1, 3 and 6 months postpartum.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Masking
NONE
Enrollment
1,296
Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
In the Doula Program, the Community Health Worker and mother will identify a support person (e.g. grandma, father, friend) who commits to learning about breastfeeding with the mother at home visits, and then helps her with breastfeeding postpartum.
In the Father Support Program, mothers will give their partners father-friendly breastfeeding information and an invitation to a 3-week breastfeeding education group for fathers that includes a resource specialist or resource information for child support, re-entry and job services.
MomsFirst
Cleveland, Ohio, United States
Program Feasibility- Feeding Outcome Collected
Measure program feasibility by number of participants who were exposed to the intervention for whom there is any feeding outcome
Time frame: by 24 months
Program Feasibility - Curriculum Modules
Measure program feasibility by counting the number of Breastfeeding Curricular modules that were presented of total possible = 11
Time frame: by 24 months from program start
Breastfeeding Rate
Measure rate of any breastfeeding (breastfeeding initiation) in the hospital. We will also compare this rate between the 3 intervention groups.
Time frame: Any breastfeeding: participants were followed for the duration of hospital stay, an average of 48 hours
Breastfeeding Rate at One Month Postpartum
Measure rate of breastfeeding (rate of any breastfeeding is main measure, also measure rate of exclusive breastfeeding) at one month postpartum. Will compare rate of any breastfeeding one month postpartum to historical data, and will compare rates of any breastfeeding at one month postpartum between intervention groups.
Time frame: Any and exclusive breastfeeding at one month, between 21-38 days postpartum
Breastfeeding Rate at 3 Months Postpartum
Measure rates of any and exclusive breastfeeding at 3 months postpartum. Rate of any breastfeeding is presented.
Time frame: Any and exclusive breastfeeding at 3 months, between 10-14 weeks postpartum
Breastfeeding Rate at 6 Months Postpartum
Measure breastfeeding rate (any and exclusive) at 6 months postpartum. Rate of any breastfeeding is presented.
Time frame: Any and exclusive breastfeeding at 6 months, between 22-26 weeks postpartum
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