Trial Outcomes & Findings for Breast for Success: A Family-Centered Intervention in Support of Breastfeeding Among High-risk Low-income Mothers (NCT NCT01272661)

NCT ID: NCT01272661

Last Updated: 2015-01-05

Results Overview

Measure program feasibility by number of participants who were exposed to the intervention for whom there is any feeding outcome

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1296 participants

Primary outcome timeframe

by 24 months

Results posted on

2015-01-05

Participant Flow

Participant milestones

Participant milestones
Measure
Enhanced Curriculum
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum +Father Support
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Overall Study
STARTED
413
497
386
Overall Study
COMPLETED
287
288
314
Overall Study
NOT COMPLETED
126
209
72

Reasons for withdrawal

Reasons for withdrawal
Measure
Enhanced Curriculum
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum +Father Support
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Overall Study
lost to followup/case closed/ no birth
126
209
72

Baseline Characteristics

Breast for Success: A Family-Centered Intervention in Support of Breastfeeding Among High-risk Low-income Mothers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enhanced Curriculum
n=413 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=497 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support
n=386 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Total
n=1296 Participants
Total of all reporting groups
Age, Continuous
21.2 years
STANDARD_DEVIATION 4.8 • n=5 Participants
22.2 years
STANDARD_DEVIATION 4.4 • n=7 Participants
23.1 years
STANDARD_DEVIATION 4.9 • n=5 Participants
22.2 years
STANDARD_DEVIATION 4.9 • n=4 Participants
Sex: Female, Male
Female
413 Participants
n=5 Participants
497 Participants
n=7 Participants
386 Participants
n=5 Participants
1296 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
413 participants
n=5 Participants
497 participants
n=7 Participants
386 participants
n=5 Participants
1296 participants
n=4 Participants

PRIMARY outcome

Timeframe: by 24 months

Population: Total number of eligible MomsFirst participants who agreed to data sharing. Outcome shows number w/ any feeding outcome (not lost to follow up, no live birth, case closed by MomsFirst). This is for a 24 month period since all data was de-identified and stripped of dates so unable to specify for 12 month period

Measure program feasibility by number of participants who were exposed to the intervention for whom there is any feeding outcome

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=413 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=497 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=386 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Program Feasibility- Feeding Outcome Collected
287 participants
288 participants
314 participants

PRIMARY outcome

Timeframe: by 24 months from program start

Measure program feasibility by counting the number of Breastfeeding Curricular modules that were presented of total possible = 11

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=287 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=288 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=314 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Program Feasibility - Curriculum Modules
4 modules presented
Interval 1.0 to 7.0
3 modules presented
Interval 0.0 to 6.0
2 modules presented
Interval 0.0 to 6.0

SECONDARY outcome

Timeframe: Any breastfeeding: participants were followed for the duration of hospital stay, an average of 48 hours

Population: ITT analysis was conducted on participants with available data

Measure rate of any breastfeeding (breastfeeding initiation) in the hospital. We will also compare this rate between the 3 intervention groups.

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=99 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=122 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=194 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Breastfeeding Rate
66 participants
98 participants
152 participants

SECONDARY outcome

Timeframe: Any and exclusive breastfeeding at one month, between 21-38 days postpartum

Population: ITT analysis conducted on participants with available data

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.

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=243 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=222 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=259 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Breastfeeding Rate at One Month Postpartum
100 participants
95 participants
134 participants

SECONDARY outcome

Timeframe: Any and exclusive breastfeeding at 3 months, between 10-14 weeks postpartum

Population: ITT analysis conducted on participants with available data

Measure rates of any and exclusive breastfeeding at 3 months postpartum. Rate of any breastfeeding is presented.

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=184 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=189 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=262 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Breastfeeding Rate at 3 Months Postpartum
48 participants
44 participants
67 participants

SECONDARY outcome

Timeframe: Any and exclusive breastfeeding at 6 months, between 22-26 weeks postpartum

Population: ITT analysis conducted on participants with available data

Measure breastfeeding rate (any and exclusive) at 6 months postpartum. Rate of any breastfeeding is presented.

Outcome measures

Outcome measures
Measure
Enhanced Curriculum
n=148 Participants
New Enhanced Breastfeeding Curriculum with 11 brief modules Enhanced Curriculum: Brief health literacy focused modules on breastfeeding delivered in the home by Community Health Workers
Enhanced Curriculum+Breastfeeding Doula
n=127 Participants
Enhanced Curriculum + mother selects a support person to learn about breastfeeding with her and support her postpartum ("breastfeeding doula") Enhanced Curriculum+Breastfeeding Doula: 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.
Enhanced Curriculum+Father Support Program
n=237 Participants
Enhanced Curriculum+ mother provides father-friendly information about breastfeeding to her partner plus an invitation to an educational group for fathers Enhanced Curriculum+Father Support Program: 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.
Breastfeeding Rate at 6 Months Postpartum
22 participants
18 participants
38 participants

Adverse Events

Enhanced Curriculum

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Curriculum+Breastfeeding Doula

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Curriculum+Father Support Program

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lydia Furman MD, PI

UHospitalsCleveland; Rainbow Babies and CHildren's Hospital

Phone: 216-844-8260

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place