Breast for Success: A Family-Centered Intervention in Support of Breastfeeding Among High-risk Low-income Mothers
| Status: | Completed |
|---|---|
| Conditions: | Healthy Studies |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 14 - Any |
| Updated: | 5/5/2014 |
| Start Date: | June 2011 |
| End Date: | November 2013 |
| Contact: | Lydia M Furman, MD |
| Email: | Lydia.Furman@uhhospitals.org |
| Phone: | 216-844-8260 |
Breast for Success: A Family-Centered Intervention in Support of Breastfeeding Among High-risk Low-income Mothers in Cleveland
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?
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, 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.
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, 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.
Inclusion Criteria:
- pregnant woman enrolled in MomsFirst Program of Greater Cleveland
Exclusion Criteria:
- incarceration
Other study populations include the Community Health Workers, the doulas and the fathers
of the study mothers.
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