None listed
Conditions
Brief summary
Population: Women giving birth to Aboriginal children participating in the Aboriginal Family Birthing Program (AFBP) at the Women’s and Children’s Hospital (WCH), Adelaide and through Child and Family Health Centres (CaFHS), SA. Study design: Mixed methods: qualitative (consultations with young Aboriginal women, community members and service providers), and continuous quality improvement (Plan-Do-Study-Act (PDSA) cycles) involving nutritional support and health literacy. Interventions: Culturally appropriate, intensive multifaceted intervention strategy to promote healthy eating embedded in SA AFBP/CaFHS, centering around 9 ‘mother and baby bundles’ given to participating families by Aboriginal Maternal and Infant care workers and CaFHS staff at key points in pregnancy and the first 12 months postpartum, refined through PDSA cycles. Comparisons: Routine data from past AFBP clients and their babies. Outcomes: Increase in proportion of women with healthy gestational weight gain and healthy postpartum weight, improved dietary changes (e.g. increased vegetable consumption), increased engagement and satisfaction with the program, improved nutritional status, higher rates of breastfeeding and improved infant health and growth. Significance: This intervention strategy will identify effective and sustainable ways to engage young women (and partners/children) in making healthy food choices, in managing weight, and in reducing obesity and associated short, long-term and intergenerational issues.
Interventions
The Aboriginal Family and Baby Bundles (ABFABB) program provided by ABFABB staff to Aboriginal Women and their children; and Aboriginal children with a non-Aboriginal mother, participating in the Aboriginal Family Birthing Program at the Women's and Children's Hospital, North Adelaide, South Australia.
The ABFABB program consisted of 8 baby bundles provided to participants at particular stages of the gestation/perinatal periods:
Study-specific written advice about breastfeeding was provided at
The Aboriginal Family and Baby Bundles (ABFABB) program provided by ABFABB staff to Aboriginal Women and their children; and Aboriginal children with a non-Aboriginal mother, participating in the Aboriginal Family Birthing Program at the Women's and Children's Hospital, North Adelaide, South Australia. The ABFABB program consisted of 8 baby bundles provided to participants at particular stages of the gestation/perinatal periods: Study-specific written advice about breastfeeding was provided at 30-32 weeks gestation and when the infant was 4-5 months (e.g. weaning advice) i) <15 weeks gestation; fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef); 500 ml oil; or food vouchers ($100); a tote bag with Indigenous design ii) 18-20 weeks gestation: glucose test at clinic; fresh food (2 kilos vegetables; 2 kilos fruit; 500 ml oil; 1 kilo meat (lamb, chicken or beef); or food vouchers ($100); a tote bag with Indigenous design iii) 30-32 weeks gestation: written advice about breastfeeding; breast pumps; fresh food (2 kilos vegetables; 2 kilos fruit; 500 ml oil; 1 kilo meat (lamb, chicken, beef); or food vouchers ($100) iv) Birth: fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef) or food vouchers ($100); baby clothes/items (1 onesie; 1 breastfeeding wrap with Indigenous design) v) 1-4 weeks: baby check up with child and family nurses; fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef) or food vouchers ($100); vi) infant 4-5 months: written and verbal advice on infant feeding and transition to solids; fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef); or food vouchers ($100) vii) infant 8 months: fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef); or food vouchers ($100); books for baby viii) infant 12 months: fresh food (2 kilos vegetables; 2 kilos fruit; 1 kilo meat (lamb, chicken or beef); or food vouchers ($100) Participants were asked to complete or provide the following: questionnaires (e.g. dietary patterns), weighing; blood samples (only if women agreed), antenatal clinic attendance; child and family clinic attendance; completion of questionnaires regarding diet and exercise; 'baby bundles' - consisting of advice, food deliveries to home; food preparation items; breast pumps; books for baby; water bottles; print resources (e.g. healthy recipes) e) baby bundles from early pregnancy to first year postpartum (during pandemic restrictions, postpartum items (especially food deliveries) were delivered to participants' homes (initially at Women's and Children's Hospital, then home delivery/visits (again due pandemic restrictions)) Research staff interacting with participants were all Aboriginal women; also a group of Aboriginal people advised the program; including advice on content of bundles; and respectful approaches to participants Pandemic restrictions meant that we sometimes had to rearrange timings and/or supply several bundles at once.
Sponsors
NHMRC
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
Aboriginal and/or Torres Strait Islander women who were pregnant (and intending to give birth at the Women's and Children's Hospital, Adelaide, South Australia) and their infants.
Exclusion criteria
Transfer from Women and Children's Hospital
Outcome results
None listed