Breastfeeding
Conditions
Brief summary
The central hypothesis guiding this project is that tailored breastfeeding support, that leverages easily accessible telemedicine technologies, can improve breastfeeding outcomes among late preterm dyads. The long-term goals of this project are to improve maternal and child health and reduce health disparities by designing and implementing evidence-based interventions to improve breastfeeding outcomes for this challenging patient population. This study seeks to identify lactation support practices that improve breastfeeding duration and to test the effect of telemedicine breastfeeding support on breastfeeding duration, among the nearly one in ten mothers who deliver late preterm (34-37 6/7 weeks), as this subpopulation of mothers faces the highest rates of premature breastfeeding cessation
Interventions
BEHAVIORALTelemedicine Support
Telemedicine intervention
OTHERStandard of Care
Standard of Care
Sponsors
National Institutes of Health (NIH)
University of California, Davis
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* maternal age 18-49 years * late preterm delivery (34-37 6/7 weeks) * enrollment up to 1 week postpartum * breastfeeding initiated * access to a smartphone, tablet, or laptop computer in their home
Exclusion criteria
* incarceration * inability to communicate in English * infant with medical condition compromising breastfeeding (e.g. cleft lip and/or palate).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Experience | One month post-enrollment | Mean score on a modified, 16-item Interactive Telehealth Satisfaction Scale \>48 (corresponding to better than neutral on a 5 point Likert scale, 16 questions). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to cessation | Monthly up to 12 months | Time to breastfeeding cessation (assessed via monthly surveys as no to infant receiving any breast milk in last 24 hours) |
| Exclusive breastfeeding cessation | Monthly up to 12 months | Time to exclusive breastfeeding cessation (assessed via monthly surveys, defined by initiation of formula, water, juice, other liquids, or solid foods) |
| Breastfeeding at 3 months | 3 months | Proportion of infants breastfeeding at 3 months (assessed via 24 hour recall from infant's mother) |
| Exclusive breastfeeding | 3 months | Proportion of infants breastfeeding without supplementation with other food or liquids at 3 months (assessed via 24 hour recall from infant's mother) |
| Individual satisfaction questions | 1 month post enrollment | Mean satisfaction on each Interactive Telehealth Satisfaction Scale question |
Countries
United States
Outcome results
None listed