Parkdale Infant Nutrition Security Targeted Evaluation Project: Infant Feeding

NCT03400605 | Completed

• 1 other identifier: 34482-3
• Study Type: observational
• Target: 203
• Locations: 1 country
• Sites: 1

Brief Summary

In Toronto Ontario, the Parkdale Community Health Centre operates a community outreach program entitled Parkdale Parents' Primary Prevention Project (5P's). The 5P's provides weekly pre- and post-natal support and education programs for clients. This includes an infant feeding program for mothers with infants 0-6 months (Feeding Tiny Souls). The 5P's has a diverse client-base; the program is aimed at women who are in challenging life circumstances, therefore, clients may include low-income or single mothers and newcomers to Canada. The aim of this project is to investigate the incidence, duration and exclusivity of breastfeeding and timely complementary feeding based on level of maternal participation in components of a pre and postnatal community outreach program. Exploring infant feeding practices is an evaluation component that will not only characterize infant feeding practices within a vulnerable population, but will elucidate whether there are areas of concern that need to be expanded upon within pre or postnatal programming. A prospective infant feeding questionnaire will be administered to participants at 2 weeks and at 2, 4 and 6 months postpartum. The study population will consist of women who enrolled in 5P's prenatally. The hypothesis is that exclusive breastfeeding rates will be low, but higher breastfeeding rates will be observed among women who utilize provided postnatal services more readily.

Conditions

Breastfeeding; Breastfeeding, Exclusive; Infant Nutrition; Vulnerable Population; Complementary Feeding; Food Security

Outcome Measures

Primary Outcomes (1)

• Exclusive breastfeeding as assessed by responses to an infant feeding questionnaire

  Reported exclusive breastfeeding from birth to 6 months in response to a prospective infant feeding questionnaire

  birth to 6 months postpartum

Secondary Outcomes (5)

• Breastfeeding initiation as assessed by responses to an infant feeding questionnaire administered at 2 weeks postpartum

  birth to 2 weeks postpartum

• Breastfeeding duration as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum

  birth to 6 months

• Introduction of complementary foods as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum

  birth to 6 months

• Types of complementary foods introduced as assessed by responses to a prospective infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum

  birth to 6 months

• Vitamin and mineral supplementation as assessed by responses to an infant feeding questionnaire administered at 2 weeks and 2, 4 and 6 months postpartum

  birth to 6 months

Study Arms (1)

Program Clients

Parkdale Parents' Primary Prevention Project (5P's) clients

Other: Infant feeding questionnaire

Interventions

Infant feeding questionnaire OTHER

Prospective infant feeding questionnaire administered over the telephone or in-person at 2 weeks and at 2, 4 and 6 months postpartum

Program Clients

Eligibility Criteria

• Sex: female
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Clients enrolled in Parkdale Parents' Primary Prevention Project (5P's) at Parkdale Community Health Centre in Toronto, Ontario, Canada.

You may qualify if:

• Enrolled in Parkdale Parents' Primary Prevention Project (5P's) prenatally
• Enrolled prenatally in 5P's as of August 17, 2017 onwards

You may not qualify if:

• Only enrolled in Parkdale Parents' Primary Prevention Project (5P's) postnatally
• Unavailable to participate in infant feeding questionnaire by telephone or in-person during 5P's programming

Sponsors & Collaborators

• University of Toronto: lead

Study Sites (1)

Parkdale Community Health Centre

Toronto, Ontario, M6R 3B2, Canada

Location

Related Publications (2)

• Francis J, Mildon A, Stewart S, Underhill B, Ismail S, Di Ruggiero E, Tarasuk V, Sellen DW, O'Connor DL. Breastfeeding rates are high in a prenatal community support program targeting vulnerable women and offering enhanced postnatal lactation support: a prospective cohort study. Int J Equity Health. 2021 Mar 3;20(1):71. doi: 10.1186/s12939-021-01386-6.

  PMID: 33658034 RESULT

• Mildon A, Francis J, Stewart S, Underhill B, Ng YM, Rousseau C, Di Ruggiero E, Dennis CL, Kiss A, O'Connor DL, Sellen DW. Associations between use of expressed human milk at 2 weeks postpartum and human milk feeding practices to 6 months: a prospective cohort study with vulnerable women in Toronto, Canada. BMJ Open. 2022 Jun 8;12(6):e055830. doi: 10.1136/bmjopen-2021-055830.

  PMID: 35676013 DERIVED

Related Links

• Related Info

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Jane Francis, MSc

  University of Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: December 8, 2017
• First Posted: January 17, 2018
• Study Start: August 17, 2017
• Primary Completion: October 13, 2020
• Study Completion: October 13, 2020
• Last Updated: May 11, 2023

Record last verified: 2023-05

Locations

CA (1)