Evaluating an eHealth Breastfeeding Resource

NCT03492411 | Unknown

• 1 other identifier: v3vt62d9
• Study Type: interventional
• Target: 217
• Locations: 1 country
• Sites: 1

Brief Summary

This trial will evaluate an eHealth breastfeeding co-parenting resource designed for mothers and their co-parents. Couples will be randomized to study groups and the intervention group will receive information about this resource or the control group will receive usual care. The primary outcomes will be exclusive breastfeeding at 4 and 24 weeks postpartum.

Conditions

Breastfeeding, Exclusive; Breastfeeding

Keywords

Breastfeeding; Co-parenting; eHealth; patient education; fathers

Outcome Measures

Primary Outcomes (1)

• Infant Feeding Questionnaire

  The primary outcome for this study is the rate of exclusive breastfeeding at 4 weeks postpartum. This is defined as no food or liquid other than breast milk (not even water) given to the infant and includes feeding expressed breast milk. However, under this definition of exclusive breastfeeding, undiluted drops or syrups consisting of vitamins, minerals supplements or medicines are included (Breastfeeding Committee for Canada, 2006; WHO, 2010). Exclusive breastfeeding will be determined by asking the mother what she has fed her baby in the last 7 days and what she usually feeds her baby. In this trial exclusive breastfeeding will be consistent with full breastfeeding described by Labbok and Krasovec (1990).

  4 weeks

Secondary Outcomes (6)

• Breastfeeding Knowledge

  baseline, 2 weeks post intervention, 4 weeks postpartum

• Breastfeeding Attitude

  baseline, 2 weeks post intervention, 4 weeks postpartum

• Breastfeeding Self-efficacy

  baseline, 2 weeks post intervention, 4 weeks postpartum

• Anxiety

  baseline, 2 weeks post intervention, 4 weeks postpartum, 12 weeks

• Partner support for infant feeding

  4 and 12 weeks postpartum

Study Arms (2)

eHealth Intervention

EXPERIMENTAL

This group will receive information about an eHealth breastfeeding co-parenting resource. They will have a short demonstration of the site and will receive weekly emails for 6 weeks reminding them about the resource and their participation in the study.

Other: eHealth Breastfeeding Co-parenting Resource

Usual Care

NO INTERVENTION

This group will not receive any intervention. They will receive emails for 6 weeks reminding them that they are in the study.

Interventions

eHealth Breastfeeding Co-parenting Resource OTHER

The eHealth breastfeeding co-parenting resource was designed using a participatory model in partnership with the target population. It contains extensive information about breastfeeding and co-parenting. The topics include not only the importance of breastfeeding and technique but also information on how to manage common issues during breastfeeding establishment as well as over the child's first years, since breastfeeding is recommended to two years and beyond. Interactive learning elements, videos, and links to additional resources are included in the resources.

eHealth Intervention

Eligibility Criteria

• Age: 18 Years - 88 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older, over 25 weeks pregnant, planning to breastfeed, lives with co-parent who is willing to participate, first time mother or mother who has not previously breastfed,

You may not qualify if:

• does not have access to the internet and telephone, does not reads and speaks English, does not lives in Ontario, Canada, is expecting more than one child with this pregnancy

Sponsors & Collaborators

• University of Ontario Institute of Technology: lead
• Durham Region Health Department: collaborator

Study Sites (1)

University of Ontario Institute of Technology

Oshawa, Ontario, L3T 4L3, Canada

Location

Related Publications (11)

• Abbass-Dick J, Xie F, Koroluk J, Alcock Brillinger S, Huizinga J, Newport A, Goodman WM, Dennis CL. The Development and piloting of an eHealth breastfeeding resource targeting fathers and partners as co-parents. Midwifery. 2017 Jul;50:139-147. doi: 10.1016/j.midw.2017.04.004. Epub 2017 Apr 18.

  PMID: 28448858 BACKGROUND

• Abbass-Dick J, Dennis CL. Breast-feeding Coparenting Framework: A New Framework to Improve Breast-feeding Duration and Exclusivity. Fam Community Health. 2017 Jan/Mar;40(1):28-31. doi: 10.1097/FCH.0000000000000137.

  PMID: 27870751 BACKGROUND

• Dennis CL, Brown HK, Brennenstuhl S. The Postpartum Partner Support Scale: Development, psychometric assessment, and predictive validity in a Canadian prospective cohort. Midwifery. 2017 Nov;54:18-24. doi: 10.1016/j.midw.2017.07.018. Epub 2017 Jul 29.

  PMID: 28780475 BACKGROUND

• Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003 Nov-Dec;32(6):734-44. doi: 10.1177/0884217503258459.

  PMID: 14649593 BACKGROUND

• Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

  PMID: 16717171 BACKGROUND

• Abbass-Dick J, Dennis CL. Maternal and paternal experiences and satisfaction with a co-parenting breastfeeding support intervention in Canada. Midwifery. 2018 Jan;56:135-141. doi: 10.1016/j.midw.2017.10.005. Epub 2017 Oct 18.

  PMID: 29101865 BACKGROUND

• Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis CL. Coparenting breastfeeding support and exclusive breastfeeding: a randomized controlled trial. Pediatrics. 2015 Jan;135(1):102-10. doi: 10.1542/peds.2014-1416. Epub 2014 Dec 1.

  PMID: 25452653 BACKGROUND

• de la Mora, A., Russell, D. W., Dungy, C.I., Losch, M., & Dusdieker, L. (1999). The Iowa Infant Feeding Attitude Scale: Analysis of reliability and validity. Journal of Applied Social Psychology, 29, 2362-2380.

  BACKGROUND

• Labbok M, Krasovec K. Toward consistency in breastfeeding definitions. Stud Fam Plann. 1990 Jul-Aug;21(4):226-30.

  PMID: 2219227 BACKGROUND

• World Health Oraniazation. (2010). Indicators for Assessing Infant and Child Feeding Practices: part two measurement. Malta: WHO

  BACKGROUND

• Breastfeeding Committee for Canada. (2006). Breastfeeding Definitions and Data Collection Periods.

  BACKGROUND

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Jennifer Abbass-Dick

  Ms.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessor will be blinded to group allocation. Follow up data will be collected via online survey or telephone interview with survey questions. Mode of data collection will depend on participant preference
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: 150 couples will be randomized to group allocation, intervention group or control group with use sequentially numbered opaque envelopes

Study Record Dates

• First Submitted: February 22, 2018
• First Posted: April 10, 2018
• Study Start: March 25, 2018
• Primary Completion: May 1, 2020
• Study Completion: May 1, 2020
• Last Updated: March 24, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)