NCT03533725

Brief Summary

This study will compare data associated with breastfeeding experiences and outcomes--specifically, breastfeeding continuation after initiation, exclusivity for 6 months of an infant's life, and breastfeeding duration--among 120 subjects recruited late in pregnancy and provided peer counseling and education services incorporating mobile health (mHealth) tools during a period of at least 6 months post-delivery with the data collected from a control group of approximately 120 mothers that did not receive the study intervention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
247

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2019

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2018

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 23, 2018

Completed
10 months until next milestone

Study Start

First participant enrolled

March 11, 2019

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2020

Completed
Last Updated

May 31, 2022

Status Verified

May 1, 2022

Enrollment Period

1.2 years

First QC Date

May 10, 2018

Last Update Submit

May 24, 2022

Conditions

Keywords

Initiation, Exclusivity, Duration

Outcome Measures

Primary Outcomes (3)

  • Breastfeeding initiation soon after birth

    Maternal subjects' compliance with the recommendation to initiate breastfeeding soon after delivery

    Ideally within an hour following a normal delivery

  • Exclusivity of breastfeeding during the first 6 months following an infant's birth

    Maternal subjects' compliance with the recommendation to provide only breast milk

    First 6 months following an infant's birth

  • Breastfeeding continuation (along with supplemental feeding) after an infant reaches 6 months of age

    Maternal subjects' compliance with the recommendation for continued breastfeeding along with supplemental feeding after an infant reaches 6 months of age

    As the study is time-limited, assessment will occur 6-9 months following an infant's birth

Secondary Outcomes (4)

  • Usability rating of the mHealth tools by peer counselors post-training

    At the end of counseling education/training (project months 8-9)

  • Usability rating of the mHealth tools by peer counselors based on use with mothers

    Once peer counselors complete delivery of services to assigned maternal subjects (by months 22-23 of the project)

  • Acceptability rating of BEST4Baby program features by mothers

    3 months post-delivery

  • Satisfaction rating of mothers with BEST4Baby counseling and education services as delivered

    6-9 months post-delivery

Study Arms (2)

Intervention group

EXPERIMENTAL

Breastfeeding counseling and education services using mHealth tools

Other: Breastfeeding counseling and education services

Comparative control group

NO INTERVENTION

No intervention, only standard of care

Interventions

Breastfeeding counseling and education by educated and trained peer counselors using mHealth tools

Intervention group

Eligibility Criteria

Age18 Years - 50 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsFemales as study involves an activity only females can perform and only females could be considered peers of mothers
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Personal experience with breastfeeding - Residence in an intervention cluster

You may not qualify if:

  • \- Failing to participate in peer counselor education/training provided for the study
  • B. Intervention Pregnant women-mothers
  • Willingness to consent to assignment to a breastfeeding peer counselor and to participate in counseling and education visits
  • Residence in an intervention cluster and intent to remain in the intervention area for a minimum of 6 months post-delivery
  • \- Pregnant women-mothers that indicate before delivery that they will not initiate breastfeeding
  • C. Control Subjects
  • Mothers delivering during the study period that live in a non-intervention area that has been designated for recruitment of control subjects
  • Willingness to participate in a survey enabling collection of data for comparative purposes
  • \- None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Jawaharlal Nehru Medical College

Belagavi, Karnataka, 590010, India

Location

Related Publications (3)

  • Charantimath U, Bellad R, Majantashetti N, Washio Y, Derman R, Kelly PJ, Short V, Chung E, Goudar S. Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India. PLoS One. 2020 May 4;15(5):e0231755. doi: 10.1371/journal.pone.0231755. eCollection 2020.

  • Short VL, Bellad RM, Kelly PJ, Washio Y, Ma T, Chang K, Majantashetti NS, Charantimath US, Jaeger FJ, Lalakia P, Goudar SS, Derman R. Feasibility, acceptability, and preliminary impact of an mHealth supported breastfeeding peer counselor intervention in rural India. Int J Gynaecol Obstet. 2022 Jan;156(1):48-54. doi: 10.1002/ijgo.13599. Epub 2021 Feb 20.

  • Ma T, Chang K, Alyusuf A, Bajracharya E, Washio Y, Kelly PJ, Bellad RM, Mahantashetti NS, Charantimath U, Short VL, Lalakia P, Jaeger F, Goudar S, Derman R. Design, Development, and Testing of BEST4Baby, an mHealth Technology to Support Exclusive Breastfeeding in India: Pilot Study. JMIR Form Res. 2022 Sep 8;6(9):e32795. doi: 10.2196/32795.

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding BehaviorBehavior

Study Officials

  • Richard J. Derman, MD,

    Thomas Jefferson University

    PRINCIPAL INVESTIGATOR
  • Shivaprasad S. Goudar, MD, MHPE

    Jawaharlal Nehru Medical College, KLE Academy of Higher Education

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Intervention group having peer counseling and education and a comparative (control) group having standard of care
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2018

First Posted

May 23, 2018

Study Start

March 11, 2019

Primary Completion

May 31, 2020

Study Completion

June 30, 2020

Last Updated

May 31, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will share

De-identified participant data for the primary and secondary outcomes are expected to be shared in publications resulting from this pilot study.

Shared Documents
STUDY PROTOCOL
Time Frame
Estimated availability : within 18 months of study closure.
Access Criteria
Global health researchers upon request

Locations