To Improve the Rate of Mother's Own Milk Feeding of Premature Infants in NICU
Evidence-Based Practice for Improving Quality(EPIQ) to Improve the Rate of Mother's Own Milk Feeding of Premature Infants in NICU: Study Protocol for a Cluster Randomized Controlled Trial
1 other identifier
interventional
1,500
1 country
1
Brief Summary
Thirteen hospitals in China will participate in the study, which objectives of this study is to improve the rate of mother's own milk feeding of premature infants in neonatal intensive care unit(NICU), evaluate the effectiveness of improving the quality of breastfeeding in clinical use ,form standardized process and improve clinical medical quality of premature infants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2020
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 7, 2020
CompletedFirst Posted
Study publicly available on registry
May 12, 2020
CompletedStudy Start
First participant enrolled
May 15, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2022
CompletedNovember 1, 2021
October 1, 2021
2 years
May 7, 2020
October 29, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
exclusive breastfeeding rate 24 hours before discharge
exclusive breastfeeding rate 24 hours before discharge
two years
Secondary Outcomes (5)
Time of Mother's Own Milk at starting feed(hours)
two years
Proportion of first time Mother's Own Milk (%)
two years
Duration of parenteral nutrition (days)
two years
Time to total gastrointestinal feeding (days)
two years
Pump milk times (times /d) and amount (ml / d) :1-3d, 4-7d ,8-14d
two years
Study Arms (2)
Intervention group
EXPERIMENTAL6 NICUs in the intervention group . The participating units of the intervention group determine the improvement items (one or more) in each quarter from the list of best practices of breast feeding quality improvement of Jiangsu Province, and report the improvement plan to the supervision unit, and recommend the application of PDSA (plan-do-study-act) for the implementation of quality improvement loop. Report the implementation of quality improvement to the supervision unit on a quarterly basis.
control group
NO INTERVENTIONContinue current practices
Interventions
The intervention NICUs (n = 6) will receive training in the Evidence-based Practice for Improving Quality (EPIQ) method and then develop, implement, and document evidence-based practice changes toimprove the rate of breastfeeding . Compliance with practice changes and neonatal outcomes will be monitored. NICUs will receive quarterly feedback on their progress, as well as access to implementation support.
Eligibility Criteria
You may qualify if:
- Weight less than 1500g or gestational age less than 32 weeks;
- Admission to NICU.
You may not qualify if:
- Pregnancy with serious diseases, infectious diseases or other medical contraindications for breast-feeding (such as galactosemia);
- infants did not survive were excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nanjing Medical Universitylead
- Nanjing Maternity and Child Health Care Hospitalcollaborator
- Jiangsu Maternity and Child Health Care Hospitalcollaborator
- Xuzhou Maternity and Child Health Care Hospitalcollaborator
- Affiliated Hospital of Jiangsu Universitycollaborator
- Yangzhou Maternity and Child Health Care Hospitalcollaborator
- Lianyungang Maternity and Child Health Care Hospitalcollaborator
- Nantong Maternity and Child Health Care Hospitalcollaborator
- The First People's Hospital of Jiangyincollaborator
- Yangzhou No.1 People's Hospitalcollaborator
- Subei people's Hospitalcollaborator
- Wuxi Maternity and Child Health Care Hospitalcollaborator
- The Affiliated Hospital of Xuzhou Medical Universitycollaborator
- Changzhou Maternal and Child Care Hospitalcollaborator
Study Sites (1)
Nanjing Maternity and Child Health Care Hospital
Nanjing, Jiangsu, 210004, China
Related Publications (1)
Huo J, Wu X, Gu C, Yu Z, Zhang J, Chen X, Zhu J, Liu F, Liu B, Li Q, Han S. Using a WeChat mini-program-based lactation consultant intervention to increase the consumption of mother's own milk by preterm infants in the neonatal intensive care unit: a study protocol for a cluster randomized controlled trial. Trials. 2021 Nov 24;22(1):834. doi: 10.1186/s13063-021-05731-6.
PMID: 34819117DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Han Shuping, PhD
Nanjing Maternity and Child Health Care Hospital
- STUDY DIRECTOR
Yu Zhangbin, PhD
Nanjing Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Chen Xiaoqing, PhD
Jiangsu Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Deng Xiaoyi, PhD
Xuzhou Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Lu Hongyan, PhD
Affiliated Hospital of Jiangsu University
- PRINCIPAL INVESTIGATOR
Wu Xinping, PhD
Yangzhou Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Gao Yan, PhD
Lianyungang Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Li Shuangshuang, PhD
Nantong Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Wan Jun, PhD
The First People's Hospital of Jiangyin
- PRINCIPAL INVESTIGATOR
Wu Mingfu, PhD
Yangzhou No.1 People's Hospital
- PRINCIPAL INVESTIGATOR
Zhu Lingling, PhD
Subei people's Hospital
- PRINCIPAL INVESTIGATOR
Zhou Qin, PhD
Wuxi Maternity and Child Health Care Hospital
- PRINCIPAL INVESTIGATOR
Wang Jun, PhD
The Affiliated Hospital of Xuzhou Medical University
- PRINCIPAL INVESTIGATOR
Wang Huaiyan, PhD
Changzhou Maternal and Child Care Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator of Nan Jing Maternity and Child Health Care Hospital
Study Record Dates
First Submitted
May 7, 2020
First Posted
May 12, 2020
Study Start
May 15, 2020
Primary Completion
April 30, 2022
Study Completion
April 30, 2022
Last Updated
November 1, 2021
Record last verified: 2021-10