NCT04536896

Brief Summary

The purpose of this study was to compare the efficacy of two educational interventions to enhance breastfeeding knowledge among senior medical students. One intervention consisted of a traditional face-to-face teaching lecture and the other consisted of the use of a smartphone application containing information about breastfeeding.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
438

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jul 2018

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

Study Start

First participant enrolled

July 31, 2018

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2019

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2019

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

August 22, 2020

Completed
12 days until next milestone

First Posted

Study publicly available on registry

September 3, 2020

Completed
Last Updated

September 3, 2020

Status Verified

August 1, 2020

Enrollment Period

1 year

First QC Date

August 22, 2020

Last Update Submit

August 27, 2020

Conditions

Keywords

breastfeeding educationmedical education

Outcome Measures

Primary Outcomes (1)

  • Efficacy of each breastfeeding course evaluated by a quantitative general knowledge questionnaire

    In order to measure this outcome, all participants answered a test consisting of a quantitative questionnaire of general breastfeeding knowledge before and after the intervention. This general knowledge test consisted of twenty questions with multiple choice answers ranging between two to five possible answers according to the nature of the question. It was designed by study researchers which included specialists in Pediatrics and breastfeeding and it was based solely on the course content. Minimum and maximum scores were 0 and 20, where a higher score indicated a better grade on the test. Central tendency and dispersion measures were obtained for pre- and post-test scores and a further statistical comparison between this parameters indicated whether there was a statistically significant difference. If the post-test score was statistically superior to the pre-test score, it was concluded that the intervention was efficient to improve breastfeeding knowledge.

    14 days

Secondary Outcomes (2)

  • Comparison of the efficacy of each breastfeeding course by comparison of mean differences

    14 days

  • Amount of time in minutes spent on the smartphone application

    14 days

Study Arms (2)

Traditional face-to-face teaching method

ACTIVE COMPARATOR

In this arm, participants underwent a 6-hour traditional face-to-face lecture on breastfeeding education in a classroom at a university. Course was divided into 4 1.5-hour sessions during a time span of two weeks.

Other: Traditional face-to-face breastfeeding lecture

Breastfeeding smartphone app

EXPERIMENTAL

In this group, participants downloaded a smartphone application which contained an online breastfeeding education course. Participants freely navigated through the smartphone app during a time span of two weeks.

Other: Smartphone breastfeeding application

Interventions

This intervention consists of a smartphone application which contains relevant information and topics regarding proper breastfeeding knowledge for medical students.

Breastfeeding smartphone app

This intervention consists of the impartition of a face-to-face breastfeeding course

Traditional face-to-face teaching method

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Senior adult medical students of any gender who at the time were enrolled on the Pediatrics biannual course during the July 2018 th -July 2019 th academic period.
  • Provide verbal informed consent
  • At least 18 years old

You may not qualify if:

  • Students who did not possess an electronic device (smartphone or tablet) or decided not to participate in the study.
  • Rate of non-attendance to the general pediatric course greater than 50%

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Facultad de Medicina, Universidad Autonoma de Nuevo Leon

Monterrey, Nuevo León, 64460, Mexico

Location

Related Publications (15)

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    PMID: 2154567BACKGROUND
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    PMID: 11438276BACKGROUND
  • Davidson LK. A 3-year experience implementing blended TBL: active instructional methods can shift student attitudes to learning. Med Teach. 2011;33(9):750-3. doi: 10.3109/0142159X.2011.558948. Epub 2011 May 19.

    PMID: 21592018BACKGROUND
  • Krupat E, Richards JB, Sullivan AM, Fleenor TJ Jr, Schwartzstein RM. Assessing the Effectiveness of Case-Based Collaborative Learning via Randomized Controlled Trial. Acad Med. 2016 May;91(5):723-9. doi: 10.1097/ACM.0000000000001004.

    PMID: 26606719BACKGROUND
  • Anjum Q, Ashfaq T, Siddiqui H. Knowledge regarding breastfeeding practices among medical students of Ziauddin University Karachi. J Pak Med Assoc. 2007 Oct;57(10):480-3.

    PMID: 17990420BACKGROUND
  • Freed GL, Clark SJ, Sorenson J, Lohr JA, Cefalo R, Curtis P. National assessment of physicians' breast-feeding knowledge, attitudes, training, and experience. JAMA. 1995 Feb 8;273(6):472-6. doi: 10.1001/jama.1995.03520300046035.

    PMID: 7837365BACKGROUND
  • Silvestre PK, Carvalhaes MA, Venancio SI, Tonete VL, Parada CM. Breastfeeding knowledge and practice of health professionals in public health care services. Rev Lat Am Enfermagem. 2009 Nov-Dec;17(6):953-60. doi: 10.1590/s0104-11692009000600005.

    PMID: 20126936BACKGROUND
  • de Almeida JM, Luz Sde A, Ued Fda V. [Support of breastfeeding by health professionals: integrative review of the literature]. Rev Paul Pediatr. 2015 Jul-Sep;33(3):356-63. doi: 10.1016/j.rpped.2014.10.002. Epub 2015 Jun 10.

    PMID: 26141902BACKGROUND
  • Arthur CR, Saenz RB, Replogle WH. Personal breast-feeding behaviors of female physicians in Mississippi. South Med J. 2003 Feb;96(2):130-5. doi: 10.1097/01.SMJ.0000051268.43410.45.

    PMID: 12630635BACKGROUND
  • Hall Moran V, Edwards J, Dykes F, Downe S. A systematic review of the nature of support for breast-feeding adolescent mothers. Midwifery. 2007 Jun;23(2):157-71. doi: 10.1016/j.midw.2006.06.005. Epub 2006 Oct 18.

    PMID: 17052824BACKGROUND
  • Dykes F. The education of health practitioners supporting breastfeeding women: time for critical reflection. Matern Child Nutr. 2006 Oct;2(4):204-16. doi: 10.1111/j.1740-8709.2006.00071.x.

    PMID: 16999766BACKGROUND
  • Caminha Mde F, Serva VB, dos Anjos MM, Brito RB, Lins MM, Batista Filho M. [Exclusive breastfeeding among professionals in a Family Healthcare Program]. Cien Saude Colet. 2011 Apr;16(4):2245-50. doi: 10.1590/s1413-81232011000400023. Portuguese.

    PMID: 21584465BACKGROUND
  • Hoddinott P, Pill R, Chalmers M. Health professionals, implementation and outcomes: reflections on a complex intervention to improve breastfeeding rates in primary care. Fam Pract. 2007 Feb;24(1):84-91. doi: 10.1093/fampra/cml061. Epub 2006 Dec 7.

    PMID: 17158185BACKGROUND
  • Yang SF, Salamonson Y, Burns E, Schmied V. Breastfeeding knowledge and attitudes of health professional students: a systematic review. Int Breastfeed J. 2018 Feb 20;13:8. doi: 10.1186/s13006-018-0153-1. eCollection 2018.

    PMID: 29483935BACKGROUND
  • Gary AJ, Birmingham EE, Jones LB. Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement. Educ Health (Abingdon). 2017 May-Aug;30(2):163-168. doi: 10.4103/efh.EfH_180_15.

    PMID: 28928347BACKGROUND

Study Officials

  • Erika Ochoa-Correa, MD

    UNIVERSIDAD AUTONOMA DE NUEVO LEON, School of Medicine, Department of Pediatrics

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Non-randomized quasi-experimental trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medical Doctor

Study Record Dates

First Submitted

August 22, 2020

First Posted

September 3, 2020

Study Start

July 31, 2018

Primary Completion

July 31, 2019

Study Completion

December 15, 2019

Last Updated

September 3, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share

At request of other researchers, sharing of IPD will be assessed by the research team assuring confidentiality of participants information.

Locations