Effectiveness of Educational Intervention on Sustainable Breastfeeding: The GREEN MOTHER Project

NCT05729581 | Recruiting

• 1 other identifier: 22/101-P
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

Breastfeeding is the healthiest form of nutrition for the baby and is recommended to use exclusive breastfeeding (EB) until 6 months. The environmental footprint of artificial lactation (AL) has been studied, but that of EB is unknown. Objectives: The main objective of the first phase of the study is to identify the environmental impact in terms of the carbon footprint of breastfeeding and artificial breastfeeding, taking into account the accessories necessary for breastfeeding and of the diet and the factors associated with the diet of postpartum women in first month of life of the babies. The main objective of the second phase is to evaluate the impact of a standardized intervention of educational programme on sustainable breastfeeding, diet and environment protection, providing inputs obtained from the first phase on the carbon footprint in the first month of life of the child and the prevalence of breastfeeding at the first month of the baby's life.

Conditions

Healthy Diet; Health Behaviour; Environmental-Pollution-Related Condition; Mothers; Child, Only

Keywords

lactation type; breastfeeding; sustainable diet; environmental impact; carbon footprint; one health

Outcome Measures

Primary Outcomes (2)

• Rates (number of participants, %) that use breastfeeding (exclusive) up to 6 months after the delivery

  The rate of breastfeeding (exclusive) will be observed up to 6 months after the participant's baby delivery and calucalted as a percentage or fraction compared to all participants: at month of the delivery (0 month) and 1, 3 and 6 months after the delivery (giving a birth)

  months 30-36 of the project life

• Rates (number of participants, %) that use EB (excusive breastfeeding) in EG (experimental group) vs. CG (group of control)

  Rates (number of participants, fractions or percentages) of breasfeeding will be calculated and compared in both groups: CG (control) vs. EG (experimental).

  months 30-36 of the project life

Secondary Outcomes (3)

• To calculate the CO2 footprint and water consumption of different types of mother diet and lactation (breastfeeding and artificial one) based on data obtained from the questionnaires

  fase I) months 15-17 of the project life & phase 2) 30-36 of the project life

• Assess the nutritional quality of the diet of postpartum mothers at the month of their children's life based on data obtained from the questionnaires

  months 22-31 of the project life

• Comparison of rates on breastfeeding vs. artificial lactation in the population of the Northern Metropolitan area: current study results (2022/2023 based on data obtained from the questionnaire) vs. 2017 (already published)

  months 30-36 of the project life

Study Arms (2)

Control group

NO INTERVENTION

This group of pregnant women (24-32 SG) will not be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding. It is a control group.

Experimental group

EXPERIMENTAL

This group of pregnant women (24-32 SG) will be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding

Behavioral: The educational programme on sustainable and healthy diet and breastfeeding

Interventions

The educational programme on sustainable and healthy diet and breastfeeding BEHAVIORAL

In the interventional group the educational programme of sustainable diet and breastfeeding will be provided before the delivery to see the impact on the prevalence of the breastfeeding at 1 and 6 months after delivery (compared with the group of control, without intervention)

Also known as: The role of diet, products consumption, type of cooking, energy used and breastfeeding vs. artifitial lactancy in the carbon footprint

Experimental group

Eligibility Criteria

• Age: 16 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• pregnant women over 16 years of age, between 24 and 32 weeks of gestation

You may not qualify if:

• women with a language barrier, under 16 years of age and those who do not want to participate or who do not give birth in the study associated centers

Sponsors & Collaborators

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina: lead
• Parc Taulí Hospital Universitari: collaborator
• Fundació Institut Germans Trias i Pujol: collaborator
• Hospital de Granollers: collaborator
• University of Barcelona: collaborator

Study Sites (1)

ASSIR Metropolitana Nord

Sabadell, Spain

RECRUITING

Related Publications (3)

• Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Toran-Monserrat P, Vicente-Hernandez MM, Gomez-Masvidal M, Violan C, Montero-Pons L, Falguera-Puig G, Cazorla-Ortiz G. Effectiveness of an Educational and Counseling Program (the Green Mother Project Phase 2) to Enhance Breastfeeding and Improve Mothers' Diets From an Environmental Perspective: Protocol for a Cluster Randomized Controlled Trial. JMIR Res Protoc. 2026 Jan 26;15:e80358. doi: 10.2196/80358.

  PMID: 41587088 DERIVED

• Cos-Busquets J, Cabedo-Ferreiro RM, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Andrade EP, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Toran-Monserrat P, Falguera-Puig G, Cazorla-Ortiz G; GREEN MOTHER Group. A Comprehensive Assessment of the Environmental Impact of Different Infant Feeding Types: The Observational Study GREEN MOTHER. J Adv Nurs. 2025 Dec;81(12):8230-8241. doi: 10.1111/jan.16473. Epub 2024 Oct 3.

  PMID: 39362795 DERIVED

• Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Cazorla-Ortiz G, Toran-Monserrat P, Violan C, Falguera-Puig G; GREEN MOTHER Group. Environmental impact of infant feeding type, accessories used and maternal dietary habits: The GREEN MOTHER-I project, a cross-sectional study protocol. Nutr J. 2024 Aug 21;23(1):97. doi: 10.1186/s12937-024-01000-9.

  PMID: 39164727 DERIVED

MeSH Terms

Conditions

Breast Feeding

Interventions

Diet, Healthy; Lactation

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Intervention Hierarchy (Ancestors)

Diet; Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Reproductive Physiological Phenomena; Reproductive and Urinary Physiological Phenomena; Postpartum Period

Central Study Contacts

Gemma Falguera Puig, PhD

CONTACT

+(34)936932732; gfalguera.mn.ics@gencat.cat

Liudmila Liutsko, PhD.

CONTACT

+(34)936932732; lliutskop.mn.ics@gencat.cat

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Our study has 2 phases: 1) observational and 2) interventional (with educational programme): 1. st group - CG (control group) - mothers without intervention 2. nd group - EG (experimental group) - mothers with applied educational intervention on sustainable diet and breastfeeding

Study Record Dates

• First Submitted: January 27, 2023
• First Posted: February 15, 2023
• Study Start: April 11, 2022
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: April 15, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)